NCC222162_NOI 93853 Payment Verification_20220614

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/9/2022 7:51:13 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/10/2022 6:53:26 AM (Review - NOI 93853 Bevilacqua)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/9/2022 7:51 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 14, 2022 5:00 PM
6/9/2022 7:51 AM
by Workflow 6/10/2022 6:53:33 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/14/2022 8:30:51 AM (Payment Verification for NCC222162)
F Allen C Clark
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/14/2022 8:30 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 22, 2022 5:00 PM
6/10/2022 6:53 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Bevilacqua
Lot Numbers
(If listed on the eNOI)
3
NC Reference No.*
NCG01-2022-2162
Certificate of
NCC222162
Coverage (COC) No.*
Invoice Date
6/10/2022
Initial Invoice No.
NCC222162-2022
Initial Fee
$ 100.00
Invoice Due Date
7/10/2022
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
638203568
Transaction Number*
NOI Tracking No.
93853
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2022-Bevilacqua