NCC240003_NOI 176191 Payment Verification_20240103

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/2/2024 9:39:39 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/2/2024 9:47:13 AM(Review-NOI 176191 Collier Gate Estates-Lots 47&48)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 5,2024 5:00 PM
1/2/2024 9:39:49 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/2/2024 9:39:49 AM
Submit by Tev.Holloman 1/3/2024 11:34:40 AM(Payment Verification for NCC240003)
0 AG Residential LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 13,2024 5:00 PM
1/2/2024 9:47:29 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/3/2024 11:34:20 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Collier Gate Estates-Lots 47&48
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)
Lots 47&48
NC Reference No.* NCG01-2024-0003
Certificate of NCC240003
Coverage(COC)No.*
Invoice Date 1/2/2024
Initial Invoice No. NCC240003-2024
Initial Fee $ 120.00
Invoice Due Date 2/1/2024
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 1/3/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 726491895
Transaction Number*
NOI Tracking No. 176191
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2024-Collier Gate Estates-Lots 47&48

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