NCC232143_NOI 150187 Payment Verification_20230718

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/17/2023 1:22:09 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 7/18/2023 6:44:08 AM (Review-NOI 150187 P73160-Fair Haven Rest Home Gas
Main Extension)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 20,2023 5:00 PM.
The priority is: High 7/17/2023 1:22:18 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 7/17/2023 1:22:18 PM
Submit by Tev.Holloman 7/18/2023 10:42:06 AM (Payment Verification for NCC232143)
0 SME INC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 29,2023 5:00 PM.
The priority is: High 7/18/2023 6:44:23 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/18/2023 10:41:34 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name P73160-Fair Haven Rest Home Gas Main Extension
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)
N/A
NC Reference No.* NCG01-2023-2143
Certificate of NCC232143
Coverage(COC)No.*
Invoice Date 7/18/2023
Initial Invoice No. NCC232143-2023
Initial Fee $ 100.00
Invoice Due Date 8/17/2023
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 7/18/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 700869418
Transaction Number*
NOI Tracking No. 150187
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RUTHE-2023-P73160-Fair Haven Rest Home Gas Main Extension

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