NCC201317_Payment Verification_20200402

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 3/31/2020 5:01:57 PM (NCG01 NOI Submission)
Approve by McCoy, Suzanne 4/1/2020 8:48:27 AM (Review- Construction NOI 23828)
. The task was assigned to McCoy, Suzanne by round robin distribution 3/31/2020 5:02 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 2, 2020 5:00 PM
3/31/2020 5:02 PM
Submit by McCoy, Suzanne 4/2/2020 8:30:02 AM (Payment Verification for NCC201317)
* Scott Petiprin
• McCoy, Suzanne assigned the task to McCoy, Suzanne 4/2/2020 8:29 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 13, 2020 5:00 PM
4/1/2020 8:48 AM

VerificationPayrmnt
NORTH CAROLINA
Environmental Quvllly
Project Tracking ID*
NCC-BUNCO-2020-Asheville SurgCare
NC Reference No.*
NCG01-2020-1317
Certificate of
NCC201317
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
4/2/2020
Received*
Method of Payment*
r electronic
f check
r NO PAYMENT RECEIVED
f Other
ePayment
510657234
Transaction
Number*
NOI Tracking No.
23828
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes