NCC240500_NOI 183523 Payment Verification_20240221

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/20/2024 3:46:48 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 2/21/2024 7:40:57 AM (Review-NOI 183523 Chick-fil-A 00633 Thruway Shopping
Center)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: February 23,2024 5:00
PM 2/20/2024 3:46:59 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 2/20/2024 3:46:59 PM
Submit by Tev.Holloman 2/21/2024 9:45:19 AM (Payment Verification for NCC240500)
P Dustin R Jones
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:April 3,2024 5:00 PM
2/21/2024 7:41:13 AM
• Tev.Holloman assigned the task to Tev.Holloman 2/21/2024 9:44:59 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Chick-fil-A 00633 Thruway Shopping Center
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.* NCG01-2024-0500
Certificate of NCC240500
Coverage(COC)No.*
Invoice Date 2/21/2024
Initial Invoice No. NCC240500-2024
Initial Fee $ 120.00
Invoice Due Date 3/22/2024
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 2/21/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 734559698
Transaction Number*
NOI Tracking No. 183523
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2024-Chick-fil-A 00633 Thruway Shopping Center