NCC230969_NOI 135348 Payment Verification_20230418

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/3/2023 10:12:33 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/4/2023 8:50:58 AM(Review-NOI 135348 WoodSprings Suite-Winston Salem)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 6,2023 5:00 PM
4/3/2023 10:12:40 AM
• The task was assigned to Paul.Clark by round robin distribution 4/3/2023 10:12:40 AM
• Brooklyn.Broussard reassigned the task to Brooklyn.Broussard 4/4/2023 8:28:30 AM
Submit by Tev.Holloman 4/18/2023 2:34:59 PM (Payment Verification for NCC230969)
0 Sambatek NC PC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 16,2023 5:00 PM
4/4/2023 8:51:15 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/18/2023 2:33:33 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name WoodSprings Suite-Winston Salem
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0969
Certificate of NCC230969
Coverage(COC)No.*
Invoice Date 4/4/2023
Initial Invoice No. NCC230969-2023
Initial Fee $ 100.00
Invoice Due Date 5/4/2023
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 4/18/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 16032
NOI Tracking No. 135348
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-WoodSprings Suite-Winston Salem