SW8130501_COMPLIANCE_20140604

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 f 3 O S O I
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
2 014 0 6 04
YYYYMMDD

Pusey, Steven
From: Fisher, Ryan <[e-mail]>
Sent: Wednesday, June 04, 2014 3:48 PM
To: Pusey, Steven
Cc: Butch Lawter; Hammers, Karl; Gary Kilker ([e-mail]); Hank Butts
([e-mail]); Jimmy Washburn
Subject: RE: Inspections Burton Industrial Park Concrete Plant Permit #SW8 130501
Attachments: BMP Certification - signed_140604.pdf
Steve,
The BMPs (BMP 41 & #2) that we are certifying have been listed on the certification now.
Thanks,
Ryan Fisher, PE
Withers & Ravenel
115 MacKenan Drive I Cary, NC 27511
Phone: [phone] Fax: [phone]
Direct: 919.535.5175
[e-mail]
From: Pusey, Steven [mailto:[e-mail]]
Sent: Wednesday, June 04, 2014 3:29 PM
To: Fisher, Ryan
Cc: Butch Lawter; Hammers, Karl; Gary Kilker ([e-mail]); Hank Butts ([e-mail]); Jimmy
Washburn
Subject: RE: Inspections Burton Industrial Park Concrete Plant Permit #SW8 130501
One more thing. Can you reference that this engineer's certificate applies to both ponds 1 & 2? This can be done either
on the certification itself or via email letter.
Thanks,
Steve
From: Fisher, Ryan[mailto:rfisher(alwithersravenel.com]
Sent: Wednesday, June 04, 2014 3:16 PM
To: Pusey, Steven
Cc: Butch Lawter; Hammers, Karl; Gary Kilker (Gary. Kilker0stwcorp.com); Hank Butts (hank.butts(iilstwcorp.com); Jimmy
Washburn
Subject: RE: Inspections Burton Industrial Park Concrete Plant Permit #SWB 130501
Steve,
Attached is our engineer certification for this concrete plant.
Let us know if you need anything else.
Thank you,

Ryan Fisher, PE
Withers & Ravenel
115 MacKenan Drive I Cary, NC 27511
Phone:[phone] Fax:[phone]
Direct: 919.535.5175
[e-mail]
From: Butch Lawter [ma ilto:Butch @stwcorp.com]
Sent: Wednesday, June 04, 2014 3:11 PM
To: Fisher, Ryan
Subject: Fwd: Inspections Burton Industrial Park Concrete Plant Permit #SW8 130501
Sent from my iPhone
Begin forwarded message:
From: "Pusey, Steven" <steven.puseV ncdenr.eov>
Date: June 4, 2014 at 3:09:55 PM EDT
To: Butch Lawter <ButchCo)stwcorp.com>
Cc: "Hammers, Karl' <[e-mail]>, Gary Kilker <[e-mail]>, Hank Butts
<[e-mail]>, lames Washburn <[e-mail]>
Subject: RE: Inspections Burton Industrial Park Concrete Plant Permit #SW8 130501
Mr. Lawter,
Any luck getting the engineers certification on the ponds at this concrete plant? I conducted an
inspection and all looks compliant from a maintenance perspective. Now, we just need the engineers
certification and we can wrap this one up.
Please advise ASAP.
Thanks,
Steve Pusey
DEMLR
From: Butch Lawter [mailto:Butch (obstwcorp.com]
Sent: Monday, April 14, 2014 4:03 PM
To: Pusey, Steven
Cc: Hammers, Karl; Gary Kilker; Hank Butts; Pusey, Steven; James Washburn
Subject: Re: Inspections Burton Industrial Park Concrete Plant Permit #SW8 130501
Jimmy Washburn, our environmental compliance manager, will be contacting you regarding the
corrective measures and schedule.
I will check on the engineers certification.
Thanks
Butch Lawter
Sent from my iPhone

