NCC190032_Annual Fee NOD Review (2023 Fee)_20230523

Action History (UTC-05:00)Eastern Time(US&Canada)
by Workflow 3/28/2023 11:04:22 AM(Workflow Start Event)
Submit by Tev.Holloman 5/23/2023 10:36:44 AM (NOD Review Step-2023 Fees)
0 Karen Shadowens Rockingham Healthcare
• The task was assigned to DEMLR NCG01 NOD Team.The due date is:July 15,2023 5:00 PM
5/16/2023 12:22:55 AM
• Tev.Holloman assigned the task to Tev.Holloman 5/23/2023 10:35:01 AM

�,srntF
2023 Annual PaymentCompliance Review
NORTH CAROLINA
Environmental Quality
Certificate of NCC190032
Coverage(COC)No.*
NC Reference COC NCG01-2019-0032
No.*
Permit Status: Active
This status is updated(not passed from Payment Form)
Already Rescinded? Look-up re-checks this date(it is not passed from the Payment Form)
Project Name* CUNC Behavioral Health
Project Address* 407 Mulberry St, Lenoir, NC
Permittee* Caldwell Memorial Hospital, Inc
County Caldwell
Invoice No.* NCC190032-2023
Annual Fee* $ 100.00
Invoice Date* 4/1/2023
Invoice Due Date* 5/1/2023
Date NOD sent for no 5/16/2023
payment*
At the time non-receipt was recorded and the NOD was sent,the payment was 15 days overdue.At that time,the permit
status was Active.The fee status remains unless resolved at this review step.
Permittee E-mail* [e-mail]
(Where NOD letter was sent)
Permittee E-mail [e-mail]
(Current)* Looked up again in case there have been changes.
CONFIRM Permittee [e-mail]
E-mail* Opportunity to modify problem e-mail address or legally responsible person
Site Contact E-mail* [e-mail]
(Where NOD letter was sent)
Site Contact E-mail [e-mail]
(Current)* Looked up again in case there have been changes.
CONFIRM Site [e-mail]
Contact E-mail* Opportunity to correct problem e-mail address or site contact info
Billing E-mail (If available)

Billing E-mail (if available)Looked up again in case there have been changes.
(Current)
CONFIRM Billing E- Opportunity to correct problem e-mail address or billing contact info
mail
Billing Telephone No. May be outdated.Check permit file if needed.
Additional Billing Contact E-mails
Additional E-mail for
CC:
Days Overdue 22
This is how many days overdue the fee is now(at NOD review).
Days Since NOD 7
Sent* Wait 30 days before proceeding to NOV.
Has Payment Been Payment has been resolved (PAID).
Resolved?* Payment has been resolved (WAIVED).
NO. Payment has not been resolved (PROCEED TO NOV).
Date Payment 5/23/2023
Received or
Resolved*
Method of Payment* electronic
check
other
ePayment 692322373
Transaction Number*
Fee Status* PAID
Compliance Review 5/23/2023
Date*