SW8950506_Compliance Evaluation Inspection_20171128 (2)

STATE OF NORTH CAROLINA
Department of Environmental Quality
127 Cardinal Drive Extension
Wilmington,North Carolina 28405
[phone]
011
FILE ACCESS RECORD
SECTION L SIA] +0
TIME/DATE 3 I Ifag-
NAME � cows N L�
REPRESENTING (+IT
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.
FACILITY NAME COUNTY
1. &A 51)CI
2
3.
4.
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Signature and ame of Firm/Business Date Time In Time Out
Please attach a business card to this form
COPIES MADE . PAID INVOICE

STATE OF NORTH CAROLINA
Department of Environmental Quality
127 Cardinal Drive Extension
Wilmington,North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION
TIME/DATE '( 1131 ( ? QQ
NAME S01`J
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.05 cents for copies. Payment may be made by check,money order,or cash at the
reception desk. Conies 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.
FACILITY NAME COUNTY
1. hc60 n11/
2. , ?5/
3.
4.
5.
"0?0 it - e?612.4 el. C
r ^
Signature and Name ofFirmBusiness Date Time In Time Out
Please attach a business card to this form
COPIES MADE PAID INVOICE

S 4 OF NORTH C&OLIN .
, Depattaat aflinyfrozetettg torearatral R.esonigoes •
. 127 Cereal D. t Itkosice
W tgton,N'a emits 28405 '
[phone] .
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• • 3, • You inv rob.copies a€a e .to oopierzs tot itso byto staf sirliftitvpmts. •
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r? o dew ask e b ng. or mare c .bein�oh ►r: x.cem oe..
te ems:•To mom iltit+ ItatIsiD,of cloptioy-tiatadal in aye oftesefites is 4 •
mialsopeor for whirb.you .be fined la.to t500.00.N`o Wen,1 et.aft)- .
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COPIES MADE, v P. INVOICE- , .
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