NCC232152_NOI 150492 Payment Verification_20230720

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/19/2023 9:11:34 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 7/20/2023 6:51:20 AM (Review-NOI 150492 Friendly Center MOB)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 24,2023 5:00 PM
7/19/2023 9:11:41 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 7/19/2023 9:11:41 AM
Submit by bethany.georgoulias 7/20/2023 7:14:24 AM (Payment Verification for NCC232152)
0 Payment by CBL DMC I, LLC on 7/7/2023 for COC NCC231904 applied here.The incorrect owner
entity was entered on that application,and the permittee has reapplied for a replacement COC within
60 days.
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 31,2023 5:00 PM
7/20/2023 6:51:37 AM
• bethany.georgoulias reassigned the task to bethany.georgoulias 7/20/2023 7:11:28 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Friendly Center MOB
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.* NCG01-2023-2152
Certificate of NCC232152
Coverage(COC)No.*
Invoice Date 7/20/2023
Initial Invoice No. NCC232152-2023
Initial Fee $ 100.00
Invoice Due Date 8/19/2023
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 7/20/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1
NOI Tracking No. 150492
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2023-Friendly Center MOB