NCC223688_NOI 110332 Payment Verification_20221028

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/26/2022 3:47:59 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/27/2022 8:01:41 AM (Review - NOI 110332 Timberland Ranch, Phase 3)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/26/2022 3:48 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 31, 2022 5:00
PM 10/26/2022 3:48 PM
by Workflow 10/27/2022 8:01:49 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/28/2022 8:32:16 AM (Payment Verification for NCC223688)
P Benjamin Stout
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/28/2022 8:31 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 8, 2022 5:00 PM
10/27/2022 8:01 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Timberland Ranch, Phase 3
Lot Numbers
(If listed on the eNOI)
Lots 50-53 & 57-60
NC Reference No.*
NCG01-2022-3688
Certificate of
NCC223688
Coverage (COC) No.*
Invoice Date
10/27/2022
Initial Invoice No.
NCC223688-2022
Initial Fee
$ 100.00
Invoice Due Date
11/26/2022
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
10/28/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
659798606
Transaction Number*
NOI Tracking No.
110332
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-HOKE-2022-Timberland Ranch, Phase 3