NCC223523_NOI 109012 Payment Verification_20221013

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/11/2022 8:54:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/11/2022 9:00:10 AM (Review - NOI 109012 Sport Durst Jeep Durham)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/11/2022 8:55 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 14, 2022 5:00
PM 10/11/2022 8:55 AM
by Workflow 10/11/2022 9:00:21 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/13/2022 7:41:43 AM (Payment Verification for NCC223523)
F W G Daniel
Holloman, Tevye L assigned the task to Holloman, Tevye L 10/13/2022 7:41 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 22, 2022 5:00
PM 10/11/2022 9:00 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Sport Durst Jeep Durham
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3523
Certificate of NCC223523
Coverage (COC) No.*
Invoice Date 10/11/2022
Initial Invoice No. NCC223523-2022
Initial Fee $ 100.00
Invoice Due Date 11/10/2022
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 10/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 657205980
Transaction Number*
NOI Tracking No. 109012
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DURHA-2022-Sport Durst Jeep Durham