NCC222333_NOI 94925 Payment Verification_20220628

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/23/2022 10:52:33 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/24/2022 6:29:52 AM (Review - NOI 94925 Governors Club - Lot 1188)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/23/2022 10:53 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 28, 2022 5:00 PM
6/23/2022 10:53 AM
by Workflow 6/24/2022 6:29:59 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/28/2022 7:06:25 AM (Payment Verification for NCC222333)
F Afshin Hosseinpour
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/28/2022 7:05 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 5, 2022 5:00 PM
6/24/2022 6:30 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Governors Club - Lot 1188
Lot Numbers
(If listed on the eNOI)
1188
NC Reference No.*
NCG01-2022-2333
Certificate of
NCC222333
Coverage (COC) No.*
Invoice Date
6/24/2022
Initial Invoice No.
NCC222333-2022
Initial Fee
$ 100.00
Invoice Due Date
7/24/2022
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
6/27/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
639929950
Transaction Number*
NOI Tracking No.
94925
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Governors Club - Lot 1188