NCC233536_NOI 171044 Payment Verification_20231130

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/29/2023 9:27:29 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/29/2023 10:15:27 AM (Review-NOI 171044 Havenbrooke-Phase 1)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 4,2023 5:00
PM 11/29/2023 9:27:37 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/29/2023 9:27:37 AM
Submit by Tev.Holloman 11/30/2023 9:57:54 AM (Payment Verification for NCC233536)
•Jim Garman
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 10,2024 5:00 PM
11/29/2023 10:15:43 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/30/2023 9:57:22 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Havenbrooke-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)
24-33
NC Reference No.* NCG01-2023-3536
Certificate of NCC233536
Coverage(COC)No.*
Invoice Date 11/29/2023
Initial Invoice No. NCC233536-2023
Initial Fee $ 120.00
Invoice Due Date 12/29/2023
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 11/30/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 721428133
Transaction Number*
NOI Tracking No. 171044
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-FORSY-2023-Havenbrooke-Phase 1

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