NCC223767_NOI 111909 Payment Verification_20221115

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/4/2022 8:47:09 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/4/2022 9:05:27 AM (Review - NOI 111909 Equine Veterinary Facility)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/4/2022 8:47 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 9, 2022 5:00
PM 11/4/2022 8:47 AM
by Workflow 11/4/2022 9:05:40 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/15/2022 10:05:27 AM (Payment Verification for NCC223767)
F Grace Buchanan
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/15/2022 10:04 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 16, 2022 5:00
PM 11/4/2022 9:05 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Equine Veterinary Facility
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2022-3767
Certificate of NCC223767
Coverage (COC) No.*
Invoice Date 11/4/2022
Initial Invoice No. NCC223767-2022
Initial Fee $ 100.00
Invoice Due Date 12/4/2022
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 11/15/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 662603758
Transaction Number*
NOI Tracking No. 111909
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RUTHE-2022-Equine Veterinary Facility