NCC222243_NOI 94389 Payment Verification_20220620

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/16/2022 8:07:40 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/16/2022 10:34:57 AM (Review - NOI 94389 LSSS Facility Replacement
(P1519))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/16/2022 8:07 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 21, 2022 5:00 PM
6/16/2022 8:07 AM
by Workflow 6/16/2022 10:35:05 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/20/2022 7:30:45 AM (Payment Verification for NCC222243)
F Richard Catlin
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/20/2022 7:30 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2022 5:00 PM
6/16/2022 10:35 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name LSSS Facility Replacement (P1519)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2243
Certificate of NCC222243
Coverage (COC) No.*
Invoice Date 6/16/2022
Initial Invoice No. NCC222243-2022
Initial Fee $ 100.00
Invoice Due Date 7/16/2022
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 6/20/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 638914550
Transaction Number*
NOI Tracking No. 94389
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2022-LSSS Facility Replacement (P1519)