NCC233773_NOI 174436 Payment Verification_20231221

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/20/2023 9:44:04 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/20/2023 10:00:31 AM (Review-NOI 174436 La Fiesta Restaurant)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 25,2023 5:00
PM 12/20/2023 9:44:16 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/20/2023 9:44:16 AM
Submit by Tev.Holloman 12/21/2023 9:56:12 AM(Payment Verification for NCC233773)
0 Guerrero Restaurant Group LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 31,2024 5:00 PM
12/20/2023 10:00:49 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/21/2023 9:55:20 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name La Fiesta Restaurant
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.* NCG01-2023-3773
Certificate of NCC233773
Coverage(COC)No.*
Invoice Date 12/20/2023
Initial Invoice No. NCC233773-2023
Initial Fee $ 120.00
Invoice Due Date 1/19/2024
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 12/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 724832189
Transaction Number*
NOI Tracking No. 174436
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ALAMA-2024-La Fiesta Restaurant