NCC241218_NOI 192882 Payment Verification_20240419

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 4/18/2024 11:50:07 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 4/18/2024 11:55:19 AM (Review-NOI 192882 Tanglewood Clubhouse Clubhouse
Circle Clemmons, NC 27012)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:April 23,2024 5:00 PM
4/18/2024 11:50:24 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 4/18/2024 11:50:24 AM
Submit by Tev.Holloman 4/19/2024 11:18:16 AM (Payment Verification for NCC241218)
0 Timothy Virostek
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: May 30,2024 5:00 PM
4/18/2024 11:55:34 AM
• Tev.Holloman assigned the task to Tev.Holloman 4/19/2024 11:17:53 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Tanglewood Clubhouse Clubhouse Circle Clemmons, NC 27012
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 eNOl)
Block 4206, Lot 101 D
NC Reference No.*
NCG01-2024-1218
Certificate of Coverage(COC)No.* Permit Version
NCC241218 1.00
Invoice Date 4/18/2024
Initial Invoice No. NCC241218-2024
Initial Fee $ 120.00
Invoice Due Date 5/18/2024
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 4/19/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 744067926
Transaction Number*
NOI Tracking No. 192882
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-FORSY-2024-Tanglewood Clubhouse Clubhouse Circle Clemmons, NC 27012