NCC242890_NOI 218138 Payment Verification_20240918

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/17/2024 2:56:22 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/18/2024 7:01:34 AM (Review-NOI 218138 Sheetz at Sanford)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 20,2024 5:00
PM 9/17/2024 3:01:28 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/17/2024 3:01:28 PM
Submit by Tev.Holloman 9/18/2024 11:23:39 AM (Payment Verification for NCC242890)
•Brian Downs
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 30,2024 5:00 PM
9/18/2024 7:01:51 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/18/2024 11:22:47 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Sheetz at Sanford
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.*
NCG01-2024-2890
Certificate of Coverage(COC)No.* Permit Version
NCC242890 1.00
Invoice Date 9/18/2024
Initial Invoice No. NCC242890-2024
Initial Fee $ 120.00
Invoice Due Date 10/18/2024
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 9/18/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 767795550
Transaction Number*
NOI Tracking No. 218138
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LEE-2024-Sheetz at Sanford

i i