NCC233103_NOI 164153 Payment Verification_20231016

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/16/2023 8:46:55 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/16/2023 8:59:09 AM (Review-NOI 164153 Taylors Creek, Phase 3-Lots 9&12-
17)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 19,2023 5:00
PM 10/16/2023 8:47:05 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/16/2023 8:47:05 AM
Submit by Tev.Holloman 10/16/2023 1:40:41 PM (Payment Verification for NCC233103)
•Benjamin Stout Const
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 27,2023 5:00
PM 10/16/2023 8:59:24 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/16/2023 1:35:55 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Taylors Creek, Phase 3-Lots 9&12-17
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 9&12-17
NC Reference No.* NCG01-2023-3103
Certificate of NCC233103
Coverage(COC)No.*
Invoice Date 10/16/2023
Initial Invoice No. NCC233103-2023
Initial Fee $ 120.00
Invoice Due Date 11/15/2023
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 10/16/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 714897054
Transaction Number*
NOI Tracking No. 164153
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-SAMPS-2023-Taylors Creek, Phase 3-Lots 9& 12-17

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