NCC242831_NOI 217471 Payment Verification_20241003

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/12/2024 2:34:17 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/13/2024 7:10:42 AM (Review-NOI 217471 Tupelo Junction North)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 17,2024 5:00
PM 9/12/2024 2:34:28 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/12/2024 2:34:28 PM
Submit by Tev.Holloman 10/3/2024 11:21:36 AM (Payment Verification for NCC242831)
•Lebanon Road 3 LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 25,2024 5:00 PM
9/13/2024 7:10:59 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/3/2024 11:20:40 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Tupelo Junction North
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.*
NCG01-2024-2831
Certificate of Coverage(COC)No.* Permit Version
NCC242831 1.00
Invoice Date 9/13/2024
Initial Invoice No. NCC242831-2024
Initial Fee $ 120.00
Invoice Due Date 10/13/2024
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 10/3/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 769999122
Transaction Number*
NOI Tracking No. 217471
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ORANG-2024-Tupelo Junction North

i i