NCC232879_NOI 160684 Payment Verification_20231004

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/22/2023 10:56:45 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 9/24/2023 6:53:50 PM (Review-NOI 160684 Andor Place)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 27,2023 5:00
PM 9/22/2023 10:56:53 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 9/22/2023 10:56:53 AM
Submit by Tev.Holloman 10/4/2023 2:12:08 PM (Payment Verification for NCC232879)
•Midtown Custom Homes, LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 6,2023 5:00 PM
9/24/2023 6:54:07 PM
• Tev.Holloman assigned the task to Tev.Holloman 10/4/2023 2:10:53 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Andor Place
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 through 67
NC Reference No.* NCG01-2023-2879
Certificate of NCC232879
Coverage(COC)No.*
Invoice Date 9/24/2023
Initial Invoice No. NCC232879-2023
Initial Fee $ 100.00
Invoice Due Date 10/24/2023
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
Check Number* 4002
NOI Tracking No. 160684
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-WAKE-2023-Andor Place