NCC241207_NOI 192793 Payment Verification_20240418

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/17/2024 5:15:36 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/18/2024 6:31:21 AM (Review-NOI 192793 Wilmington Dental Office)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 22,2024 5:00 PM
4/17/2024 5:15:44 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/17/2024 5:15:44 PM
Submit by Tev.Holloman 4/18/2024 12:43:18 PM (Payment Verification for NCC241207)
•Jamie Linenberg
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 30,2024 5:00 PM
4/18/2024 6:31:36 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/18/2024 12:42:40 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Wilmington Dental Office
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)
NC Reference No.*
NCG01-2024-1207
Certificate of Coverage(COC)No.* Permit Version
NCC241207 1.00
Invoice Date 4/18/2024
Initial Invoice No. NCC241207-2024
Initial Fee $ 120.00
Invoice Due Date 5/18/2024
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 4/18/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 744009701
Transaction Number*
NOI Tracking No. 192793
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NEW H-2024-Wilmington Dental Office

i i