NCC222238_NOI 94376 Payment Verification_20220617

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/15/2022 4:56:09 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/16/2022 9:56:00 AM (Review - NOI 94376 Timberframe)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/15/2022 4:56 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 20, 2022 5:00 PM
6/15/2022 4:56 PM
by Workflow 6/16/2022 9:56:08 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/17/2022 7:27:35 AM (Payment Verification for NCC222238)
F Serenity Grove, LLC
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/17/2022 7:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2022 5:00 PM
6/16/2022 9:56 AM

VerificationPayment
NORTH CAROLINA
Environmental Quaftfy
Project Name
Timberframe
Lot Numbers
(If listed on the eNOI)
NC Reference No.*
NCG01-2022-2238
Certificate of
NCC222238
Coverage (COC) No.*
Invoice Date
6/16/2022
Initial Invoice No.
NCC222238-2022
Initial Fee
$ 100.00
Invoice Due Date
7/16/2022
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
6/17/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
638808595
Transaction Number*
NOI Tracking No.
94376
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-BUNCO-2022-Timberframe