NCC223366_NOI 106440 Payment Verification_20220927

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/26/2022 10:45:21 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/26/2022 10:54:34 AM (Review - NOI 106440 HF Lee Black Jack Church Road
Stockpile E&SC Plan)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/26/2022 10:46 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 29, 2022 5:00
PM 9/26/2022 10:46 AM
by Workflow 9/26/2022 10:54:46 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/27/2022 8:55:02 AM (Payment Verification for NCC223366)
* Holly Niemann
• Holloman, Tevye L assigned the task to Holloman, Tevye L 9/27/2022 8:54 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 7, 2022 5:00 PM
9/26/2022 10:54 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name HF Lee Black Jack Church Road Stockpile E&SC Plan
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3366
Certificate of NCC223366
Coverage (COC) No.*
Invoice Date 9/26/2022
Initial Invoice No. NCC223366-2022
Initial Fee $ 100.00
Invoice Due Date 10/26/2022
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 9/27/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 654932256
Transaction Number*
NOI Tracking No. 106440
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2022-HF Lee Black Jack Church Road Stockpile E&SC Plan