NCC232916_NOI 161058 Payment Verification_20231017

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/26/2023 11:01:26 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/26/2023 11:10:09 AM (Review-NOI 161058 Circle K-NTI NC55 Kennebec-
Angier NC)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 29,2023 5:00
PM 9/26/2023 11:01:35 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/26/2023 11:01:35 AM
Submit by Tev.Holloman 10/17/2023 3:04:04 PM (Payment Verification for NCC232916)
0 Timmons Group
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 7,2023 5:00 PM
9/26/2023 11:10:24 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/17/2023 3:01:12 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Circle K-NTI NC55 Kennebec-Angier NC
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.* NCG01-2023-2916
Certificate of NCC232916
Coverage(COC)No.*
Invoice Date 9/26/2023
Initial Invoice No. NCC232916-2023
Initial Fee $ 100.00
Invoice Due Date 10/26/2023
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 10/17/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 93845
NOI Tracking No. 161058
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HARNE-2024-Circle K-NTI NC55 Kennebec-Angier NC