NCC233651_NOI 173039 Payment Verification_20231212

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/8/2023 11:19:23 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/11/2023 7:15:32 AM (Review-NOI 173039 ABC Supply#129 Woodbridge Drive-
Greenville NC)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 13,2023 5:00
PM 12/8/2023 11:19:31 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/8/2023 11:19:31 AM
Submit by Tev.Holloman 12/12/2023 9:38:44 AM (Payment Verification for NCC233651)
•Penny Scheetz
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 22,2024 5:00 PM
12/11/2023 7:15:47 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/12/2023 9:38:19 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name ABC Supply#129 Woodbridge Drive-Greenville NC
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 eNOI)
N/A
NC Reference No.* NCG01-2023-3651
Certificate of NCC233651
Coverage(COC)No.*
Invoice Date 12/11/2023
Initial Invoice No. NCC233651-2023
Initial Fee $ 120.00
Invoice Due Date 1/10/2024
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 12/12/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 723340902
Transaction Number*
NOI Tracking No. 173039
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PITT-2024-ABC Supply#129 Woodbridge Drive-Greenville NC

I I