NCC232425_NOI 154578 Payment Verification_20230811

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/10/2023 10:48:51 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/10/2023 10:52:44 AM (Review-NOI 154578 Batten Dental Office-Walkertown
Landing)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 15,2023 5:00
PM 8/10/2023 10:49:00 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/10/2023 10:49:00 AM
Submit by Tev.Holloman 8/11/2023 10:33:11 AM (Payment Verification for NCC232425)
0 Charles N Trivette
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 21,2023 5:00
PM 8/10/2023 10:53:00 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/11/2023 10:32:35 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Batten Dental Office-Walkertown Landing
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.* NCG01-2023-2425
Certificate of NCC232425
Coverage(COC)No.*
Invoice Date 8/10/2023
Initial Invoice No. NCC232425-2023
Initial Fee $ 100.00
Invoice Due Date 9/9/2023
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 8/11/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 704643123
Transaction Number*
NOI Tracking No. 154578
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Batten Dental Office-Walkertown Landing