NCC231504_NOI 141340 Payment Verification_20230519

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/16/2023 9:52:40 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 5/16/2023 9:59:32 AM (Review-NOI 141340 Kobe-Smithfield)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 19,2023 5:00 PM.
The priority is: High 5/16/2023 9:52:50 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 5/16/2023 9:52:50 AM
Submit by Tev.Holloman 5/19/2023 2:05:09 PM (Payment Verification for NCC231504)
•K68, LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 27,2023 5:00 PM.The
priority is: High 5/16/2023 9:59:49 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/19/2023 2:04:00 PM

Payment Verification
NORTH CAROLINA
EnWronmenlal Quality
Project Name Kobe-Smithfield
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)
NC Reference No.* NCG01-2023-1504
Certificate of NCC231504
Coverage(COC)No.*
Invoice Date 5/16/2023
Initial Invoice No. NCC231504-2023
Initial Fee $ 100.00
Invoice Due Date 6/15/2023
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 5/19/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
Check Number* 1057
NOI Tracking No. 141340
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-JOHNS-2023-Kobe-Smithfield