NCC222163_NOI 93863 Payment Verification_20220613

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/9/2022 9:55:34 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/10/2022 6:55:43 AM (Review - NOI 93863 Aces for Autism)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/9/2022 9:56 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 14, 2022 5:00 PM
6/9/2022 9:56 AM
by Workflow 6/10/2022 6:55:51 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/13/2022 10:02:12 AM (Payment Verification for NCC222163)
P Kelli Gill
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/13/2022 10:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 22, 2022 5:00 PM
6/10/2022 6:55 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Aces for Autism
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2163
Certificate of NCC222163
Coverage (COC) No.*
Invoice Date 6/10/2022
Initial Invoice No. NCC222163-2022
Initial Fee $ 100.00
Invoice Due Date 7/10/2022
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 6/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 637812352
Transaction Number*
NOI Tracking No. 93863
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PITT-2022-Aces for Autism