SW8070303_Compliance Evaluation Inspection_20180822

STATE OF NORM CAROLINA
Department of Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
n / TILE ACCESS RECORD DEQ SECTION: Yt� m`�`� �1N REVIEW TM E / DATE:1-10
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NAME: EMAIL:
REPRESENTING: (Z__1AV q u 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 bv. 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.
5: Necessary large plan copies can be scheduled with Cameron.Weaver@nedenr,gov 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 Questiohs may be left with
this completed form .and a staff member will: be in contact: with you. IF yoti provide your contact
information where indicated 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.
FA=Y NAME
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Signature and Name o trmB siness Date
COPIES MADE. f2 PAID __,641 _
Time In Time Out
INVOICE
GJAM&Shared/File Review Access Form rev 2018

STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
WIRO Regional Office
FILE ACCESS RECORD
SECTION SWP DATE/TIME a
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.
I - Due to the large public demand_for fie acces , we request thet 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
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.
I-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 copy 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. Files must be kept in the order you received them. Files may nbt 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
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3. t i..h t .
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Sig ture/Name of Firm or Business Date Time In Time Out
(Please attach business card to form if available)
Copes. Z— Amt. P