NCC230124_NOI 122609 Payment Verification_20230124

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/13/2023 8:45:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/13/2023 8:52:35 AM (Review - NOI 122609 Sampson County E.S. & S.O.
Storage Building)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/13/2023 8:46 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 18, 2023 5:00
PM. The priority is: High 1/13/2023 8:46 AM
by Workflow 1/13/2023 8:52:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/24/2023 11:18:56 AM (Payment Verification for NCC230124)
F County of Sampson
• Holloman, Tevye L assigned the task to Holloman, Tevye L 1/24/2023 11:13 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 24, 2023 5:00 PM.
The priority is: High 1/13/2023 8:52 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Sampson County E.S. & S.O. Storage Building
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0124
Certificate of NCC230124
Coverage (COC) No.*
Invoice Date 1/13/2023
Initial Invoice No. NCC230124-2023
Initial Fee $ 100.00
Invoice Due Date 2/12/2023
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 1/24/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 5004949
NOI Tracking No. 122609
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SAMPS-2023-Sampson County E.S. & S.O. Storage Building