NCC223681_NOI 110285 Payment Verification_20221107

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/26/2022 1:39:26 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/27/2022 7:13:31 AM (Review - NOI 110285 349 Rockwood Rd)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/26/2022 1:40 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 31, 2022 5:00
PM 10/26/2022 1:40 PM
by Workflow 10/27/2022 7:13:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/7/2022 8:35:08 AM (Payment Verification for NCC223681)
P Rian Cho
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/7/2022 8:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 8, 2022 5:00 PM
10/27/2022 7:13 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
349 Rockwood Rd
Lot Numbers
(If listed on the eNOI)
Lot 6A & 6B
NC Reference No.*
NCG01-2022-3681
Certificate of
NCC223681
Coverage (COC) No.*
Invoice Date
10/27/2022
Initial Invoice No.
NCC223681-2022
Initial Fee
$ 100.00
Invoice Due Date
11/26/2022
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
11/7/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
661012654
Transaction Number*
NOI Tracking No.
110285
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-BUNCO-2022-349 Rockwood Rd