NCC233331_NOI 167825 Payment Verification_20231108

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/7/2023 9:36:27 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/7/2023 9:41:01 AM (Review-NOI 167825 PRIMATE IMAGING&IRRADIATION
RESOURCE-PRIMIR)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 10,2023 5:00
PM 11/7/2023 9:36:37 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/7/2023 9:36:37 AM
Submit by Tev.Holloman 11/8/2023 2:12:22 PM (Payment Verification for NCC233331)
0 Emily Buehrer
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 19,2023 5:00
PM 11/7/2023 9:41:16 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/8/2023 2:11:55 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name PRIMATE IMAGING&IRRADIATION RESOURCE-PRIMIR
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.* NCG01-2023-3331
Certificate of NCC233331
Coverage(COC)No.*
Invoice Date 11/7/2023
Initial Invoice No. NCC233331-2023
Initial Fee $ 120.00
Invoice Due Date 12/7/2023
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 11/8/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 718267568
Transaction Number*
NOI Tracking No. 167825
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-PRIMATE IMAGING&IRRADIATION RESOURCE-PRIMIR