NCC242653_NOI 214446 Payment Verification_20240828

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/27/2024 2:02:17 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/28/2024 7:26:15 AM (Review-NOI 214446 Bedford, Phase 5—Lots 382, 385,386,
454,457&459)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 30,2024 5:00
PM 8/27/2024 2:02:32 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/27/2024 2:02:33 PM
Submit by Tev.Holloman 8/28/2024 10:25:16 AM (Payment Verification for NCC242653)
0 AG Residential LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 9,2024 5:00 PM
8/28/2024 7:26:30 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/28/2024 10:24:28 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Bedford, Phase 5—Lots 382,385,386,454,457&459
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)
Lots 382,385,386,454,457&459
NC Reference No.*
NCG01-2024-2653
Certificate of Coverage(COC)No.* Permit Version
NCC242653 1.00
Invoice Date 8/28/2024
Initial Invoice No. NCC242653-2024
Initial Fee $ 120.00
Invoice Due Date 9/27/2024
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 8/28/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 764589030
Transaction Number*
NOI Tracking No. 214446
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes

Project Tracking ID NCC-HOKE-2024-Bedford, Phase 5—Lots 382,385,386,454,457&459