NCC223583_NOI 109401 Payment Verification_20221019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/17/2022 11:42:00 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/18/2022 6:07:55 AM (Review - NOI 109401 Lakeside Pointe Subdivision)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/17/2022 11:42 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 20, 2022 5:00
PM 10/17/2022 11:42 AM
by Workflow 10/18/2022 6:08:02 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/19/2022 8:06:44 AM (Payment Verification for NCC223583)
F Robert Kardos Beechwood Org
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/19/2022 8:06 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 29, 2022 5:00
PM 10/18/2022 6:08 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Lakeside Pointe Subdivision
Lot Numbers
(If listed on the eNOI)
Lots 1-217
NC Reference No.*
NCG01-2022-3583
Certificate of
NCC223583
Coverage (COC) No.*
Invoice Date
10/18/2022
Initial Invoice No.
NCC223583-2022
Initial Fee
$ 100.00
Invoice Due Date
11/17/2022
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
10/19/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
658449757
Transaction Number*
NOI Tracking No.
109401
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CATAW-2022-Lakeside Pointe Subdivision