NCC241180_NOI 192476 Payment Verification_20240417

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/16/2024 11:48:45 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/16/2024 12:06:41 PM (Review-NOI 192476 Holding Village-Lightbridge
Academy)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 19,2024 5:00 PM
4/16/2024 11:48:54 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/16/2024 11:48:54 AM
Submit by Tev.Holloman 4/17/2024 11:45:27 AM (Payment Verification for NCC241180)
0 ACC Real Estate Services MSD2 Airport Blvd-This COC was paid for with the E-payment form
NCC240947 which will be Terminated
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 28,2024 5:00 PM
4/16/2024 12:06:57 PM
• Tev.Holloman assigned the task to Tev.Holloman 4/17/2024 11:39:38 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Holding Village-Lightbridge Academy
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.*
NCG01-2024-1180
Certificate of Coverage(COC)No.* Permit Version
NCC241180 1.00
Invoice Date 4/16/2024
Initial Invoice No. NCC241180-2024
Initial Fee $ 120.00
Invoice Due Date 5/16/2024
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 4/17/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 741052876
Transaction Number*
NOI Tracking No. 192476
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2024-Holding Village-Lightbridge Academy

i i