NCC223874_NOI 113364 Payment Verification_20221118

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/17/2022 9:20:20 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/17/2022 9:27:38 AM (Review - NOI 113364 Environmental Management
Division Replacement (P1525))
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/17/2022 9:21 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 22, 2022 5:00
PM. The priority is: High 11/17/2022 9:21 AM
by Workflow 11/17/2022 9:27:48 AM (Workflow Start Event)
Submit by Tran, Kieu M 11/18/2022 10:26:57 AM (Payment Verification for NCC223874)
F Michael Zurcher
• Tran, Kieu M assigned the task to Tran, Kieu M 11/18/2022 10:26 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 29, 2022 5:00 PM.
The priority is: High 11/17/2022 9:27 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Environmental Management Division Replacement (P1525)
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3874
Certificate of NCC223874
Coverage (COC) No.*
Invoice Date 11/17/2022
Initial Invoice No. NCC223874-2022
Initial Fee $ 100.00
Invoice Due Date 12/17/2022
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 11/18/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 662970519
Transaction Number*
NOI Tracking No. 113364
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ON SLO-2022-Environmental Management Division Replacement (P1525)