NCC233005_NOI 163192 Payment Verification_20231010

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/5/2023 10:52:04 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/5/2023 10:54:22 AM (Review-NOI 163192 Project ICE Bish Road)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 10,2023 5:00
PM 10/5/2023 10:52:12 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/5/2023 10:52:13 AM
Submit by Tev.Holloman 10/10/2023 2:22:26 PM (Payment Verification for NCC233005)
0 Samet Corporation
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 16,2023 5:00
PM 10/5/2023 10:54:37 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/10/2023 2:20:35 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Project ICE Bish Road
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.* NCG01-2023-3005
Certificate of NCC233005
Coverage(COC)No.*
Invoice Date 10/5/2023
Initial Invoice No. NCC233005-2023
Initial Fee $ 120.00
Invoice Due Date 11/4/2023
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 10/10/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 21168
NOI Tracking No. 163192
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-Project ICE Bish Road