NCC223667_NOI 110135 Payment Verification_20221026

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/25/2022 10:51:24 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/26/2022 6:22:19 AM (Review - NOI 110135 3635 McConnell Rd Industrial)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/25/2022 10:52 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2022 5:00
PM 10/25/2022 10:52 AM
by Workflow 10/26/2022 6:22:42 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/26/2022 9:06:39 AM (Payment Verification for NCC223667)
F Wyatt Bone
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/26/2022 9:05 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 7, 2022 5:00 PM
10/26/2022 6:22 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 3635 McConnell Rd Industrial
Lot Numbers (If listed on the eNOI)
3635 McConnell Rd.
Greensboro, NC 27504
NC Reference No.* NCG01-2022-3667
Certificate of
NCC223667
Coverage (COC) No.*
Invoice Date
10/26/2022
Initial Invoice No.
NCC223667-2022
Initial Fee
$ 100.00
Invoice Due Date
11/25/2022
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 10/26/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 659657862
Transaction Number*
NOI Tracking No. 110135
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-GUILF-2022-3635 McConnell Rd Industrial