NCC232611_NOI 156722 Payment Verification_20230912

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/28/2023 3:14:23 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/29/2023 7:16:00 AM (Review-NOI 156722 Cotton Hill Section III)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 31,2023 5:00
PM 8/28/2023 3:14:32 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/28/2023 3:14:32 PM
Submit by Tev.Holloman 9/12/2023 1:28:27 PM (Payment Verification for NCC232611)
•Beaver Creek Investors Inc.
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 10,2023 5:00 PM
8/29/2023 7:16:15 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/12/2023 1:26:40 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Cotton Hill Section III
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)
67
NC Reference No.* NCG01-2023-2611
Certificate of NCC232611
Coverage(COC)No.*
Invoice Date 8/29/2023
Initial Invoice No. NCC232611-2023
Initial Fee $ 100.00
Invoice Due Date 9/28/2023
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 9/12/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1529
NOI Tracking No. 156722
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-ONSLO-2023-Cotton Hill Section III