NCC240390_NOI 182351 Payment Verification_20240212

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/12/2024 9:38:55 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 2/12/2024 10:18:51 AM (Review-NOI 182351 The Manors at Lexington Plantation,
Part 2C-Lot 742 and Part 2D-Lots 687,68)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: February 15,2024 5:00
PM 2/12/2024 9:39:04 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 2/12/2024 9:39:04 AM
Submit by Tev.Holloman 2/12/2024 2:14:09 PM (Payment Verification for NCC240390)
0 Leslie Groves
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: March 25,2024 5:00 PM
2/12/2024 10:19:06 AM
• Tev.Holloman assigned the task to Tev.Holloman 2/12/2024 2:13:42 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name The Manors at Lexington Plantation, Part 2C-Lot 742 and Part 2D-Lots 687,68
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 687,689,690&742
NC Reference No.* NCG01-2024-0390
Certificate of NCC240390
Coverage(COC)No.*
Invoice Date 2/12/2024
Initial Invoice No. NCC240390-2024
Initial Fee $ 120.00
Invoice Due Date 3/13/2024
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 2/12/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 733090312
Transaction Number*
NOI Tracking No. 182351
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HARNE-2024-The Manors at Lexington Plantation, Part 2C-Lot 742 and Part
2D-Lots 687,68

i i