SW8060847_Compliance Evaluation Inspection_20191113 (2)

STATE OF NORTH CAROLINA
Department of Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina. 28405
[phone]
FILE ACCESS RECORD
DEQ SECTION: REVIEW TIME / DATE:
NAME: QL_0---J A"jW EMAM:
REPRESENTING: Il 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:
I. 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.
3. You may make topics of a file when the copier is not in use by the staff and if time permits. Cost per copy is
$.05 cents. Payment maybe made by check, money order, or cash at the reception desk.
4. PILES 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. Necessary large plan copies can be scheduled with [e-mail] 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. .-n i A Questions may be left with
this coleted. form; And a •sfaff memb-441. be in contact with yon. IF you provide your contitet
i64�tion Air- a ndicateii 40o
6. 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
0�%7
2. L
Signature and Name of Fir usiness Date
COPIES MADE_ PAID
. b6
Time In
INVOICE
ltss-
Time Out
G:/ADM/Shared/File Review Access Form rev 2018

STATE OF NORTH CAROLINA
Departmeut of Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD 1
DEQ SECTION: `'� REVIEW TIME / DATE:
NAME: © f;­ EMAIL: (� ,
REPRESENTING: PHONE: Zt
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:
I. 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.
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.
4. FILES MUST BE ITT 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.. Necessary large plan copies can be scheduled with [e-mail] 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 heft with
this: completed, forin aiad a stall .met b r wai% bd in contact with you IF you provide your contact
infodon where indiea&d above;
6. 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.
FACII.ITY NAME COUNTY
cn(A2.y1 AJ L/
F1
4.
Signature Md Name of Firm usiness Date
COPIES MADE �_ PAID
3.,"^
Time In
INVOICE
Time Out
G:/A.DM/Shared/FUe Review ?access Form rev 2018

t�
1
STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION
TIME/DATE 1 %,r��/CC� c�, -
NAME
REPRESENTING k
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 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 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
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. 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
1. Z jWA NO71,147
2.
3.
4.
5.
Signa a"amef ess Dat Time In Time Out
Pleas attach a business car t th' form
COPIES MADE PAID INVOICE

STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION 5\_ R
TIME/DATE f7 A ha cQ Ran
NAME nk'
REPRESENTING I)k
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 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 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
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. 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
1. 5\41 0� ��� 7 K !
2.
3.
4.
5.
'5/1 42-
Signature and ame of Firm/Business Dak Time In Time Out
Please attach a business card to this form
COPIES MADE PAID INVOICE

STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION - 1591?
TIME/DATE E% m1 x. (r - r D awn'
NAME -14R VK lf.Y�
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. 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.
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
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. 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 2.
3.
4.
Signature and Name of Firm/Business Date
Please attach a business card to this form
COPIES MADE PAID
Time In
QLYS) U"
Time Out