NCC231961_NOI 146788 Payment Verification_20230627

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/26/2023 8:56:59 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/26/2023 9:10:44 AM (Review-NOI 146788 321 Leagan Drive)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 29,2023 5:00 PM
6/26/2023 8:57:07 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/26/2023 8:57:07 AM
Submit by Tev.Holloman 6/27/2023 9:53:09 AM (Payment Verification for NCC231961)
0 Stacy W Baker
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 7,2023 5:00 PM
6/26/2023 9:11:00 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/27/2023 9:52:23 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name 321 Leagan Drive
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)
1
NC Reference No.* NCG01-2023-1961
Certificate of NCC231961
Coverage(COC)No.*
Invoice Date 6/26/2023
Initial Invoice No. NCC231961-2023
Initial Fee $ 100.00
Invoice Due Date 7/26/2023
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 6/27/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 697428361
Transaction Number*
NOI Tracking No. 146788
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2023-321 Leagan Drive

I I