NCC220504_NOI 79230 Payment Verification_20220125

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/24/2022 4:19:03 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 1/25/2022 7:55:57 AM (Review - Construction NOI 79230)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 1/24/2022 4:19 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 26, 2022 5:00
PM 1/24/2022 4:19 PM
Submit by Morman, Alaina 1/25/2022 9:58:16 AM (Payment Verification for NCC220504)
* Kevin T. Mason
• Morman, Alaina assigned the task to Morman, Alaina 1/25/2022 9:57 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 8, 2022 5:00 PM
1/25/2022 7:56 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Rockford Line Rebuild Chatham MFG
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-0504
Certificate of NCC220504
Coverage (COC) No.*
Invoice Date 1/25/2022
Initial Invoice No. NCC220504-2022
Initial Fee $ 100.00
Invoice Due Date 2/24/2022
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 1/25/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 614931374
Transaction Number*
NOI Tracking No. 79230
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SURRY-2022-Rockford Line Rebuild Chatham MFG