NCC240653_NOI 185917 Payment Verification_20240306

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 3/1/2024 3:56:44 PM(NCG01 NOI Submission)
Approve by Paul.Clark 3/5/2024 1:05:00 PM(Review-NOI 185917 Oehler Residence-Gentle Breeze Lane)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: March 6,2024 5:00 PM
3/1/2024 3:56:52 PM
• The task was assigned to Paul.Clark by round robin distribution 3/1/2024 3:56:53 PM
Submit by Tev.Holloman 3/6/2024 12:45:39 PM (Payment Verification for NCC240653)
•John D Ledford
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:April 16,2024 5:00 PM
3/5/2024 1:05:16 PM
• Tev.Holloman assigned the task to Tev.Holloman 3/6/2024 12:45:15 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Oehler Residence-Gentle Breeze Lane
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)
Lot#11 C
NC Reference No.* NCG01-2024-0653
Certificate of NCC240653
Coverage(COC)No.*
Invoice Date 3/5/2024
Initial Invoice No. NCC240653-2024
Initial Fee $ 120.00
Invoice Due Date 4/4/2024
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 3/6/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 736754115
Transaction Number*
NOI Tracking No. 185917
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LINCO-2024-Oehler Residence-Gentle Breeze Lane

I I