NCC224169_NOI 119467 Payment Verification_20221222

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/20/2022 8:51:59 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/20/2022 8:54:17 AM (Review - NOI 119467 Rufus Johnson Road Lots 4-7)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/20/2022 8:52 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 23, 2022 5:00
PM 12/20/2022 8:52 AM
by Workflow 12/20/2022 8:54:26 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/22/2022 8:00:13 AM (Payment Verification for NCC224169)
* C Scott Brown
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/22/2022 7:59 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 31, 2023 5:00 PM
12/20/2022 8:54 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Rufus Johnson Road Lots 4-7
Lot Numbers
(If listed on the eNOI)
4,5,6,&7
NC Reference No.*
NCG01-2022-4169
Certificate of
NCC224169
Coverage (COC) No.*
Invoice Date
12/20/2022
Initial Invoice No.
NCC224169-2022
Initial Fee
$ 100.00
Invoice Due Date
1/19/2023
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
12/22/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
668054456
Transaction Number*
NOI Tracking No.
119467
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CUMBE-2023-Rufus Johnson Road Lots 4-7