NCC222843_NOI 101487 Payment Verification_20220810

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/8/2022 12:00:32 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/9/2022 7:35:20 AM (Review - NOI 101487 PISGAH HIGH SCHOOL FOOTBALL
FIELD)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/8/2022 12:01 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 11, 2022 5:00
PM 8/8/2022 12:01 PM
by Workflow 8/9/2022 7:35:27 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/10/2022 8:56:36 AM (Payment Verification for NCC222843)
* David Braun
• Tran, Kieu M assigned the task to Tran, Kieu M 8/10/2022 8:56 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 20, 2022 5:00
PM 8/9/2022 7:35 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name PISGAH HIGH SCHOOL FOOTBALL FIELD
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2843
Certificate of NCC222843
Coverage (COC) No.*
Invoice Date 8/9/2022
Initial Invoice No. NCC222843-2022
Initial Fee $ 100.00
Invoice Due Date 9/8/2022
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 8/10/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 647505014
Transaction Number*
NOI Tracking No. 101487
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HAYWO-2022-PISGAH HIGH SCHOOL FOOTBALL FIELD