NCC241098_NOI 191681 Payment Verification_20240424

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/10/2024 11:52:49 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/10/2024 12:00:04 PM (Review-NOI 191681 Dollar General-Willard)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 15,2024 5:00 PM
4/10/2024 11:52:56 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/10/2024 11:52:56 AM
Submit by Tev.Holloman 4/24/2024 9:50:25 AM (Payment Verification for NCC241098)
•Christopher A Cagle
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 22,2024 5:00 PM
4/10/2024 12:00:19 PM
• Tev.Holloman assigned the task to Tev.Holloman 4/24/2024 9:50:01 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Dollar General-Willard
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 eNOI)
NC Reference No.*
NCG01-2024-1098
Certificate of Coverage(COC)No.* Permit Version
NCC241098 1.00
Invoice Date 4/10/2024
Initial Invoice No. NCC241098-2024
Initial Fee $ 120.00
Invoice Due Date 5/10/2024
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 4/24/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 744773751
Transaction Number*
NOI Tracking No. 191681
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PENDE-2019-Dollar General-Willard

i i