NCS000515_OWS Inspection_20200921

TOWN MANAGER
Ken Deal
TOWN CLERK
Pamela Mills
TOWN ATTORNEY
Tom Brooke
TOWN OF CHINA GROVE
STORMWATER MANAGEMENT
Oil Water Separator (OWS)
Inspection Record
Date & Time of inspection:
Inspector's Name:
Signature:
Checklist
❑ Yes ❑ No Is the OWS accessible?
MAYOR
Lee Withers
TOWN COUNCIL
Arthur Heggins
Brandon Linn
Rodney Phillips
Charles Seaford
Steve Stroud
❑ Yes ❑ No Is the area free of signs of overflow?
❑ Yes ❑ No Are all drains in the OWS free flowing with no water back-up?
❑ Yes ❑ No Are all drains free from obstruction?
❑ Yes ❑ No Is the discharge free of visible signs of oil or debris?
❑ Yes ❑ No Has the facility posted appropriate warnings about the proper use of the
OWS?
333 N Main Street, China Grove, NC 28023 1 Phone [phone] Fax [phone]
The Town of China Grove does not discriminate on the basis ofage, sex, religion, national origin, disability, political affiliation or marital status.

Corrective Action Taken
Briefly describe any corrective action taken.
Date the Corrective Action Completed:
Photos
❑ Yes ❑ No Were photos taken before and after corrective action for training
purposes?
333 N Main Street, China Grove, NC 28023 1 Phone [phone] Fax [phone]
The Town of China Grove does not discriminate on the basis ofage, sex, religion, national origin, disability, political affiliation or marital status.