NCC223106_NOI 104335 Payment Verification_20220902

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/31/2022 2:19:28 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/1/2022 11:25:22 AM (Review - NOI 104335 Thompson Wood - Lot 6)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/31/2022 2:19 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 5, 2022 5:00
PM 8/31/2022 2:19 PM
by Workflow 9/1/2022 11:25:31 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/2/2022 8:44:35 AM (Payment Verification for NCC223106)
F Craig Fox
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/2/2022 8:44 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 13, 2022 5:00 PM
9/1/2022 11:25 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Thompson Wood - Lot 6
Lot Numbers
(If listed on the eNOI)
lot 6
NC Reference No.*
NCG01-2022-3106
Certificate of
NCC223106
Coverage (COC) No.*
Invoice Date
9/1/2022
Initial Invoice No.
NCC223106-2022
Initial Fee
$ 100.00
Invoice Due Date
10/1/2022
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
9/2/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
651073621
Transaction Number*
NOI Tracking No.
104335
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Thompson Wood - Lot 6