NCC241564_NOI 198333 Payment Verification_20240522

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/21/2024 10:44:34 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/21/2024 10:56:02 AM (Review-NOI 198333 The Lake at Lissara Lots 125, 126,
127)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 24,2024 5:00 PM
5/21/2024 10:44:47 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/21/2024 10:44:47 AM
Submit by Tev.Holloman 5/22/2024 10:12:17 AM (Payment Verification for NCC241564)
0 Alex Mitchell
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 2,2024 5:00 PM
5/21/2024 10:56:18 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/22/2024 10:11:59 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name The Lake at Lissara Lots 125, 126, 127
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 125
Lot 126
Lot 127
NC Reference No.*
NCG01-2024-1564
Certificate of Coverage(COC)No.* Permit Version
NCC241564 1.00
Invoice Date 5/21/2024
Initial Invoice No. NCC241564-2024
Initial Fee $ 120.00
Invoice Due Date 6/20/2024
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 5/22/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 749207830
Transaction Number*
NOI Tracking No. 198333
Tracking ID referenced upon submittal

This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2024-The Lake at Lissara Lots 125, 126, 127