NCC230442_NOI 127332 Payment Verification_20230216

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/15/2023 8:25:10 AM (NCG01 NOI Submission)
Approve by Brooklyn. Broussard 2/15/2023 8:33:46 AM (Review - NOI 127332 Carolina Retreads-Clarkton)
• The task was assigned to Brooklyn. Broussard by round robin distribution 2/15/2023 8:25 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 20, 2023 5:00
PM 2/15/2023 8:25 AM
by Workflow 2/15/2023 8:33:56 AM (Workflow Start Event)
Submit by Tev.Holloman 2/16/2023 1:19:19 PM (Payment Verification for NCC230442)
F Justin C Bishop
• Tev.Holloman assigned the task to Tev.Holloman 2/16/2023 1:18 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 29, 2023 5:00 PM
2/15/2023 8:34 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Carolina Retreads-Clarkton
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0442
Certificate of NCC230442
Coverage (COC) No.*
Invoice Date 2/15/2023
Initial Invoice No. NCC230442-2023
Initial Fee $ 100.00
Invoice Due Date 3/17/2023
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 2/16/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 676698293
Transaction Number*
NOI Tracking No. 127332
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BLADE-2023-Carolina Retread s-Clarkton