NCC222149_NOI 93782 Payment Verification_20220610

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/8/2022 11:08:55 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/9/2022 8:06:25 AM (Review - NOI 93782 Calvary Road Baptist Church)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/8/2022 11:09 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 13, 2022 5:00 PM
6/8/2022 11:09 AM
by Workflow 6/9/2022 10:00:09 AM (Workflow Start Event)
• The step was retried by Georgoulias, Bethany A 6/9/2022 10:00 AM
Submit by Georgoulias, Bethany A 6/10/2022 8:55:23 AM (Payment Verification for NCC222149)
F Carolina Specialties Construction, LLC
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/10/2022 8:54 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 21, 2022 5:00 PM
6/9/2022 10:00 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Calvary Road Baptist Church
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2149
Certificate of NCC222149
Coverage (COC) No.*
Invoice Date 6/9/2022
Initial Invoice No. NCC222149-2022
Initial Fee $ 100.00
Invoice Due Date 7/9/2022
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 6/10/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 637638959
Transaction Number*
NOI Tracking No. 93782
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HAYWO-2022-Calvary Road Baptist Church