NCC222142_NOI 93738 Payment Verification_20220623

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/7/2022 7:01:11 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/8/2022 7:49:41 AM (Review - NOI 93738 Beaver Creek Phase 5 & 6)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/7/2022 7:02 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 10, 2022 5:00 PM
6/7/2022 7:02 PM
by Workflow 6/8/2022 7:49:49 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/23/2022 10:17:53 AM (Payment Verification for NCC222142)
F David A. Geiger
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 6/23/2022 9:40 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 20, 2022 5:00 PM
6/8/2022 7:49 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Beaver Creek Phase 5 & 6
Lot Numbers
(If listed on the eNOI)
56 - 115
NC Reference No.*
NCG01-2022-2142
Certificate of
NCC222142
Coverage (COC) No.*
Invoice Date
6/8/2022
Initial Invoice No.
NCC222142-2022
Initial Fee
$ 100.00
Invoice Due Date
7/8/2022
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
6/23/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
639678566
Transaction Number*
NOI Tracking No.
93738
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-NASH-2022-Beaver Creek Phase 5 & 6