NCC232854_NOI 160370 Payment Verification_20230921

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/20/2023 11:22:04 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/21/2023 6:23:00 AM (Review-NOI 160370 QuikTrip#1002)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 25,2023 5:00
PM 9/20/2023 11:22:14 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/20/2023 11:22:14 AM
Submit by Tev.Holloman 9/21/2023 11:19:32 AM (Payment Verification for NCC232854)
P QuikTrip
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 2,2023 5:00 PM
9/21/2023 6:23:15 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/21/2023 11:18:39 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name QuikTrip#1002
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.* NCG01-2023-2854
Certificate of NCC232854
Coverage(COC)No.*
Invoice Date 9/21/2023
Initial Invoice No. NCC232854-2023
Initial Fee $ 100.00
Invoice Due Date 10/21/2023
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 9/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 711087857
Transaction Number*
NOI Tracking No. 160370
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2024-QuikTrip#1002