NCC241680_NOI 200461 Payment Verification_20240605

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/31/2024 8:56:47 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/31/2024 9:14:40 AM (Review-NOI 200461 State Street Phase 3A)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 5,2024 5:00 PM
5/31/2024 8:56:55 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/31/2024 8:56:55 AM
Submit by Austin Sanderford 6/5/2024 8:22:03 AM (Payment Verification for NCC241680)
0 Theodore Elshof
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 12,2024 5:00 PM
5/31/2024 9:14:56 AM
• Austin Sanderford assigned the task to Austin Sanderford 6/5/2024 8:21:43 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name State Street Phase 3A
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)
N/A-Public Street Right-of-Way
NC Reference No.*
NCG01-2024-1680
Certificate of Coverage(COC)No.* Permit Version
NCC241680 1.00
Invoice Date 5/31/2024
Initial Invoice No. NCC241680-2024
Initial Fee $ 120.00
Invoice Due Date 6/30/2024
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 6/5/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 751130033
Transaction Number*
NOI Tracking No. 200461
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-WAKE-2024-State Street Phase 3A