NCC221307_NOI 85997 Payment Verification_20220405

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/30/2022 7:20:52 PM (NCG01 NOI Submission)
Approve by EADS\pbclark 4/4/2022 9:06:45 AM (Review - NOI 85997 Wake Forest Mavis Discount Tire)
• The task was assigned to Clark, Paul B by round robin distribution 3/30/2022 7:21 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 4, 2022 5:00 PM
3/30/2022 7:21 PM
by Workflow 4/4/2022 9:06:52 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/5/2022 12:31:02 PM (Payment Verification for NCC221307)
F Julie Shih
• Selkane, Aziza assigned the task to Selkane, Aziza 4/5/2022 12:30 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 16, 2022 5:00 PM
4/4/2022 9:06 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Wake Forest Mavis Discount Tire
Lot Numbers
(If listed on the eNOI)
4
NC Reference No.*
NCG01-2022-1307
Certificate of
NCC221307
Coverage (COC) No.*
Invoice Date
4/4/2022
Initial Invoice No.
NCC221307-2022
Initial Fee
$ 100.00
Invoice Due Date
5/4/2022
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
4/5/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
626553488
Transaction Number*
NOI Tracking No.
85997
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-WAKE-2022-Wake Forest Mavis Discount Tire