NCC223291_NOI 105829 Payment Verification_20221017

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/19/2022 11:06:11 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/20/2022 6:18:53 AM (Review - NOI 105829 Peck K-8 Expeditionary Learning
School)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/19/2022 11:06 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 22, 2022 5:00
PM 9/19/2022 11:06 AM
by Workflow 9/20/2022 6:19:04 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/17/2022 8:17:38 AM (Payment Verification for NCC223291)
F John Simmons
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/17/2022 8:17 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 1, 2022 5:00 PM
9/20/2022 6:19 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Peck K-8 Expeditionary Learning School
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3291
Certificate of NCC223291
Coverage (COC) No.*
Invoice Date 9/20/2022
Initial Invoice No. NCC223291-2022
Initial Fee $ 100.00
Invoice Due Date 10/20/2022
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 10/17/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 657917968
Transaction Number*
NOI Tracking No. 105829
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2022-Peck K-8 Expeditionary Learning School