NCC233050_NOI 163647 Payment Verification_20231011

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/10/2023 10:50:18 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/10/2023 10:54:46 AM (Review-NOI 163647 Ryans Crossing Lot 9)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 13,2023 5:00
PM 10/10/2023 10:50:25 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/10/2023 10:50:25 AM
Submit by Tev.Holloman 10/11/2023 10:51:51 AM (Payment Verification for NCC233050)
0 Parker Stone
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 21,2023 5:00
PM 10/10/2023 10:55:03 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/11/2023 10:50:05 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Ryans Crossing Lot 9
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)
9
NC Reference No.* NCG01-2023-3050
Certificate of NCC233050
Coverage(COC)No.*
Invoice Date 10/10/2023
Initial Invoice No. NCC233050-2023
Initial Fee $ 120.00
Invoice Due Date 11/9/2023
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 10/11/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 713996834
Transaction Number*
NOI Tracking No. 163647
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-Ryans Crossing Lot 9

I I