NCC240394_NOI 182393 Payment Verification_20240214

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/12/2024 11:49:32 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 2/13/2024 6:42:38 AM (Review-NOI 182393 Laurel Ridge Lot 12)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: February 15,2024 5:00
PM 2/12/2024 11:49:40 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 2/12/2024 11:49:40 AM
Submit by Tev.Holloman 2/14/2024 11:18:40 AM (Payment Verification for NCC240394)
0 Laura Peters
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: March 26,2024 5:00 PM
2/13/2024 6:42:53 AM
• Tev.Holloman assigned the task to Tev.Holloman 2/14/2024 11:18:04 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Laurel Ridge Lot 12
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)
12
NC Reference No.* NCG01-2024-0394
Certificate of NCC240394
Coverage(COC)No.*
Invoice Date 2/13/2024
Initial Invoice No. NCC240394-2024
Initial Fee $ 120.00
Invoice Due Date 3/14/2024
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 2/14/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 733311918
Transaction Number*
NOI Tracking No. 182393
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2024-Laurel Ridge Lot 12

I I