NCC230144_NOI 122890 Payment Verification_20230123

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/17/2023 9:39:12 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/17/2023 4:07:08 PM (Review - NOI 122890 SOS Management Waste Soil
Stockpile)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/17/2023 9:39 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 20, 2023 5:00
PM 1/17/2023 9:39 AM
by Workflow 1/17/2023 4:07:19 PM (Workflow Start Event)
Submit by Holloman, Tevye L 1/23/2023 8:02:10 AM (Payment Verification for NCC230144)
F Simmons Technical Services, Inc
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/23/2023 7:59 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 28, 2023 5:00 PM
1/17/2023 4:07 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name SOS Management Waste Soil Stockpile
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-0144
Certificate of NCC230144
Coverage (COC) No.*
Invoice Date 1/17/2023
Initial Invoice No. NCC230144-2023
Initial Fee $ 100.00
Invoice Due Date 2/16/2023
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 1/23/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 672945596
Transaction Number*
NOI Tracking No. 122890
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAYNE-2022-SOS Management Waste Soil Stockpile