NCC232773_NOI 159445 Payment Verification_20230914

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/13/2023 9:13:27 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/13/2023 9:19:27 AM (Review-NOI 159445 Disposal Site-Keith Fields)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 18,2023 5:00
PM 9/13/2023 9:13:35 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/13/2023 9:13:35 AM
Submit by Tev.Holloman 9/14/2023 11:54:18 AM (Payment Verification for NCC232773)
•Keith Fields
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 25,2023 5:00 PM
9/13/2023 9:19:42 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/14/2023 11:52:11 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Disposal Site-Keith Fields
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.* NCG01-2023-2773
Certificate of NCC232773
Coverage(COC)No.*
Invoice Date 9/13/2023
Initial Invoice No. NCC232773-2023
Initial Fee $ 100.00
Invoice Due Date 10/13/2023
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 9/14/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 709867253
Transaction Number*
NOI Tracking No. 159445
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CASWE-2023-Disposal Site-Keith Fields