NCC224054_NOI 117696 Payment Verification_20221220

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/7/2022 11:11:55 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/8/2022 6:15:18 AM (Review - NOI 117696 Highway 52 Convenience Store)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/7/2022 11:12 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 12, 2022 5:00
PM 12/7/2022 11:12 AM
by Workflow 12/8/2022 6:15:39 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/20/2022 12:55:58 PM (Payment Verification for NCC224054)
F Welcome LLC
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/20/2022 12:55 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 19, 2023 5:00 PM
12/8/2022 6:15 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Highway 52 Convenience Store
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-4054
Certificate of NCC224054
Coverage (COC) No.*
Invoice Date 12/8/2022
Initial Invoice No. NCC224054-2022
Initial Fee $ 100.00
Invoice Due Date 1/7/2023
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 12/20/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1000
NOI Tracking No. 117696
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DAVID-2022-Highway 52 Convenience Store