NCC221071_NOI 83911 Payment Verification_20220316

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/10/2022 7:38:53 AM (NCG01 NOI Submission)
Approve by Morman, Alaina 3/15/2022 3:40:22 PM (Review - NOI 83911 Mayberry Chrome Shop)
• Clark, Paul B reassigned the task to Morman, Alaina 3/11/2022 3:19 PM
IN thx
• The task was assigned to Clark, Paul B by round robin distribution 3/10/2022 7:39 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 15, 2022 5:00 PM
3/10/2022 7:39 AM
by Workflow 3/15/2022 3:40:26 PM (Workflow Start Event)
Submit by Selkane, Aziza 3/16/2022 4:21:38 PM (Payment Verification for NCC221071)
0 BREC
• Selkane, Aziza assigned the task to Selkane, Aziza 3/16/2022 4:20 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 26, 2022 5:00 PM
3/15/2022 3:40 PM

5 A7
Payment Verification
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Mayberry Chrome Shop
Lot Numbers
(If listed on the eNOI)
Parcel ID 4989-01-45-7911
NC Reference No.*
NCG01-2022-1071
Certificate of
NCC221071
Coverage (COC) No.*
Invoice Date
3/15/2022
Initial Invoice No.
NCC221071-2022
Initial Fee
$ 100.00
Invoice Due Date
4/14/2022
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
3/16/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
623411581
Transaction Number*
NOI Tracking No.
83911
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-SURRY-2022-Mayberry Chrome Shop