NCC222717_NOI 99717 Payment Verification_20220811

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/27/2022 12:18:48 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/28/2022 6:45:47 AM (Review - NOI 99717 Weaver Fertilizer Fire Response and
Cleanup)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/27/2022 12:19 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 1, 2022 5:00 PM
7/27/2022 12:19 PM
by Workflow 7/28/2022 6:45:58 AM (Workflow Start Event)
Submit by Tran, Kieu M 8/11/2022 2:00:11 PM (Payment Verification for NCC222717)
F Winston Weaver Co., Inc.
• Tran, Kieu M assigned the task to Tran, Kieu M 8/11/2022 1:59 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 8, 2022 5:00 PM
7/28/2022 6:46 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Weaver Fertilizer Fire Response and Cleanup
Lot Numbers
(If listed on the eNOI)
NA
NC Reference No.*
NCG01-2022-2717
Certificate of
NCC222717
Coverage (COC) No.*
Invoice Date
7/28/2022
Initial Invoice No.
NCC222717-2022
Initial Fee
$ 100.00
Invoice Due Date
8/27/2022
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
8/11/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
69225
NOI Tracking No.
99717
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-FORSY-2022-Weaver Fertilizer Fire Response and Cleanup