NCC231975_NOI 146993 Payment Verification_20230628

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/27/2023 11:18:56 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/28/2023 6:21:21 AM (Review-NOI 146993 Lots 49-51 Sherwood Forest-SFD
Construction)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 30,2023 5:00 PM
6/27/2023 11:19:10 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/27/2023 11:19:10 AM
Submit by Tev.Holloman 6/28/2023 10:57:13 AM (Payment Verification for NCC231975)
0 Whitney Gifford
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 9,2023 5:00 PM
6/28/2023 6:21:41 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/28/2023 10:56:50 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Lots 49-51 Sherwood Forest-SFD Construction
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)
49,50,51
NC Reference No.* NCG01-2023-1975
Certificate of NCC231975
Coverage(COC)No.*
Invoice Date 6/28/2023
Initial Invoice No. NCC231975-2023
Initial Fee $ 100.00
Invoice Due Date 7/28/2023
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 6/28/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 697695138
Transaction Number*
NOI Tracking No. 146993
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Lots 49-51 Sherwood Forest-SFD Construction

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