NCC231243_NOI 138075 Payment Verification_20230427

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/27/2023 8:21:49 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/27/2023 8:27:23 AM (Review-NOI 138075 Briar Chapel Dental Office)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 2,2023 5:00 PM
4/27/2023 8:21:59 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/27/2023 8:21:59 AM
Submit by Tev.Holloman 4/27/2023 12:43:47 PM (Payment Verification for NCC231243)
•Jamie Linenberg
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 8,2023 5:00 PM
4/27/2023 8:27:40 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/27/2023 12:43:17 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Briar Chapel Dental Office
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-1243
Certificate of NCC231243
Coverage(COC)No.*
Invoice Date 4/27/2023
Initial Invoice No. NCC231243-2023
Initial Fee $ 100.00
Invoice Due Date 5/27/2023
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 4/27/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 688349512
Transaction Number*
NOI Tracking No. 138075
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-Briar Chapel Dental Office