NCC223760_NOI 111782 Payment Verification_20221103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/3/2022 8:05:56 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/3/2022 8:14:17 AM (Review - NOI 111782 Woodlawn Escape Room)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/3/2022 8:06 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 8, 2022 5:00
PM 11/3/2022 8:06 AM
by Workflow 11/3/2022 8:14:27 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/3/2022 1:24:03 PM (Payment Verification for NCC223760)
F Ryan D Griffith
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/3/2022 1:23 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 15, 2022 5:00
PM 11/3/2022 8:14 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Woodlawn Escape Room
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3760
Certificate of NCC223760
Coverage (COC) No.*
Invoice Date 11/3/2022
Initial Invoice No. NCC223760-2022
Initial Fee $ 100.00
Invoice Due Date 12/3/2022
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 11/3/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 660855586
Transaction Number*
NOI Tracking No. 111782
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID N CC-M EC KL-2022-Wood lawn Escape Room