NCC240195_NOI 178503 Payment Verification_20240123

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/19/2024 3:24:31 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/22/2024 6:52:52 AM (Review-NOI 178503 Panda Express)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 24,2024 5:00
PM 1/19/2024 3:24:39 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/19/2024 3:24:39 PM
Submit by Tev.Holloman 1/23/2024 9:54:36 AM (Payment Verification for NCC240195)
0 Dylan Andrews
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: March 4,2024 5:00 PM
1/22/2024 6:53:07 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/23/2024 9:53:57 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Panda Express
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)
D.B.3186,PG. 1735
NC Reference No.* NCG01-2024-0195
Certificate of NCC240195
Coverage(COC)No.*
Invoice Date 1/22/2024
Initial Invoice No. NCC240195-2024
Initial Fee $ 120.00
Invoice Due Date 2/21/2024
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 1/23/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 729794645
Transaction Number*
NOI Tracking No. 178503
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NASH-2024-Panda Express

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