NCC232867_NOI 160622 Payment Verification_20231002

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/21/2023 4:31:46 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/22/2023 7:03:34 AM (Review-NOI 160622 Maiden Fire Station No.10)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 26,2023 5:00
PM 9/21/2023 4:31:54 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/21/2023 4:31:54 PM
Submit by Tev.Holloman 10/2/2023 11:44:06 AM (Payment Verification for NCC232867)
•Town of Maiden
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 3,2023 5:00 PM
9/22/2023 7:03:49 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/2/2023 11:43:39 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Maiden Fire Station No.10
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)
NA
NC Reference No.* NCG01-2023-2867
Certificate of NCC232867
Coverage(COC)No.*
Invoice Date 9/22/2023
Initial Invoice No. NCC232867-2023
Initial Fee $ 100.00
Invoice Due Date 10/22/2023
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 10/2/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 712263821
Transaction Number*
NOI Tracking No. 160622
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2023-Maiden Fire Station No.10

I I