SW8121104_COMPLIANCE_20191210

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 U l t aLi
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
2 l q► 2 1
YYYYMMDD

STATE OF NORTH CAROLINA, Department of Environmental Quality,
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 [phone]
FILE ACCESS RECORD
DEQSECTION: DEMLR REVIEW TIME/ (2.l10
NAME: Dana Lutheran
REPRESENTING:
EMAIL: [e-mail]
PHONE: [phone]
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 3:00pm. Viewing time ends at
4:45pm. Anyone arriving without an appointment may view the riles 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.
4. 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.
Payment may be made by check, money order, or cash at the reception desk.
5. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from 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
S500.00. No briefcases, large totes, etc. are permitted in the file review area.
ecessary large plan copies can be scheduled with Cameion. Wf averit�ncdencaov 919-796-7265 for a later date/time at
an offsite location at your expense. Large plan copies needed should be attached on top of the file. Allways Graphics
can be contacted to set uo oavment options. WrittenfuuestionsmaJ. he left with;atii, omnleted:firrmland.aestaff
7. 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
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Pender
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Signature and Name of Firm/Business Date MM/DD/YY Time In Time Out
COPIES MADE (3 PAID INVOICE
G)ADM/Shared/File Review Access Form rev 2018

2.
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5.
STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION DUO (X i J VV
TIME/DATE r
NAME Y}��1 'i �-�
REPRESENTING 61
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 3:00ym Viewing time ends at
4:45pm. Anyone arriving without an appointment may view the files to the extent that lime 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 2.5 cents
for ALL copies if you make more than 25 copies. There is no charge for 25 or less copies. Payment may be made by
check, money order, or cash at the retention desk Copies can also be invoiced for your convenience.
4. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from 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.
I
COUNTY
I,
A
Avedv 2�_? �-o
j
Signature and Name of Firm/Business Dat ✓ Tune In Time Out
Please attach a business card to this form
COPIES MADE PAID INVOICE