NCC222919_NOI 101953 Payment Verification_20220902

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/12/2022 10:18:17 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/12/2022 10:20:59 AM (Review - NOI 101953 Bayline North Phase 2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/12/2022 10:18 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 17, 2022 5:00
PM 8/12/2022 10:18 AM
by Workflow 8/12/2022 10:21:04 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/2/2022 8:47:30 AM (Payment Verification for NCC222919)
F CRITERIA CONSTRUCTION LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/2/2022 8:46 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 23, 2022 5:00
PM 8/12/2022 10:21 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Bayline North Phase 2
Lot Numbers
(If listed on the eNOI)
1-150
NC Reference No.*
NCG01-2022-2919
Certificate of
NCC222919
Coverage (COC) No.*
Invoice Date
8/12/2022
Initial Invoice No.
NCC222919-2022
Initial Fee
$ 100.00
Invoice Due Date
9/11/2022
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
9/2/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
651082258
Transaction Number*
NOI Tracking No.
101953
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-BRUNS-2022-Bayline North Phase 2