NCC233184_NOI 165104 Payment Verification_20231025

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/24/2023 9:44:13 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/24/2023 9:52:17 AM (Review-NOI 165104 Dollar General-Pilot Mountain Store
#30009)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 27,2023 5:00
PM 10/24/2023 9:44:22 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/24/2023 9:44:22 AM
Submit by Tev.Holloman 10/25/2023 10:06:15 AM (Payment Verification for NCC233184)
0 Teramore Development
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 5,2023 5:00 PM
10/24/2023 9:52:38 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/25/2023 10:04:26 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Dollar General-Pilot Mountain Store#30009
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.* NCG01-2023-3184
Certificate of NCC233184
Coverage(COC)No.*
Invoice Date 10/24/2023
Initial Invoice No. NCC233184-2023
Initial Fee $ 120.00
Invoice Due Date 11/23/2023
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 10/25/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 716150223
Transaction Number*
NOI Tracking No. 165104
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SURRY-2023-Dollar General-Pilot Mountain Store#30009