NCC193071_Payment Verification_20191211

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/5/2019 4:51:02 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 12/6/2019 8:47:08 AM (Review- Construction NOI 19184)
• The task was assigned to Garcia, Lauren V by round robin distribution 12/5/2019 4:51 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 9, 2019 5:00
PM 12/5/2019 4:51 PM
Submit by McCoy, Suzanne 12/11/2019 7:50:37 AM (Payment Verification for NCC193071)
* Carolyn Moran
• McCoy, Suzanne assigned the task to McCoy, Suzanne 12/11/2019 7:50 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 17, 2020 5:00 PM
12/6/2019 8:47 AM

VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Tracking ID*
NCC-WAKE-2019-Supremia Dentistry
NC Reference No.*
NCG01-2019-3071
Certificate of
NCC193071
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
12/11 /2019
Received*
Method of Payment*
r electronic
f check
r NO PAYMENT RECEIVED
f Other
ePayment
493032684
Transaction
Number*
NOI Tracking No.
19184
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes