NCC240095_NOI 177396 Payment Verification_20240111

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/10/2024 4:58:33 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/11/2024 7:16:28 AM (Review-NOI 177396 Line 105 Tarboro-Parmele Rebuild
Phase 2)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 15,2024 5:00
PM 1/10/2024 4:58:42 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/10/2024 4:58:42 PM
Submit by Tev.Holloman 1/11/2024 12:45:15 PM (Payment Verification for NCC240095)
0 Heather EB Kennedy
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 22,2024 5:00 PM
1/11/2024 7:16:44 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/11/2024 12:44:48 PM

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Payment Verification
NORTH CAROLINA
Environmental QuaUty
Project Name Line 105 Tarboro-Parmele Rebuild Phase 2
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)
4765-11-1300
4774-08-7335
4774-98-7438
4765-00-9390
4774-19-3081
4784-08-1896
4764-09-9126
4774-28-4848
4784-18-2975
4764-28-2966
4774-38-5952
4784-18-6686
4764-28-1847
4774-38-9327
4784-28-7436
4764-28-4800
4774-48-1787
4784-29-3286
4764-28-2760
4774-49-6077
4784-29-7480
4764-28-4571
4774-48-4275
4784-29-9609
4764-28-5589
4774-48-5288
4784-48-0904
4764-28-6688
4774-48-7341
4784-59-6085
4764-28-7775
4774-48-9413
4784-79-0219
4764-39-4460
4774-58-2722
4785-61-2218
4764-36-6758
4774-58-2316
4784-98-1965
4764-48-9800
4774-58-4388
4795-32-1805
4764-58-5335
4774-58-8452
4795-51-8788
4764-68-2259
4774-68-1181
4795-82-4444
4764-77-1697
4774-79-6035
4795-82-1175
4764-87-1562
4774-97-2193
4795-82-6712
4764-98-5618
4774-98-1389
4764-98-5423
4784-07-1979

NC Reference No.* NCG01-2024-0095
Certificate of NCC240095
Coverage(COC)No.*
Invoice Date 1/11/2024
Initial Invoice No. NCC240095-2024
Initial Fee $ 120.00
Invoice Due Date 2/10/2024
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 1/11/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 728044487
Transaction Number*
NOI Tracking No. 177396
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-PITT-2024-Line 105 Tarboro-Parmele Rebuild Phase 2