On Apr 14, 2014, at 3:43 PM, "Pusey, Steven" <[e-mail]> wrote:
No, that's fine. Actually, I made a mistake on the report. I meant to comment that we
need for you to submit a signed copy of the Engineer's certification for the BMPs,
namely Pond 1 and 2. A blank copy of the Engineer's certification form was submitted
with the permit.
Please excuse my mistake, and let me know if you have any questions about this issue or
anything else.
Thanks,
Steve Pusey
DEMLR
From: Butch Lawter [mailto:Butch(ci)stwcorp.coml
Sent: Monday, April 14, 2014 2:17 PM
To: Pusey, Steven; Hammers, Karl
Cc: Gary Kilker; Hank Butts
Subject: Inspections Burton Industrial Park Concrete Plant Permit #SW8 130501
The attached plat was recorded on May 20, 2013.. The plat shows the access easements
to BMP#s 1 and 2. Steven, is there something additional that should have been
recorded?
We have our ready -mix concrete operations manager, area grading superintendent and
environmental compliance manager on -site evaluating the repairs needed and the time
frame to complete them.
I will keep you both updated.
R. S. (Butch) Lawler, Jr.
Senior Engineer
<image001.jpg>
919-218-2834 (m)
(fax)
Mailing Address
P.O. Box 2408
Wilson, NC 27894-2408
252-291-5165(o)
Street Address
3801 Black Creek Road
Wilson, NC 27893
252-243-0901
The information in this email and in any attachments is confidential and may be privileged. If you are not the intended
recipient, please destroy this message, delete any copies on your systems and notify the sender immediately. You should
not retain, copy or use this email for any purpose, nor disclose all or any part of its content to any other person.

"
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 5, 2014
Mr. Henry Butts, Jr., Vice President
S.T. Wooten Corporation
P.O. Box 2408
Wilson, NC 27893
Subject: Notice of Inspection —Compliant
Burton Industrial Park— Concrete Plant for S.T. Wooten Corp.
Permit No. SW8 130501
Onslow County
Dear Mr. Butts:
John E. Skvada, III
Secretary
On May 28, 2014, staff from the Wilmington Regional Office of the Division of Energy, Mineral and Land Resources
(DEMLR) inspected the Burton Industrial Park Concrete Plant in Onslow County to determine the status of compliance with
the State Stormwater Management Permit Number SW8 130501, last modified on November 1, 2013. DEMLR file review
and site inspection revealed that the site is compliant with the terms and conditions of this permit. Please find a copy of the
completed form entitled "Compliance Inspection Report" attached to this letter, which summarizes the findings of the recent
inspection.
Please be advised that you are required to comply with the terms, conditions and limitations of your Stormwater Management
Permit under Title 15A North Carolina Administrative Code 2H .1003 and North Carolina General Statute 143-214.7,
including operation and maintenance of your permitted stormwater system. Violations of your Stormwater Management
Permit may be subject to the assessment of civil penalties of up to $25,000 per day per violation.
If the project has changed its name, ownership, or mailing address, it is your responsibility to submit a completed and signed
Name/Ownership Change form to DEMLR at least 30 calendar days prior to making the changes. Please include the name,
mailing address and phone number of the person or entity that is now responsible for this permit on the Name/Ownership
Change form.
If you have any questions, please contact me at the Wilmington Regional Office, telephone number (910)-796-7215 or via
email at [e-mail].
Sincerely,
Steve G. Posey
Environmental Engineer
Eric: Compliance Inspection Report
GDS\sgp: G:\WQ\Shared\ Stormwater\ Permits & Projects\ 2013\ 130501 HD\ 2014 05 CEI—Compliant 130501
cc: James Washburn, Environmental Compliance Manager— S.T. Wooten Corp.
Georgette Scott, Wilmington Regional Office Stormwater Supervisor
WiRO Stormwater File
Division of Energy, Mineral, and Land Resources
Land Quality Section — Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 • (910) 796-72151 Fax: [phone]

