NCC223224_NOI 105321 Payment Verification_20220914

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/13/2022 9:40:00 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/13/2022 9:46:06 AM (Review - NOI 105321 Brayden at Bermuda Run
Subdivision, Phase 2A)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/13/2022 9:40 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 16, 2022 5:00
PM 9/13/2022 9:40 AM
by Workflow 9/13/2022 9:46:16 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/14/2022 8:30:15 AM (Payment Verification for NCC223224)
* James W Derrickson
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/14/2022 8:29 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 25, 2022 5:00 PM
9/13/2022 9:46 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Brayden at Bermuda Run Subdivision, Phase 2A
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3224
Certificate of NCC223224
Coverage (COC) No.*
Invoice Date 9/13/2022
Initial Invoice No. NCC223224-2022
Initial Fee $ 100.00
Invoice Due Date 10/13/2022
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 9/14/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 652905093
Transaction Number*
NOI Tracking No. 105321
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DAVIE-2022-Brayden at Bermuda Run Subdivision, Phase 2A