NCC216805_NOI 75159 Payment Verification_20211209

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/7/2021 1:15:59 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/8/2021 9:09:03 AM (Review - Construction NOI 75159)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/7/2021 1:16 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 9, 2021 5:00
PM. The priority is: High 12/7/2021 1:16 PM
Submit by Evans, Shaundra M 12/9/2021 7:57:51 AM (Payment Verification for NCC216805)
IN Jessica Roberts
• Evans, Shaundra M assigned the task to Evans, Shaundra M 12/9/2021 7:57 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 19, 2022 5:00 PM.
The priority is: High 12/8/2021 9:09 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
FSC Goldsboro Asphalt Plant
Lot Numbers
(If listed on the eNOI)
NA
NC Reference No.*
NCG01-2021-6805
Certificate of
NCC216805
Coverage (COC) No.*
Invoice Date
12/8/2021
Initial Invoice No.
NCC216805-2021
Initial Fee
$ 100.00
Invoice Due Date
1/7/2022
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
12/9/2021
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
606911088
Transaction Number*
NOI Tracking No.
75159
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-WAYNE-2021-FSC Goldsboro Asphalt Plant