NCC233727_NOI 173933 Payment Verification_20231218

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/15/2023 1:41:26 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/18/2023 6:47:45 AM (Review-NOI 173933 Daniel Farm Phase 4-5 lots 25-42,
67-70 and 103)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 20,2023 5:00
PM 12/15/2023 1:41:34 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/15/2023 1:41:34 PM
Submit by Tev.Holloman 12/18/2023 3:25:19 PM (Payment Verification for NCC233727)
0 James Cox
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 29,2024 5:00 PM
12/18/2023 6:48:00 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/18/2023 3:24:47 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Daniel Farm Phase 4-5 lots 25-42,67-70 and 103
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)
25-42,67-70&103
NC Reference No.* NCG01-2023-3727
Certificate of NCC233727
Coverage(COC)No.*
Invoice Date 12/18/2023
Initial Invoice No. NCC233727-2023
Initial Fee $ 120.00
Invoice Due Date 1/17/2024
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 12/18/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 724412763
Transaction Number*
NOI Tracking No. 173933
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2024-Daniel Farm Phase 4-5 lots 25-42,67-70 and 103

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