NCC240097_NOI 177439 Payment Verification_20240112

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/11/2024 9:17:08 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/11/2024 9:26:01 AM (Review-NOI 177439 Sam Furr Road Multifamily)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 16,2024 5:00
PM 1/11/2024 9:17:17 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/11/2024 9:17:17 AM
Submit by Tev.Holloman 1/12/2024 9:57:22 AM (Payment Verification for NCC240097)
0 Sam Furr Partners Owners, LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 22,2024 5:00 PM
1/11/2024 9:26:17 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/12/2024 9:56:49 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Sam Furr Road Multifamily
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)
10410 Sam Furr Road
NC Reference No.* NCG01-2024-0097
Certificate of NCC240097
Coverage(COC)No.*
Invoice Date 1/11/2024
Initial Invoice No. NCC240097-2024
Initial Fee $ 120.00
Invoice Due Date 2/10/2024
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 1/12/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 728117462
Transaction Number*
NOI Tracking No. 177439
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2024-Sam Furr Road Multifamily

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