NCC223425_NOI 107948 Payment Verification_20221003

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/30/2022 9:17:57 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/30/2022 9:49:59 AM (Review - NOI 107948 Lazy Days RV Park)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/30/2022 9:19 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 5, 2022 5:00 PM
9/30/2022 9:19 AM
by Workflow 9/30/2022 9:50:06 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/3/2022 12:47:27 PM (Payment Verification for NCC223425)
F Roger Dale Corbett
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/3/2022 12:47 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 11, 2022 5:00
PM 9/30/2022 9:50 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Lazy Days RV Park
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3425
Certificate of NCC223425
Coverage (COC) No.*
Invoice Date 9/30/2022
Initial Invoice No. NCC223425-2022
Initial Fee $ 100.00
Invoice Due Date 10/30/2022
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 10/3/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 655508357
Transaction Number*
NOI Tracking No. 107948
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CARTE-2022-Lazy Days RV Park