NCC230196_NOI 123582 Payment Verification_20230124

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/23/2023 6:56:40 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/23/2023 7:22:32 AM (Review - NOI 123582 Tidal Wave Auto Spa - Tarboro, NC)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/23/2023 6:56 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 26, 2023 5:00
PM 1/23/2023 6:56 AM
by Workflow 1/23/2023 7:22:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/24/2023 9:19:31 AM (Payment Verification for NCC230196)
* Martie Murphy
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/24/2023 9:18 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 6, 2023 5:00 PM
1/23/2023 7:22 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Tidal Wave Auto Spa - Tarboro, NC
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0196
Certificate of NCC230196
Coverage (COC) No.*
Invoice Date 1/23/2023
Initial Invoice No. NCC230196-2023
Initial Fee $ 100.00
Invoice Due Date 2/22/2023
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 1/24/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 673017802
Transaction Number*
NOI Tracking No. 123582
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-EDGEC-2023-Tidal Wave Auto Spa - Tarboro, NC