NCC223353_NOI 106320 Payment Verification_20221003

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/23/2022 9:38:44 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/23/2022 9:42:45 AM (Review - NOI 106320 Millersville Baptist Church
(Millersville Christian Academy))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/23/2022 9:39 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 28, 2022 5:00
PM 9/23/2022 9:39 AM
by Workflow 9/23/2022 9:42:58 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/3/2022 1:09:57 PM (Payment Verification for NCC223353)
F Justin A Deal
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/3/2022 1:09 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 4, 2022 5:00 PM
9/23/2022 9:43 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Millersville Baptist Church (Millersville Christian Academy)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3353
Certificate of NCC223353
Coverage (COC) No.*
Invoice Date 9/23/2022
Initial Invoice No. NCC223353-2022
Initial Fee $ 100.00
Invoice Due Date 10/23/2022
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 655769123
Transaction Number*
NOI Tracking No. 106320
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ALEXA-2022-Millersville Baptist Church (Millersville Christian Academy)