NCC193018_Payment Verification_20191205

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 12/3/2019 10:27:32 AM(NCG01 NOI Submission)
Approve by Farkas,Jim J 12/3/2019 3:25:08 PM(Review-Construction NOI 19049)
• The task was assigned to Farkas,Jim J by round robin distribution 12/3/2019 10:27 AM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: December 5,2019 5:00
PM.The priority is: High 12/3/2019 10:27 AM
Submit by McCoy, Suzanne 12/5/2019 7:23:42 AM(Payment Verification for NCC193018)
* Robert Todd Joyce
• McCoy,Suzanne assigned the task to McCoy, Suzanne 12/5/2019 7:23 AM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:January 14, 2020 5:00 PM.
The priority is: High 12/3/2019 3:25 PM

Payrmnt Verification
NORTH CAROLINA
Environmental Quvllly
Project Tracking ID* NCC-FORSY-2019-KernersviIle State Veterans Home
NC Reference No.* NCG01-2019-3018
Certificate of NCC193018
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 12/5/2019
Received*
Method of Payment* r electronic
f check
r NO PAYMENT RECEIVED
f Other
ePayment 492064866
Transaction
Number*
NOI Tracking No. 19049
Tracking ID referenced upon subrrittal
This is an Express f No
Review Project r Yes