NCC233794_NOI 174612 Payment Verification_20240112

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/21/2023 9:48:12 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/21/2023 10:03:40 AM (Review-NOI 174612 Take 5 Car Wash)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 26,2023 5:00
PM.The priority is: High 12/21/2023 9:48:19 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/21/2023 9:48:19 AM
Submit by Tev.Holloman 1/12/2024 10:01:59 AM (Payment Verification for NCC233794)
P Julie Hong
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 1,2024 5:00 PM.
The priority is: High 12/21/2023 10:03:55 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/12/2024 10:01:31 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Take 5 Car Wash
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.* NCG01-2023-3794
Certificate of NCC233794
Coverage(COC)No.*
Invoice Date 12/21/2023
Initial Invoice No. NCC233794-2023
Initial Fee $ 120.00
Invoice Due Date 1/20/2024
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 1/12/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 728063718
Transaction Number*
NOI Tracking No. 174612
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PITT-2023-Take 5 Car Wash