NCC232214_NOI 151204 Payment Verification_20230727

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/24/2023 4:13:54 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 7/25/2023 7:04:21 AM (Review-NOI 151204 Roanoke Chowan Community Health
Center)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 27,2023 5:00 PM
7/24/2023 4:14:06 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 7/24/2023 4:14:07 PM
Submit by Tev.Holloman 7/27/2023 12:02:36 PM (Payment Verification for NCC232214)
0 Kelli Gill
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 5,2023 5:00 PM
7/25/2023 7:04:37 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/27/2023 12:02:03 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Roanoke Chowan Community Health Center
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.* NCG01-2023-2214
Certificate of NCC232214
Coverage(COC)No.*
Invoice Date 7/25/2023
Initial Invoice No. NCC232214-2023
Initial Fee $ 100.00
Invoice Due Date 8/24/2023
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 7/27/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 702029779
Transaction Number*
NOI Tracking No. 151204
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BERTI-2023-Roanoke Chowan Community Health Center