NCC222277_NOI 94569 Payment Verification_20220622

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/17/2022 1:07:56 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/21/2022 7:46:00 AM (Review - NOI 94569 Mod Wash - North Tryon)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/17/2022 1:09 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 22, 2022 5:00 PM
6/17/2022 1:09 PM
by Workflow 6/21/2022 7:46:06 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/22/2022 1:50:25 PM (Payment Verification for NCC222277)
F Devin Baker
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/22/2022 1:50 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 2, 2022 5:00 PM
6/21/2022 7:46 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name ModWash - North Tryon
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2277
Certificate of NCC222277
Coverage (COC) No.*
Invoice Date 6/21/2022
Initial Invoice No. NCC222277-2022
Initial Fee $ 100.00
Invoice Due Date 7/21/2022
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 6/22/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 639501849
Transaction Number*
NOI Tracking No. 94569
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2022-ModWash - North Tryon