NCC232035_NOI 148507 Payment Verification_20230705

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 7/3/2023 7:39:40 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 7/3/2023 8:00:16 AM(Review-NOI 148507 Mossy Ridge MH Park)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 6,2023 5:00 PM
7/3/2023 7:39:51 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 7/3/2023 7:39:51 AM
Submit by Tev.Holloman 7/5/2023 1:27:01 PM(Payment Verification for NCC232035)
•John Lehotsky
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 14,2023 5:00 PM
7/3/2023 8:00:31 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/5/2023 1:26:33 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Mossy Ridge MH Park
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.* NCG01-2023-2035
Certificate of NCC232035
Coverage(COC)No.*
Invoice Date 7/3/2023
Initial Invoice No. NCC232035-2023
Initial Fee $ 100.00
Invoice Due Date 8/2/2023
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 7/5/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 698520439
Transaction Number*
NOI Tracking No. 148507
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JACKS-2023-Mossy Ridge MH Park