NCC223164_NOI 104804 Payment Verification_20220909

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/6/2022 3:25:39 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/8/2022 8:52:00 AM (Review - NOI 104804 FB -Taxiway and Apron Repair, FA-
80005-21)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/6/2022 3:26 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 9, 2022 5:00
PM 9/6/2022 3:26 PM
by Workflow 9/8/2022 8:52:09 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/9/2022 8:17:05 AM (Payment Verification for NCC223164)
F Jill Russell
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/9/2022 8:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 20, 2022 5:00 PM
9/8/2022 8:52 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name FB -Taxiway and Apron Repair, FA-80005-21
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3164
Certificate of NCC223164
Coverage (COC) No.*
Invoice Date 9/8/2022
Initial Invoice No. NCC223164-2022
Initial Fee $ 100.00
Invoice Due Date 10/8/2022
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 9/9/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 652207871
Transaction Number*
NOI Tracking No. 104804
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-CUMBE-2022-FB -Taxiway and Apron Repair, FA-80005-21