NCC231474_NOI 141087 Payment Verification_20230519

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/13/2023 2:20:31 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/15/2023 8:26:22 AM (Review-NOI 141087 Lot 3-Dobbin Oaks)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 18,2023 5:00 PM
5/13/2023 2:20:42 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/13/2023 2:20:42 PM
Submit by Tev.Holloman 5/19/2023 1:33:49 PM (Payment Verification for NCC231474)
•Elizabeth A. Hart&William H. Kern
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 26,2023 5:00 PM
5/15/2023 8:26:56 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/19/2023 1:32:05 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Lot 3-Dobbin Oaks
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)
Lot 3
NC Reference No.* NCG01-2023-1474
Certificate of NCC231474
Coverage(COC)No.*
Invoice Date 5/15/2023
Initial Invoice No. NCC231474-2023
Initial Fee $ 100.00
Invoice Due Date 6/14/2023
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 5/19/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 11471
NOI Tracking No. 141087
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-Lot 3-Dobbin Oaks