NCC233728_NOI 173995 Payment Verification_20240109

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/17/2023 10:29:46 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/18/2023 7:07:00 AM (Review-NOI 173995 4213 Grahamstone Road Raleigh,
NC 27610(RGA 381 Middleton))
•
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 21,2023 5:00
PM 12/17/2023 10:29:59 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/17/2023 10:29:59 AM
Submit by Tev.Holloman 1/9/2024 10:58:38 AM (Payment Verification for NCC233728)
0 Jerry E. Dean
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 29,2024 5:00 PM
12/18/2023 7:07:16 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/9/2024 10:57:56 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name 4213 Grahamstone Road Raleigh, NC 27610(RGA 381 Middleton)
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)
3
NC Reference No.* NCG01-2023-3728
Certificate of NCC233728
Coverage(COC)No.*
Invoice Date 12/18/2023
Initial Invoice No. NCC233728-2023
Initial Fee $ 120.00
Invoice Due Date 1/17/2024
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 1/9/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 727541399
Transaction Number*
NOI Tracking No. 173995
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2023-4213 Grahamstone Road Raleigh, NC 27610(RGA 381
Middleton)

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