NCC223576_NOI 109344 Payment Verification_20221019

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/14/2022 1:35:48 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/17/2022 5:58:52 AM (Review - NOI 109344 Kurz Coatings & Maintenance
Buildings)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/14/2022 1:36 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 19, 2022 5:00
PM 10/14/2022 1:36 PM
by Workflow 10/17/2022 5:59:01 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/19/2022 8:09:46 AM (Payment Verification for NCC223576)
F Alex Deaton
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/19/2022 8:09 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 28, 2022 5:00
PM 10/17/2022 5:59 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Kurz Coatings & Maintenance Buildings
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3576
Certificate of NCC223576
Coverage (COC) No.*
Invoice Date 10/17/2022
Initial Invoice No. NCC223576-2022
Initial Fee $ 100.00
Invoice Due Date 11/16/2022
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 10/19/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 658489407
Transaction Number*
NOI Tracking No. 109344
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DAVID-2022-Kurz Coatings & Maintenance Buildings