NCC222239_NOI 94381 Payment Verification_20220622

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/15/2022 5:59:40 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 6/16/2022 9:58:29 AM (Review - NOI 94381 The Bluffs on Broad Creek)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 6/15/2022 6:00 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 20, 2022 5:00 PM
6/15/2022 6:00 PM
by Workflow 6/16/2022 9:58:56 AM (Workflow Start Event)
Submit by Georgoulias, Bethany A 6/22/2022 7:37:25 AM (Payment Verification for NCC222239)
* South State Development LLC
• Georgoulias, Bethany A assigned the task to Georgoulias, Bethany A 6/22/2022 7:36 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2022 5:00 PM
6/16/2022 9:59 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
The Bluffs on Broad Creek
Lot Numbers
(If listed on the eNOI)
Lots 1-22,
NC Reference No.*
NCG01-2022-2239
Certificate of
NCC222239
Coverage (COC) No.*
Invoice Date
6/16/2022
Initial Invoice No.
NCC222239-2022
Initial Fee
$ 100.00
Invoice Due Date
7/16/2022
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
6/22/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
639468486
Transaction Number*
NOI Tracking No.
94381
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-CARTE-2022-The Bluffs on Broad Creek