NCC232874_NOI 160656 Payment Verification_20230926

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/22/2023 9:35:30 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/22/2023 9:48:36 AM (Review-NOI 160656 R-5759 Statesville Rd Phase 1)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 27,2023 5:00
PM 9/22/2023 9:35:38 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/22/2023 9:35:38 AM
Submit by Tev.Holloman 9/26/2023 9:35:01 AM (Payment Verification for NCC232874)
P Patrick Sizemore
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 3,2023 5:00 PM
9/22/2023 9:48:51 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/26/2023 9:34:29 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name R-5759 Statesville Rd Phase 1
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)
NC Reference No.* NCG01-2023-2874
Certificate of NCC232874
Coverage(COC)No.*
Invoice Date 9/22/2023
Initial Invoice No. NCC232874-2023
Initial Fee $ 100.00
Invoice Due Date 10/22/2023
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 9/26/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 711657533
Transaction Number*
NOI Tracking No. 160656
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WILKE-2023-R-5759 Statesville Rd Phase 1