NCC242550_NOI 213341 Payment Verification_20240823

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/20/2024 11:38:56 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/20/2024 11:40:54 AM(Review-NOI 213341 Go Health Building)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 23,2024 5:00
PM 8/20/2024 11:39:10 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/20/2024 11:39:10 AM
Submit by Tev.Holloman 8/23/2024 10:07:57 AM(Payment Verification for NCC242550)
0 Southern Real Estate
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 1,2024 5:00 PM
8/20/2024 11:41:16 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/23/2024 10:07:33 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Go Health Building
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.*
NCG01-2024-2550
Certificate of Coverage(COC)No.* Permit Version
NCC242550 1.00
Invoice Date 8/20/2024
Initial Invoice No. NCC242550-2024
Initial Fee $ 120.00
Invoice Due Date 9/19/2024
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 8/23/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 763808974
Transaction Number*
NOI Tracking No. 213341
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-UNION-2024-Go Health Building

i i