NCC243377_NOI 225108 Payment Verification_20241120

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/30/2024 1:25:59 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/31/2024 8:03:00 AM (Review-NOI 225108 Shamrock Forest Lot 34)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 4,2024 5:00
PM 10/30/2024 1:26:11 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/30/2024 1:26:11 PM
Submit by Tev.Holloman 11/20/2024 5:52:47 PM (Payment Verification for NCC243377)
•David Traffie
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 12,2024 5:00
PM 10/31/2024 8:03:15 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/20/2024 5:52:14 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Shamrock Forest Lot 34
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 34
NC Reference No.*
NCG01-2024-3377
Certificate of Coverage(COC)No.* Permit Version
NCC243377 1.00
Invoice Date 10/31/2024
Initial Invoice No. NCC243377-2024
Initial Fee $ 120.00
Invoice Due Date 11/30/2024
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 11/20/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 777440699
Transaction Number*
NOI Tracking No. 225108
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-POLK-2024-Shamrock Forest Lot 34