NCC223395_NOI 106689 Payment Verification_20220929

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/27/2022 4:11:35 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/28/2022 7:39:34 AM (Review - NOI 106689 Maple Leaf Storage)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/27/2022 4:12 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 30, 2022 5:00
PM 9/27/2022 4:12 PM
by Workflow 9/28/2022 7:39:43 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/29/2022 8:10:33 AM (Payment Verification for NCC223395)
F Christopher Powell
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/29/2022 8:09 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 9, 2022 5:00 PM
9/28/2022 7:39 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Maple Leaf Storage
Lot Numbers
(If listed on the eNOI)
n/a
NC Reference No.*
NCG01-2022-3395
Certificate of
NCC223395
Coverage (COC) No.*
Invoice Date
9/28/2022
Initial Invoice No.
NCC223395-2022
Initial Fee
$ 100.00
Invoice Due Date
10/28/2022
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
9/29/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
655223277
Transaction Number*
NOI Tracking No.
106689
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-ALAMA-2022-Maple Leaf Storage