NCC243560_NOI 228169 Payment Verification_20241118

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/15/2024 10:52:53 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/15/2024 10:55:49 AM (Review-NOI 228169 Dillard Street)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 20,2024 5:00
PM 11/15/2024 10:53:06 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/15/2024 10:53:06 AM
Submit by Tev.Holloman 11/18/2024 11:47:31 AM(Payment Verification for NCC243560)
•Sue Moody
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 27,2024 5:00
PM 11/15/2024 10:56:06 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/18/2024 11:46:14 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Dillard Street
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.*
NCG01-2024-3560
Certificate of Coverage(COC)No.* Permit Version
NCC243560 1.00
Invoice Date 11/15/2024
Initial Invoice No. NCC243560-2024
Initial Fee $ 120.00
Invoice Due Date 12/15/2024
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 11/18/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 776662774
Transaction Number*
NOI Tracking No. 228169
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-DURHA-2024-Dillard Street

i i