NCC243311_NOI 224442 Payment Verification_20241028

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/25/2024 12:52:55 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/28/2024 6:10:26 AM (Review-NOI 224442 Burke County EMS)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 30,2024 5:00
PM 10/25/2024 12:53:06 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/25/2024 12:53:06 PM
Submit by Tev.Holloman 10/28/2024 11:59:39 AM (Payment Verification for NCC243311)
•Miles Wright
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 9,2024 5:00 PM
10/28/2024 6:10:40 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/28/2024 11:58:54 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Burke County EMS
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.*
NCG01-2024-3311
Certificate of Coverage(COC)No.* Permit Version
NCC243311 1.00
Invoice Date 10/28/2024
Initial Invoice No. NCC243311-2024
Initial Fee $ 120.00
Invoice Due Date 11/27/2024
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 10/28/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 773688686
Transaction Number*
NOI Tracking No. 224442
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BURKE-2024-Burke County EMS

i i