NCC232543_NOI 155930 Payment Verification_20230823

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/22/2023 10:16:22 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/22/2023 10:20:38 AM (Review-NOI 155930 Shepards Farm)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 25,2023 5:00
PM 8/22/2023 10:16:31 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/22/2023 10:16:31 AM
Submit by Tev.Holloman 8/23/2023 11:11:09 AM (Payment Verification for NCC232543)
0 Cody Cosentino
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 3,2023 5:00 PM
8/22/2023 10:20:53 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/23/2023 11:10:18 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Shepards Farm
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)
N/A
NC Reference No.* NCG01-2023-2543
Certificate of NCC232543
Coverage(COC)No.*
Invoice Date 8/22/2023
Initial Invoice No. NCC232543-2023
Initial Fee $ 100.00
Invoice Due Date 9/21/2023
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 8/23/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 706499384
Transaction Number*
NOI Tracking No. 155930
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-IREDE-2023-Shepards Farm

I I