NCC233675_NOI 173345 Payment Verification_20231218

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/12/2023 9:53:17 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/12/2023 9:58:05 AM (Review-NOI 173345 Blair Place)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 15,2023 5:00
PM 12/12/2023 9:53:25 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/12/2023 9:53:25 AM
Submit by Tev.Holloman 12/18/2023 3:32:14 PM (Payment Verification for NCC233675)
0 Matthew C. Kirchner
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 23,2024 5:00 PM
12/12/2023 9:58:22 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/18/2023 3:31:21 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Blair Place
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 eNOl)
NC Reference No.* NCG01-2023-3675
Certificate of NCC233675
Coverage(COC)No.*
Invoice Date 12/12/2023
Initial Invoice No. NCC233675-2023
Initial Fee $ 120.00
Invoice Due Date 1/11/2024
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 12/18/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 724416683
Transaction Number*
NOI Tracking No. 173345
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-UNION-2024-Blair Place