NCC223662_NOI 110104 Payment Verification_20221026

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/25/2022 8:50:39 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/25/2022 8:58:05 AM (Review - NOI 110104 Governors Club - Lot 522)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/25/2022 8:51 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2022 5:00
PM 10/25/2022 8:51 AM
by Workflow 10/25/2022 8:58:13 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/26/2022 8:49:16 AM (Payment Verification for NCC223662)
F Visa
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/26/2022 8:48 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 6, 2022 5:00 PM
10/25/2022 8:58 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Governors Club - Lot 522
Lot Numbers
(If listed on the eNOI)
Lot 522
NC Reference No.*
NCG01-2022-3662
Certificate of
NCC223662
Coverage (COC) No.*
Invoice Date
10/25/2022
Initial Invoice No.
NCC223662-2022
Initial Fee
$ 100.00
Invoice Due Date
11/24/2022
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
10/26/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
659490131
Transaction Number*
NOI Tracking No.
110104
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CHATH-2022-Governors Club - Lot 522