NCC240768_NOI 187013 Payment Verification_20240318

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 3/11/2024 9:34:55 AM (NCG01 NOI Submission)
Approve by Penny Markle 3/14/2024 3:52:10 PM(Review-NOI 187013 Sandy Crossing West)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: March 14,2024 5:00 PM
3/11/2024 9:35:05 AM
• The task was assigned to Penny Markle by round robin distribution 3/11/2024 9:35:05 AM
Submit by Tev.Holloman 3/18/2024 2:50:08 PM (Payment Verification for NCC240768)
•Bryan Pendergraft
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:April 25,2024 5:00 PM
3/14/2024 3:52:25 PM
• Tev.Holloman assigned the task to Tev.Holloman 3/18/2024 2:49:37 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Sandy Crossing West
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)
NC Reference No.*
NCG01-2024-0768
Certificate of Coverage(COC)No.* Permit Version
NCC240768 1.00
Invoice Date 3/14/2024
Initial Invoice No. NCC240768-2024
Initial Fee $ 120.00
Invoice Due Date 4/13/2024
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 3/18/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 738710152
Transaction Number*
NOI Tracking No. 187013
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2024-Sandy Crossing West

i i