NCC242764_NOI 216572 Payment Verification_20240909

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/5/2024 2:39:43 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/6/2024 6:28:34 AM(Review-NOI 216572 Juell Single Family Home)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 10,2024 5:00
PM 9/5/2024 2:40:00 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/5/2024 2:40:00 PM
Submit by Tev.Holloman 9/9/2024 2:50:04 PM(Payment Verification for NCC242764)
0 Duane Juell
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 18,2024 5:00 PM
9/6/2024 6:28:57 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/9/2024 2:49:35 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Juell Single Family Home
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 42
NC Reference No.*
NCG01-2024-2764
Certificate of Coverage(COC)No.* Permit Version
NCC242764 1.00
Invoice Date 9/6/2024
Initial Invoice No. NCC242764-2024
Initial Fee $ 120.00
Invoice Due Date 10/6/2024
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 9/9/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 765983991
Transaction Number*
NOI Tracking No. 216572
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-POLK-2024-Juell Single Family Home