NCC233183_NOI 165097 Payment Verification_20231025

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/24/2023 9:24:45 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/24/2023 9:32:39 AM (Review-NOI 165097 76 Delia Lane-Lot 2-R)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 27,2023 5:00
PM 10/24/2023 9:24:52 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/24/2023 9:24:52 AM
Submit by Tev.Holloman 10/25/2023 10:02:47 AM (Payment Verification for NCC233183)
•Lisa Skumpija
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 5,2023 5:00 PM
10/24/2023 9:32:54 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/25/2023 10:00:53 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name 76 Delia Lane-Lot 2-R
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)
2-R
NC Reference No.* NCG01-2023-3183
Certificate of NCC233183
Coverage(COC)No.*
Invoice Date 10/24/2023
Initial Invoice No. NCC233183-2023
Initial Fee $ 120.00
Invoice Due Date 11/23/2023
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 10/25/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 716149383
Transaction Number*
NOI Tracking No. 165097
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-76 Delia Lane-Lot 2-R

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