NCC231499_NOI 141315 Payment Verification_20230516

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/16/2023 8:17:50 AM (NCG01 NOI Submission)
Approve by Brooklyn. Broussard 5/16/2023 8:33:01 AM (Review - NOI 141315 Henleys Mill Lot 19)
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 19, 2023 5:00 PM
5/16/2023 8:17:59 AM
• The task was assigned to Brooklyn. Broussard by round robin distribution 5/16/2023 8:17:59 AM
Submit by Tev.Holloman 5/16/2023 12:28:26 PM (Payment Verification for NCC231499)
• Lisa Skumpija
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 27, 2023 5:00 PM
5/16/2023 8:33:18 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/16/2023 12:27:43 PM

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NORTH CAROLINA
Envlronmmlal Quality
Project Name Henleys Mill Lot 19
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)
19
NC Reference No.* NCG01-2023-1499
Certificate of NCC231499
Coverage (COC) No.*
Invoice Date 5/16/2023
Initial Invoice No. NCC231499-2023
Initial Fee $ 100.00
Invoice Due Date 6/15/2023
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 5/16/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 691311657
Transaction Number*
NOI Tracking No. 141315
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CHATH-2023-Henleys Mill Lot 19