NCC233297_NOI 167444 Payment Verification_20231106

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/2/2023 4:11:41 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/3/2023 6:53:54 AM (Review-NOI 167444 AT&T NC Hwy 62, Pleasant Garden,
NC(A02K95S))
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 7,2023 5:00
PM 11/2/2023 4:11:57 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/2/2023 4:11:57 PM
Submit by Tev.Holloman 11/6/2023 9:47:45 AM (Payment Verification for NCC233297)
0 Carlie Watson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 15,2023 5:00
PM 11/3/2023 6:54:09 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/6/2023 9:44:14 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name AT&T NC Hwy 62, Pleasant Garden, NC(A021<95S)
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.* NCG01-2023-3297
Certificate of NCC233297
Coverage(COC)No.*
Invoice Date 11/3/2023
Initial Invoice No. NCC233297-2023
Initial Fee $ 120.00
Invoice Due Date 12/3/2023
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 11/6/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 717689648
Transaction Number*
NOI Tracking No. 167444
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RANDO-2023-AT&T NC Hwy 62, Pleasant Garden, NC(A021<95S)