NCC222297_NOI 94709 Payment Verification_20220701

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/21/2022 9:40:22 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/21/2022 9:51:11 AM (Review - NOI 94709 Brookwood S/D Ph2 Lots
42,47,49,51,52,and #42OS1)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/21/2022 9:40 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 24, 2022 5:00 PM
6/21/2022 9:40 AM
by Workflow 6/21/2022 9:51:17 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/1/2022 1:22:32 PM (Payment Verification for NCC222297)
* Caviness and Cates Building Development Co
• Tran, Kieu M assigned the task to Tran, Kieu M 7/1/2022 1:21 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 2, 2022 5:00 PM
6/21/2022 9:51 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Brookwood S/D Ph2 Lots 42,47,49,51,52,and #420S1
Lot Numbers
(If listed on the eNOI)
42,47,49,51,52,42 ( OS1) septic lot
NC Reference No.*
NCG01-2022-2297
Certificate of
NCC222297
Coverage (COC) No.*
Invoice Date
6/21/2022
Initial Invoice No.
NCC222297-2022
Initial Fee
$ 100.00
Invoice Due Date
7/21/2022
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
7/1/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
109896
NOI Tracking No.
94709
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MOORE-2022-Brookwood S/D Ph2 Lots 42,47,49,51,52,and #420S1