NCC240012_NOI 176365 Payment Verification_20240104

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/3/2024 6:28:36 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/3/2024 7:35:06 AM(Review-NOI 176365 Sand Hill Road Lot 4)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 8,2024 5:00 PM
1/3/2024 6:28:46 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/3/2024 6:28:46 AM
Submit by Tev.Holloman 1/4/2024 1:37:09 PM(Payment Verification for NCC240012)
0 Marion Bledsoe
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 14,2024 5:00 PM
1/3/2024 7:35:22 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/4/2024 1:36:45 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Sand Hill Road Lot 4
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)
4
NC Reference No.* NCG01-2024-0012
Certificate of NCC240012
Coverage(COC)No.*
Invoice Date 1/3/2024
Initial Invoice No. NCC240012-2024
Initial Fee $ 120.00
Invoice Due Date 2/2/2024
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 1/4/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 726686729
Transaction Number*
NOI Tracking No. 176365
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-Sand Hill Road Lot 4

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