NCC232888_NOI 160835 Payment Verification_20230927

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/25/2023 8:33:02 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/25/2023 8:37:04 AM (Review-NOI 160835 CHICK-FIL-A)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 28,2023 5:00
PM.The priority is: High 9/25/2023 8:33:10 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/25/2023 8:33:10 AM
Submit by Tev.Holloman 9/27/2023 11:27:29 AM (Payment Verification for NCC232888)
P MARK CAMPBELL
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 6,2023 5:00 PM.
The priority is: High 9/25/2023 8:37:19 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/27/2023 11:26:31 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name CHICK-FIL-A
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.* NCG01-2023-2888
Certificate of NCC232888
Coverage(COC)No.*
Invoice Date 9/25/2023
Initial Invoice No. NCC232888-2023
Initial Fee $ 100.00
Invoice Due Date 10/25/2023
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 9/27/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 711831488
Transaction Number*
NOI Tracking No. 160835
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BUNCO-2023-CHICK-FIL-A