NCC241527_NOI 197980 Payment Verification_20240520

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/17/2024 9:33:03 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/17/2024 9:37:54 AM (Review-NOI 197980 Old Lystra 4)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 22,2024 5:00 PM
5/17/2024 9:33:11 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/17/2024 9:33:11 AM
Submit by Tev.Holloman 5/20/2024 10:29:27 AM(Payment Verification for NCC241527)
0 Laura Peters
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 28,2024 5:00 PM
5/17/2024 9:38:09 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/20/2024 10:28:57 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Old Lystra 4
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)
4
NC Reference No.*
NCG01-2024-1527
Certificate of Coverage(COC)No.* Permit Version
NCC241527 1.00
Invoice Date 5/17/2024
Initial Invoice No. NCC241527-2024
Initial Fee $ 120.00
Invoice Due Date 6/16/2024
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 5/20/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 748611447
Transaction Number*
NOI Tracking No. 197980
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-CHATH-2024-Old Lystra 4