NCC223129_NOI 104549 Payment Verification_20220907

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/1/2022 2:02:04 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/2/2022 7:57:52 AM (Review - NOI 104549 Royal Farms - Store #530)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/1/2022 2:03 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 6, 2022 5:00
PM 9/1/2022 2:03 PM
by Workflow 9/2/2022 7:58:03 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/7/2022 9:35:52 AM (Payment Verification for NCC223129)
P Kelli Gill
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/7/2022 9:35 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 14, 2022 5:00 PM
9/2/2022 7:58 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Royal Farms - Store #530
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3129
Certificate of NCC223129
Coverage (COC) No.*
Invoice Date 9/2/2022
Initial Invoice No. NCC223129-2022
Initial Fee $ 100.00
Invoice Due Date 10/2/2022
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 9/7/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 651864650
Transaction Number*
NOI Tracking No. 104549
Tracking ID referenced upon submittal
This is an Express • No
Review Project Yes
Project Tracking ID NCC-PENDE-2022-Royal Farms - Store #530