NCC233463_NOI 170305 Payment Verification_20231121

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/21/2023 7:15:41 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 11/21/2023 7:35:38 AM (Review-NOI 170305 Kirwin Village, Phase 1A-Lots 1-12,
56,61,69,74, 76,78,88,89&116-118)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: November 24,2023 5:00
PM 11/21/2023 7:15:49 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 11/21/2023 7:15:49 AM
Submit by Tev.Holloman 11/21/2023 11:13:08 AM(Payment Verification for NCC233463)
0 Leslie Groves
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 2,2024 5:00 PM
11/21/2023 7:35:53 AM
• Tev.Holloman assigned the task to Tev.Holloman 11/21/2023 11:12:36 AM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Kirwin Village, Phase 1A-Lots 1-12,56,61,69,74,76,78,88,89&116-118
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 1-12,56,61,69,74,76,78,88,89&116-118
NC Reference No.* NCG01-2023-3463
Certificate of NCC233463
Coverage(COC)No.*
Invoice Date 11/21/2023
Initial Invoice No. NCC233463-2023
Initial Fee $ 120.00
Invoice Due Date 12/21/2023
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 11/21/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 720405617
Transaction Number*
NOI Tracking No. 170305
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HOKE-2023-Kirwin Village, Phase 1A-Lots 1-12,56,61,69,74,76,78,88,
89&116-118

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