NCC221484_NOI 88153 Payment Verification_20220418

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/13/2022 12:00:59 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 4/14/2022 7:49:20 AM (Review - NOI 88153 Southern Asphalt Facility)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 4/13/2022 12:01 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 18, 2022 5:00 PM
4/13/2022 12:01 PM
by Workflow 4/14/2022 7:49:26 AM (Workflow Start Event)
Submit by Selkane, Aziza 4/18/2022 10:17:13 AM (Payment Verification for NCC221484)
F Andrew Norton
• Selkane, Aziza assigned the task to Selkane, Aziza 4/18/2022 10:15 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 26, 2022 5:00 PM
4/14/2022 7:49 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Southern Asphalt Facility
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-1484
Certificate of
NCC221484
Coverage (COC) No.*
Invoice Date
4/14/2022
Initial Invoice No.
NCC221484-2022
Initial Fee
$ 100.00
Invoice Due Date
5/14/2022
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
4/18/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
628417424
Transaction Number*
NOI Tracking No.
88153
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-NORTH-2022-Southern Asphalt Facility