NCC231117_NOI 136655 Payment Verification_20230420

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/18/2023 11:43:56 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/19/2023 7:54:13 AM (Review-NOI 136655 FB-P-7937 Lift Station Replacement-
Simmons AAF)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 21,2023 5:00 PM
4/18/2023 11:44:05 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/18/2023 11:44:05 AM
Submit by Tev.Holloman 4/20/2023 11:41:05 AM (Payment Verification for NCC231117)
0 Isaiah Koonce
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 31,2023 5:00 PM
4/19/2023 7:54:30 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/20/2023 11:40:19 AM

4
NPayment Verification
NORTH CAROLINA
Environmental Quality
Project Name FB-P-7937 Lift Station Replacement-Simmons AAF
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-1117
Certificate of NCC231117
Coverage(COC)No.*
Invoice Date 4/19/2023
Initial Invoice No. NCC231117-2023
Initial Fee $ 100.00
Invoice Due Date 5/19/2023
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 4/20/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 687248284
Transaction Number*
NOI Tracking No. 136655
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-FB-P-7937 Lift Station Replacement-Simmons AAF