NCC241381_NOI 196287 Payment Verification_20240506

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/6/2024 7:27:30 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/6/2024 7:41:08 AM(Review-NOI 196287 Ford Residence-Loop Road)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 9,2024 5:00 PM
5/6/2024 7:27:41 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/6/2024 7:27:41 AM
Submit by Tev.Holloman 5/6/2024 1:24:17 PM(Payment Verification for NCC241381)
•John D Ledford
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 17,2024 5:00 PM
5/6/2024 7:41:24 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/6/2024 1:23:42 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Ford Residence-Loop Road
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.*
NCG01-2024-1381
Certificate of Coverage(COC)No.* Permit Version
NCC241381 1.00
Invoice Date 5/6/2024
Initial Invoice No. NCC241381-2024
Initial Fee $ 120.00
Invoice Due Date 6/5/2024
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 5/6/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 746850273
Transaction Number*
NOI Tracking No. 196287
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LINCO-2024-Ford Residence-Loop Road

i i