NCC233250_NOI 166643 Payment Verification_20231101

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/30/2023 2:55:58 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/31/2023 7:16:29 AM (Review-NOI 166643 Bedford, Phase 5-Lots 380,383,
384,387,388, 390,392,394,396&458)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 2,2023 5:00
PM 10/30/2023 2:56:06 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/30/2023 2:56:06 PM
Submit by Tev.Holloman 11/1/2023 2:02:16 PM (Payment Verification for NCC233250)
•Benjamin Stout Const
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 12,2023 5:00
PM 10/31/2023 7:16:45 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/1/2023 2:01:46 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Bedford, Phase 5-Lots 380,383,384,387,388,390,392,394,396&458
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 380,383,384,387,388,390,392,394,396&458
NC Reference No.* NCG01-2023-3250
Certificate of NCC233250
Coverage(COC)No.*
Invoice Date 10/31/2023
Initial Invoice No. NCC233250-2023
Initial Fee $ 120.00
Invoice Due Date 11/30/2023
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 11/1/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 717259539
Transaction Number*
NOI Tracking No. 166643
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HOKE-2023-Bedford, Phase 5-Lots 380,383,384,387,388,390,392,394,
396&458

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