NCC222934_NOI 102050 Payment Verification_20220816

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/15/2022 9:20:38 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/15/2022 9:25:30 AM (Review - NOI 102050 Timber Ridge Subdivision (Lots 1-
25))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/15/2022 9:21 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 18, 2022 5:00
PM 8/15/2022 9:21 AM
by Workflow 8/15/2022 9:25:38 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/16/2022 8:12:34 AM (Payment Verification for NCC222934)
F Matthew C Kirchner
• Tran, Kieu M assigned the task to Tran, Kieu M 8/16/2022 8:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 26, 2022 5:00
PM 8/15/2022 9:25 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Timber Ridge Subdivision (Lots 1-25)
Lot Numbers
(If listed on the eNOI)
1-25
NC Reference No.*
NCG01-2022-2934
Certificate of
NCC222934
Coverage (COC) No.*
Invoice Date
8/15/2022
Initial Invoice No.
NCC222934-2022
Initial Fee
$ 100.00
Invoice Due Date
9/14/2022
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
8/16/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
648451869
Transaction Number*
NOI Tracking No.
102050
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-UNION-2022-Timber Ridge Subdivision (Lots 1-25)