NCC233796_NOI 174620 Payment Verification_20231228

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/21/2023 9:57:46 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/21/2023 10:15:19 AM (Review-NOI 174620 Tiny Home Holdings, LLC-Graded
Pad)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 26,2023 5:00
PM.The priority is: High 12/21/2023 9:57:54 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/21/2023 9:57:55 AM
Submit by Tev.Holloman 12/28/2023 11:34:35 AM (Payment Verification for NCC233796)
0 Jessica Brown
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 1,2024 5:00 PM.
The priority is: High 12/21/2023 10:15:36 AM
• Tev.Holloman assigned the task to Tev.Holloman 12/28/2023 11:33:39 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Tiny Home Holdings, LLC-Graded Pad
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 eNOl)
NC Reference No.* NCG01-2023-3796
Certificate of NCC233796
Coverage(COC)No.*
Invoice Date 12/21/2023
Initial Invoice No. NCC233796-2023
Initial Fee $ 120.00
Invoice Due Date 1/20/2024
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 12/28/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 725199177
Transaction Number*
NOI Tracking No. 174620
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MACON-2024-Tiny Home Holdings, LLC-Graded Pad