NCC231919_NOI 146270 Payment Verification_20230626

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/20/2023 11:44:15 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/21/2023 6:59:00 AM (Review-NOI 146270 Cindy Platt Boys&Girls Club of
Transylvania County)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 23,2023 5:00 PM.
The priority is: High 6/20/2023 11:44:24 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/20/2023 11:44:24 AM
Submit by Tev.Holloman 6/26/2023 11:00:14 AM (Payment Verification for NCC231919)
•Sarah Rae
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 2,2023 5:00 PM.The
priority is: High 6/21/2023 6:59:16 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/26/2023 10:59:47 AM

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a � aPayment Verification
NORTH CAROLINA
Environmental Quality
Project Name Cindy Platt Boys&Girls Club of Transylvania County
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.* NCG01-2023-1919
Certificate of NCC231919
Coverage(COC)No.*
Invoice Date 6/21/2023
Initial Invoice No. NCC231919-2023
Initial Fee $ 100.00
Invoice Due Date 7/21/2023
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 6/26/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 697079541
Transaction Number*
NOI Tracking No. 146270
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-TRANS-2023-Cindy Platt Boys&Girls Club of Transylvania County