NCC231608_NOI 142374 Payment Verification_20230526

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/24/2023 10:42:16 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/24/2023 10:57:16 AM (Review-NOI 142374 Azalea Glen Phase 3 Section A)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 29,2023 5:00 PM
5/24/2023 10:42:24 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/24/2023 10:42:24 AM
Submit by Tev.Holloman 5/26/2023 12:24:00 PM (Payment Verification for NCC231608)
•Abingdon Senior Housing Services, Inc
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 5,2023 5:00 PM
5/24/2023 10:57:37 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/26/2023 12:22:22 PM

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NORTH CAROLINA
Environmental Quality
Project Name Azalea Glen Phase 3 Section A
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)
36,37,38,39,40,41,42
NC Reference No.* NCG01-2023-1608
Certificate of NCC231608
Coverage(COC)No.*
Invoice Date 5/24/2023
Initial Invoice No. NCC231608-2023
Initial Fee $ 100.00
Invoice Due Date 6/23/2023
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 5/26/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1721
NOI Tracking No. 142374
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CATAW-2023-Azalea Glen Phase 3 Section A