NCC233181_NOI 165091 Payment Verification_20231025

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/24/2023 9:02:38 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/24/2023 9:06:19 AM (Review-NOI 165091 Frieden Church Road C-store)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 27,2023 5:00
PM.The priority is: High 10/24/2023 9:02:45 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/24/2023 9:02:45 AM
Submit by Tev.Holloman 10/25/2023 9:56:46 AM (Payment Verification for NCC233181)
P Manojkumar
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 5,2023 5:00 PM.
The priority is: High 10/24/2023 9:06:34 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/25/2023 9:55:22 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Frieden Church Road C-store
Is this project funded with ARPA(American Rescue Plan Act)grant funds?
No
Yes
CONFIRMED ARPA Project Number(if applicable)
Lot Numbers (If listed on the eNOl)
NC Reference No.* NCG01-2023-3181
Certificate of NCC233181
Coverage(COC)No.*
Invoice Date 10/24/2023
Initial Invoice No. NCC233181-2023
Initial Fee $ 120.00
Invoice Due Date 11/23/2023
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 10/25/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 716178782
Transaction Number*
NOI Tracking No. 165091
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2023-Frieden Church Road C-store