NCC222127_NOI 93638 Payment Verification_20220614

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/7/2022 10:23:14 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/7/2022 10:44:46 AM (Review - NOI 93638 Timber Hollow Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/7/2022 10:24 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 10, 2022 5:00 PM
6/7/2022 10:24 AM
by Workflow 6/7/2022 10:44:54 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/14/2022 8:04:58 AM (Payment Verification for NCC222127)
F Helmsman Homes. LLC
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/14/2022 8:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 19, 2022 5:00 PM
6/7/2022 10:45 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Timber Hollow Subdivision
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2127
Certificate of NCC222127
Coverage (COC) No.*
Invoice Date 6/7/2022
Initial Invoice No. NCC222127-2022
Initial Fee $ 100.00
Invoice Due Date 7/7/2022
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 6/14/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 638203134
Transaction Number*
NOI Tracking No. 93638
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BUNCO-2022-Timber Hollow Subdivision