Compliance Inspection Report
Permit: SW8130501 Effective: 05/16/13 Expiration: 05/30/21 Owner: S T Wooten Corporation
Project: Burton Industrial Park Concrete Plant for S T
Wooten Corporation
County: Onslow, Burton Park Blvd
Region: Wilmington
Jacksonville NC 28540
Contact Person: Henry D Butts Title: Vice President Phone: [phone]
Directions to Project:
From int. of Hwy 53 & Hwy 24, hed NW on Hwy 24 for approx. 3 miles to int. of Hines Farm Rd east onto Hines Farm Rd for 1/2 mile to
Burton Park Blvd south on Burton Park 1000' to site entrance on east side of road.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (NEW RIVER) (03-05-02) (C;NSW)
2 - (NEW RIVER) (03-05-02) (C;NSW)
On -Site Rep,resentative(s):
Related Permits:
Inspection Date: 05/2812014 Entry Time: 11:00 AM
Primary Inspector: Steven G Pusey
Secondary Inspector(s):
Karl J Hammers
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
■ State Stormwater
(See attachment summary)
Exit Time: 12:00 PM
Phone:
Phone:
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW8130501 Owner - Project: S T Wooten Corporation
Inspection Date: 05128/2014 Inspection Type: Compliance Evaluation
Inspection Summary:
This project meets the minimum requirements for compliance with the permit.
File Review
Is the permit active?
Signed. copy of the Engineer's certification is in the file?
Signed copy of the Operation & Maintenance Agreement is in the file?
Copy of the recorded deed restrictions is in the file?
Comment:
Built Upon Area
Is the site BUA constructed as per the permit and approval plans?
Is the drainage area as per the permit and approved plans?
Is the BUA (as permitted) graded such that the runoff drains to the system?
Comment:
SW Measures
Are the SW measures constructed as per the approved plans?
Are the inlets located per the approved plans?
Are the outlet structures located per the approved plans?
Reason for Visit: Follow-up
Comment: Inlet configuration is slightly different than the plans due to not having
swales along the sides of the lot. Instead, drainage appears to sheet flow towards a
pipe inlet which leads to the forebay. It appears to be working fine, therefore no change
is required at present.
Operation and Maintenance
Are the SW measures being maintained and operated as per the permit requirements?
Yes
No
NA
NE
■❑❑❑
®❑n❑
■❑❑❑
❑❑N0
Yes
No
NA
NE
■❑❑❑
■❑❑❑
■❑❑❑
Yes
No
NA
NE
❑■❑❑
Yes No NA NE
■❑❑❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWQ ❑ ❑ ❑ ■
upon request?
Comment: The erosion at the outlet of BMP#1 has been repaired and fixed with riprap.
Other Permit Conditions
Is the site compliant with other conditions of the permit?
Comment: Broken concrete and washout debris has been removed from the drainage
area of BMP#2 and the drum washout area has been located at the site according to
the plans.
Yes No NA NE
■❑00
Page: 2

SMARTER TODAY
RECEIVED
MAY 01; 2014
April 30, 2014
Mr. Steve G. Pusey
North Carolina Division of Land Quality
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Subject: Notice of Inspection -Non Compliant:
Corrective Action Plan
S. T. Wooten Corporation Burton Industrial Park
Onslow County, North Carolina
Permit No. SW8 130501
Dear Mr. Pusey,
S. T. Wooten
Corporation
Following please find a response to your letter dated, April 8, 2014 concerning the inspection of
our concrete site located at the Burton Industrial Park.
1. The Engineering Certification:
a. Shots have been taken of the entire site with the exception of the pond. Due to
elevated water levels shots could not be taken. Therefore, weather permitting; the
remainder of the shots is scheduled to be taken on Tuesday, May 6, 2014.
1 trust certification will follow shortly after.
2. BMP 41:
a. This area has been repaired by placing riprap and new grass seed will be
established. This should eliminate the outlet from eroding downstream.
b. Future action: this area will be monitored on a weekly basis and after a rain event
to determine if this concern has been resolved before further action is taken.
I have attached a photo of this area for your convenience.
3. BMP # 2:
a. Discarding washout water in the area has stopped. This area has been cleaned and
concrete removed.
b. Action taken: The actions that caused this problem has been addressed and
corrected.

