NCC222250_NOI 94416 Payment Verification_20220617

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/16/2022 9:58:17 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/16/2022 11:13:53 AM (Review - NOI 94416 Home 2 Suites Hotel)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/16/2022 9:59 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 21, 2022 5:00 PM.
The priority is: High 6/16/2022 9:59 AM
by Workflow 6/16/2022 11:14:01 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/17/2022 7:50:12 AM (Payment Verification for NCC222250)
F Dave Richardson
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/17/2022 7:49 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2022 5:00 PM. The
priority is: High 6/16/2022 11:14 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Home 2 Suites Hotel
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-2250
Certificate of NCC222250
Coverage (COC) No.*
Invoice Date 6/16/2022
Initial Invoice No. NCC222250-2022
Initial Fee $ 100.00
Invoice Due Date 7/16/2022
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 6/17/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 638801115
Transaction Number*
NOI Tracking No. 94416
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LEE-2022-Home 2 Suites Hotel