NCC232522_NOI 155749 Payment Verification_20230822

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/21/2023 11:09:21 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/22/2023 6:34:56 AM (Review-NOI 155749 Chemserve Tanks 9-12)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 24,2023 5:00
PM 8/21/2023 11:09:29 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/21/2023 11:09:29 AM
Submit by Tev.Holloman 8/22/2023 10:55:02 AM(Payment Verification for NCC232522)
0 Matthew Law
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 3,2023 5:00 PM
8/22/2023 6:35:14 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/22/2023 10:54:32 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Chemserve Tanks 9-12
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.* NCG01-2023-2522
Certificate of NCC232522
Coverage(COC)No.*
Invoice Date 8/22/2023
Initial Invoice No. NCC232522-2023
Initial Fee $ 100.00
Invoice Due Date 9/21/2023
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 8/22/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 706468527
Transaction Number*
NOI Tracking No. 155749
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-NEW H-2023-Chemserve Tanks 9-12