NCC233287_NOI 167217 Payment Verification_20231103

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/2/2023 10:08:12 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/2/2023 10:20:28 AM (Review-NOI 167217 Kiddie Academy&Fresenius Kidney
Center)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 7,2023 5:00
PM 11/2/2023 10:08:26 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/2/2023 10:08:26 AM
Submit by Tev.Holloman 11/3/2023 2:55:50 PM (Payment Verification for NCC233287)
•Robert Bates
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 14,2023 5:00
PM 11/2/2023 10:20:43 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/3/2023 2:55:01 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Kiddie Academy&Fresenius Kidney Center
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.* NCG01-2023-3287
Certificate of NCC233287
Coverage(COC)No.*
Invoice Date 11/2/2023
Initial Invoice No. NCC233287-2023
Initial Fee $ 120.00
Invoice Due Date 12/2/2023
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 11/3/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 717479305
Transaction Number*
NOI Tracking No. 167217
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2023-Kiddie Academy&Fresenius Kidney Center