NCC233268_NOI 167012 Payment Verification_20231101

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/1/2023 8:25:24 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/1/2023 8:33:34 AM (Review-NOI 167012 Barnes Residence-Dan Rhyne Road)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 6,2023 5:00
PM 11/1/2023 8:25:32 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/1/2023 8:25:32 AM
Submit by Tev.Holloman 11/1/2023 2:01:20 PM (Payment Verification for NCC233268)
•John D Ledford
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 13,2023 5:00
PM 11/1/2023 8:33:49 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/1/2023 2:00:26 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Barnes Residence-Dan Rhyne Road
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.* NCG01-2023-3268
Certificate of NCC233268
Coverage(COC)No.*
Invoice Date 11/1/2023
Initial Invoice No. NCC233268-2023
Initial Fee $ 120.00
Invoice Due Date 12/1/2023
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 11/1/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 717259532
Transaction Number*
NOI Tracking No. 167012
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LINCO-2023-Barnes Residence-Dan Rhyne Road