SW8000408_Compliance Evaluation Inspection_20160808

STATE OF NORTH CAROLINA
Department of Envka mental.and Nataral Resources
127 Cardinal Drive Extension
Wilmington,North Carolina 28405
[phone].
MLE ACCESS REC�R�
SECTION
TIMEIDATE _
NAla
REPRESENTING
Guidelines fDrAccew. The staff of WRMin ton Regional Office is dedicated to making public records m
our custody readily avaBable to the public for review and copying: We also have the reVonsibility to the
public to safeguard these records and to carry out om day:today program obligations. Please read
carefully the following guidelines Signing the form:
I. Due to the large public demand for Me access,we request that you WE at least a day in
adnmx to schedule an.appointsneartto review16 files. ART)oin�wM be scheduled
befteu 9-04sum and 3:00na Viewing t6me ands.at 4:45pmuYane arriving Dart am
a. omtment mayview the files to the extent &at time and ff s rwisiaan is available.
2. You must specify files you want to review by facility name. The number of files dzat you
may review at one time will be limited to fcve.
3. You may males copies of a f e;when the copier is not in use by lie sty and if time permits_
a Muria by check 1Ilg—order,Or Cash dt the
Cost per copy is$.05 cents.Pa be ylues�,tea r w.,.�.
reception dest copies to '. $5 00 or more can be inyoiced for Your eonYenrence.
4. MUST BE I�1Px IN ORDER YOU FOU '-Nh'Files may not be take:a from
the office. To rgmove,alter,deface,mutate,or destroy material in one of theme flea is a
misdemeanor for which you can be fined up to$500.00. No briefcases L+ totes,etc.are
pence in the file review area.
5. In aocordauoe with General Statue 25.3-512,a$25.00 processing fee will be charged and
collsc -fbr checks on which payment has been refused
FACII ITY NAME COUNTY
2. � t�Li �7
3. _.
4.
Signature and Name of Fo/i3usiness Date . Time In Time Out
please attach a bwbv—card to its farm
COPIES MAM PAID nrOICE.
S:Admin.fk access

STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
WIRO Regional Office
FILE ACCESS RECORD
SECTION SWP DATE/TIME l�/� 1�
NAME �� ����� REPRESENTING ����•� ,•- �`�
Guidelines for Access: The staff of the Regional Office is dedicated to making public recordsin 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_me. access, we �equest.that you'call at least a'day in !
advance to schedule an appointment for file reviow so you can be accommodated.
Appointments are scheduled between 9:00 a.m. and 3:00 p m Viewinq time ends at 4:45
p.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 appointment will be limited to
five.
-3.- You may make bopies 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 copy after the initial 25 is 2.5 Der copy.
Payment is to be made by check, money order, or cash in the administrative offices.
4. Files must be kept in the order you received them. Files may not be takers 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
117
2.
3.
4.
5.
Signature/Name of Firm or Business Date Time In Time Out
(Please attach business card to form if available)
# Copes:--,. Amt. Pd.