NCC232667_NOI 158378 Payment Verification_20230906

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/5/2023 10:50:59 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/5/2023 10:54:46 AM (Review-NOI 158378 Stop-N-Go C Store)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 8,2023 5:00
PM 9/5/2023 10:51:07 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/5/2023 10:51:07 AM
Submit by Tev.Holloman 9/6/2023 10:47:11 AM(Payment Verification for NCC232667)
0 Moon Brothers LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 17,2023 5:00 PM
9/5/2023 10:55:01 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/6/2023 10:46:39 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Stop-N-Go C Store
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.* NCG01-2023-2667
Certificate of NCC232667
Coverage(COC)No.*
Invoice Date 9/5/2023
Initial Invoice No. NCC232667-2023
Initial Fee $ 100.00
Invoice Due Date 10/5/2023
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 9/6/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 708525773
Transaction Number*
NOI Tracking No. 158378
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SAMPS-2023-Stop-N-Go C Store