NCC240135_NOI 177756 Payment Verification_20240116

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/15/2024 8:39:29 AM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 1/16/2024 7:07:50 AM (Review-NOI 177756 Kirwin Village, Phase 1A-Lots 22&
57)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:January 18,2024 5:00
PM 1/15/2024 8:39:41 AM
• The task was assigned to Brooklyn.Broussard by round robin distribution 1/15/2024 8:39:41 AM
Submit by Tev.Holloman 1/16/2024 12:24:17 PM (Payment Verification for NCC240135)
0 Leslie Groves
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: February 27,2024 5:00 PM
1/16/2024 7:08:06 AM
• Tev.Holloman assigned the task to Tev.Holloman 1/16/2024 12:23:50 PM

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Payment Verification
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NORTH CAROLINA
Environmental Quality
Project Name Kirwin Village, Phase 1A-Lots 22&57
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 22&57
NC Reference No.* NCG01-2024-0135
Certificate of NCC240135
Coverage(COC)No.*
Invoice Date 1/16/2024
Initial Invoice No. NCC240135-2024
Initial Fee $ 120.00
Invoice Due Date 2/15/2024
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 1/16/2024
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 728773124
Transaction Number*
NOI Tracking No. 177756
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-HOKE-2024-Kirwin Village, Phase 1A-Lots 22&57

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