NCC223178_NOI 104968 Payment Verification_20220909

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/8/2022 10:41:12 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/8/2022 11:02:23 AM (Review - NOI 104968 Lots @ Cline Farms -Helmsman
Homes)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/8/2022 10:42 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 13, 2022 5:00
PM 9/8/2022 10:42 AM
by Workflow 9/8/2022 11:02:31 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/9/2022 8:07:04 AM (Payment Verification for NCC223178)
F Tim Carr
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/9/2022 8:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 20, 2022 5:00 PM
9/8/2022 11:02 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Lots @ Cline Farms -Helmsman Homes
Lot Numbers
(If listed on the eNOI)
9/10,60,87
NC Reference No.*
NCG01-2022-3178
Certificate of
NCC223178
Coverage (COC) No.*
Invoice Date
9/8/2022
Initial Invoice No.
NCC223178-2022
Initial Fee
$ 100.00
Invoice Due Date
10/8/2022
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
9/9/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
652178186
Transaction Number*
NOI Tracking No.
104968
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-LINCO-2022-Lots @ Cline Farms -Helmsman Homes