NCC224050_NOI 117674 Payment Verification_20221208

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/7/2022 8:57:20 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 12/7/2022 9:03:36 AM (Review - NOI 117674 Rolling Hills of French Broad -
Phase 3)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 12/7/2022 8:57 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 12, 2022 5:00
PM 12/7/2022 8:57 AM
by Workflow 12/7/2022 9:03:45 AM (Workflow Start Event)
Submit by Holloman, Tevye L 12/8/2022 9:16:30 AM (Payment Verification for NCC224050)
F RS Investments of WNC
• Holloman, Tevye L assigned the task to Holloman, Tevye L 12/8/2022 9:15 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 18, 2023 5:00 PM
12/7/2022 9:03 AM

Payment •
NORTH CAROLINA
Environmental Quallty
Project Name
Rolling Hills of French Broad - Phase 3
Lot Numbers
(If listed on the eNOI)
38-53
NC Reference No.*
NCG01-2022-4050
Certificate of
NCC224050
Coverage (COC) No.*
Invoice Date
12/7/2022
Initial Invoice No.
NCC224050-2022
Initial Fee
$ 100.00
Invoice Due Date
1/6/2023
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
12/8/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
665876792
Transaction Number*
NOI Tracking No.
117674
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-BUNCO-2023-Rolling Hills of French Broad - Phase 3