NCC215249_Annual Fee NOD Review_20221019

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 8/31/2022 1:09:36 PM (Workflow Start Event)
Submit by Holloman, Tevye L 10/17/2022 11:21:01 AM (2022 Annual Fee Payment Verification for NCC215249-
2022)
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/17/2022 11:20 AM
• The task was assigned to DEMLR NCG01 Annual Fee Team. The due date is: October 12, 2022 5:00
PM 8/31/2022 1:09 PM
Submit by Holloman, Tevye L 10/19/2022 10:17:23 AM (NOD Review Step - 2022 Fees)
F Margaret R. Pardee Memorial Hospital
• Holloman, Tevye L assigned the task to Holloman, Tevye L 10/19/2022 10:16 AM
The task was assigned to DEMLR NCG01 NOD Team. The due date is: December 16, 2022 5:00 PM
10/17/2022 11:21 AM

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NORTH CAROLINA
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Certificate of NCC215249
Coverage (COC) No.*
NC Reference COC NCG01-2021-5249
No.*
Permit Status: Active
This status is updated (not passed from Payment Form)
Already Rescinded? Look -up re -checks this date (it is not passed from the Payment Form)
Project Name* Pardee Partners ASC
Project Address* Boylston Hwy, Mills River, NC
Permittee* Henderson County Hospital Corporation
County Henderson
Invoice No.* NCC215249-2022
Annual Fee* $ 100.00
Invoice Date* 9/1/2022
Invoice Due Date* 10/1/2022
Date NOD sent for no 10/17/2022
payment*
At the time non -receipt was recorded and the NOD was sent, the payment was 16 days overdue. At that time, the permit
status was Active. The fee status remains PAST DUE unless resolved at this review step.
Permittee E-mail*
[e-mail]
(Where NOD letter was sent)
Permittee E-mail
[e-mail]
(Current) *
Looked up again in case there have been changes.
CONFIRM Permittee
[e-mail]
E-mail *
Opportunity to modify problem e-mail address or legally responsible person
Site Contact E-mail*
[e-mail]
(Where NOD letter was sent)
Site Contact E-mail
[e-mail]
(Current) *
Looked up again in case there have been changes.
CONFIRM Site
[e-mail]
Contact E-mail*
Opportunity to correct problem e-mail address or site contact info

Billing E-mail [e-mail]
(If available)
Billing E-mail [e-mail]
(Current) (If available) Looked up again in case there have been changes.
CONFIRM Billing E- [e-mail]
mail Opportunity to correct problem e-mail address or billing contact info
Billing Telephone No. 828-696-1000
Additional Billing Contact E-mails
Additional E-mail for
CC:
Days Overdue 18
This is how many days overdue the fee is now (at NOD review).
Days Since NOD 2
Sent* Wait 30 days before proceeding to NOV.
Has Payment Been Payment has been resolved (PAID).
Resolved?* Payment has been resolved (WAIVED).
NO. Payment has not been resolved (PROCEED TO NOV).
Date Payment 10/19/2022
Received or
Resolved *
Method of Payment* electronic
check
other
Check Number* 618167
Fee Status* PAID
Compliance Review 10/19/2022
Date *