NCC233750_NOI 174203 Payment Verification_20240103

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 12/19/2023 9:14:56 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 12/19/2023 9:33:07 AM (Review-NOI 174203 Brookstone Village, Phase One-Lot
66)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 22,2023 5:00
PM 12/19/2023 9:15:04 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 12/19/2023 9:15:04 AM
Submit by Tev.Holloman 1/3/2024 3:58:20 PM(Payment Verification for NCC233750)
0 Caviness and Cates Building and Development Co.
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 30,2024 5:00 PM
12/19/2023 9:33:22 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/3/2024 3:56:51 PM

a STA7[
W
Payment Verification
I, i1
�1.
NORTH CAROLINA
Environmental Quality
Project Name Brookstone Village, Phase One-Lot 66
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)
Lot 66
NC Reference No.* NCG01-2023-3750
Certificate of NCC233750
Coverage(COC)No.*
Invoice Date 12/19/2023
Initial Invoice No. NCC233750-2023
Initial Fee $ 120.00
Invoice Due Date 1/18/2024
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 1/3/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 163543
NOI Tracking No. 174203
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HOKE-2023-Brookstone Village, Phase One-Lot 66