NCC231079_NOI 136323 Payment Verification_20230417

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/17/2023 11:03:23 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/17/2023 11:09:34 AM (Review-NOI 136323 Survey for CBS Ventures, LLC
Subdivision-Lots 1-15)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 20,2023 5:00 PM
4/17/2023 11:03:32 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/17/2023 11:03:32 AM
Submit by Tev.Holloman 4/17/2023 3:21:59 PM (Payment Verification for NCC231079)
0 Benjamin Stout Real Estate Services Inc.
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 29,2023 5:00 PM
4/17/2023 11:09:52 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/17/2023 3:21:16 PM

4
NPayment Verification
NORTH CAROLINA
Environmental Quality
Project Name Survey for CBS Ventures, LLC Subdivision-Lots 1-15
Lot Numbers (If listed on the eNOl)
Lots 1-15
NC Reference No.* NCG01-2023-1079
Certificate of NCC231079
Coverage(COC)No.*
Invoice Date 4/17/2023
Initial Invoice No. NCC231079-2023
Initial Fee $ 100.00
Invoice Due Date 5/17/2023
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 4/17/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 686607806
Transaction Number*
NOI Tracking No. 136323
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SAMPS-2023-Survey for CBS Ventures, LLC Subdivision-Lots 1-15