NCC241719_NOI 200915 Payment Verification_20240625

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/4/2024 10:17:35 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/4/2024 10:20:43 AM (Review-NOI 200915 Bethesda Pines Subdivision Lots#
57,58,and 59)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 7,2024 5:00 PM
6/4/2024 10:17:45 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/4/2024 10:17:45 AM
Submit by Tev.Holloman 6/25/2024 2:50:33 PM (Payment Verification for NCC241719)
0 Caviness and Cates Building and Development Co.
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 16,2024 5:00 PM
6/4/2024 10:20:58 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/25/2024 2:48:54 PM

Payment Verification
NORTH CAROLINA
Environmental Quality
Project Name Bethesda Pines Subdivision Lots#57,58,and 59
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)
57,58,59
NC Reference No.*
NCG01-2024-1719
Certificate of Coverage(COC)No.* Permit Version
NCC241719 1.00
Invoice Date 6/4/2024
Initial Invoice No. NCC241719-2024
Initial Fee $ 120.00
Invoice Due Date 7/4/2024
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 6/25/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 165136
NOI Tracking No. 200915
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-MOORE-2024-Bethesda Pines Subdivision Lots#57,58,and 59

i i