NCC231555_NOI 141934 Payment Verification_20230523

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/22/2023 8:41:35 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/22/2023 9:36:41 AM (Review-NOI 141934 The Commons at River Bluff-Lots 2&
3)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 25,2023 5:00 PM
5/22/2023 9:04:24 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/22/2023 9:04:24 AM
Submit by Tev.Holloman 5/23/2023 10:28:46 AM (Payment Verification for NCC231555)
0 Sarbjit Mehmi
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 3,2023 5:00 PM
5/22/2023 9:37:00 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/23/2023 10:28:21 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name The Commons at River Bluff-Lots 2&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)
Lots 2&3
NC Reference No.* NCG01-2023-1555
Certificate of NCC231555
Coverage(COC)No.*
Invoice Date 5/22/2023
Initial Invoice No. NCC231555-2023
Initial Fee $ 100.00
Invoice Due Date 6/21/2023
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 5/23/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 692290546
Transaction Number*
NOI Tracking No. 141934
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-The Commons at River Bluff-Lots 2&3

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