NCC240522_NOI 183769 Payment Verification_20240223

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/22/2024 8:26:19 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 2/22/2024 8:32:37 AM (Review-NOI 183769 Midtown Business Park Lot#1)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: February 27,2024 5:00
PM 2/22/2024 8:26:27 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 2/22/2024 8:26:27 AM
Submit by Tev.Holloman 2/23/2024 1:32:51 PM (Payment Verification for NCC240522)
•John D Ledford
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:April 4,2024 5:00 PM
2/22/2024 8:32:53 AM
• Tev.Holloman assigned the task to Tev.Holloman 2/23/2024 1:32:22 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Midtown Business Park Lot#1
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#1
NC Reference No.* NCG01-2024-0522
Certificate of NCC240522
Coverage(COC)No.*
Invoice Date 2/22/2024
Initial Invoice No. NCC240522-2024
Initial Fee $ 120.00
Invoice Due Date 3/23/2024
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 2/23/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 734749867
Transaction Number*
NOI Tracking No. 183769
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LINCO-2024-Midtown Business Park Lot#1

I I