NCC232039_NOI 148533 Payment Verification_20230706

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/3/2023 11:31:32 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 7/5/2023 6:26:52 AM(Review-NOI 148533 Line 2181/2058 Hathaway-Rocky
Mount Rebuild)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 6,2023 5:00 PM
7/3/2023 11:31:40 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 7/3/2023 11:31:40 AM
Submit by Tev.Holloman 7/6/2023 12:59:09 PM (Payment Verification for NCC232039)
0 Heather EB Kennedy
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 16,2023 5:00 PM
7/5/2023 6:27:10 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/6/2023 12:58:40 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Line 2181/2058 Hathaway-Rocky Mount Rebuild
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)
See Notes in Section D.8
NC Reference No.* NCG01-2023-2039
Certificate of NCC232039
Coverage(COC)No.*
Invoice Date 7/5/2023
Initial Invoice No. NCC232039-2023
Initial Fee $ 100.00
Invoice Due Date 8/4/2023
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 7/6/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 698926700
Transaction Number*
NOI Tracking No. 148533
Tracking ID referenced upon submittal
This is an Express I No
Review Project Yes
Project Tracking ID NCC-NASH-2023-Line 2181/2058 Hathaway-Rocky Mount Rebuild

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