NCC233357_NOI 169088 Payment Verification_20231109

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/8/2023 3:22:55 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/9/2023 7:34:45 AM (Review-NOI 169088 Johnson Ridge-Lots 4,6,8,26,28, 30
&32)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 13,2023 5:00
PM 11/8/2023 3:23:07 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/8/2023 3:23:07 PM
Submit by Tev.Holloman 11/9/2023 12:28:46 PM (Payment Verification for NCC233357)
0 AG Residential LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 21,2023 5:00
PM 11/9/2023 7:35:00 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/9/2023 12:28:09 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Johnson Ridge-Lots 4,6,8,26,28,30&32
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)
Lots 4,6,8,26,28,30&32
NC Reference No.* NCG01-2023-3357
Certificate of NCC233357
Coverage(COC)No.*
Invoice Date 11/9/2023
Initial Invoice No. NCC233357-2023
Initial Fee $ 120.00
Invoice Due Date 12/9/2023
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 11/9/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 718576766
Transaction Number*
NOI Tracking No. 169088
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2023-Johnson Ridge-Lots 4,6,8,26,28,30&32

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