Continued, Burton Industrial Park
It's important to mention that it is not S.T. Woolen's policy to wash out trucks.
We use a product that stops the setting of concrete. The Delvo mixture remains in
the truck and concrete is loaded on this mix.
Therefore, it is not necessary to modify the permit to allow for a washout since
this matter has been corrected.
I have attached a photo of this area for your convenience.
Should you have any questions or require further information, please feel free to call me at your
convenience.
Karnes Washburn
Environmental Compliance Manager
12204 Cleveland Road, Garner, NC 27529
Cell: 252-290-5912; Office: 919-779-9752; fax: [phone]

WC
Pusey, Steven
From: Pusey,Steven
Sent: Monday, April 14, 2014 3:44 PM
To: 'Butch Lawter; Hammers, Karl
Cc: Gary Kilker; Hank Butts
Subject: RE: Inspections Burton Industrial Park Concrete Plant Permit #SW8 130501
No, that's fine. Actually, I made a mistake on the report. I meant to comment that we need for you to submit a signed
copy of the Engineer's certification for the BMPs, namely Pond 1 and 2. A blank copy of the Engineer's certification form
was submitted with the permit.
Please excuse my mistake, and let me know if you have any questions about this issue or anything else.
Thanks,
Steve Pusey
DEMLR
From: Butch Lawter [ma ilto:Butch (@stwcoro.coml
Sent: Monday, April 14, 2014 2:17 PM
To: Pusey, Steven; Hammers, Karl
Cc; Gary Kilker; Hank Butts
Subject: Inspections Burton Industrial Park Concrete Plant Permit #SW8130501
The attached plat was recorded on May 20, 2013.. The plat shows the access easements to BMP#s 1 and 2. Steven, is
there something additional that should have been recorded?
We have our ready -mix concrete operations manager, area grading superintendent and environmental compliance
manager on -site evaluating the repairs needed and the time frame to complete them.
I will keep you both updated.
R. S. (Butch) Lawter, Jr
Senior Engineer
�
S.T. Wooten Corporttion
919-218-2834 (m)
Mailing Address
P.O. Box 2408
Wilson, NC 27894-2408
252-291-5165 (o)
Street Address
3801 Black Creek Road
Wilson, NC 27893
252-243-0901 (fax)
The information In this email and in any attachments is confidential and maybe privileged. If you are not the intended recipient, please destroy this message, delete
any copies on your systems and notify the sender Immediately. You should not retain, copy muse this email for any purpose, nor disclose all or any part of its content
to any other person.

