NCC231505_NOI 141356 Payment Verification_20230519

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/16/2023 10:24:44 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/16/2023 10:40:04 AM (Review-NOI 141356 9223 Tullamore Lane-SFD
Construction)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 19,2023 5:00 PM
5/16/2023 10:24:52 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/16/2023 10:24:52 AM
Submit by Tev.Holloman 5/19/2023 2:35:40 PM (Payment Verification for NCC231505)
0 Sam Morgan Custom Homes, Inc.
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 27,2023 5:00 PM
5/16/2023 10:40:21 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/19/2023 2:34:40 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name 9223 Tullamore Lane-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 eNOl)
NC Reference No.* NCG01-2023-1505
Certificate of NCC231505
Coverage(COC)No.*
Invoice Date 5/16/2023
Initial Invoice No. NCC231505-2023
Initial Fee $ 100.00
Invoice Due Date 6/15/2023
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 5/19/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 10526
NOI Tracking No. 141356
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-9223 Tullamore Lane-SFD Construction