NCC230365_NOI 126528 Payment Verification_20230214

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/7/2023 12:58:32 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 2/7/2023 4:18:26 PM (Review - NOI 126528 Clear Creek Office Warehouse Flex
Project)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 2/7/2023 12:59 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 10, 2023 5:00
PM 2/7/2023 12:59 PM
by Workflow 2/7/2023 4:19:17 PM (Workflow Start Event)
Submit by Tev.Holloman 2/14/2023 11:34:52 AM (Payment Verification for NCC230365)
F Berkshire Partners #29, LLC
• Tev.Holloman assigned the task to Tev.Holloman 2/14/2023 11:33 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 21, 2023 5:00 PM
2/7/2023 4:19 PM

STA—
NORTH CAROLINA
Environmental Quallty
Project Name Clear Creek Office Warehouse Flex Project
Lot Numbers (If listed on the eNOI)
NC Reference No.* NCG01-2023-0365
Certificate of NCC230365
Coverage (COC) No.*
Invoice Date 2/7/2023
Initial Invoice No. NCC230365-2023
Initial Fee $ 100.00
Invoice Due Date 3/9/2023
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 2/14/2023
Received * (Or, if not received, date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1025
NOI Tracking No. 126528
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MECKL-2023-Clear Creek Office Warehouse Flex Project