NCC223861_NOI 113208 Payment Verification_20221118

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/16/2022 11:47:22 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/17/2022 6:22:53 AM (Review - NOI 113208 Jack's Branch Townhomes)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/16/2022 11:48 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 21, 2022 5:00
PM 11/16/2022 11:48 AM
by Workflow 11/17/2022 6:22:57 AM (Workflow Start Event)
Submit by Tran, Kieu M 11/18/2022 8:23:06 AM (Payment Verification for NCC223861)
F South State Development
• Tran, Kieu M assigned the task to Tran, Kieu M 11/18/2022 8:22 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 29, 2022 5:00
PM 11/17/2022 6:23 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Jack's Branch Townhomes
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3861
Certificate of
NCC223861
Coverage (COC) No.*
Invoice Date
11/17/2022
Initial Invoice No.
NCC223861-2022
Initial Fee
$ 100.00
Invoice Due Date
12/17/2022
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
11/18/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
662993922
Transaction Number*
NOI Tracking No.
113208
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ONSLO-2022-Jack's Branch Townhomes