NCC221207_NOI 84903 Payment Verification_20220329

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/23/2022 7:44:53 PM (NCG01 NOI Submission)
Approve by Clark, Paul B 3/26/2022 9:09:18 PM (Review - NOI 84903 MAIDEN TURF FIELD)
• The task was assigned to Clark, Paul B by round robin distribution 3/23/2022 7:45 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: March 28, 2022 5:00 PM
3/23/2022 7:45 PM
by Workflow 3/26/2022 9:09:26 PM (Workflow Start Event)
Submit by Selkane, Aziza 3/29/2022 9:52:25 AM (Payment Verification for NCC221207)
F Athletes Lab, LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 3/29/2022 9:51 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 9, 2022 5:00 PM
3/26/2022 9:09 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name MAIDEN TURF FIELD
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-1207
Certificate of NCC221207
Coverage (COC) No.*
Invoice Date 3/26/2022
Initial Invoice No. NCC221207-2022
Initial Fee $ 100.00
Invoice Due Date 4/25/2022
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 3/29/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 625474753
Transaction Number*
NOI Tracking No. 84903
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2022-MAIDEN TURF FIELD