NCC241775_NOI 201624 Payment Verification_20240610

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/7/2024 2:12:30 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/10/2024 6:37:29 AM (Review-NOI 201624 Mountain Meadows Sbudivisions(EI-
01533))
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 12,2024 5:00 PM
6/7/2024 2:12:40 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/7/2024 2:12:40 PM
Submit by Tev.Holloman 6/10/2024 3:18:23 PM (Payment Verification for NCC241775)
•Brian E Carroll
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 22,2024 5:00 PM
6/10/2024 6:37:44 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/10/2024 3:17:46 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Mountain Meadows Sbudivisions(EI-01533)
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)
Lots 1-7
NC Reference No.*
NCG01-2024-1775
Certificate of Coverage(COC)No.* Permit Version
NCC241775 1.00
Invoice Date 6/10/2024
Initial Invoice No. NCC241775-2024
Initial Fee $ 120.00
Invoice Due Date 7/10/2024
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 6/10/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 752344117
Transaction Number*
NOI Tracking No. 201624
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-POLK-2024-Mountain Meadows Sbudivisions(EI-01533)