NCC233302_NOI 167499 Payment Verification_20231113

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/3/2023 9:04:34 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/3/2023 9:12:49 AM (Review-NOI 167499 Refuel Market-Riverlights)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 8,2023 5:00
PM 11/3/2023 9:04:42 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/3/2023 9:04:42 AM
Submit by Tev.Holloman 11/13/2023 11:57:13 AM(Payment Verification for NCC233302)
•Elizabeth Plasters
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 15,2023 5:00
PM 11/3/2023 9:13:04 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/13/2023 11:56:42 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Refuel Market-Riverlights
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 eNOI)
Lot 3A
NC Reference No.* NCG01-2023-3302
Certificate of NCC233302
Coverage(COC)No.*
Invoice Date 11/3/2023
Initial Invoice No. NCC233302-2023
Initial Fee $ 120.00
Invoice Due Date 12/3/2023
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 11/13/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 718645931
Transaction Number*
NOI Tracking No. 167499
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NEW H-2023-Refuel Market-Riverlights

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