NCC233624_NOI 172799 Payment Verification_20231214

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/7/2023 9:13:04 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/7/2023 9:20:56 AM (Review-NOI 172799 FB-SOF Supply Support Activity
PN87447)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 12,2023 5:00
PM 12/7/2023 9:13:11 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/7/2023 9:13:11 AM
Submit by Tev.Holloman 12/14/2023 10:05:47 AM (Payment Verification for NCC233624)
0 Michael Schneider
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 18,2024 5:00 PM
12/7/2023 9:21:11 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/14/2023 10:05:06 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name FB-SOF Supply Support Activity PN87447
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 eNOI)
N/A
NC Reference No.* NCG01-2023-3624
Certificate of NCC233624
Coverage(COC)No.*
Invoice Date 12/7/2023
Initial Invoice No. NCC233624-2023
Initial Fee $ 120.00
Invoice Due Date 1/6/2024
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 12/14/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 723665733
Transaction Number*
NOI Tracking No. 172799
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-FB-SOF Supply Support Activity PN87447

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