NCC232855_NOI 160372 Payment Verification_20230922

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/20/2023 11:27:32 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/21/2023 6:26:49 AM (Review-NOI 160372 Mountain Retreat FKA Laurelwood
MHP)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 25,2023 5:00
PM 9/20/2023 11:27:42 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/20/2023 11:27:42 AM
Submit by Tev.Holloman 9/22/2023 10:59:29 AM (Payment Verification for NCC232855)
•Andrew Frezza
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 2,2023 5:00 PM
9/21/2023 6:27:04 AM
• Tev.Holloman assigned the task to Tev.Holloman 9/22/2023 10:58:48 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Mountain Retreat FKA Laurelwood MHP
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)
Lots 26 and 31
NC Reference No.* NCG01-2023-2855
Certificate of NCC232855
Coverage(COC)No.*
Invoice Date 9/21/2023
Initial Invoice No. NCC232855-2023
Initial Fee $ 100.00
Invoice Due Date 10/21/2023
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 9/22/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 711150587
Transaction Number*
NOI Tracking No. 160372
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-BUNCO-2020-Mountain Retreat FKA Laurelwood MHP

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