NCC223678_NOI 110221 Payment Verification_20221031

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/25/2022 5:34:57 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/26/2022 9:18:32 AM (Review - NOI 110221 Richfield Climate Control
Expansion)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/25/2022 5:35 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 28, 2022 5:00
PM 10/25/2022 5:35 PM
by Workflow 10/26/2022 9:18:42 AM (Workflow Start Event)
Submit by Holloman, Tevye L 10/31/2022 8:34:50 AM (Payment Verification for NCC223678)
F Joshua Davis
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/31/2022 8:34 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 7, 2022 5:00 PM
10/26/2022 9:18 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Richfield Climate Control Expansion
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3678
Certificate of NCC223678
Coverage (COC) No.*
Invoice Date 10/26/2022
Initial Invoice No. NCC223678-2022
Initial Fee $ 100.00
Invoice Due Date 11/25/2022
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 10/31/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 660093996
Transaction Number*
NOI Tracking No. 110221
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-STANL-2022-Richfield Climate Control Expansion