NCC230414_NOI 127069 Payment Verification_20230214

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/13/2023 1:03:54 PM (NCG01 NOI Submission)
Approve by Brooklyn. Broussard 2/14/2023 7:10:53 AM (Review - NOI 127069 Take 5 Car Wash)
• The task was assigned to Brooklyn. Broussard by round robin distribution 2/13/2023 1:04 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 16, 2023 5:00
PM 2/13/2023 1:04 PM
by Workflow 2/14/2023 7:11:02 AM (Workflow Start Event)
Submit by Tev.Holloman 2/14/2023 10:27:49 AM (Payment Verification for NCC230414)
F Andrew Parker
• Tev.Holloman assigned the task to Tev.Holloman 2/14/2023 10:27 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 28, 2023 5:00 PM
2/14/2023 7:11 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Take 5 Car Wash
Lot Numbers
(If listed on the eNOI)
Lot 1
NC Reference No.*
NCG01-2023-0414
Certificate of
NCC230414
Coverage (COC) No.*
Invoice Date
2/14/2023
Initial Invoice No.
NCC230414-2023
Initial Fee
$ 100.00
Invoice Due Date
3/16/2023
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
2/14/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
676490234
Transaction Number*
NOI Tracking No.
127069
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2023-Take 5 Car Wash