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w
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
April 8, 2014
Mr. Henry Butts, Jr., Vice President
S.T. Wooten Corporation
P.O. Box 2408
Wilson, NC 27893
Subject: Notice of Inspection - Non Compliant
Burton Industrial Park - Concrete Plant for S.T. Wooten Corp.
Permit No. SW8 130501
Onslow County
Dear Mr. Butts:
On April 2, 2014, staff from the Wilmington Regional Office of the Division of Energy, Mineral and Land
Resources (DEMLR) inspected the Burton Industrial Park Concrete Plant in Onslow County to determine the
status of compliance with the State Stormwater Management Permit Number SW8 130501, last modified on
November 1, 2013. DEMLR file review and site inspection revealed that the site is not compliant with the terms
and conditions of this permit. Please find a copy of the completed form entitled "Compliance Inspection Report"
attached to this letter, which summarizes the findings of the recent inspection.
As indicated in the attached inspection report, the following deficiencies must be resolved: /
1. A.copy�''ef-the-reeerded-deed-res#ictlons-must-be-submitted-tothis-office--within-thirty-(-30)-days-of— / S eg<; j
r6eOr41�. �/.�Rot` R cop,, D{ -/'tc Srrj�..if �'n jln%arif ref' . 4r l�r+P�+ I�+Jr 2.11l ecorru'P''••
2. BMP #1 has erosion downstream of the outlet structure. This area needs to be stabilized with additional 6h k'7N)
riprap and/or groundcover. The discharge should sheet flow across the grass; not be channelized. A
scour hole and/or a level spreader may be needed.
3. Concrete truck drum washout area was not located per the plans, causing the wash water to drain to
BMP #1 and BMP #2 instead of draining solely to BMP #1 as designed and permitted. In order to correct
this situation, the washout area should be moved to where it is located entirely within drainage area #1.
Alternately, the permit may be modified so that the wash water can be sent to BMP #2 in addition to BMP
#1. In this case, engineer certified calculations would be required to show that BMP #2 can handle the
wash water volume.
Please inform this Office in writing before May 8, 2014, of the specific actions that will be undertaken and the time
frame that will be required to correct the deficiencies. Failure to provide the requested information, or to respond
to this letter by the due date, may initiate enforcement action including the assessment of civil penalties of up to
$25,000 per day. If a written plan of action is not submitted to this office by May 8, 2014 then DEMLR staff will re-
inspect the site and issue a Notice of Violation if the listed deficiencies have not been addressed.
If the project has changed its name, ownership, or mailing address, it is your responsibility to submit a completed
and signed Name/Ownership Change form to DEMLR at least 30 calendar days prior to making the changes.
Please include the name, mailing address and phone number of the person or entity that is now responsible for
this permit on the Name/Ownership Change form.
If you have any questions, please contact me at the Wilmington Regional Office, telephone number (910)-796-
7215 or via email at [e-mail].
Sincerely,
Steve G. Pusey
Environmental Engineer
(�JEnc: Compliance Inspection Report
,}PGDS\sgp: G:\WQ\Shared\Stormwater\Permits 8 Projects\2013\130501 HD\2014 04 CEI_deficient 130501
cc: Georgette Scott, Wilmington Regional Office Stormwater Supervisor
WiRO Stormwater File
Division of Energy, Mineral, and Land Resources
Land Quality Section - Wilmington Regional Office
127 Cardinal Drive Extension, Wilminqton, North Carolina 28405 - [phone] / Fax: [phone]

i Compliance Inspection Report
Permit: SW8130501 Effective: 05/16/13 Expiration: 05/30/21 Owner: S T Wooten Corporation
Project: Burton Industrial Park Concrete Plant for S T
Wooten Corporation
County: Onslow Burton Park Blvd
Region: Wilmington
Jacksonville NC 28540
Contact Person: Henry D Buffs Title: Vice President Phone: [phone]
Directions to Project:
From int. of Hwy 53 & Hwy 24, hed NW on Hwy 24 for approx. 3 miles to int. of Hines Farm Rd east onto Hines Farm Rd for 1/2 mile to
Burton Park Blvd south on Burton Park 1000' to site entrance on east side of road.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 -(NEW RIVER) (03-05-02 ) ( C;NSW)
2 - (NEW RIVER) (03-05-02) (C;NSW)
On -Site Representative(s):
Related Permits:
Inspection Date: 04102/2014 Entry Time: 01:30 PM
Primary Inspector: Steven G Pusey
Secondary Inspector(s):
Karl J Hammers
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
M State Stormwater
(See attachment summary)
Exit Time: 02:30 PM
Phone:
Phone:
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW8130501 Owner - Project: S T Wooten Corporation
Inspection Date: 04/02/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The following actions are required to bring this project into compliance:
1. A copy of the recorded deed restrictions has not been submitted to this Office. Please submit within thirty (30) days of
recording.
2. BMP #1 has erosion downstream of the outlet structure. This area needs to be stabilized with additional riprap and
groundcover. A scour hole or level spreader may be necessary to stop the channelization of flow.
3. Concrete truck drum washout area was not located per the plans, causing the wash water to drain to BMP #1 and #2
instead of draining solely to BMP #1 as designed and permitted. In order to correct this problem, the washout area should
be moved to where it is located entirely within drainage area #1. Alternately, the permit may be modified so that the wash
water can be sent to BMP #2 as well as BMP #1. In this case, calculations would be required to show that BMP #2 can
handle the wash water volume.
Page:2

