NCC232512_NOI 155568 Payment Verification_20230821

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/18/2023 10:54:43 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/18/2023 11:01:00 AM (Review-NOI 155568 Audubon 3)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 23,2023 5:00
PM 8/18/2023 10:54:53 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/18/2023 10:54:53 AM
Submit by Tev.Holloman 8/21/2023 10:53:38 AM(Payment Verification for NCC232512)
•Duane Henderson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 29,2023 5:00
PM 8/18/2023 11:01:16 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/21/2023 10:53:10 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Audubon 3
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.* NCG01-2023-2512
Certificate of NCC232512
Coverage(COC)No.*
Invoice Date 8/18/2023
Initial Invoice No. NCC232512-2023
Initial Fee $ 100.00
Invoice Due Date 9/17/2023
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 8/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 705917285
Transaction Number*
NOI Tracking No. 155568
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Aud u bon 3