NCC231411_NOI 140641 Payment Verification_20230531

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/9/2023 4:35:23 PM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/10/2023 10:08:03 AM (Review-NOI 140641 MEADOWBROOK RV PARK PHASE
I)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 12,2023 5:00 PM
5/9/2023 4:35:33 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/9/2023 4:35:33 PM
Submit by Tev.Holloman 5/31/2023 10:56:07 AM (Payment Verification for NCC231411)
0 Paul F Deck
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 21,2023 5:00 PM
5/10/2023 10:08:20 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/31/2023 10:53:09 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name MEADOWBROOK RV PARK PHASE I
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.* NCG01-2023-1411
Certificate of NCC231411
Coverage(COC)No.*
Invoice Date 5/10/2023
Initial Invoice No. NCC231411-2023
Initial Fee $ 100.00
Invoice Due Date 6/9/2023
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 5/31/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 693297563
Transaction Number*
NOI Tracking No. 140641
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-POLK-2023-MEADOWBROOK RV PARK PHASE I