NCC240433_NOI 182786 Payment Verification_20240215

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 2/14/2024 1:48:12 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 2/15/2024 6:45:02 AM (Review-NOI 182786 Highcroft, Phase 4, Part 3-Lots 244&
249)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: February 19,2024 5:00
PM 2/14/2024 1:48:22 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 2/14/2024 1:48:22 PM
Submit by Tev.Holloman 2/15/2024 1:14:00 PM (Payment Verification for NCC240433)
0 Leslie Groves
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: March 28,2024 5:00 PM
2/15/2024 6:45:17 AM
• Tev.Holloman assigned the task to Tev.Holloman 2/15/2024 1:12:45 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Highcroft, Phase 4, Part 3-Lots 244&249
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)
Lots 244&249
NC Reference No.* NCG01-2024-0433
Certificate of NCC240433
Coverage(COC)No.*
Invoice Date 2/15/2024
Initial Invoice No. NCC240433-2024
Initial Fee $ 120.00
Invoice Due Date 3/16/2024
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 2/15/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 733594284
Transaction Number*
NOI Tracking No. 182786
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2024-Highcroft, Phase 4, Part 3-Lots 244&249

I I