NCC231809_NOI 145115 Payment Verification_20230612

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/9/2023 9:29:03 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/9/2023 9:34:31 AM(Review-NOI 145115 9350 Eden Grove Ct-Lot 6 Lissara-
SFD Construction)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 14,2023 5:00 PM
6/9/2023 9:29:13 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/9/2023 9:29:13 AM
Submit by Tev.Holloman 6/12/2023 9:10:34 AM (Payment Verification for NCC231809)
•Korey Smith
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 21,2023 5:00 PM
6/9/2023 9:34:49 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/12/2023 9:10:00 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name 9350 Eden Grove Ct-Lot 6 Lissara-SFD Construction
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 6
NC Reference No.* NCG01-2023-1809
Certificate of NCC231809
Coverage(COC)No.*
Invoice Date 6/9/2023
Initial Invoice No. NCC231809-2023
Initial Fee $ 100.00
Invoice Due Date 7/9/2023
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 6/12/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 694923898
Transaction Number*
NOI Tracking No. 145115
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-9350 Eden Grove Ct-Lot 6 Lissara-SFD Construction

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