NCC233567_NOI 172178 Payment Verification_20231205

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/1/2023 3:40:52 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/4/2023 7:14:26 AM (Review-NOI 172178 Barlow Drive-Hernandez-SFD
Construction)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 6,2023 5:00
PM 12/1/2023 3:40:58 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/1/2023 3:40:58 PM
Submit by Tev.Holloman 12/5/2023 11:47:54 AM (Payment Verification for NCC233567)
0 Ceferino Chan
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 15,2024 5:00 PM
12/4/2023 7:14:41 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/5/2023 11:47:26 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Barlow Drive-Hernandez-SFD Construction
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)
20-21
NC Reference No.* NCG01-2023-3567
Certificate of NCC233567
Coverage(COC)No.*
Invoice Date 12/4/2023
Initial Invoice No. NCC233567-2023
Initial Fee $ 120.00
Invoice Due Date 1/3/2024
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 12/5/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 722276341
Transaction Number*
NOI Tracking No. 172178
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Barlow Drive-Hernandez-SFD Construction

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