HomeMy WebLinkAboutSW8931105_Compliance Evaluation Inspection_20210209STATE OF NORTH CAROLINA, Department of Environmental Quality,
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 (910) 796-7215
FILE ACCESS RECORD
DEQ SECTION: � L � ar
REVIEW TIIv>E /DATE : f
�W AX
C o
NAME: 4&.a kN&&_r' kc Kit iAdna rck
ENTAIL: CjCMn aJd 61
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REPRESENTING: — -
PHONE:
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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 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.
T'
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.
FILES MUST BE KEPT IN ORDER YOU FOUND THEAL '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
large plan copies can be scheduled with Cameron.Weaver^ncdenr.gov 919-796-7475 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
Y Y } 2
can be contacted to set up payment options Written queshonsmay be left aVtt11 completed forian�:ataff
imember:"will °ijac1aSi�taci w�tl� o>r ii+` you provide_y .ur .contact mfQiFm8tron. wlr�re �n icatea_above
7. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and collected for checks on which
payment has been refused.
FACILITY NAME
2.
COUNTY
Aw�__
Signature and Name of Firm/Business Date MM/DD/YY Time In Time Out
COPIES MADE PAID INVOICE
G:/ADM/Shared/File Review Access Form rev 2018
STATE OF NORTH CAROLINA, Department of Environmental Quality,
127 Cardinal Drive Extension, 'Wilmington, North Carolina 28405 (910) 796-7215
FILE -ACCESS RECORD
DEQ SECTION:MCI, a:y�E$r, REVIEW TIME / DATE:E
..ram, "• ` •'�'�_ RL .E �. '6'�� �� .,,y.'i:
NAME: �'
�.�,e • '� ,,`..:.t�,z .� EMAIL: -�• � H
REPRESENTING: 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:
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 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.
CAMA Maior Pefrriits are issued out-of-the.Morebead City Dkitrir..t offini..
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
$500.00. No briefcases, large totes etc are permitted in the file review area
6. ` Necessary large plan copies can be scheduled with Cameron.Weave.rrciincdenr.E>ov 919-796-7475 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 up payment options. Written questions may be. left -with this completed foam and &.ataff
membeX,wil}•be in contact with yop IF you provide your contact infortgaaiion where indicated above.
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
c ` �' i.`.�.w; Q
2.
3.
4.
Sifnature and Name of Firm/Business D e D/YY Time In
COPIES MADE PAID INVOICE
Time Out
G:/ADM/Shared/File Review Access Form rev 2018
STATF OF NORTH CAROLINA
Department of Envu`a=mt ll and Natural Resources
127 Cardinal Dnve Fsxtensma
Wliinagtan, Naxtb. CaxoBw 28405
(910) 796-7215
FILL AC US JEtECQ"-
SECTION
TIN15DATE
NANM
REPRRSENTING
_Gt�.cit es far Access: The staff of Vilmfigbn bgionai Office is dedicsied to making guNiic records in
our custody readily avaB.ahlo to the public for review and copying. We also ba-ve the responsibility 1D the
public to safeguard two recortbs and to c axry of t our day& -day grog m obWoms. Pleasa :tad
carefully thsfoiiowmggu3deiines signingihe farm
1. Due to the large public d and for file access, we request t eyou call g least a day 4
adm= to schedule sa appobfwn t to review the files. A,.,p, t AtDaen WM be sched-aled
between �:Ooam and 3:00nm. V'iewhgth= ends at 4-45pm e Orr dglyftvait an
Woimt e.ut moray view the Mes to the extent that time aztd staff sp�trexvision fs ttt�al}le.
2. Yoa mast specify Mes you want to review by faeziiiy, nanne. The nmuber Of files that you
mayraview at one tame wff be limited to five.
3. Yoa maymab copies ofa. file w' bmthe copier is not ita use by the staffand if time permtts-
Costper copy is $.05 cents. Past may be made by check money order, or eah at the
reception desk. ponies totalke X 00 or more can be invole ed for voux tonye9enee.
4- F[F.E► S MST AE UFT 1N 9RDFR Y6i7 Rt?� T.l M' Files may not be tami tore.
fibe ice.- To mmove, aster, deface, fie, or desttoy material in one oft = files is a
misdemeanor for which you can be fined up to $500.00. N lariefcases large totes at ate
pemritted in the file review area.
5. In accordanoe with. GEneral Statae 25 3-512, a $25.00- processing fee will be charged and
COiiectDIfot checks On %tiGhpaymenthas beenrefase&
FA.CTL�TY NAME COUNTY
�9swR
4
rr [
Sig�a and Name ofFhiftsIAM Date
Please attach a bat* ca d o this for"rrb
COPIES MADE � PAID
S:�Be, access
ell
Timeln 'lime OUt
INVOICE
C'oOle-
STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
(910) 395-3900
FILE ACCESS RECORD
SECTION % / Gam% ?p w�
TIME/DATE SW
NAME 0730
REPRESENTING
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. Please call at least a day in advance to schedule an appointment to review the files.
Appointments will be scheduled between 9.00am and 3.001)m Viewing time ends at
5:00pm. 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.
Conies of 25 or less are free 26 or more require Payment in full for all copies made at 10
cents a copy; Payment may be made by cheek, money order, or cash at the reception
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.
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
2.
3.
4.
5.
SigB
nature and Name of Firmusiness
Please attach a business card to this form
Date x
COUNTY
Time In Time Out