NCC222830_NOI 101432 Payment Verification_20220809

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/8/2022 7:41:03 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/8/2022 7:47:56 AM (Review - NOI 101432 Patchetts Branch)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/8/2022 7:41 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 11, 2022 5:00
PM 8/8/2022 7:41 AM
by Workflow 8/8/2022 7:48:06 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/9/2022 11:02:49 AM (Payment Verification for NCC222830)
F Mickey S Lamm
• Tran, Kieu M assigned the task to Tran, Kieu M 8/9/2022 11:02 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 19, 2022 5:00
PM 8/8/2022 7:48 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Patchetts Branch
Lot Numbers
(If listed on the eNOI)
5, 6, 7A, 8, and 9
NC Reference No.*
NCG01-2022-2830
Certificate of
NCC222830
Coverage (COC) No.*
Invoice Date
8/8/2022
Initial Invoice No.
NCC222830-2022
Initial Fee
$ 100.00
Invoice Due Date
9/7/2022
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
8/9/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
647358716
Transaction Number*
NOI Tracking No.
101432
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-JOHNS-2022-Patchetts Branch