NCC241349_NOI 195846 Payment Verification_20240503

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/1/2024 12:27:56 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/2/2024 6:16:36 AM(Review-NOI 195846 Club Road Lot A)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 6,2024 5:00 PM
5/1/2024 12:28:07 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/1/2024 12:28:07 PM
Submit by Tev.Holloman 5/3/2024 9:32:51 AM(Payment Verification for NCC241349)
0 Pamela F Miller Trust
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 13,2024 5:00 PM
5/2/2024 6:16:52 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/3/2024 9:32:18 AM

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NORTH CAROLINA
Environmental Quality
Project Name Club Road Lot A
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 eNOl)
Lot A
NC Reference No.*
NCG01-2024-1349
Certificate of Coverage(COC)No.* Permit Version
NCC241349 1.00
Invoice Date 5/2/2024
Initial Invoice No. NCC241349-2024
Initial Fee $ 120.00
Invoice Due Date 6/1/2024
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 5/3/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 746228751
Transaction Number*
NOI Tracking No. 195846
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-POLK-2024-Club Road Lot A