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HomeMy WebLinkAboutSW8051112_Compliance Evaluation Inspection_20230802STATE OF NORTH CAROLINA, Department of Environmental Quality, 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 (910) 796-7215 FILE ACCESS RECORD DEQ SECTION: FMLg REVIEW TIME / DATE: I 1 12 NAME: 1Wa, �-j COY `(\ eY EMAIL: 6� cu REPRESENTING: PHONE: ft . a1 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 3.00pm 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. e is. in Vie. 4. You may make copies of a file at $.05 per copy. First 100 copies at no charge. Payment may be made by check or money order at the reception desk. You may also scan to email or a thumb drive. 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. You may take photos of large plans with your phone camera. Necessary large plan copies can be scheduled with Cwneron.Weaver@,ncdenr.gov 910-796-7265 for a later date/time at an offsite location at your expense. Requests for large plan copies should be attached on top of the file after completion of the review_ Allways Graphics can be contacted to set up payment options. 7. Written questions may be left with this completed form and a staff member will be in contact with you IF you provide your contact information where indicated above. 8. 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 Svc 15 VL 2. 3. U �,��' `• ��C �?ff / Via` Z �Z®Z 3 ® Signature and N e of Firm/Business Date MM/DD/YY Time In Time Out COPIES MADE 4 PAID INVOICE Q/ADM/Shared/File Review Access Form rev 2022 \erns srTv\ d� STATE OF NORTH CAROLINA Department of Environmental and Natural Resources 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910) 796-7215 FILE ACCESS RECOIf D SECTION e ' TD&DATE NAME REPRESENTING F 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 eany out our day-to-day program obligations. Please rear} carefully the fD]IOWMg guidelines signing the form: 1. Due to ihe large public deman d for file access, we request that you call at least a day in advance to schedule an appointment to review the files. will be scheduled between 9.' am and 3:00ym. Viewing titme ends at 4:45pm A h vone arriving wi�ihont an appoh tmeut may view the files to the ext t that time and staff suroeryWou is avlikble. 2. You: must specify files you want to review by faefite Rame_. The number of tiles that you. may review at one thne will be limited to five. 3. You may make copies of a file when the copier is not in use byte staff and if time permits. Cost per ropy is $_05 cents. Payment may be made by cheek. molney order. or cash at the rention desk. Copies totalling $5 00 or more can be invoices for yowr eonyeniei�oe. 4. FILES 141CIST BE lf�g T IN ORDER YOII FOUND THEIYl, >?iles may not be taken from i he office. To remove, alter, deface, mutilate, or destroy material in one of these Iles is a misdemeanor for which you can be fined up to $500.00. No briefcases, large totes, etc. are ggpjtted 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 3, S' a and Name of Fir&Bwin ess DO Time in Time Out Y e attach a bwbwss card to dyls form COPIES MADE PAID Il9VCICE S:Admzn.flk access `1Prw%e-'\ STATE OF NORTH CAROLINA Department ofEnvironmental and Natural Resources 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910) 796-7215 FILE ACCESS RECORD SECTION - Jbvj Z S LJAIle—f` TBVM/DATE U e d0 i S�•-lo• NAME mli c' i e 3 n ne 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. bn-- S. I( (An 3t c k 3. (- cam-►, C-r A-►v P�- 112.. L4_ n 5 w i G-- 4, t.��e . •. .'` � � s^4 ° E • 1. �. Signature and Namkof Firm/Business Date y Please attach a husirzess card to this form Time In g Time Out COPIES MADE PAID INVOICE STATE OF NORTH CAROLINA Department of Environment and Natural Resources WIRO Regional Office FILE ACCESS RECORD SECTION SWP DATE/TIME IO NAME. REPRESENTING Guidelines for Access: The staff of the Regional Office is dedicated to making public recordsh 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 before. signing the form. 1: Due to .the large'public demand_for file acc�s}, we request that you-'call"at least a day in advance to schedule an appointment for file review so you -can be accommodated. Appointments are scheduled between 9:00 a.m. and 3:00 P.m. Viewing time ends at 4:45 R—m. Anyone arriving without an appointment may view the files to the extent that time and staff supervision are available. 2. You must specify files you want to review by facility name or incident number, as appropriate. The number of files that you may review at one .armointment 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. There is no charge for 25 or less copies cost per coQv after the initial 25 is 2.5 per copy, Payment is to be made by check, money order, or cash in the administrative offices. 4. Fides must be kept in the order you received them. Files may not be taken from the office. No briefcases, large totes. etc. are permitted in the file review area To remove, alter, deface, mutilate, or destroy material in public files is a misdemeanor for which you can be fined up to $500.00. 5. In accordance with GS 25-3-512, a $25.00 processing fee will be charged and collected for' checks on which payment has been refused. 6. The customer must present.a photo ID, sign -in, and receive a visitor sticker prior to reviewing files. FACILITY NAME COUNTY 1. I rszCI CO AV_ Y10.20a SW 11 O511 I3. 2. 3. 4. 5. - 33 Signature/Name of Firm or Business Date Time In Time Out (Please attach business card to form if available) Copes. Amt. Pd: