NCC232648_NOI 157960 Payment Verification_20230901

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/31/2023 11:01:47 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/31/2023 11:08:14 AM(Review-NOI 157960 Chick-fil-A Peace Haven Road)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 5,2023 5:00
PM 8/31/2023 11:02:02 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/31/2023 11:02:02 AM
Submit by Tev.Holloman 9/1/2023 1:04:36 PM(Payment Verification for NCC232648)
•Interplan LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 12,2023 5:00 PM
8/31/2023 11:08:31 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/1/2023 1:03:37 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Chick-fil-A Peace Haven Road
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.* NCG01-2023-2648
Certificate of NCC232648
Coverage(COC)No.*
Invoice Date 8/31/2023
Initial Invoice No. NCC232648-2023
Initial Fee $ 100.00
Invoice Due Date 9/30/2023
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 9/1/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 707701604
Transaction Number*
NOI Tracking No. 157960
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Chick-fil-A Peace Haven Road