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HomeMy WebLinkAboutSW8040836_Compliance Evaluation Inspection_20220420STATE OF NORTH CAROLINA, Department of Environmental Quality, 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 (910) 796-7215 FILE ACCESS RECORD DEQ SECTION- `"- G Z r" { a f REVIEW TINE/ DATE NAME: 6€ f ' EMAIT CI F, �. 5 REPRESENTING: i `°c`i -� `cam., +� �'' ` PJN Lmet.L�-'z_m C-10- IvN 2 r y PHONE: qt0) Guidelines for Access: The staff of Wil gton king pulic records in Our available to the public for review and copying. Wealalso have the responsibility t:nal'Offlce is dedicated to �safeguard public to safe uard these eco rd readily out our day-to-day program obligations. Please read carefully the followingos and to carry guidelines signing the form: 2 3i. 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 ODam and 3 OOpm Viewing time ends at 4:45pm. An one arrivin without an aimintment mayview the files to the extent that time and staff su ervision is available. 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. 4. 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 S-05 cents. Payment may be made by check, money order or cash at the reception desk 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- `.;;• :.. -Necessary large plan copies can be scheduled with Camero.n.Weayer cdenr aov 919-796-7475 for a later date/time at an offsite location at your expense. barge plan copies needed should be attached on top of the file. Allways Graphics can be contacted to set u a p Written _ - - p payment options. questlons May be le[t with the eampleted foiin and a .staff �bei:ilf lie in ctaet`> ith'y meou IF you prude Y©.ur contact mfarmat�nnwhei'e lnd�cafea aboKe: 7. 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. LA) S t .� 3. r lgnaturc an Name of Firm/Business Date WDIXYY Time In COPIES MADE 2 q � PAID INVOICE GJADM/Shared/File Review Access Form rev 2018 D ! 30 Time Out STATE OF NORTH CAROLINA, Department of Environmental Quality, 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 (910) 796-7215 FILE ACCESS RECORD DEQ SECTION. REVIEW TIME / DATE : y�� j 4 %_ �— �' ��rj!!i NAME: EMAIL: c5 . CoM REPRESENTING: PHONE: No-) 51A 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; 4AIA. Maio`) eritiits:are i 4. 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. 5. FILES MUST BE KEPT_ IN ORDER YOU FOUND THENL 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. t .. Necessary large plan copies can be scheduled with Cameron.Weaver uucdenr.Qov 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. Writtenlquestiqns may be left ith this cu*pletedf0rm and`a ita.ff inemlter 3yilt be.in contact withyeu IIi' you proyrdeyour contact information where indicated above 7. 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 2. 3. 4. 5. Signature and Name of Firm/Business Date MM/DD/YY Time In COPIES MADE PAID INVOICE COUNTY Alk ar�G Time Out -V.Ojxcu� �,Wrf\ � cy-4-c- lz G:/ADWShared/File Review Access Form rev 2018 STATE OF NORTH CA.ROLINA, Department of Environmental Quality, 127 Cardinal Drive Extension, Wilmington, North Carolina 28405 (910) 796-7215 FILE ACCESS RECORD �,d • b� ��d f B�P a �� �r!� • t o �p'�6. DEQ SECTION: EL: 6' e%� r>/ '' ' • • a f�. %€ t" REVIEW TIME /DATE : � � � �` � �• NAME: ti� 1� P c� EMAIL: REPRESENTING: ' " PHONE: � � a� 6 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 3:0012m. 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 atone time will be limited to five. 4. 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. 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. -Necessary large plan copies can be scheduled with Carueron.Weavex. - ncdenr.y 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 setup payment optionns written gi>,estignrs.may a letff wifh th>rs completed fbr-.m attd a' stag emleT wilt hg KIP,; contact with you IFou praynde.ur)toittac infoprmat�o Where �ndneated above" 7. 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 1. �2WA C806" 2 5 -3 F3 Q 3. 4. COUNTY S t� kE Signa4tre and Name of Firm/Business Dale DD/YY Time In Time Outc 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 (910) 796-7215 FILE ACCESS RECORD DEQ SECTION: �� �@t' REVIEW TIME / DATE : " fJ l CON NAME: Alev, EMAIL: C C� '� _ C .; M cs'r rA , cow-% REPRESENTING: PHONE: � No) Z 145 -- 16 qg Guidelines for Access: The staff of Wilmington Regionaf 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: 2. 3. . 4. 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 arrivinLy without an appointment may view the files to the extent that time and staff supervision is available. 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. 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. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be Taken iioiu 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_ Necessary large plan copies can be scheduled with Cameron.Weaver zucdenr.!zov 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 qudstj�bits,.mhy be left kith this �o<mpld%.6 frm d.and a staff ineynhery ilF[e.ipxcortt ctwith ouIF,you,ptov�de-X©ur?cdntac� nf�imaho�iirvh�rernd�cated'above; 7. 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 f 2. f�.J e 3. 4. ii ignature and Name of Firm/B'usiness Date MNUlbDA'Y i f COPIES MADE 1'79 PAID I 0 W<, 7 E "All Time In Time Out INVOICE GIADM/Shared/File Review Access Form rev 2018 STATE OF NORTH CAROLINA Department of Environmental Quality 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910)796-7215 FILE ACCESS RECORD SECTION r ti TIME/DATE p • 3 Q NAME REPRESENTING amiss 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. arc permitted in the file r:;view area. 5. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and collected for checks on which payment has been refused. FACILITY NAME COUNTY 1. 0 4 Q y Sh. 1J 2. 3. Si ture d N e of Fi:inBusiness Please attach a business card to this form COPIES MADE PAID Date Time In INVOICE Time Out STATIZ OF NORTH CAROIX*a Departaxt of FA.*omAdd and Natural R wotm 127 Cardinal Dtiw RKwnwxL W&6n4 North Caxoffm 29405 (910) 796=7215 Flu ACaS9 RE= SBCTION 151, 1, It GttitlejWm trAccess: Mo sta#f of g% is ded d tct 71T pttl?Iic recaxcl 3zt oz mtu odyroo, yr &W&WOto the PO)HO forrcview gad copying: also bave the respotrsiti y the lrulxllc to safeguard Thesex,�cotds and tD =7 out our dayto-clayArog m d>ligatim. PIwO feed mebuyIfflefolfowinggOA(-, ia% ms=gfhe fora: 11 Do t0 to Ivpp hedwmd faT:ffe acom, roqawt 64tym 04 4 EGO 4 im adwwB to, sahed a an appoi aneDt fiC3 r��7te�tlte files. M�0 ftfs •4F if sC 7I� �e�rst �:44am anc��;0_ Qb>tt.. giewjn$ time SIG at 4 45�n. �.�. rripin Qit� �i g�,e� fgta'� flxe�s fo �� �e�.ttllat �me and sumex�isi�f8 $b�. 2. Yotxmmtspadk files yaawaxtto redowky kP' M—m no n=ba of Utat yaU yxe�riew at ow*oo wabe 1 ted to 3, Xor�zaay'MbW&S ofa€ o whmte mpier-s not useliy'U mf difttmsP=ft. Cot per wpy is US m ft. Nymed Mg e&B Rio ortter or ead at the r iaru dew % kt f g �5 � or mare ca be ink for vnwr eon�aa%e 4_L 1+ST` $EE�2N �RiDT< Y�iDU1T�'� Pies map notbe tam ftam if�e efts' 'po r a , aJt deface, �Y in cue oftbesse files is a �rfoxwl�you.csn-beffaedro�ta$540.40. I+To�fefr #,arms ete atie• esed in the �e teeew arm. 5. k sa=Y lance w& good S 25 3-512, a $i5.a0-processing fee vvM be &wVd and �olzec�edi� �.edss an which; paynte� Tres bey-reid. signtme ax dl ante afP L 3usirces Date Tiuze `1= out NO= 00Wh ahudnm=-dto ftAm CoPIM MADE ty PAD-� INVaSG-B n STATE OF NORTH CAROLINA Department of Environment and Natural Resources WIRO Regional Office FILE ACCESS RECORD SECTION Sil1JP DATE/TIME 3 NAME REPRESENTING 3! Guidelines for Access: The staff of the 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 before 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 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 a.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 copies of a file when the copier is not in use by the staff and if time permits. There is no chame 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 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 misdemeenor 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— 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: tu.PG f ri; q,ee,67 STATE OF NORTH CAROLINA 2 1�0I l?e✓4d. 0 Department of Environment and Natural Resources Ck.Alle 4s� WIRO Regional Office Z P213 FILE ACCESS RECORD 6 423 SECTION SWP DA T EMME I 12-ZIO q � NAME R D n e U 0 ceo REPRESENTING L0 P 6 1 n. 6, '70q-11Z-7-�OaZ? Guidelines for Access: The staff of the Regional Once 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 before 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 for file review so you can be accommodated. Appointments are scheduled between 9:00 a.m. and 3:00 P.M. Viewina 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 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 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. 2. 3. 4. ----- 5. /)� QJ_2_'& S�nreOF�of Firm or Business D t Time In. Time Out ar�n usiness cam to form it available) # Copes: Amt. Pd: % STATE OF NORTH CAROLINA Department of Environment and Natural Resources WIRO Regional Office FILE ACCESS RECORD SECTION SWP DATE/TIME I r 1 �D $ 10 NA E l r REPRESENTING w !'C D i G 5 0 Guidelines for Access: The staff of the 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 cany 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 access, 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 a.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 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 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 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. I FACILITY NAME //11 COUNTY T-MT'L 4-i ftPorT' 640 F0�049.0 - 2. - 3. 4. 5. rA Signature/Name of Firm or Business Date Time In Time Out (Please attach business card to form if available) # Copes: I Amt. Pd: 4C STATE OF NORTH CAROLINA Department of Environmental and Natural Resources 127 Cardinal Drive Extension Wilmington, North Carolina 28405 (910) 796-7215 FILE ACCESS RECORD SECTION _Surface Water Protection TIME/DATE , j Al I Q (p NAME off/ REPRESENTING 6 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. Please call at least a day in advance to schedule an appointment to review the files. Appointments will be scheduled between 9.00am and 3:00pmao Viewing time ends at 5:00pm. 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. Copies of 25 or less are free 26 or more require payment in full for all copies made at 10 cents a copy: payment may be made by check. money order, or cash at the reception desk. Copies can also be invoiced for vour 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. 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 y - / X K y Signature and Name of Firm/Business Date Time In Time Out Please attach a business card to this form COPIES MADE PAID jb' Invoice