NCC200263_Payment Verification_20200128

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/21/2020 12:17:04 PM (NCG01 NOI Submission)
Approve by Clark, Paul 1/21/2020 3:12:05 PM (Review- Construction NOI 20926)
• Morman, Alaina reassigned the task to Clark, Paul 1/21/2020 2:51 PM
• The task was assigned to Farkas, Jim J by round robin distribution 1/21/2020 12:17 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 23, 2020 5:00
PM 1/21/2020 12:17 PM
Submit by McCoy, Suzanne 1/28/2020 12:44:06 PM (Payment Verification for NCC200263)
• McCoy, Suzanne assigned the task to McCoy, Suzanne 1/28/2020 12:43 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 3, 2020 5:00 PM
1/21/2020 3:12 PM

Payrmnt •
NORTH CAROLINA
Environmental Quvllly
Project Tracking ID*
NCC-WAKE-2019-Brier Creek Medical Office
NC Reference No.*
NCG01-2020-0263
Certificate of
NCC200263
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
1 /28/2020
Received*
Method of Payment*
r electronic
f check
r NO PAYMENT RECEIVED
r Other Waived, see email
NOI Tracking No.
20926
Tracking ID referenced upon submittal
This is an Express
r No
Review Project
r Yes