NCC233619_NOI 172749 Payment Verification_20231212

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/6/2023 4:31:17 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/7/2023 7:22:08 AM (Review-NOI 172749 Franklin Townes-Lots 1-13,49-92,
116-134)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 11,2023 5:00
PM 12/6/2023 4:31:26 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/6/2023 4:31:26 PM
Submit by Tev.Holloman 12/12/2023 9:37:56 AM (Payment Verification for NCC233619)
•Cristina Hernandez
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 18,2024 5:00 PM
12/7/2023 7:22:23 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/12/2023 9:37:32 AM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Franklin Townes-Lots 1-13,49-92, 116-134
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)
1-13,49-92, 116-134
NC Reference No.* NCG01-2023-3619
Certificate of NCC233619
Coverage(COC)No.*
Invoice Date 12/7/2023
Initial Invoice No. NCC233619-2023
Initial Fee $ 120.00
Invoice Due Date 1/6/2024
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 12/12/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 723329591
Transaction Number*
NOI Tracking No. 172749
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2024-Franklin Townes-Lots 1-13,49-92, 116-134

I I