NCC233682_NOI 173418 Payment Verification_20231213

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/12/2023 2:15:43 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/13/2023 6:31:58 AM (Review-NOI 173418 Josephine Edmonds Minor
Subdivision-Lots 2&3)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 15,2023 5:00
PM 12/12/2023 2:15:53 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/12/2023 2:15:53 PM
Submit by Tev.Holloman 12/13/2023 11:27:55 AM (Payment Verification for NCC233682)
0 Nathaniel Johnson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 24,2024 5:00 PM
12/13/2023 6:32:13 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/13/2023 11:27:28 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Josephine Edmonds Minor Subdivision-Lots 2&3
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)
Lots 2&3
NC Reference No.* NCG01-2023-3682
Certificate of NCC233682
Coverage(COC)No.*
Invoice Date 12/13/2023
Initial Invoice No. NCC233682-2023
Initial Fee $ 120.00
Invoice Due Date 1/12/2024
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 12/13/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 723633621
Transaction Number*
NOI Tracking No. 173418
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MOORE-2023-Josephine Edmonds Minor Subdivision-Lots 2&3

I I