NCC230570_NOI 128822 Payment Verification_20230425

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/27/2023 3:54:09 PM (NCG01 NOI Submission)
Approve by Paul.Clark 3/1/2023 9:38:01 PM(Review-NOI 128822 Sam's XPress Car Wash-Freedom Drive)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: March 2,2023 5:00 PM
2/27/2023 3:54:17 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 2/27/2023 3:54:17 PM
• bethany.georgoulias reassigned the task to Paul.Clark 3/1/2023 10:36:28 AM
Submit by Tev.Holloman 4/25/2023 11:03:04 AM (Payment Verification for NCC230570)
0 Matthew C. Kirchner
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:April 12,2023 5:00 PM
3/1/2023 9:38:21 PM
• Tev.Holloman assigned the task to Tev.Holloman 4/25/2023 11:02:27 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Sam's XPress Car Wash-Freedom Drive
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0570
Certificate of NCC230570
Coverage(COC)No.*
Invoice Date 3/1/2023
Initial Invoice No. NCC230570-2023
Initial Fee $ 100.00
Invoice Due Date 3/31/2023
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 4/25/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 687863281
Transaction Number*
NOI Tracking No. 128822
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2023-Sam's XPress Car Wash-Freedom Drive