NCC223130_NOI 104550 Payment Verification_20220906

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/1/2022 2:07:00 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/2/2022 8:02:06 AM (Review - NOI 104550 Panda Express - High Point)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/1/2022 2:09 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 6, 2022 5:00
PM 9/1/2022 2:09 PM
by Workflow 9/2/2022 8:02:19 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/6/2022 11:19:50 AM (Payment Verification for NCC223130)
F Derek Knight
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/6/2022 11:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 14, 2022 5:00 PM
9/2/2022 8:02 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Panda Express - High Point
Lot Numbers
(If listed on the eNOI)
1,2,3
NC Reference No.*
NCG01-2022-3130
Certificate of
NCC223130
Coverage (COC) No.*
Invoice Date
9/2/2022
Initial Invoice No.
NCC223130-2022
Initial Fee
$ 100.00
Invoice Due Date
10/2/2022
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
9/6/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
651302014
Transaction Number*
NOI Tracking No.
104550
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-GUILF-2022-Panda Express - High Point