NCC233570_NOI 172205 Payment Verification_20231205

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/2/2023 11:29:15 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/4/2023 7:40:56 AM (Review-NOI 172205 Brookberry Farm lot 656)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 7,2023 5:00
PM 12/2/2023 11:29:23 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/2/2023 11:29:23 AM
Submit by Tev.Holloman 12/5/2023 11:29:13 AM (Payment Verification for NCC233570)
•Bonnie Nevin
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 15,2024 5:00 PM
12/4/2023 7:41:11 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/5/2023 11:28:43 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Brookberry Farm lot 656
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)
Lot 656
NC Reference No.* NCG01-2023-3570
Certificate of NCC233570
Coverage(COC)No.*
Invoice Date 12/4/2023
Initial Invoice No. NCC233570-2023
Initial Fee $ 120.00
Invoice Due Date 1/3/2024
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 12/5/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 722253971
Transaction Number*
NOI Tracking No. 172205
Tracking ID referenced upon submittal
This is an Express * No
Review Project 0 Yes
Project Tracking ID NCC-FORSY-2023-Brookberry Farm lot 656

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