NCC233824_NOI 175840 Payment Verification_20240103

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/28/2023 10:40:30 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/28/2023 10:51:14 AM (Review-NOI 175840 Lexington Woods Lots 195-210,
239-240)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 2,2024 5:00 PM
12/28/2023 10:40:38 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/28/2023 10:40:38 AM
Submit by Tev.Holloman 1/3/2024 11:56:15 AM(Payment Verification for NCC233824)
0 Agnieszka Nau
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 8,2024 5:00 PM
12/28/2023 10:51:29 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/3/2024 11:55:40 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Lexington Woods Lots 195-210,239-240
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)
195-210,239-240
NC Reference No.* NCG01-2023-3824
Certificate of NCC233824
Coverage(COC)No.*
Invoice Date 12/28/2023
Initial Invoice No. NCC233824-2023
Initial Fee $ 120.00
Invoice Due Date 1/27/2024
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 1/3/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 725830882
Transaction Number*
NOI Tracking No. 175840
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2024-Lexington Woods Lots 195-210,239-240

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