NCC243474_NOI 227260 Payment Verification_20241112

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/8/2024 9:51:44 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/8/2024 9:58:50 AM (Review-NOI 227260 Roseboro Fire Department)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 13,2024 5:00
PM 11/8/2024 9:51:58 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/8/2024 9:51:58 AM
Submit by Tev.Holloman 11/12/2024 10:19:08 AM (Payment Verification for NCC243474)
•Francis Slinsky
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 20,2024 5:00
PM 11/8/2024 9:59:10 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/12/2024 10:18:23 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Roseboro Fire Department
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.*
NCG01-2024-3474
Certificate of Coverage(COC)No.* Permit Version
NCC243474 1.00
Invoice Date 11/8/2024
Initial Invoice No. NCC243474-2024
Initial Fee $ 120.00
Invoice Due Date 12/8/2024
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 11/12/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 775500133
Transaction Number*
NOI Tracking No. 227260
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SAMPS-2024-Roseboro Fire Department

i i