NCC230337_NOI 126249 Payment Verification_20230207

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/3/2023 8:00:01 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/6/2023 6:58:44 AM (Review - NOI 126249 23XI Race Shop)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/3/2023 8:00 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 8, 2023 5:00 PM.
The priority is: High 2/3/2023 8:00 PM
by Workflow 2/6/2023 6:58:52 AM (Workflow Start Event)
Submit by Holloman, Tevye L 2/7/2023 9:35:57 AM (Payment Verification for NCC230337)
F Paul Petrillo
Holloman, Tevye L assigned the task to Holloman, Tevye L 2/7/2023 9:35 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 20, 2023 5:00 PM. The
priority is: High 2/6/2023 6:58 AM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name 23XI Race Shop
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-0337
Certificate of NCC230337
Coverage (COC) No.*
Invoice Date 2/6/2023
Initial Invoice No. NCC230337-2023
Initial Fee $ 100.00
Invoice Due Date 3/8/2023
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 2/7/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 675181587
Transaction Number*
NOI Tracking No. 126249
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2023-23XI Race Shop