NCC232992_NOI 163092 Payment Verification_20231006

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/4/2023 2:45:59 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 10/5/2023 6:28:40 AM (Review-NOI 163092 Foxfire Subdivision Phase 2)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: October 9,2023 5:00 PM
10/4/2023 2:46:07 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 10/4/2023 2:46:07 PM
Submit by Tev.Holloman 10/6/2023 9:41:38 AM (Payment Verification for NCC232992)
0 GDR62 LLC
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 16,2023 5:00
PM 10/5/2023 6:28:55 AM
• Tev.Holloman assigned the task to Tev.Holloman 10/6/2023 9:40:32 AM

Payment Verification
NORTH CAROLINA
EnWronmenlal Quality
Project Name Foxfire Subdivision Phase 2
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.* NCG01-2023-2992
Certificate of NCC232992
Coverage(COC)No.*
Invoice Date 10/5/2023
Initial Invoice No. NCC232992-2023
Initial Fee $ 120.00
Invoice Due Date 11/4/2023
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 10/6/2023
Received* (Or,if not received,date rejected for no payment)
Method of Payment* electronic
check
Other
ePayment 713326861
Transaction Number*
NOI Tracking No. 163092
Tracking ID referenced upon submittal
This is an Express No
Review Project Yes
Project Tracking ID NCC-RANDO-2023-Foxfire Subdivision Phase 2