SW8021017_Compliance Evaluation Inspection_20181127

STATE OF NORTH CAROLINA
Department of Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS UCO" `1 _� 3
)Et SECTION. � m REVIEW TIME / DATE:
NAME: AL L EMAIL:
REPRESENTING: i�'ij,� ' n,4 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:
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
$.05 cents. Payment may be made by- check, money order, or cash at the reception desk.
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.
j:. 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. Wrifteii'6iiestiobs may be left with
this: 6oitrplete"d. form. and �a:stalls, ' inber vviIR bi, in cmiitact. *with -y®u. Il{• you provide. your eontact
infoi:riiaCiori where indicated alhove
6. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and collected for checks
on which payment has been refused.
FACILITY NAME COUNTY
,K&� Ce. Izq ll1[$
,
Signature and Name o Firm/Business Date 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
[phone]
FILE ACCESS RECORD
SECTION J g '.- `'
TIME/DATE
NAME
REPRESENTING //1 C �/ 4 i`r` mil 4L 7-3
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 .05 cents for copies. Payment may be made by check, money order, or cash at the
reception desk. Copies totaling $5.00 or more 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.
COUNTY
4.
5.
Signature and Name of Firm/Business Date Time In Time Out
Please attach a business card to this form
-
COPIES MADE PAID INVOICE