NCC190477_Payment Verification_20190605

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/4/2019 11:27:03 AM (NCG01 NOI Submission)
Approve by Georgoulias, Bethany 6/5/2019 7:37:56 AM (Review- Construction NOI 11717)
• The task was assigned to Georgoulias, Bethany by round robin distribution 6/4/2019 11:27 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 6, 2019 5:00 PM
6/4/2019 11:27 AM
Submit by Georgoulias, Bethany 6/5/2019 9:35:04 AM (Payment Verification - NCG01-2019-0477)
* Note: Before completing this final step, reviewer verified with Greg Greene (704-216-8591) at Rowan
County that an E&SC Project number is not assigned by their program. Applicant instead entered "N/A"
for that field in the eNO/, which was appropriate in this case.
• The task was assigned to Georgoulias, Bethany. The due date is: June 6, 2019 5:00 PM
6/5/2019 7:38 AM

NORTH CAROLINA
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Project Tracking ID*
NCC-ROWAN-2019-Culver's of Salisbury
NC Reference No.*
NCG01-2019-0477
Certificate of
NCC190477
Coverage (COC)
No. *
Payment Received*
r Payment N/A.
r Payment NOT RECEIVED.
Date Payment
6/5/2019
Received
Check Number
NOI Tracking No.
11717
Tracking ID referenced in initial email to applicant
This is an Express
f• No
Review Project
r Yes