NCC221041_NOI 83921 Payment Verification_20220315

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/10/2022 9:02:50 AM (NCG01 NOI Submission)
Approve by Clark, Paul B 3/12/2022 12:35:57 PM (Review - NOI 83921 Hidden Lake Lots 118-128)
• The task was assigned to Clark, Paul B by round robin distribution 3/10/2022 9:03 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 15, 2022 5:00 PM
3/10/2022 9:03 AM
by Workflow 3/12/2022 12:36:17 PM (Workflow Start Event)
Submit by Selkane, Aziza 3/15/2022 12:59:20 PM (Payment Verification for NCC221041)
F James Cox
• Selkane, Aziza assigned the task to Selkane, Aziza 3/15/2022 12:58 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 25, 2022 5:00 PM
3/12/2022 12:36 PM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hidden Lake Lots 118-128
Lot Numbers
(If listed on the eNOI)
118-128
NC Reference No.*
NCG01-2022-1041
Certificate of
NCC221041
Coverage (COC) No.*
Invoice Date
3/12/2022
Initial Invoice No.
NCC221041-2022
Initial Fee
$ 100.00
Invoice Due Date
4/11/2022
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
3/15/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
623124796
Transaction Number*
NOI Tracking No.
83921
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FRANK-2022-Hidden Lake Lots 118-128