NCC221605_NOI 88973 Payment Verification_20220426

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/25/2022 8:10:10 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/25/2022 8:18:09 AM (Review - NOI 88973 Anderson Creek Crossing, Phase 8,
Section 4)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/25/2022 8:10 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 28, 2022 5:00 PM
4/25/2022 8:10 AM
by Workflow 4/25/2022 8:18:18 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/26/2022 9:05:10 AM (Payment Verification for NCC221605)
F Brian Walker
• Selkane, Aziza assigned the task to Selkane, Aziza 4/26/2022 9:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 6, 2022 5:00 PM
4/25/2022 8:18 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Anderson Creek Crossing, Phase 8, Section 4
Lot Numbers
(If listed on the eNOI)
Lots 15-18, 54, 60-63 & 158
NC Reference No.*
NCG01-2022-1605
Certificate of
NCC221605
Coverage (COC) No.*
Invoice Date
4/25/2022
Initial Invoice No.
NCC221605-2022
Initial Fee
$ 100.00
Invoice Due Date
5/25/2022
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
630448150
Transaction Number*
NOI Tracking No.
88973
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HARNE-2022-Anderson Creek Crossing, Phase 8, Section 4