SW8040214_Compliance Evaluation Inspection_20180111

STATE OF NORTH CAROLINA
Department of Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina. 28405
[phone]
F ,E ACCESS RECORD
DEQ SECTION: L in � REVIEW Tnv1E / DATE:
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NAME: 12 iA N F I S) C EMAIL:
REPRESENTING: f h K A». 1.5
PHONE: 7 I I
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 conies of a file when the r.nniPr k nnr in mo- tit: flip etaff ..A ;f f;
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, lame totes etc. are permitted in the file review area
S. 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. Wriificten Questions may be Deft vPithh
tiui coal feted form and 1a staf . ttej4be :rv>i�l be in contact with you IF you provide your -contact
iifoamatai��w`here ;inilicaCedabo�ve
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.
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Signature and Name of Fri�_��Usiness Date Time In Time Out
COPIES MADE PAID INVOICE
G:/ADM/Shared/File Review Access Form rev 2018

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STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION I DALA� S LJ
TIME/DATE �{ Z o 3 2.
NAME NNa� n x is
REPRESENTING Gp
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 $.05 cents. There will be no fee if the total calculated charge is less than
$5.00. 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, lame 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. O4o21y iie-1^'�20/� _eu!110�
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4. 400 12-0 " `6 :QLA ftr�c corer ores !I II
Signature and Name of Firm/Business Date Time In Time Out
Please attach a business card to this form
COPIES MADE PAID INVOICE
S:Admin.file access