NCC231545_NOI 141766 Payment Verification_20230522

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/19/2023 9:57:42 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/19/2023 10:00:39 AM (Review-NOI 141766 SRI THREE-RV PARK&
CAMPGROUND PHASE II)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 24,2023 5:00 PM
5/19/2023 9:57:50 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/19/2023 9:57:50 AM
Submit by Tev.Holloman 5/22/2023 10:31:17 AM (Payment Verification for NCC231545)
•Tyler Watts
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 30,2023 5:00 PM
5/19/2023 10:00:56 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/22/2023 10:30:39 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name SRI THREE-RV PARK&CAMPGROUND PHASE II
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 eNOl)
NC Reference No.* NCG01-2023-1545
Certificate of NCC231545
Coverage(COC)No.*
Invoice Date 5/19/2023
Initial Invoice No. NCC231545-2023
Initial Fee $ 100.00
Invoice Due Date 6/18/2023
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 5/22/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 691879724
Transaction Number*
NOI Tracking No. 141766
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CLEVE-2023-SRI THREE-RV PARK&CAMPGROUND PHASE 11