Permit: SW8130501 Owner • Project: S T Wooten Corporation
Inspection Data: 04/02/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
File Review Yes No NA NE
Is the permit active?
Signed copy of the Engineer's certification is in the file?
Signed copy of the Operation & Maintenance Agreement is in the file?
Copy of the recorded deed restrictions is in the file?
Comment: A eepy-ef-the-recorded-deed-restrictions-hes-not-been-subrnitted-to-this
Built Upon Area
Is the site BUA constructed as per the permit and approval plans?
Is the drainage area as per the permit and approved plans?
Is the BUA (as permitted) graded such that the runoff drains to the system?
Comment:
SW Measures
Are the SW measures constructed as per the approved plans?
Are the inlets located per the approved plans?
Are the outlet structures located per the approved plans?
Comment: The inlet configuration is different than the plans due to not having swales
along the sides. Drainage appears to sheet flow towards a pipe inlet to the forebay. No
change is required at present.
❑❑■❑
Yes
No
NA
NE
■
0
❑
❑
■❑❑❑
■
❑
D
❑
Yes
No
NA
NE
■❑O❑
❑
■
❑
❑
■❑❑❑
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ ■ D ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWO ❑ ❑ D ■
upon request?
Comment: BMP #1 has erosion downstream of the outlet structure. This area needs
to be stabilized with additional riprap and groundcover. A scour hole or level spreader
may be necessary to stop the channelization of flow.
Other Permit Conditions
Is the site compliant with other conditions of the permit?
Yes No NA NE
❑ ■ ❑ ❑
Page:3

Permit: SW8130501 Owner - Project: S T Wooten Corporation
Inspection Date: 04/02/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Comment: Concrete truck drum washout area was not located per the plans, causing
the wash water to drain to BMP #1 and #2 instead of draining solely to BMP #1 as
designed and permitted. In order to correct this problem, the washout area should be
moved to where it is located entirely within drainage area #1. Alternately, the permit
may be modified so that the wash water can be sent to BMP #2 as well as BMP #1. In
this case, calculations would be required to show that BMP #2 can handle the wash
water volume.
Page:4

