NCC224098_NOI 118226 Payment Verification_20221213

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/12/2022 11:08:17 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/12/2022 11:19:20 AM (Review - NOI 118226 Samarcand Training Academy)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/12/2022 11:08 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 15, 2022 5:00
PM 12/12/2022 11:08 AM
by Workflow 12/12/2022 11:19:30 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/13/2022 10:31:05 AM (Payment Verification for NCC224098)
F Brad Kleinmaier
Holloman, Tevye L assigned the task to Holloman, Tevye L 12/13/2022 10:30 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 23, 2023 5:00 PM
12/12/2022 11:19 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Samarcand Training Academy
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2022-4098
Certificate of NCC224098
Coverage (COC) No.*
Invoice Date 12/12/2022
Initial Invoice No. NCC224098-2022
Initial Fee $ 100.00
Invoice Due Date 1/11/2023
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 12/13/2022
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 666609312
Transaction Number*
NOI Tracking No. 118226
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MOORE-2023-Samarcand Training Academy