NCC233151_NOI 164669 Payment Verification_20231102

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/19/2023 12:03:20 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/20/2023 6:27:34 AM (Review-NOI 164669 Elliot Farms, Phase 1 B-Lots 29,40
&41)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 24,2023 5:00
PM 10/19/2023 12:03:30 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/19/2023 12:03:30 PM
Submit by Tev.Holloman 11/2/2023 2:42:53 PM (Payment Verification for NCC233151)
0 Cates Building, Inc. (Check#45157-$100 Check#45162-$20)
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: December 1,2023 5:00 PM
10/20/2023 6:27:49 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/2/2023 2:40:47 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Elliot Farms, Phase 1 B-Lots 29,40&41
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 29,40&41
NC Reference No.* NCG01-2023-3151
Certificate of NCC233151
Coverage(COC)No.*
Invoice Date 10/20/2023
Initial Invoice No. NCC233151-2023
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* 45157
NOI Tracking No. 164669
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-CUMBE-2023-Elliot Farms, Phase 1 B-Lots 29,40&41