NCC232615_NOI 156762 Payment Verification_20230829

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/28/2023 4:50:45 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/29/2023 7:34:56 AM (Review-NOI 156762 Summerhouse-Logan Development
Lot 595)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 31,2023 5:00
PM 8/28/2023 4:50:52 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/28/2023 4:50:52 PM
Submit by Tev.Holloman 8/29/2023 10:33:32 AM (Payment Verification for NCC232615)
0 Tim Long
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 10,2023 5:00 PM
8/29/2023 7:35:11 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/29/2023 10:33:11 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Summerhouse-Logan Development Lot 595
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)
595
NC Reference No.* NCG01-2023-2615
Certificate of NCC232615
Coverage(COC)No.*
Invoice Date 8/29/2023
Initial Invoice No. NCC232615-2023
Initial Fee $ 100.00
Invoice Due Date 9/28/2023
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 8/29/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 707425969
Transaction Number*
NOI Tracking No. 156762
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2022-Summerhouse-Logan Development Lot 595

I I