NCC231341_NOI 140110 Payment Verification_20230508

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/4/2023 2:59:38 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/5/2023 7:16:14 AM(Review-NOI 140110 Harris Teeter Fuel#210-Mayfaire)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 9,2023 5:00 PM
5/4/2023 2:59:47 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/4/2023 2:59:48 PM
Submit by Tev.Holloman 5/8/2023 11:32:11 AM(Payment Verification for NCC231341)
•Justin Besser
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 16,2023 5:00 PM
5/5/2023 7:16:31 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/8/2023 11:31:27 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Harris Teeter Fuel#210-Mayfaire
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-1341
Certificate of NCC231341
Coverage(COC)No.*
Invoice Date 5/5/2023
Initial Invoice No. NCC231341-2023
Initial Fee $ 100.00
Invoice Due Date 6/4/2023
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 5/8/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 689726591
Transaction Number*
NOI Tracking No. 140110
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NEW H-2023-Harris Teeter Fuel#210-Mayfaire