NCC231144_NOI 136860 Payment Verification_20230421

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/19/2023 10:05:04 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/19/2023 10:16:57 AM (Review-NOI 136860 Balsom Ridge Lot 6)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 24,2023 5:00 PM
4/19/2023 10:05:12 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/19/2023 10:05:12 AM
Submit by Tev.Holloman 4/21/2023 9:05:07 AM (Payment Verification for NCC231144)
•John Cerbone
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 31,2023 5:00 PM
4/19/2023 10:17:31 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/21/2023 9:04:25 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Balsom Ridge Lot 6
Lot Numbers (If listed on the eNOl)
Lot 6 Balsom Ridge Road, Denver, NC 28037
NC Reference No.* NCG01-2023-1144
Certificate of NCC231144
Coverage(COC)No.*
Invoice Date 4/19/2023
Initial Invoice No. NCC231144-2023
Initial Fee $ 100.00
Invoice Due Date 5/19/2023
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 4/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 687314575
Transaction Number*
NOI Tracking No. 136860
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-LINCO-2023-Balsom Ridge Lot 6