NCC241365_NOI 196053 Payment Verification_20240516

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/2/2024 1:34:10 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/3/2024 6:17:13 AM(Review-NOI 196053 RaceTrac-Monroe)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 7,2024 5:00 PM
5/2/2024 1:34:18 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/2/2024 1:34:18 PM
Submit by Tev.Holloman 5/16/2024 12:41:00 PM (Payment Verification for NCC241365)
0 Mark Zawadski
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 14,2024 5:00 PM
5/3/2024 6:17:28 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/16/2024 12:40:32 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name RaceTrac-Monroe
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.*
NCG01-2024-1365
Certificate of Coverage(COC)No.* Permit Version
NCC241365 1.00
Invoice Date 5/3/2024
Initial Invoice No. NCC241365-2024
Initial Fee $ 120.00
Invoice Due Date 6/2/2024
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 5/16/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 748320144
Transaction Number*
NOI Tracking No. 196053
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-UNION-2024-RaceTrac-Monroe

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