NCC233577_NOI 172264 Payment Verification_20231205

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/4/2023 10:14:11 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/4/2023 10:22:20 AM (Review-NOI 172264 Proposed Sheetz Store-
Hendersonville, NC)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 7,2023 5:00
PM 12/4/2023 10:14:20 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/4/2023 10:14:20 AM
Submit by Tev.Holloman 12/5/2023 10:28:04 AM (Payment Verification for NCC233577)
0 Wesley Hall
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 15,2024 5:00 PM
12/4/2023 10:22:36 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/5/2023 10:27:41 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Proposed Sheetz Store-Hendersonville, NC
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.* NCG01-2023-3577
Certificate of NCC233577
Coverage(COC)No.*
Invoice Date 12/4/2023
Initial Invoice No. NCC233577-2023
Initial Fee $ 120.00
Invoice Due Date 1/3/2024
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 12/5/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 722226129
Transaction Number*
NOI Tracking No. 172264
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HENDE-2023-Proposed Sheetz Store-Hendersonville, NC