NCC231472_NOI 141070 Payment Verification_20230522

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/12/2023 3:28:09 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/15/2023 8:04:18 AM (Review-NOI 141070 Northwood Lot 4:Zaxby's)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 17,2023 5:00 PM
5/12/2023 3:28:18 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/12/2023 3:28:18 PM
Submit by Tev.Holloman 5/22/2023 10:32:29 AM(Payment Verification for NCC231472)
•Ben Little
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 26,2023 5:00 PM
5/15/2023 8:04:35 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/22/2023 10:31:55 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Northwood Lot 4:Zaxby's
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)
4
NC Reference No.* NCG01-2023-1472
Certificate of NCC231472
Coverage(COC)No.*
Invoice Date 5/15/2023
Initial Invoice No. NCC231472-2023
Initial Fee $ 100.00
Invoice Due Date 6/14/2023
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 5/22/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 691882273
Transaction Number*
NOI Tracking No. 141070
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-Northwood Lot 4:Zaxby's

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