NCC233778_NOI 174470 Payment Verification_20231221

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/20/2023 10:58:29 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/20/2023 11:00:00 AM (Review-NOI 174470 FERN CREEK-LOT 3)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 25,2023 5:00
PM 12/20/2023 10:58:37 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/20/2023 10:58:37 AM
Submit by Tev.Holloman 12/21/2023 10:47:13 AM (Payment Verification for NCC233778)
0 Charles R Spainhour
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 31,2024 5:00 PM
12/20/2023 11:00:15 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/21/2023 10:46:42 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name FERN CREEK-LOT 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)
LOT 3
NC Reference No.* NCG01-2023-3778
Certificate of NCC233778
Coverage(COC)No.*
Invoice Date 12/20/2023
Initial Invoice No. NCC233778-2023
Initial Fee $ 120.00
Invoice Due Date 1/19/2024
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 12/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 724800392
Transaction Number*
NOI Tracking No. 174470
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2024-FERN CREEK-LOT 3

I I