NCC240692_NOI 187008 Payment Verification_20240313

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 3/11/2024 9:19:43 AM (NCG01 NOI Submission)
Approve by Nicole Chiles 3/11/2024 11:08:36 AM (Review-NOI 187008 Lakewood Heights-Lots 21-28)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: March 14,2024 5:00 PM
3/11/2024 9:19:51 AM
• The task was assigned to Nicole Chiles by round robin distribution 3/11/2024 9:19:51 AM
Submit by Tev.Holloman 3/13/2024 8:22:33 AM (Payment Verification for NCC240692)
•Leslie Groves
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:April 22,2024 5:00 PM
3/11/2024 11:08:51 AM
• Tev.Holloman assigned the task to Tev.Holloman 3/13/2024 8:22:08 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Lakewood Heights-Lots 21-28
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 21-28
NC Reference No.* NCG01-2024-0692
Certificate of NCC240692
Coverage(COC)No.*
Invoice Date 3/11/2024
Initial Invoice No. NCC240692-2024
Initial Fee $ 120.00
Invoice Due Date 4/10/2024
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 3/13/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 737767720
Transaction Number*
NOI Tracking No. 187008
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SAMPS-2024-Lakewood Heights-Lots 21-28

I I