NCC222700_NOI 99529 Payment Verification_20220802

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/26/2022 10:52:04 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/27/2022 6:45:14 AM (Review - NOI 99529 Nelson's Farm - Phase 2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/26/2022 10:53 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 29, 2022 5:00 PM
7/26/2022 10:53 AM
by Workflow 7/27/2022 6:45:22 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/2/2022 1:40:17 PM (Payment Verification for NCC222700)
F Robert Wiggins
• Tran, Kieu M assigned the task to Tran, Kieu M 8/2/2022 1:39 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 7, 2022 5:00 PM
7/27/2022 6:45 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Nelson's Farm - Phase 2
Lot Numbers
(If listed on the eNOI)
Phase 2
NC Reference No.*
NCG01-2022-2700
Certificate of
NCC222700
Coverage (COC) No.*
Invoice Date
7/27/2022
Initial Invoice No.
NCC222700-2022
Initial Fee
$ 100.00
Invoice Due Date
8/26/2022
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
8/2/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
646179051
Transaction Number*
NOI Tracking No.
99529
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HARNE-2022-Nelson's Farm - Phase 2