NCC223263_NOI 105578 Payment Verification_20220916

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/15/2022 12:03:15 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/16/2022 6:21:23 AM (Review - NOI 105578 Somerset - Phase 1)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/15/2022 12:03 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 20, 2022 5:00
PM 9/15/2022 12:03 PM
by Workflow 9/16/2022 6:21:29 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/16/2022 1:22:14 PM (Payment Verification for NCC223263)
F Tracey Davis
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/16/2022 1:21 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 28, 2022 5:00 PM
9/16/2022 6:21 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Somerset - Phase 1
Lot Numbers
(If listed on the eNOI)
lots 1-15, K1,K2,K7-K11,L1,L2,L5 and L24
NC Reference No.*
NCG01-2022-3263
Certificate of
NCC223263
Coverage (COC) No.*
Invoice Date
9/16/2022
Initial Invoice No.
NCC223263-2022
Initial Fee
$ 100.00
Invoice Due Date
10/16/2022
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
9/16/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
653461480
Transaction Number*
NOI Tracking No.
105578
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-BEAUF-2022-Somerset - Phase 1