NCC241284_NOI 193754 Payment Verification_20240507

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/24/2024 11:08:12 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/24/2024 11:20:11 AM (Review-NOI 193754 Albers Guest-Mountain Base LLC)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 29,2024 5:00 PM
4/24/2024 11:08:21 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/24/2024 11:08:21 AM
Submit by Tev.Holloman 5/7/2024 2:15:52 PM(Payment Verification for NCC241284)
0 Mountain Base, LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 5,2024 5:00 PM
4/24/2024 11:20:26 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/7/2024 2:14:15 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Albers Guest-Mountain Base LLC
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.*
NCG01-2024-1284
Certificate of Coverage(COC)No.* Permit Version
NCC241284 1.00
Invoice Date 4/24/2024
Initial Invoice No. NCC241284-2024
Initial Fee $ 120.00
Invoice Due Date 5/24/2024
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 5/7/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 2004
NOI Tracking No. 193754
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JACKS-2024-Albers Guest-Mountain Base LLC

i i