NCC223486_NOI 108681 Payment Verification_20221007

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/6/2022 10:35:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/6/2022 10:42:00 AM (Review - NOI 108681 IPEX Drive Improvements)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/6/2022 10:36 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 11, 2022 5:00
PM 10/6/2022 10:36 AM
by Workflow 10/6/2022 10:42:10 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/7/2022 8:37:31 AM (Payment Verification for NCC223486)
F Larry Barthelemy, IV
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/7/2022 8:37 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 17, 2022 5:00
PM 10/6/2022 10:42 AM

Payment •
NORTH CAROLINA
Environmental Quaftfy
Project Name
IPEX Drive Improvements
Lot Numbers
(If listed on the eNOI)
N/A
NC Reference No.*
NCG01-2022-3486
Certificate of
NCC223486
Coverage (COC) No.*
Invoice Date
10/6/2022
Initial Invoice No.
NCC223486-2022
Initial Fee
$ 100.00
Invoice Due Date
11/5/2022
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
10/7/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
656494303
Transaction Number*
NOI Tracking No.
108681
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-MECKL-2022-IPEX Drive Improvements