NCC232017_NOI 147845 Payment Verification_20230703

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/29/2023 12:50:15 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/30/2023 7:11:07 AM(Review-NOI 147845 Discount Tire-Hope Mills-NCC 52)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 4,2023 5:00 PM
6/29/2023 12:50:25 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/29/2023 12:50:25 PM
Submit by Tev.Holloman 7/3/2023 2:09:38 PM(Payment Verification for NCC232017)
•Colten Ellsworth
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 11,2023 5:00 PM
6/30/2023 7:11:23 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/3/2023 2:09:08 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Discount Tire-Hope Mills-NCC 52
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.* NCG01-2023-2017
Certificate of NCC232017
Coverage(COC)No.*
Invoice Date 6/30/2023
Initial Invoice No. NCC232017-2023
Initial Fee $ 100.00
Invoice Due Date 7/30/2023
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 7/3/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 698018982
Transaction Number*
NOI Tracking No. 147845
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-Discount Tire-Hope Mills-NCC 52