NCC223598_NOI 109590 Payment Verification_20221021

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/18/2022 4:28:25 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/19/2022 7:11:47 AM (Review - NOI 109590 Family Dollar)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/18/2022 4:28 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 21, 2022 5:00
PM 10/18/2022 4:28 PM
by Workflow 10/19/2022 7:11:55 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/21/2022 8:27:45 AM (Payment Verification for NCC223598)
F Brandon Marolf
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/21/2022 8:27 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 30, 2022 5:00
PM 10/19/2022 7:12 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Family Dollar
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2022-3598
Certificate of
NCC223598
Coverage (COC) No.*
Invoice Date
10/19/2022
Initial Invoice No.
NCC223598-2022
Initial Fee
$ 100.00
Invoice Due Date
11/18/2022
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
10/21/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
658780066
Transaction Number*
NOI Tracking No.
109590
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-ANSON-2022-Family Dollar