NCC222644_NOI 97981 Payment Verification_20220725

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/20/2022 2:48:49 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/21 /2022 8:50:19 AM (Review - NOI 97981 Mosaic at Chatham Park - Phases
1 D & 2B - Building M)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/20/2022 2:49 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 25, 2022 5:00 PM
7/20/2022 2:49 PM
by Workflow 7/21/2022 8:50:28 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/25/2022 1:57:43 PM (Payment Verification for NCC222644)
* Hesham Abdelbaky
• Tran, Kieu M assigned the task to Tran, Kieu M 7/25/2022 1:57 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 1, 2022 5:00 PM
7/21 /2022 8:50 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Mosaic at Chatham Park - Phases 1 D & 2B - Building M
Lot Numbers (If listed on the eNOI)
Lot #12
NC Reference No.* NCG01-2022-2644
Certificate of NCC222644
Coverage (COC) No.*
Invoice Date 7/21/2022
Initial Invoice No. NCC222644-2022
Initial Fee $ 100.00
Invoice Due Date 8/20/2022
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 7/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* • electronic
check
Other
ePayment 644398837
Transaction Number*
NOI Tracking No. 97981
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-Mosaic at Chatham Park - Phases 1 D & 213 - Building M