NCC242350_NOI 210741 Payment Verification_20240801

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/31/2024 3:29:22 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/1/2024 6:34:18 AM(Review-NOI 210741 Tuxedo Line Removal)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 5,2024 5:00 PM.
The priority is: High 7/31/2024 3:29:29 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 7/31/2024 3:29:29 PM
Submit by Tev.Holloman 8/1/2024 2:41:39 PM(Payment Verification for NCC242350)
•Jonathan Stone
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 12,2024 5:00
PM.The priority is: High 8/1/2024 6:34:32 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/1/2024 2:40:58 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Tuxedo Line Removal
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.*
NCG01-2024-2350
Certificate of Coverage(COC)No.* Permit Version
NCC242350 1.00
Invoice Date 8/1/2024
Initial Invoice No. NCC242350-2024
Initial Fee $ 120.00
Invoice Due Date 8/31/2024
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 8/1/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 760369243
Transaction Number*
NOI Tracking No. 210741
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-POLK-2024-Tuxedo Line Removal

i i