NCC241439_NOI 196922 Payment Verification_20240510

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/9/2024 10:19:50 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/9/2024 10:24:43 AM (Review-NOI 196922 Lot 5, Mapleton Lane, Derbyshire
Subdivision)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 14,2024 5:00 PM
5/9/2024 10:19:59 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/9/2024 10:19:59 AM
Submit by Tev.Holloman 5/10/2024 10:22:54 AM (Payment Verification for NCC241439)
•Paige Leslie
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 20,2024 5:00 PM
5/9/2024 10:24:59 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/10/2024 10:22:21 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Lot 5, Mapleton Lane, Derbyshire Subdivision
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 eNOl)
Lot 5
NC Reference No.*
NCG01-2024-1439
Certificate of Coverage(COC)No.* Permit Version
NCC241439 1.00
Invoice Date 5/9/2024
Initial Invoice No. NCC241439-2024
Initial Fee $ 120.00
Invoice Due Date 6/8/2024
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 5/10/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 747348650
Transaction Number*
NOI Tracking No. 196922
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-POLK-2024-Lot 5, Mapleton Lane, Derbyshire Subdivision