NCC233684_NOI 173499 Payment Verification_20240103

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/13/2023 7:48:01 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/13/2023 7:56:01 AM (Review-NOI 173499 Dollar General-Yadkinville Store
#30285)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 18,2023 5:00
PM 12/13/2023 7:48:09 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/13/2023 7:48:09 AM
Submit by Tev.Holloman 1/3/2024 11:46:03 AM(Payment Verification for NCC233684)
0 Teramore Development
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 24,2024 5:00 PM
12/13/2023 7:56:17 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/3/2024 11:45:29 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Dollar General-Yadkinville Store#30285
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.* NCG01-2023-3684
Certificate of NCC233684
Coverage(COC)No.*
Invoice Date 12/13/2023
Initial Invoice No. NCC233684-2023
Initial Fee $ 120.00
Invoice Due Date 1/12/2024
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 1/3/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 726518179
Transaction Number*
NOI Tracking No. 173499
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-YADKI-2024-Dollar General-Yadkinville Store#30285