NCC232720_NOI 158970 Payment Verification_20230911

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/8/2023 1:37:00 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/11/2023 6:35:07 AM (Review-NOI 158970 Mavis Tire-W Gate City Blvd)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 13,2023 5:00
PM 9/8/2023 1:37:09 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/8/2023 1:37:09 PM
Submit by Tev.Holloman 9/11/2023 11:16:40 AM (Payment Verification for NCC232720)
•Matthew Sheffield
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 23,2023 5:00 PM
9/11/2023 6:35:22 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/11/2023 11:16:00 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Mavis Tire-W Gate City Blvd
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.* NCG01-2023-2720
Certificate of NCC232720
Coverage(COC)No.*
Invoice Date 9/11/2023
Initial Invoice No. NCC232720-2023
Initial Fee $ 100.00
Invoice Due Date 10/11/2023
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 9/11/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 709442636
Transaction Number*
NOI Tracking No. 158970
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-GUILF-2023-Mavis Tire-W Gate City Blvd