NCC230298_NOI 125668 Payment Verification_20230217

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/31/2023 4:16:09 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/1/2023 7:37:47 AM (Review - NOI 125668 Washington PK-12)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/31/2023 4:16 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 3, 2023 5:00
PM 1/31/20234:16 PM
by Workflow 2/1/2023 7:37:55 AM (Workflow Start Event)
Submit by Tev.Holloman 2/17/2023 1:35:29 PM (Payment Verification for NCC230298)
F Washington County
• Tev.Holloman assigned the task to Tev.Holloman 2/17/2023 1:33 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 15, 2023 5:00 PM
2/1/2023 7:38 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
Washington PK-12
Lot Numbers
(If listed on the eNOl)
NC Reference No.*
NCG01-2023-0298
Certificate of
NCC230298
Coverage (COC) No.*
Invoice Date
2/1/2023
Initial Invoice No.
NCC230298-2023
Initial Fee
$ 100.00
Invoice Due Date
3/3/2023
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
2/17/2023
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
electronic
check
Other
Check Number*
94117
NOI Tracking No.
125668
Tracking ID referenced upon submittal
This is an Express
No
Review Project
Yes
Project Tracking ID
NCC-WASHI-2023-Washington PK-12