NCC233793_NOI 174609 Payment Verification_20240103

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/21/2023 9:43:19 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/21/2023 9:59:50 AM (Review-NOI 174609 Outback Steakhouse-Concord
Parkway)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 26,2023 5:00
PM 12/21/2023 9:43:27 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/21/2023 9:43:27 AM
Submit by Tev.Holloman 1/3/2024 4:29:21 PM(Payment Verification for NCC233793)
•OSI Restaurant Partners, LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 1,2024 5:00 PM
12/21/2023 10:00:07 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/3/2024 4:27:38 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Outback Steakhouse-Concord Parkway
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.* NCG01-2023-3793
Certificate of NCC233793
Coverage(COC)No.*
Invoice Date 12/21/2023
Initial Invoice No. NCC233793-2023
Initial Fee $ 120.00
Invoice Due Date 1/20/2024
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 1/3/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1000536899
NOI Tracking No. 174609
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CABAR-2023-Outback Steakhouse-Concord Parkway