NCC232301_NOI 153173 Payment Verification_20230801

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/31/2023 3:39:45 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/1/2023 7:42:16 AM(Review-NOI 153173 EYF Runway,Taxiways&Apron
Pavement Rehabilitation)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 3,2023 5:00 PM
7/31/2023 3:39:54 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 7/31/2023 3:39:54 PM
Submit by Tev.Holloman 8/1/2023 2:04:15 PM(Payment Verification for NCC232301)
0 Town of Elizabethtown
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 12,2023 5:00
PM 8/1/2023 7:42:31 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/1/2023 2:03:51 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name EYF Runway,Taxiways&Apron Pavement Rehabilitation
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)
N/A
NC Reference No.* NCG01-2023-2301
Certificate of NCC232301
Coverage(COC)No.*
Invoice Date 8/1/2023
Initial Invoice No. NCC232301-2023
Initial Fee $ 100.00
Invoice Due Date 8/31/2023
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 8/1/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 703088016
Transaction Number*
NOI Tracking No. 153173
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BLADE-2023-EYF Runway,Taxiways&Apron Pavement Rehabilitation

I I