NCC231281_NOI 139458 Payment Verification_20230526

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/1/2023 9:09:54 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/1/2023 9:17:41 AM(Review-NOI 139458 South Fork LLC-Lot 4)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 4,2023 5:00 PM
5/1/2023 9:10:01 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/1/2023 9:10:01 AM
Submit by Tev.Holloman 5/26/2023 11:35:32 AM (Payment Verification for NCC231281)
0 Kathryn Godley
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 12,2023 5:00 PM
5/1/2023 9:18:02 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/26/2023 11:33:32 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name South Fork LLC-Lot 4
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.* NCG01-2023-1281
Certificate of NCC231281
Coverage(COC)No.*
Invoice Date 5/1/2023
Initial Invoice No. NCC231281-2023
Initial Fee $ 100.00
Invoice Due Date 5/31/2023
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 5/26/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 692778924
Transaction Number*
NOI Tracking No. 139458
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-IREDE-2023-South Fork LLC-Lot 4