NCC241228_NOI 192968 Payment Verification_20240422

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/18/2024 5:44:22 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/19/2024 7:03:23 AM (Review-NOI 192968 Pine Ridge Subdivision-Phase 2)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 23,2024 5:00 PM
4/18/2024 5:44:32 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/18/2024 5:44:32 PM
Submit by Tev.Holloman 4/22/2024 1:09:28 PM (Payment Verification for NCC241228)
•Vivian E Dickinson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 31,2024 5:00 PM
4/19/2024 7:03:39 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/22/2024 1:08:26 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Pine Ridge Subdivision-Phase 2
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)
NC Reference No.*
NCG01-2024-1228
Certificate of Coverage(COC)No.* Permit Version
NCC241228 1.00
Invoice Date 4/19/2024
Initial Invoice No. NCC241228-2024
Initial Fee $ 120.00
Invoice Due Date 5/19/2024
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 4/22/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 744213256
Transaction Number*
NOI Tracking No. 192968
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2024-Pine Ridge Subdivision-Phase 2

i i