NCC231758_NOI 144718 Payment Verification_20230613

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/6/2023 1:51:46 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/7/2023 6:47:17 AM(Review-NOI 144718 Dollar General Jacksonville)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 9,2023 5:00 PM
6/6/2023 1:51:57 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/6/2023 1:51:57 PM
Submit by Tev.Holloman 6/13/2023 11:58:44 AM (Payment Verification for NCC231758)
0 Glandon Forest Equity, LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 19,2023 5:00 PM
6/7/2023 6:47:34 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/13/2023 11:57:28 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Dollar General Jacksonville
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.* NCG01-2023-1758
Certificate of NCC231758
Coverage(COC)No.*
Invoice Date 6/7/2023
Initial Invoice No. NCC231758-2023
Initial Fee $ 100.00
Invoice Due Date 7/7/2023
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 6/13/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 17162
NOI Tracking No. 144718
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2023-Dollar General Jacksonville