NCC232862_NOI 160507 Payment Verification_20230922

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/21/2023 11:04:20 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/22/2023 5:53:15 AM (Review-NOI 160507 Chicod Landing-Individual Lots)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 26,2023 5:00
PM 9/21/2023 11:04:27 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/21/2023 11:04:27 AM
Submit by Tev.Holloman 9/22/2023 11:05:36 AM (Payment Verification for NCC232862)
•Tracey Davis
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 3,2023 5:00 PM
9/22/2023 5:53:35 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/22/2023 11:05:07 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Chicod Landing-Individual Lots
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)
1-30
NC Reference No.* NCG01-2023-2862
Certificate of NCC232862
Coverage(COC)No.*
Invoice Date 9/22/2023
Initial Invoice No. NCC232862-2023
Initial Fee $ 100.00
Invoice Due Date 10/22/2023
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 9/22/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 711256297
Transaction Number*
NOI Tracking No. 160507
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PITT-2023-Chicod Landing-Individual Lots

I I