NCC222201_NOI 94070 Payment Verification_20220614

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/13/2022 8:32:06 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/13/2022 8:44:40 AM (Review - NOI 94070 Woodsdale Project)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/13/2022 8:32 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 16, 2022 5:00 PM.
The priority is: High 6/13/2022 8:32 AM
by Workflow 6/13/2022 8:44:50 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/14/2022 9:27:49 AM (Payment Verification for NCC222201)
F Adam Lawing
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/14/2022 9:27 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 25, 2022 5:00 PM. The
priority is: High 6/13/2022 8:45 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Woodsdale Project
Lot Numbers
(If listed on the eNOI)
4
NC Reference No.*
NCG01-2022-2201
Certificate of
NCC222201
Coverage (COC) No.*
Invoice Date
6/13/2022
Initial Invoice No.
NCC222201-2022
Initial Fee
$ 100.00
Invoice Due Date
7/13/2022
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
638216244
Transaction Number*
NOI Tracking No.
94070
Tracking ID referenced upon submittal
This is an Express
No
Review Project
• Yes
Project Tracking ID
NCC-PERSO-2022-Woodsdale Project