NCC223710_NOI 110605 Payment Verification_20221031

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/28/2022 1:06:27 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/31/2022 6:56:36 AM (Review - NOI 110605 U-6018 WO# 36103560)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/28/2022 1:07 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 2, 2022 5:00
PM 10/28/2022 1:07 PM
by Workflow 10/31/2022 6:56:42 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/31/2022 8:43:06 AM (Payment Verification for NCC223710)
F Patrick W. Sizemore
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/31/2022 8:42 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 12, 2022 5:00
PM 10/31/2022 6:56 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name U-6018 WO# 36103560
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3710
Certificate of NCC223710
Coverage (COC) No.*
Invoice Date 10/31/2022
Initial Invoice No. NCC223710-2022
Initial Fee $ 100.00
Invoice Due Date 11/30/2022
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 10/31/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 660270484
Transaction Number*
NOI Tracking No. 110605
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2023-U-6018 WO# 36103560