NCC222753_NOI 100743 Payment Verification_20220802

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/29/2022 4:51:27 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/1/2022 8:15:00 AM (Review - NOI 100743 Line 229 Hathaway -Tarboro Rebuild
Phase 1)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/29/2022 4:52 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 3, 2022 5:00 PM
7/29/2022 4:52 PM
by Workflow 8/1/2022 8:15:07 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/2/2022 2:08:48 PM (Payment Verification for NCC222753)
F Heather EB Kennedy
• Tran, Kieu M assigned the task to Tran, Kieu M 8/2/2022 2:08 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 12, 2022 5:00
PM 8/1/2022 8:15 AM

STA-
NORTH CAROLINA
Environmental Quallty
Project Name Line 229 Hathaway -Tarboro Rebuild Phase 1
Lot Numbers (If listed on the eNOI)
18274, 3873-13-9200, 3882-32-3627, 3891-17-7431, 37306, 3873-53-1677, 3872-
81-0551, 3891-05-7255, 20042, 3872-58-2154, 3871-98-3865, 3881-81-4545,
40250, 3872-86-2658, 3881-29-3549, 3881-80-0800, 315170, 3872-77-6289, 3881-
14-1446, 3881-80-3810, 3863-96-0717, 3872-87-5885, 3882-61-7569, 3890-09-
4487, 3863-96-8877, 3872-76-0957, 3881-35-5146, 3890-09-8384, 3863-95-2646,
3882-02-1030, 3881-76-9876, 3891-11-8120, 3873-04-7974, 3882-03-2078, 3881-
54-8293, 3890-49-2220, 3873-03-4006, 3882-03-5145, 3881-83-7053, and 3890-47-
2368
NC Reference No.* NCG01-2022-2753
Certificate of NCC222753
Coverage (COC) No.*
Invoice Date 8/1/2022
Initial Invoice No.
NCC222753-2022
Initial Fee
$ 100.00
Invoice Due Date
8/31/2022
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 8/2/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 646213071
Transaction Number*
NOI Tracking No. 100743
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NASH-2022-Line 229 Hathaway -Tarboro Rebuild Phase 1