NCC222683_NOI 99348 Payment Verification_20220727

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/25/2022 9:23:17 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/25/2022 9:31:24 AM (Review - NOI 99348 Edgewood Farms West - Lots 3, 8,
11, 17 & 19)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/25/2022 9:23 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 28, 2022 5:00 PM
7/25/2022 9:23 AM
by Workflow 7/25/2022 9:31:31 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/27/2022 8:49:05 AM (Payment Verification for NCC222683)
* Teresa Wood Jackson
• Tran, Kieu M assigned the task to Tran, Kieu M 7/27/2022 8:48 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 5, 2022 5:00 PM
7/25/2022 9:31 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Edgewood Farms West - Lots 3, 8, 11, 17 & 19
Lot Numbers
(If listed on the eNOI)
Lots 3, 8, 11, 17 & 19
NC Reference No.*
NCG01-2022-2683
Certificate of
NCC222683
Coverage (COC) No.*
Invoice Date
7/25/2022
Initial Invoice No.
NCC222683-2022
Initial Fee
$ 100.00
Invoice Due Date
8/24/2022
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
7/27/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
645221213
Transaction Number*
NOI Tracking No.
99348
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CUMBE-2022-Edgewood Farms West - Lots 3, 8, 11, 17 & 19