NCC230191_NOI 123502 Payment Verification_20230131

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/20/2023 1:12:25 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/23/2023 6:46:14 AM (Review - NOI 123502 Project Gen4)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/20/2023 1:13 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 25, 2023 5:00
PM 1/20/2023 1:13 PM
by Workflow 1/23/2023 6:46:21 AM (Workflow Start Event)
Submit by Holloman, Tevye L 1/31/2023 11:18:47 AM (Payment Verification for NCC230191)
F Tim Soder
Holloman, Tevye L assigned the task to Holloman, Tevye L 1/31/2023 11:18 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 6, 2023 5:00 PM
1/23/2023 6:46 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Project Gen4
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2023-0191
Certificate of
NCC230191
Coverage (COC) No.*
Invoice Date
1/23/2023
Initial Invoice No.
NCC230191-2023
Initial Fee
$ 100.00
Invoice Due Date
2/22/2023
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
1/31/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
ePayment
673984411
Transaction Number*
NOI Tracking No.
123502
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-PITT-2023-Project Gen4