NCC231458_NOI 140995 Payment Verification_20230515

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/12/2023 9:17:07 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/12/2023 9:19:56 AM (Review-NOI 140995 Med-Moore Park Lot 1)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 17,2023 5:00 PM
5/12/2023 9:17:14 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/12/2023 9:17:14 AM
Submit by Tev.Holloman 5/15/2023 9:31:25 AM (Payment Verification for NCC231458)
0 Kelli Gill
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 23,2023 5:00 PM
5/12/2023 9:20:20 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/15/2023 9:30:52 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Med-Moore Park Lot 1
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.* NCG01-2023-1458
Certificate of NCC231458
Coverage(COC)No.*
Invoice Date 5/12/2023
Initial Invoice No. NCC231458-2023
Initial Fee $ 100.00
Invoice Due Date 6/11/2023
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 5/15/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 690733801
Transaction Number*
NOI Tracking No. 140995
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PITT-2023-Med-Moore Park Lot 1