1 State Stormwater Inspection Report
General
nt
Project Name: �Nr�q T��u� P 404t
Permit No: SW8 130501
Expiration Date:
Contact Person: CS lJoe% ID/qnf
Phone Number:
Inspection Type: ss"J
Inspection Date: 2
Time In:
Time Out:
Current Weather: C I�Ar �p uF
Recent Rain (Date)?3. �
Rain- Ab.1 in r-Z,6
1 f-dwNS 4OR
Location
Facility Address / Location:
134 f �o wr� 9 J',fQ )ple on v / lie
City: 'Tel ti u/ /7( zip: 2s5'f0 County: 0oIC4 Lat 31 ° 17 ` ZI "N Long: - 77 ° 7W & "W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 008 Coastal Rule-) Session Law 2006-246
Goose Creek High Quality Waters Outstanding Resource Waters
Density (circle one): 6231 Low (LD)
Stormwater Best Management Practices (BMPs) (insert number of each):
2Wet Ponds _Infiltration Basins _Infiltration Trenches LD Swales _Stormwater Wetlands
_Dry Ponds Bioretention Permeable Pavement _Sand filters (circle one) Open Closed
_Cistern Level Spreader/Filter Strip Other (specify):
File Review Yes No N/A N/E
1. Is the permit active?
2. Si ned En ineer's Certification on file?
3. Signed Op eration and Maintenance agreement on file?
Recorded Deed Restrictions on file?
Site Visit- Ruilt Ilnnn Area /RIIAI . Vas _ Nn N/A N/F
5 UA is constructed and consistent with the permit requirements?
BUA aspermitted) is graded such that the runoff drains to the system? (high density only) t' /
7 Draina a area is consistent with permit? i.e. no un ermitted drainage to the SW BMPs
8. raina a area is stabilized? to reduce risk of sedimentation to the SW BMPs
Site Visit: Stormwater BMPs
f\ ea Awl( Yes No N/A N/E
9. Stormwater BMPs are located per the approvedplans?
10. Stormwater BMPs have dimensions (e . length, width, area) matching the approvedplans?
11. Stormwater BMPs are constructed per the approvedplans?
Site Visit: Operation and Maintenance Yes . No N/A N/E
12. Access points to the site are clear and well maintained?
13. Trash has been removed as needed?
14. Excessive landscape debris (grass clippings, leaves, etc) is controlled?
15. Stormwater BMPs being operated and maintained as per the permit requirements?
16. Inspection and Maintenance records are available for inspection? (high density only, 1995 — present only)
Site Visit: Other Water Quality Issues 9 t %� 4lv6M e Yew No NIA N/E
r 18. Is the site compliant with other water quality issues as noted durine the inspection?
(`­e.
State Stormwater Inspection Report, version 3.0_3-09 Page I of 2

State Stormwater Inspection Report
Ins ection Pictures (some of the pictures taken during the site visit)
Compliance Status ❑ Compliant VIZ Non -Compliant
o?
Letter Sent (circle one): Yes No Letter type: �,)
NNOV NOVRE Other
Date Sent: Reference Number:
Inspector Name and Signature: Date:
Slate Slortnwater Inspection Report, Version 3.0_3-09 Page 2 of 2

WET DETENTION O & M Inspection Checklist
INLETS and FORESAY
1.
Inlets are located per the approved plans: G tian� v+1 o,1,y�t
❑
7
❑
❑
2.
Inlet device (swale or pipe) is free of damage, clogs or erosion: I'kr� f 44-w,
2
❑
❑
❑
3.
Forebay berm is in place and without erosion: �K'�""�
Ee .
❑
❑
❑
4.
Forebay is free of excessive sediment:
EK
❑
❑
❑
SIDE SLOPES AND BANKS
S.
Vegetated slopes are 3:1 or less:
Uv
❑
❑
❑
6.
Banks are stable and free of erosion or bare soil:
❑
❑
❑
7.
Slopes or berms are free of woody vegetation:
9
❑
❑
❑
8.
Free of muskrats or beaver activity:
2
❑
❑
❑
9.
Grass is being maintained and mowed (not scalped) as required:
9
❑
❑
❑
PERIMETER AND MAIN BAY
10.
Vegetated shelf is 6:1 or 10:1 as permitted and properly vegetated:
❑
❑
❑
2
11.
Algal growth covers less 50% of the area:
✓U
❑
❑
❑
12.
Cattails, phragmites or other invasive plants cover less than 50% of the basin surface:
Ltd
❑
❑
❑
13.
Main treatment area is free from excess sediment accumulation:
2'
❑
❑
❑
14. Swale or emergency outlet bypass is in the correct place and is in good condition:
�ry
�
❑
❑
15. Drawdown device is correctly sized free of damage or clogging:
OR
❑
❑
❑l
16. Orifice size matches the approved plans
El
❑
El_l_y/
17. Outlet is free of erosion or other signs of damage: t3 A k-y5
❑
❑
❑
18. Trash rack is installed oC�rNc��w� o
❑
❑
EV
❑
19. Vegetated filter is in place (if applicable)
❑
❑
[/
❑
20. Relative elevations match approved plans
L'
❑
❑
21. Fountain pump (if permitted) is less than or equal to the maximum allowable size:
El
ElI�
,❑l
❑
V3.3_09