NCC231856_NOI 145587 Payment Verification_20230621

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/14/2023 7:58:49 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/14/2023 8:21:26 AM (Review-NOI 145587 Murphy Express(N Wesleyan&
Sutter's Creek))
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 19,2023 5:00 PM
6/14/2023 7:59:01 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/14/2023 7:59:01 AM
Submit by Tev.Holloman 6/21/2023 9:28:50 AM (Payment Verification for NCC231856)
0 Sam Bolduc
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 26,2023 5:00 PM
6/14/2023 8:21:46 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/21/2023 9:27:24 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Murphy Express(N Wesleyan&Sutter's Creek)
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.* NCG01-2023-1856
Certificate of NCC231856
Coverage(COC)No.*
Invoice Date 6/14/2023
Initial Invoice No. NCC231856-2023
Initial Fee $ 100.00
Invoice Due Date 7/14/2023
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 6/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 696606632
Transaction Number*
NOI Tracking No. 145587
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NASH-2023-Murphy Express(N Wesleyan&Sutter's Creek)