NCC222393_NOI 95437 Payment Verification_20220630

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/29/2022 9:26:30 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/29/2022 9:34:28 AM (Review - NOI 95437 Chatham Park Phase 7.1 - Lots
1003-1154)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/29/2022 9:27 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 4, 2022 5:00 PM
6/29/2022 9:27 AM
by Workflow 6/29/2022 9:34:38 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/30/2022 6:58:07 PM (Payment Verification for NCC222393)
* Tracy Crosby
• Georgoulias, Bethany A reassigned the task to Georgoulias, Bethany A 6/30/2022 5:57 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 10, 2022 5:00 PM
6/29/2022 9:34 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Chatham Park Phase 7.1 - Lots 1003-1154
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2393
Certificate of NCC222393
Coverage (COC) No.*
Invoice Date 6/29/2022
Initial Invoice No. NCC222393-2022
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 640603750
Transaction Number*
NOI Tracking No. 95437
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-Chatham Park Phase 7.1 - Lots 1003-1154