NCC232339_NOI 153675 Payment Verification_20230804

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/3/2023 9:32:20 AM(NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/3/2023 9:39:11 AM (Review-NOI 153675 Archer's Park Subdivision-Phase 1)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 8,2023 5:00 PM
8/3/2023 9:32:29 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/3/2023 9:32:29 AM
Submit by Tev.Holloman 8/4/2023 10:19:16 AM (Payment Verification for NCC232339)
•David DeYoung
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 14,2023 5:00
PM 8/3/2023 9:39:26 AM
• Tev.Holloman assigned the task to Tev.Holloman 8/4/2023 10:18:46 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Archer's Park Subdivision-Phase 1
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)
1-33,70-99.
NC Reference No.* NCG01-2023-2339
Certificate of NCC232339
Coverage(COC)No.*
Invoice Date 8/3/2023
Initial Invoice No. NCC232339-2023
Initial Fee $ 100.00
Invoice Due Date 9/2/2023
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 8/4/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 703485634
Transaction Number*
NOI Tracking No. 153675
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2021-Archer's Park Subdivision-Phase 1

I I