NCC222300_NOI 94715 Payment Verification_20220624

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/21/2022 10:03:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/21/2022 10:18:38 AM (Review - NOI 94715 Henderson Manor)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/21/2022 10:04 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 24, 2022 5:00 PM
6/21/2022 10:04 AM
by Workflow 6/21/2022 10:18:47 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/24/2022 7:16:42 AM (Payment Verification for NCC222300)
F Jon Grabowski
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/24/2022 7:15 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 2, 2022 5:00 PM
6/21/2022 10:19 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Henderson Manor
Lot Numbers
(If listed on the eNOI)
1 - 39
NC Reference No.*
NCG01-2022-2300
Certificate of
NCC222300
Coverage (COC) No.*
Invoice Date
6/21/2022
Initial Invoice No.
NCC222300-2022
Initial Fee
$ 100.00
Invoice Due Date
7/21/2022
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
6/24/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
639788142
Transaction Number*
NOI Tracking No.
94715
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-Henderson Manor