SW8990851_Compliance Evaluation Inspection_20181222

STATE OF NORTH CAROLINA
Department of Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION
TIME/DATE C(—
NAME �� l irh c,LZ4 fj
REPRESENTING M?U
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in our
custody readily available to the public for review and copying. We also have the responsibility to the public to
safeguard these records and to carry out our day-to-day program obligations. Please read carefully the following
guidelines signing the form:
1. Due to the large public demand for file access, we request that you call at least a day in advance to
schedule an appointment to review the files. Appointments will be scheduled between 9:00am and
3:00 m. Viewing time ends at 4:45pm. Anyone arriving without an appointment may view the
files to the extent that time and staff supervision is available
2. You must specify files you want to review by facility name. The number of files that you may review
at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits. Cost per
copy is .05 cents for copies. Payment may be made by check, money order, or cash at the
reception deskCopies totaling $5.00 or more can also be invoiced for your convenience
4. FILES MUST RE I£EPT IN ORDER YOU FOUND TUMM. Files may not be taken ;rota the
office. To remove, alter, deface, mutilate, or destroy material in one of these files is a misdemeanor
for which you can be fined up to $500.00. No briefcases, large totes, etc. are permitted in the file
review area. - -
5. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and collected for
checks on which payment has been refused.
FACILITY NAME COUNTY
I. ' � R$O� Q3 �7�(�s�
2.
3.
4.
5.
Signature and Name of Firm/Business Date Time In
Please attach a business card to this form
COPIES MADE PAID INVOICE
Time Out