NCC222251_NOI 94431 Payment Verification_20220617

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/16/2022 11:08:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/16/2022 11:17:16 AM (Review - NOI 94431 2508 Shandy Lane)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/16/2022 11:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 21, 2022 5:00 PM
6/16/2022 11:08 AM
by Workflow 6/16/2022 11:17:26 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/17/2022 7:54:21 AM (Payment Verification for NCC222251)
F Robert Evans
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/17/2022 7:52 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2022 5:00 PM
6/16/2022 11:17 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 2508 Shandy Lane
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2251
Certificate of NCC222251
Coverage (COC) No.*
Invoice Date 6/16/2022
Initial Invoice No. NCC222251-2022
Initial Fee $ 100.00
Invoice Due Date 7/16/2022
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 6/17/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 638874289
Transaction Number*
NOI Tracking No. 94431
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NEW H-2022-2508 Shandy Lane