NCC231712_NOI 144308 Payment Verification_20230623

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/2/2023 9:17:24 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/2/2023 9:31:00 AM(Review-NOI 144308 Culbreth Division-Lot 3&4)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 7,2023 5:00 PM
6/2/2023 9:17:32 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/2/2023 9:17:32 AM
Submit by Tev.Holloman 6/23/2023 11:19:51 AM (Payment Verification for NCC231712)
•Norman Nelson
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 14,2023 5:00 PM
6/2/2023 9:31:17 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/23/2023 11:17:01 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Culbreth Division-Lot 3&4
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.* NCG01-2023-1712
Certificate of NCC231712
Coverage(COC)No.*
Invoice Date 6/2/2023
Initial Invoice No. NCC231712-2023
Initial Fee $ 100.00
Invoice Due Date 7/2/2023
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 6/23/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 696937296
Transaction Number*
NOI Tracking No. 144308
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-Culbreth Division-Lot 3&4