NCC232001_NOI 147218 Payment Verification_20230629

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/28/2023 2:30:59 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/29/2023 6:53:38 AM (Review-NOI 147218 Bryant&Young Yard Improvement
Project)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 3,2023 5:00 PM
6/28/2023 2:31:11 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/28/2023 2:31:11 PM
Submit by Tev.Holloman 6/29/2023 11:52:54 AM (Payment Verification for NCC232001)
•Richard A Crouse
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 10,2023 5:00 PM
6/29/2023 6:53:54 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/29/2023 11:52:29 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Bryant&Young Yard Improvement Project
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.* NCG01-2023-2001
Certificate of NCC232001
Coverage(COC)No.*
Invoice Date 6/29/2023
Initial Invoice No. NCC232001-2023
Initial Fee $ 100.00
Invoice Due Date 7/29/2023
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 6/29/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 697837507
Transaction Number*
NOI Tracking No. 147218
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-YANCE-2023-Bryant&Young Yard Improvement Project

I I