NCC231470_NOI 141055 Payment Verification_20230516

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/12/2023 2:11:45 PM (NCG01 NOI Submission)
Approve by Brooklyn. Broussard 5/15/2023 7:38:14 AM (Review - NOI 141055 AMOREM Patient Care Unit)
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 17, 2023 5:00 PM
5/12/2023 2:11:53 PM
• The task was assigned to Brooklyn. Broussard by round robin distribution 5/12/2023 2:11:53 PM
Submit by Tev.Holloman 5/16/2023 11:00:22 AM (Payment Verification for NCC231470)
0 AMOREM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 26, 2023 5:00 PM
5/15/2023 7:38:31 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/16/2023 10:59:50 AM

STATE
NORTH CAROLINA
Environmental Quality
Project Name AMOREM Patient Care Unit
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.* NCG01-2023-1470
Certificate of NCC231470
Coverage (COC) No.*
Invoice Date 5/15/2023
Initial Invoice No. NCC231470-2023
Initial Fee $ 100.00
Invoice Due Date 6/14/2023
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 5/16/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 691141707
Transaction Number*
NOI Tracking No. 141055
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WATAU-2023-AMOREM Patient Care Unit