Get the free NC DHSR CONST: Statement of Deficinecy

PRINTED: 08/09/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

How to fill out nc dhsr const statement

How to fill out nc dhsr const statement

1. To fill out the NC DHSR Const Statement, follow these steps:
2. Start by providing the project information, such as the project name, location, and owner's name and address.
3. Specify the type of construction project, such as new construction, renovation, or addition.
4. Indicate the estimated cost of the project and the proposed completion date.
5. Provide a detailed description of the project scope, including the specific work to be done and materials to be used.
6. Identify the project architect or engineer and provide their contact information.
7. Answer the questions regarding site disturbance, erosion control measures, and stormwater management.
8. Fill out the section on licensing and certifications, including the contractor's license number and any additional certifications needed.
9. Provide information on compliance with applicable building codes and regulations.
10. Sign and date the form to certify the accuracy of the information provided.
11. Submit the completed NC DHSR Const Statement to the appropriate authority for review and approval.

Who needs nc dhsr const statement?

1. The NC DHSR Const Statement is needed by individuals or organizations involved in construction projects in the state of North Carolina.
2. This includes contractors, architects, engineers, and project owners who are undertaking construction, renovation, or addition projects.
3. The statement serves as a comprehensive document that outlines the details and scope of the project, as well as the necessary compliance and licensing information.
4. It is required to ensure that construction activities in the state adhere to the applicable regulations and building codes.

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What is nc dhsr const statement?

The NC DHSR Const statement is a statement of construction form required by the North Carolina Department of Health and Human Services for certain construction projects.

Who is required to file nc dhsr const statement?

Any individual or entity undertaking a construction project that falls under the jurisdiction of the North Carolina Department of Health and Human Services is required to file the NC DHSR Const statement.

How to fill out nc dhsr const statement?

The NC DHSR Const statement can be filled out online through the department's website or submitted via mail with the required information about the construction project.

What is the purpose of nc dhsr const statement?

The purpose of the NC DHSR Const statement is to ensure that construction projects comply with health and safety regulations set by the Department of Health and Human Services in North Carolina.

What information must be reported on nc dhsr const statement?

The NC DHSR Const statement must include details such as the project location, scope of work, estimated cost, contractor information, and compliance with state regulations.