NCC232975_NOI 162860 Payment Verification_20231004

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/3/2023 9:35:28 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/3/2023 9:58:18 AM (Review-NOI 162860 Jarrett Cottage&Addition)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 6,2023 5:00 PM
10/3/2023 9:35:39 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/3/2023 9:35:39 AM
Submit by Tev.Holloman 10/4/2023 9:45:33 AM (Payment Verification for NCC232975)
•Myron L Yoder
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 14,2023 5:00
PM 10/3/2023 9:58:34 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/4/2023 9:28:23 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Jarrett Cottage&Addition
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)
44
NC Reference No.* NCG01-2023-2975
Certificate of NCC232975
Coverage(COC)No.*
Invoice Date 10/3/2023
Initial Invoice No. NCC232975-2023
Initial Fee $ 120.00
Invoice Due Date 11/2/2023
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 10/4/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 712952568
Transaction Number*
NOI Tracking No. 162860
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-POLK-2023-Jarrett Cottage&Addition

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