NCC224134_NOI 118761 Payment Verification_20221221

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/14/2022 3:43:58 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/15/2022 6:43:19 AM (Review - NOI 118761 Cheval - Lot 113 Grading
(#443809))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/14/2022 3:44 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 19, 2022 5:00
PM 12/14/2022 3:44 PM
by Workflow 12/15/2022 6:43:28 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/21/2022 10:08:40 AM (Payment Verification for NCC224134)
F Frank A DiPiero
• Holloman, Tevye L assigned the task to Holloman, Tevye L 12/21/2022 10:03 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 26, 2023 5:00 PM
12/15/2022 6:43 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Cheval - Lot 113 Grading (#443809)
Lot Numbers
(If listed on the eNOI)
113
NC Reference No.*
NCG01-2022-4134
Certificate of
NCC224134
Coverage (COC) No.*
Invoice Date
12/15/2022
Initial Invoice No.
NCC224134-2022
Initial Fee
$ 100.00
Invoice Due Date
1/14/2023
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
12/21/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
667854621
Transaction Number*
NOI Tracking No.
118761
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Cheval - Lot 113 Grading (#443809)