NCC242685_NOI 214809 Payment Verification_20240919

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/28/2024 4:54:31 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/29/2024 10:37:36 AM (Review-NOI 214809 Dosher Memorial Hospital Main
Campus ED Addition)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 2,2024 5:00
PM 8/28/2024 4:54:48 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/28/2024 4:54:49 PM
Submit by Tev.Holloman 9/19/2024 10:45:12 AM (Payment Verification for NCC242685)
0 J Arthur Dosher Memorial Hospital
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 10,2024 5:00 PM
8/29/2024 10:38:02 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/19/2024 10:44:06 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Dosher Memorial Hospital Main Campus ED Addition
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.*
NCG01-2024-2685
Certificate of Coverage(COC)No.* Permit Version
NCC242685 1.00
Invoice Date 8/29/2024
Initial Invoice No. NCC242685-2024
Initial Fee $ 120.00
Invoice Due Date 9/28/2024
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 9/19/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 767839775
Transaction Number*
NOI Tracking No. 214809
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BRUNS-2024-Dosher Memorial Hospital Main Campus ED Addition

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