NCC232958_NOI 162210 Payment Verification_20231004

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/29/2023 12:31:35 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/2/2023 6:36:19 AM (Review-NOI 162210 Royal Farms Store#505)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 4,2023 5:00 PM
9/29/2023 12:31:44 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/29/2023 12:31:44 PM
Submit by Tev.Holloman 10/4/2023 2:32:39 PM (Payment Verification for NCC232958)
0 Peter W. Ratcliffe Architects PA
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 13,2023 5:00
PM 10/2/2023 6:36:35 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/4/2023 2:30:28 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Royal Farms Store#505
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.* NCG01-2023-2958
Certificate of NCC232958
Coverage(COC)No.*
Invoice Date 10/2/2023
Initial Invoice No. NCC232958-2023
Initial Fee $ 100.00
Invoice Due Date 11/1/2023
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 10/4/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 18507
NOI Tracking No. 162210
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BEAUF-2023-Royal Farms Store#505