NCC190531_Payment and NOI Form Verification_20190611

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/7/2019 9:27:01 AM (NCG01 NOI Submission)
Approve by Georgoulias, Bethany 6/7/2019 1:21:57 PM (Review- Construction NOI 11869)
In Reviewer corrected waterbody index number for Middle Creek from 27-43-15-(1) to 27-43-15-(4).
• The task was assigned to Georgoulias, Bethany by round robin distribution 6/7/2019 9:27 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 11, 2019 5:00 PM
6/7/2019 9:27 AM
Submit by Georgoulias, Bethany 6/11/2019 10:40:02 AM (Payment Verification - NCG01-2019-0531)
p Applicant sent revised NOI Certification Form with all boxes checked. The document will be added to
the permit record.
The task was assigned to Georgoulias, Bethany. The due date is: June 10, 2019 5:00 PM
6/7/2019 1:22 PM

Payrrient Verification
NORTH CAROUNA
Emiro mwfal Qaafity
Project Tracking ID*
NCC-JOHNS-2019-Cleveland Bluffs Phase 3A Lots #
136,142,143,144,and 161
NC Reference No.*
NCG01-2019-0531
Certificate of
NCC190531
Coverage (COC)
No. *
Payment Received*
r Payment N/A.
r Payment NOT RECEIVED.
Date Payment
6/11/2019
Received
Check Number
NOI Tracking No.
11869
Tracking ID referenced in initial errail to applicant
This is an Express
r No
Review Project
r Yes