NCC192210_Payment Verification_20191009

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/4/2019 11:06:21 AM (NCG01 NOI Submission)
Approve by Clark, Paul 10/7/2019 3:47:06 PM (Review- Construction NOI 16747)
In Applicant explained that work did NOT begin on 9/19/2019 that was just an opening ceremony where
some people involved with project posed with shovels.
• The task was assigned to EADS\pbclark by round robin distribution 10/4/2019 11:06 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 8, 2019 5:00
PM. The priority is: High 10/4/2019 11:06 AM
Submit by McCoy, Suzanne 10/9/2019 7:43:23 AM (Payment Verification for NCC192210)
* Jared Shook.
• McCoy, Suzanne assigned the task to McCoy, Suzanne 10/9/2019 7:42 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 18, 2019 5:00
PM. The priority is: High 10/7/2019 3:47 PM

Payrmnt Verification
NORTH CAROLINA
Envtr"mmWiQvuAty
Project Tracking ID* NCC-CLAY-2019-UNION GENERAL HOSPITAL INC, MEDICAL
CLINIC
NC Reference No.*
NCG01-2019-2210
Certificate of
NCC192210
Coverage (COC)
No. *
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* r Payment Received.
r Payment NOT RECEIVED.
Date Payment
10/9/2019
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
ePayment
483277960
Transaction
Number*
NOI Tracking No.
16747
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes