NCC231914_NOI 146234 Payment Verification_20230707

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/20/2023 10:16:12 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/20/2023 10:22:11 AM (Review-NOI 146234 Forest Creek Phase 5)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 23,2023 5:00 PM.
The priority is: High 6/20/2023 10:16:19 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/20/2023 10:16:20 AM
Submit by Tev.Holloman 7/7/2023 12:11:48 PM(Payment Verification for NCC231914)
•Burleson Development Group, LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 1,2023 5:00 PM.The
priority is: High 6/20/2023 10:22:27 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/7/2023 12:10:38 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Forest Creek Phase 5
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)
1-124
NC Reference No.* NCG01-2023-1914
Certificate of NCC231914
Coverage(COC)No.*
Invoice Date 6/20/2023
Initial Invoice No. NCC231914-2023
Initial Fee $ 100.00
Invoice Due Date 7/20/2023
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 7/7/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1508
NOI Tracking No. 146234
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-STANL-2023-Forest Creek Phase 5