NCC222387_NOI 95385 Payment Verification_20220630

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/28/2022 5:22:08 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/29/2022 7:33:55 AM (Review - NOI 95385 Davidson Farms Subdivision -
Lot#12)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/28/2022 5:22 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 1, 2022 5:00 PM
6/28/2022 5:22 PM
by Workflow 6/29/2022 7:34:03 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/30/2022 6:54:16 PM (Payment Verification for NCC222387)
F Rick Constable
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 6/30/2022 5:56 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 10, 2022 5:00 PM
6/29/2022 7:34 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Davidson Farms Subdivision - Lot#12
Lot Numbers
(If listed on the eNOI)
Lot #12
NC Reference No.*
NCG01-2022-2387
Certificate of
NCC222387
Coverage (COC) No.*
Invoice Date
6/29/2022
Initial Invoice No.
NCC222387-2022
Initial Fee
$ 100.00
Invoice Due Date
7/29/2022
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
6/30/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
640595854
Transaction Number*
NOI Tracking No.
95385
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-IRED E-2022-Davidson Farms Subdivision - Lot#12