NCC232914_NOI 161055 Payment Verification_20230927

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/26/2023 10:53:09 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/26/2023 11:01:06 AM (Review-NOI 161055 Briar Farm-Phase IIA&IIB Water,
Sewer and Turn Lane)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 29,2023 5:00
PM 9/26/2023 10:53:18 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/26/2023 10:53:18 AM
Submit by Tev.Holloman 9/27/2023 10:35:23 AM (Payment Verification for NCC232914)
•Robert S. Bartlett
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 7,2023 5:00 PM
9/26/2023 11:01:21 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/27/2023 10:32:46 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Briar Farm-Phase IIA&1113 Water, Sewer and Turn Lane
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.* NCG01-2023-2914
Certificate of NCC232914
Coverage(COC)No.*
Invoice Date 9/26/2023
Initial Invoice No. NCC232914-2023
Initial Fee $ 100.00
Invoice Due Date 10/26/2023
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 9/27/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 711813621
Transaction Number*
NOI Tracking No. 161055
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WILSO-2023-Briar Farm-Phase IIA&1113 Water,Sewer and Turn Lane

I I