NCC240169_NOI 178081 Payment Verification_20240130

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/17/2024 1:39:56 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/18/2024 6:22:45 AM (Review-NOI 178081 Taylor Glen-A ThriveMore Community)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 22,2024 5:00
PM 1/17/2024 1:40:05 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/17/2024 1:40:05 PM
Submit by Tev.Holloman 1/30/2024 11:06:31 AM (Payment Verification for NCC240169)
•Baptist Retirement Homes
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 29,2024 5:00 PM
1/18/2024 6:23:00 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/30/2024 11:05:08 AM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Taylor Glen-A ThriveMore Community
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.* NCG01-2024-0169
Certificate of NCC240169
Coverage(COC)No.*
Invoice Date 1/18/2024
Initial Invoice No. NCC240169-2024
Initial Fee $ 120.00
Invoice Due Date 2/17/2024
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 1/30/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 155534
NOI Tracking No. 178081
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CABAR-2024-Taylor Glen-A ThriveMore Community