NCC241773_NOI 201616 Payment Verification_20240610

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/7/2024 2:01:42 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/10/2024 6:29:10 AM (Review-NOI 201616 PACE of Guilford&Rockingham
Counties, Inc.)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 12,2024 5:00 PM
6/7/2024 2:01:52 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/7/2024 2:01:52 PM
Submit by Tev.Holloman 6/10/2024 3:05:22 PM (Payment Verification for NCC241773)
•Ursula Robinson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 22,2024 5:00 PM
6/10/2024 6:29:24 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/10/2024 3:04:43 PM

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NORTH CAROLINA
Environmental Quality
Project Name PACE of Guilford&Rockingham Counties, Inc.
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)
1741 Motor Road
NC Reference No.*
NCG01-2024-1773
Certificate of Coverage(COC)No.* Permit Version
NCC241773 1.00
Invoice Date 6/10/2024
Initial Invoice No. NCC241773-2024
Initial Fee $ 120.00
Invoice Due Date 7/10/2024
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 6/10/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 752294215
Transaction Number*
NOI Tracking No. 201616
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-FORSY-2024-PACE of Guilford&Rockingham Counties, Inc.