NCC223474_NOI 108628 Payment Verification_20221103

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/5/2022 3:02:23 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 10/6/2022 8:00:38 AM (Review - NOI 108628 FB - Technical Support Training
Annex, PN79439.2)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 10/5/2022 3:03 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 10, 2022 5:00
PM. The priority is: High 10/5/2022 3:03 PM
by Workflow 10/6/2022 8:00:48 AM (Workflow Start Event)
Submit by Holloman, Tevye L 11/3/2022 12:22:37 PM (Payment Verification for NCC223474)
F Kevin J Sherlock
• Holloman, Tevye L assigned the task to Holloman, Tevye L 11/3/2022 12:22 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 17, 2022 5:00 PM.
The priority is: High 10/6/2022 8:00 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name FB - Technical Support Training Annex, PN79439.2
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-3474
Certificate of NCC223474
Coverage (COC) No.*
Invoice Date 10/6/2022
Initial Invoice No. NCC223474-2022
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 11/3/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 660689169
Transaction Number*
NOI Tracking No. 108628
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2022-FB - Technical Support Training Annex, PN79439.2