NCC232381_NOI 154220 Payment Verification_20230815

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/8/2023 9:56:15 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/8/2023 10:03:20 AM (Review-NOI 154220 DairiO Jacksonville)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 11,2023 5:00
PM 8/8/2023 9:56:24 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/8/2023 9:56:24 AM
Submit by Tev.Holloman 8/15/2023 10:17:35 AM(Payment Verification for NCC232381)
•Joseph Schultz
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 19,2023 5:00
PM 8/8/2023 10:03:36 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/15/2023 10:16:59 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name DairiO Jacksonville
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)
Lot A
NC Reference No.* NCG01-2023-2381
Certificate of NCC232381
Coverage(COC)No.*
Invoice Date 8/8/2023
Initial Invoice No. NCC232381-2023
Initial Fee $ 100.00
Invoice Due Date 9/7/2023
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 8/15/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 705189683
Transaction Number*
NOI Tracking No. 154220
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2023-DairiO Jacksonville

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