NCC222476_NOI 96711 Payment Verification_20220712

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/7/2022 11:33:51 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/8/2022 8:24:39 AM (Review - NOI 96711 R-5725 Oak Ridge WO#36178546)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/7/2022 11:34 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 12, 2022 5:00 PM
7/7/2022 11:34 AM
by Workflow 7/8/2022 8:24:49 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/12/2022 8:42:36 AM (Payment Verification for NCC222476)
F Patrick W Sizemore
• Tran, Kieu M assigned the task to Tran, Kieu M 7/12/2022 8:42 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 19, 2022 5:00 PM
7/8/2022 8:25 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
R-5725 Oak Ridge WO#36178546
Lot Numbers
(If listed on the eNOI)
NA
NC Reference No.*
NCG01-2022-2476
Certificate of
NCC222476
Coverage (COC) No.*
Invoice Date
7/8/2022
Initial Invoice No.
NCC222476-2022
Initial Fee
$ 100.00
Invoice Due Date
8/7/2022
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
7/12/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
642538836
Transaction Number*
NOI Tracking No.
96711
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-GUILF-2022-R-5725 Oak Ridge WO#36178546