NCC222155_NOI 93830 Payment Verification_20220610

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/8/2022 2:53:56 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/9/2022 10:50:54 AM (Review - NOI 93830 Knight Farm Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/8/2022 2:54 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 13, 2022 5:00 PM
6/8/2022 2:54 PM
by Workflow 6/9/2022 10:51:00 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/10/2022 8:58:03 AM (Payment Verification for NCC222155)
F BS Development, Inc.
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/10/2022 8:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 21, 2022 5:00 PM
6/9/2022 10:51 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Knight Farm Subdivision
Lot Numbers
(If listed on the eNOI)
36-38,40-56,58
NC Reference No.*
NCG01-2022-2155
Certificate of
NCC222155
Coverage (COC) No.*
Invoice Date
6/9/2022
Initial Invoice No.
NCC222155-2022
Initial Fee
$ 100.00
Invoice Due Date
7/9/2022
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
6/10/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
637690094
Transaction Number*
NOI Tracking No.
93830
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ROCKI-2022-Knight Farm Subdivision