NCC240160_NOI 177955 Payment Verification_20240118

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/16/2024 4:03:21 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/17/2024 7:31:14 AM (Review-NOI 177955 Michael O'Hern Lot Recombination-
Lots 1-3)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 19,2024 5:00
PM 1/16/2024 4:03:32 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/16/2024 4:03:32 PM
Submit by Tev.Holloman 1/18/2024 11:17:30 AM (Payment Verification for NCC240160)
0 Jordan Brock
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 28,2024 5:00 PM
1/17/2024 7:31:29 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/18/2024 11:16:51 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Michael O'Hern Lot Recombination-Lots 1-3
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)
Lots 1-3
NC Reference No.* NCG01-2024-0160
Certificate of NCC240160
Coverage(COC)No.*
Invoice Date 1/17/2024
Initial Invoice No. NCC240160-2024
Initial Fee $ 120.00
Invoice Due Date 2/16/2024
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 1/18/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 729076327
Transaction Number*
NOI Tracking No. 177955
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2024-Michael O'Hern Lot Recombination-Lots 1-3

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