NCC232701_NOI 158758 Payment Verification_20231002

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/7/2023 12:02:01 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/8/2023 7:07:06 AM(Review-NOI 158758 TBMNC Building 804 Phase 2 and
Phase 3)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 12,2023 5:00
PM 9/7/2023 12:02:11 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/7/2023 12:02:11 PM
Submit by Tev.Holloman 10/2/2023 12:00:47 PM (Payment Verification for NCC232701)
0 Zachary Carnes
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 20,2023 5:00 PM
9/8/2023 7:07:21 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/2/2023 12:00:20 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name TBMNC Building 804 Phase 2 and Phase 3
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.* NCG01-2023-2701
Certificate of NCC232701
Coverage(COC)No.*
Invoice Date 9/8/2023
Initial Invoice No. NCC232701-2023
Initial Fee $ 100.00
Invoice Due Date 10/8/2023
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 10/2/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 712455947
Transaction Number*
NOI Tracking No. 158758
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RANDO-2023-TBMNC Building 804 Phase 2 and Phase 3