NCC232980_NOI 162987 Payment Verification_20231006

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/4/2023 8:41:26 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/4/2023 8:46:11 AM(Review-NOI 162987 Thunder Rd Lots 12-14)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 9,2023 5:00 PM
10/4/2023 8:41:34 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/4/2023 8:41:34 AM
Submit by Tev.Holloman 10/6/2023 10:32:58 AM(Payment Verification for NCC232980)
•Leon E Bouwens Jr
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 15,2023 5:00
PM 10/4/2023 8:46:30 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/6/2023 10:31:17 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Thunder Rd Lots 12-14
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)
12,13,14
NC Reference No.* NCG01-2023-2980
Certificate of NCC232980
Coverage(COC)No.*
Invoice Date 10/4/2023
Initial Invoice No. NCC232980-2023
Initial Fee $ 120.00
Invoice Due Date 11/3/2023
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 10/6/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 713296595
Transaction Number*
NOI Tracking No. 162987
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-I RED E-2023-Thunder Rd Lots 12-14

I I