NCC223582_NOI 109376 Payment Verification_20221018

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/17/2022 8:54:32 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/17/2022 8:57:24 AM (Review - NOI 109376 City of Wilson-J. Burt Gillette
Athletic Complex Improvements -Miracle Field)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/17/2022 8:55 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 20, 2022 5:00
PM 10/17/2022 8:55 AM
by Workflow 10/17/2022 8:57:34 AM (Workflow Start Event)
Submit by Tran, Kieu M 10/18/2022 9:01:40 AM (Payment Verification for NCC223582)
F W T Bass
• Tran, Kieu M assigned the task to Tran, Kieu M 10/18/2022 9:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 28, 2022 5:00
PM 10/17/2022 8:57 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name City of Wilson-J. Burt Gillette Athletic Complex Improvements -Miracle Field
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3582
Certificate of NCC223582
Coverage (COC) No.*
Invoice Date 10/17/2022
Initial Invoice No. NCC223582-2022
Initial Fee $ 100.00
Invoice Due Date 11/16/2022
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 10/18/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 658256816
Transaction Number*
NOI Tracking No. 109376
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WILSO-2022-City of Wilson-J. Burt Gillette Athletic Complex Improvements -
Miracle Field