NCC233514_NOI 170801 Payment Verification_20231128

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/27/2023 4:01:42 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/28/2023 7:26:28 AM(Review-NOI 170801 Circle K-R&R 2723471 Wilson)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 30,2023 5:00
PM 11/27/2023 4:01:49 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/27/2023 4:01:49 PM
Submit by Tev.Holloman 11/28/2023 10:14:51 AM (Payment Verification for NCC233514)
•Richard Baker
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 9,2024 5:00 PM
11/28/2023 7:26:43 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/28/2023 10:14:08 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Circle K-R&R 2723471 Wilson
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.* NCG01-2023-3514
Certificate of NCC233514
Coverage(COC)No.*
Invoice Date 11/28/2023
Initial Invoice No. NCC233514-2023
Initial Fee $ 120.00
Invoice Due Date 12/28/2023
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 11/28/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 721245244
Transaction Number*
NOI Tracking No. 170801
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WILSO-2023-Circle K-R&R 2723471 Wilson