NCC222240_NOI 94384 Payment Verification_20220621

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/15/2022 9:46:09 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/16/2022 10:09:40 AM (Review - NOI 94384 Hans Kissle Southeast Facility)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/15/2022 9:46 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 20, 2022 5:00 PM.
The priority is: High 6/15/2022 9:46 PM
by Workflow 6/16/2022 10:09:51 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/21/2022 7:14:16 AM (Payment Verification for NCC222240)
F Andrew J. Hare
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/21/2022 7:13 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2022 5:00 PM. The
priority is: High 6/16/2022 10:09 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Hans Kissle Southeast Facility
Lot Numbers
(If listed on the eNOI)
9
NC Reference No.*
NCG01-2022-2240
Certificate of
NCC222240
Coverage (COC) No.*
Invoice Date
6/16/2022
Initial Invoice No.
NCC222240-2022
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
6/21/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
639367807
Transaction Number*
NOI Tracking No.
94384
Tracking ID referenced upon submittal
This is an Express
No
Review Project
• Yes
Project Tracking ID
NCC-GASTO-2022-Hans Kissle Southeast Facility