NCC233783_NOI 174539 Payment Verification_20240110

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/20/2023 3:11:21 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/21/2023 6:48:31 AM (Review-NOI 174539 NORTHLAKE PHASE 3)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 25,2023 5:00
PM 12/20/2023 3:11:28 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/20/2023 3:11:28 PM
Submit by Tev.Holloman 1/10/2024 11:29:34 AM (Payment Verification for NCC233783)
0 Keith Ferguson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 1,2024 5:00 PM
12/21/2023 6:48:46 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/10/2024 11:29:01 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name NORTHLAKE PHASE 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 eNOI)
46,46,47,48,51,52,53,54,55,56
NC Reference No.* NCG01-2023-3783
Certificate of NCC233783
Coverage(COC)No.*
Invoice Date 12/21/2023
Initial Invoice No. NCC233783-2023
Initial Fee $ 120.00
Invoice Due Date 1/20/2024
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 1/10/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 727858385
Transaction Number*
NOI Tracking No. 174539
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-I RED E-2023-NORTH LAKE PHASE 3

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