NCC242453_NOI 212245 Payment Verification_20240813

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/13/2024 6:40:07 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/13/2024 6:55:57 AM (Review-NOI 212245 Oseguera Residence-Hidden Forest
Drive)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 16,2024 5:00
PM 8/13/2024 6:40:20 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/13/2024 6:40:20 AM
Submit by Tev.Holloman 8/13/2024 11:15:08 AM (Payment Verification for NCC242453)
0 John D Ledford
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 24,2024 5:00
PM 8/13/2024 6:56:11 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/13/2024 11:14:34 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Oseguera Residence-Hidden Forest Drive
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)
Lot#4C
NC Reference No.*
NCG01-2024-2453
Certificate of Coverage(COC)No.* Permit Version
NCC242453 1.00
Invoice Date 8/13/2024
Initial Invoice No. NCC242453-2024
Initial Fee $ 120.00
Invoice Due Date 9/12/2024
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 8/13/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 762327185
Transaction Number*
NOI Tracking No. 212245
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-LINCO-2024-Oseguera Residence-Hidden Forest Drive