Only organizations that are regulated by NCDENR are eligible for participation in the ESI.

All sections of this application should be completed. Information provided in the application is available to the public. If there are confidentiality issues please contact an ESI team member at esi@ncmail.net.

· Items with an asterisk (*) are required before moving on to the next page

You can save your data and come back to the application at any time. You may exit by either closing your browser or clicking the "exit survey" link. When you reopen the report, it will open to the point you left it.

· Once you press the "Done" button at the end of the application you will not be able to access the data again from the website.

· The Environmental Partner level can have multiple sites apply under one application.

· If you have multiple facilities and do not wish to use this electronic means of entering your data, you may download the application in Microsoft Word 2009 Partner Application.

· The Appendices at the end of the Microsoft Word application have definitions, example goals, and a functionally equivalent checklist 2009 Partner appendices .