NCC233152_NOI 164671 Payment Verification_20231102

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/19/2023 12:05:30 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/20/2023 6:30:10 AM (Review-NOI 164671 Blakefield, Phase 8-Lots 260-263)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 24,2023 5:00
PM 10/19/2023 12:05:38 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/19/2023 12:05:38 PM
Submit by Tev.Holloman 11/2/2023 2:45:49 PM (Payment Verification for NCC233152)
•Cates Building, Inc. (Check#45156-$100 Check#45163-$20)
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 1,2023 5:00 PM
10/20/2023 6:30:25 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/2/2023 2:43:52 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Blakefield, Phase 8-Lots 260-263
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)
Lots 260-263
NC Reference No.* NCG01-2023-3152
Certificate of NCC233152
Coverage(COC)No.*
Invoice Date 10/20/2023
Initial Invoice No. NCC233152-2023
Initial Fee $ 120.00
Invoice Due Date 11/19/2023
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 11/2/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 45156
NOI Tracking No. 164671
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-Blakefield, Phase 8-Lots 260-263