NCC222661_NOI 98080 Payment Verification_20220726

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/21/2022 1:08:31 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/22/2022 7:20:25 AM (Review - NOI 98080 Montrachet - Lots 21-23)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/21/2022 1:09 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 26, 2022 5:00 PM
7/21/2022 1:09 PM
by Workflow 7/22/2022 7:20:34 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/26/2022 10:42:02 AM (Payment Verification for NCC222661)
F Stuart Parks
• Tran, Kieu M assigned the task to Tran, Kieu M 7/26/2022 10:41 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 2, 2022 5:00 PM
7/22/2022 7:20 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Montrachet - Lots 21-23
Lot Numbers
(If listed on the eNOI)
3
NC Reference No.*
NCG01-2022-2661
Certificate of
NCC222661
Coverage (COC) No.*
Invoice Date
7/22/2022
Initial Invoice No.
NCC222661-2022
Initial Fee
$ 100.00
Invoice Due Date
8/21/2022
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
7/26/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
645199128
Transaction Number*
NOI Tracking No.
98080
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2022-Montrachet - Lots 21-23