NCC233101_NOI 164095 Payment Verification_20231018

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/13/2023 2:11:48 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/16/2023 6:38:47 AM (Review-NOI 164095 Berea Farms Subdivision Lots 1-35)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 18,2023 5:00
PM 10/13/2023 2:11:55 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/13/2023 2:11:55 PM
Submit by Tev.Holloman 10/18/2023 9:53:25 AM(Payment Verification for NCC233101)
•James Cox
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 27,2023 5:00
PM 10/16/2023 6:39:02 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/18/2023 9:52:40 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Berea Farms Subdivision Lots 1-35
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)
1-35
NC Reference No.* NCG01-2023-3101
Certificate of NCC233101
Coverage(COC)No.*
Invoice Date 10/16/2023
Initial Invoice No. NCC233101-2023
Initial Fee $ 120.00
Invoice Due Date 11/15/2023
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 10/18/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 715115011
Transaction Number*
NOI Tracking No. 164095
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2023-Berea Farms Subdivision Lots 1-35

I I