NCC223846_NOI 112904 Payment Verification_20221122

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/15/2022 10:16:57 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 11/15/2022 10:27:04 AM (Review - NOI 112904 Rumbling Bald Guardhouse)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 11/15/2022 10:17 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 18, 2022 5:00
PM 11/15/2022 10:17 AM
by Workflow 11/15/2022 10:27:15 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/22/2022 9:30:16 AM (Payment Verification for NCC223846)
F Jeffrey Geisler
Holloman, Tevye L assigned the task to Holloman, Tevye L 11/22/2022 9:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 27, 2022 5:00
PM 11/15/2022 10:27 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Rumbling Bald Guardhouse
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3846
Certificate of NCC223846
Coverage (COC) No.*
Invoice Date 11/15/2022
Initial Invoice No. NCC223846-2022
Initial Fee $ 100.00
Invoice Due Date 12/15/2022
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 11/22/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 663576173
Transaction Number*
NOI Tracking No. 112904
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-RUTHE-2022-Rumbling Bald Guardhouse