NCC191155_Payment Verification_20190731

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/30/2019 4:23:07 PM (NCG01 NOI Submission)
Approve by Georgoulias, Bethany 7/31/2019 7:02:56 AM (Review- Construction NOI 14239)
• The task was assigned to Georgoulias, Bethany by round robin distribution 7/30/2019 4:23 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 1, 2019 5:00
PM 7/30/2019 4:23 PM
Submit by Georgoulias, Bethany 7/31/2019 7:06:37 AM (Payment Verification - NCC191155: Dollar General -
Providence #20712)
* Note that payment is not yet applicable, but the form has been modified in preparation for this change
coming soon.
• The task was assigned to Georgoulias, Bethany. The due date is: August 1, 2019 5:00 PM
7/31/2019 7:03 AM

Payrmnt Verification
NORTH CAROLINA
Envtr"mmWiQvuAty
Project Tracking ID*
NCC-CASWE-2019-Dollar General - Providence #20712
NC Reference No.*
NCG01-2019-1155
Certificate of
NCC191155
Coverage (COC)
No. *
Payment Received*
r Payment Received.
r Payment NOT RECEIVED.
Date Payment
7/31 /2019
Received
Method of Payment
r electronic
r check
r NO PAYMENT RECEIVED
NOI Tracking No.
14239
Tracking ID referenced in initial en -ail to applicant
This is an Express
r No
Review Project
r Yes