NCC221426_NOI 86856 Payment Verification_20220426

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/11/2022 9:08:01 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/11/2022 9:48:36 AM (Review - NOI 86856 Blakefield Phase 7 - Lots 254, 255 &
256)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/11/2022 9:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 14, 2022 5:00 PM
4/11/2022 9:08 AM
by Workflow 4/11/2022 9:48:45 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/26/2022 8:56:26 AM (Payment Verification for NCC221426)
F Bridgeport Homes, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 4/26/2022 8:55 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 23, 2022 5:00 PM
4/11/2022 9:48 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Blakefield Phase 7 - Lots 254, 255 & 256
Lot Numbers
(If listed on the eNOI)
Lots 254, 255 & 256
NC Reference No.*
NCG01-2022-1426
Certificate of
NCC221426
Coverage (COC) No.*
Invoice Date
4/11/2022
Initial Invoice No.
NCC221426-2022
Initial Fee
$ 100.00
Invoice Due Date
5/11/2022
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
4/26/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
630512863
Transaction Number*
NOI Tracking No.
86856
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CUMBE-2022-Blakefield Phase 7 - Lots 254, 255 & 256