NCC223449_NOI 108432 Payment Verification_20221005

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/4/2022 8:55:36 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/4/2022 8:58:14 AM (Review - NOI 108432 Summerhouse - Windsor Homes
Lots)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/4/2022 8:55 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 7, 2022 5:00 PM
10/4/2022 8:55 AM
by Workflow 10/4/2022 8:58:20 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/5/2022 8:40:41 AM (Payment Verification for NCC223449)
F Sara Golser
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/5/2022 8:40 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 15, 2022 5:00
PM 10/4/2022 8:58 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Summerhouse - Windsor Homes Lots
Lot Numbers
(If listed on the eNOI)
272
NC Reference No.*
NCG01-2022-3449
Certificate of
NCC223449
Coverage (COC) No.*
Invoice Date
10/4/2022
Initial Invoice No.
NCC223449-2022
Initial Fee
$ 100.00
Invoice Due Date
11/3/2022
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
10/5/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
656085691
Transaction Number*
NOI Tracking No.
108432
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ONSLO-2022-Summerhouse - Windsor Homes Lots