NCC233615_NOI 172680 Payment Verification_20231207

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/6/2023 12:29:49 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/7/2023 6:37:47 AM (Review-NOI 172680 Lot 48 Woodview)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 11,2023 5:00
PM 12/6/2023 12:29:59 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/6/2023 12:29:59 PM
Submit by Tev.Holloman 12/7/2023 10:24:31 AM(Payment Verification for NCC233615)
•Tim Maxey
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 18,2024 5:00 PM
12/7/2023 6:38:02 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/7/2023 10:24:07 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Lot 48 Woodview
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)
48
NC Reference No.* NCG01-2023-3615
Certificate of NCC233615
Coverage(COC)No.*
Invoice Date 12/7/2023
Initial Invoice No. NCC233615-2023
Initial Fee $ 120.00
Invoice Due Date 1/6/2024
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 12/7/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 722756514
Transaction Number*
NOI Tracking No. 172680
Tracking ID referenced upon submittal
This is an Express * No
Review Project 0 Yes
Project Tracking ID NCC-FORSY-2023-Lot 48 Woodview

I I