NCC232572_NOI 156181 Payment Verification_20231004

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 8/24/2023 7:43:20 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 8/24/2023 8:26:54 AM (Review-NOI 156181 Dreisbach Residence)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 29,2023 5:00
PM 8/24/2023 7:43:27 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 8/24/2023 7:43:27 AM
Submit by Tev.Holloman 10/4/2023 12:07:55 PM (Payment Verification for NCC232572)
•Jakob Dreisbach
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:October 5,2023 5:00 PM
8/24/2023 8:27:09 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/4/2023 12:07:31 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Dreisbach Residence
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.* NCG01-2023-2572
Certificate of NCC232572
Coverage(COC)No.*
Invoice Date 8/24/2023
Initial Invoice No. NCC232572-2023
Initial Fee $ 100.00
Invoice Due Date 9/23/2023
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 713046822
Transaction Number*
NOI Tracking No. 156181
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CALDW-2023-Dreisbach Residence