NCC243037_NOI 221078 Payment Verification_20241023

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/1/2024 8:59:51 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/1/2024 9:03:16 AM (Review-NOI 221078 PARK CITY RV PARK-PHASE ii)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 4,2024 5:00 PM
10/1/2024 9:00:01 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/1/2024 9:00:01 AM
Submit by Tev.Holloman 10/23/2024 10:58:17 AM (Payment Verification for NCC243037)
0 Karen Shipp
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 12,2024 5:00
PM 10/1/2024 9:04:07 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/23/2024 10:57:31 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name PARK CITY RV PARK-PHASE ii
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.*
NCG01-2024-3037
Certificate of Coverage(COC)No.* Permit Version
NCC243037 1.00
Invoice Date 10/1/2024
Initial Invoice No. NCC243037-2024
Initial Fee $ 120.00
Invoice Due Date 10/31/2024
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 10/23/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 772763557
Transaction Number*
NOI Tracking No. 221078
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2024-PARK CITY RV PARK-PHASE ii

i i