NCC223126_NOI 104528 Payment Verification_20220906

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/1/2022 12:31:15 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/2/2022 7:34:03 AM (Review - NOI 104528 Duke Health - Mebane)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/1/2022 12:31 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 6, 2022 5:00
PM 9/1/2022 12:31 PM
by Workflow 9/2/2022 7:34:14 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/6/2022 11:14:41 AM (Payment Verification for NCC223126)
F Tonya Singletary
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/6/2022 11:14 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 14, 2022 5:00 PM
9/2/2022 7:34 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Duke Health - Mebane
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3126
Certificate of NCC223126
Coverage (COC) No.*
Invoice Date 9/2/2022
Initial Invoice No. NCC223126-2022
Initial Fee $ 100.00
Invoice Due Date 10/2/2022
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 9/6/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 651294638
Transaction Number*
NOI Tracking No. 104528
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-ALAMA-2022-Duke Health - Mebane