NCC233093_NOI 164013 Payment Verification_20231030

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/13/2023 7:01:05 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/13/2023 7:34:06 AM (Review-NOI 164013 Convenient Store)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 18,2023 5:00
PM 10/13/2023 7:01:14 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/13/2023 7:01:14 AM
Submit by Tev.Holloman 10/30/2023 10:40:52 AM (Payment Verification for NCC233093)
•Randy Garner
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 24,2023 5:00
PM 10/13/2023 7:34:21 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/30/2023 10:38:41 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Convenient 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.* NCG01-2023-3093
Certificate of NCC233093
Coverage(COC)No.*
Invoice Date 10/13/2023
Initial Invoice No. NCC233093-2023
Initial Fee $ 120.00
Invoice Due Date 11/12/2023
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 10/30/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 716839861
Transaction Number*
NOI Tracking No. 164013
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WILSO-2023-Convenient Store