NCC233135_NOI 164549 Payment Verification_20231019

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/18/2023 1:14:11 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/19/2023 6:36:04 AM (Review-NOI 164549 Pea Ridge-Lot 6)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 23,2023 5:00
PM 10/18/2023 1:14:24 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/18/2023 1:14:24 PM
Submit by Tev.Holloman 10/19/2023 11:56:46 AM (Payment Verification for NCC233135)
•James Bruce
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 30,2023 5:00
PM 10/19/2023 6:36:19 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/19/2023 11:55:49 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Pea Ridge-Lot 6
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)
6
NC Reference No.* NCG01-2023-3135
Certificate of NCC233135
Coverage(COC)No.*
Invoice Date 10/19/2023
Initial Invoice No. NCC233135-2023
Initial Fee $ 120.00
Invoice Due Date 11/18/2023
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 10/19/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 715432644
Transaction Number*
NOI Tracking No. 164549
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-Pea Ridge-Lot 6

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