NCC241976_NOI 204243 Payment Verification_20240701

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/27/2024 1:42:19 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/28/2024 6:07:40 AM (Review-NOI 204243 Lot 610 Brookberry Farm-SFD
Construction)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 2,2024 5:00 PM
6/27/2024 1:42:26 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/27/2024 1:42:26 PM
Submit by Tev.Holloman 7/1/2024 11:47:32 AM(Payment Verification for NCC241976)
•JOHN LUGIN
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 9,2024 5:00 PM
6/28/2024 6:07:54 AM
• Tev.Holloman assigned the task to Tev.Holloman 7/1/2024 11:46:59 AM

4
NPayment Verification
NORTH CAROLINA
Environmental Quality
Project Name Lot 610 Brookberry Farm-SFD Construction
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)
610
NC Reference No.*
NCG01-2024-1976
Certificate of Coverage(COC)No.* Permit Version
NCC241976 1.00
Invoice Date 6/28/2024
Initial Invoice No. NCC241976-2024
Initial Fee $ 120.00
Invoice Due Date 7/28/2024
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 7/1/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 755123802
Transaction Number*
NOI Tracking No. 204243
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-FORSY-2024-Lot 610 Brookberry Farm-SFD Construction