SW8920504_Compliance Evaluation Inspection_20111205

General State Stormwater Inspection Report
Project Name: 'Q4ND y\-)\-6V,00VC Z
Permit No: SW8 Q a05M4
Expiration Date: IV I R Li 6)
Contact Person:
Phone Number:
Inspection Type:
Inspection Date: SV 016,
Time In: ,
,
Time Out:
Current Weather: ��' f) 1\
Recent Rain (Date)?,1la"'C-
Rain — in
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Location
Facility Address / Location: �ti `
City: Zip: County: Lat: "N Long: - "W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rul 1995 Coastal Rule 2008 Coastal Rule Session Law 2006-246
Goose Creek
High Quality Waters
Outstanding Resource Waters
Density (circle one):
High (HD) Low (LD)
Stormwater Best Management Practices (BMPs) (insert number of each):
IN
Wet 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
v,._ .i_
1. Is the permit active?
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2. Signed Engineer's Certification on file?
3. Signed Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions on file?
Site Visit: Built Unon Area IBUAI V-- .l_ u,. Um
5. BUA is constructed and consistent with the permit requirements?
6. BUA aspermitted) is graded such that the runoff drains to the system? (high density only)
7. Drainage area is consistent withpermit? i.e. no un ermitted drainage to the SW BMPs
8. Drainage area is stabilized? to reduce risk of sedimentation to the SW BMPs
Site Visit- Stnrmwater RMPc v__
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- flneratinn and Maintaance-a v__ .,_ u,w — —
12. Access points to the site are clear and well maintained?
13. Trash has been removed as needed?
14. Excessive landscape debris s 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 Permit Conditions Yes No N/A N/E
17. Is the site compliant with other conditions of thepermit? li'
Site Visit: Other Water Quality Issues Yes No N/A N/E
18. Is the site compliant with other water quality issues as noted Burin¢ the inspection?
State Stormwater Inspection Report, Version 3.0_3-09 Page i of 2

State Stormwater Inspection Report
InS ection PlCtures (some of the pictures taken during the site visit)
Compliance Status ri Compliant 7� Non -Compliant
Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other
Date Sent: Reference Number:
Inspector Name and Signature: Date: [ EL a2 t 1
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State Stormwater Inspection Report, Version 3.0_3-09
Page 2 of 2

STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
WIRO Regional Office
FILE ACCESS RECORD.
SECTION SWP DATE/TIME
NAME �///�S i1o✓er REPRESENTING c• �• GLor��/
d' V 7/- fD9/
Guidelines forAccess: The staff of the Regional Office is dedicated to snaking 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 before 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 for file review so you can be accommodated.
Appointments are scheduled between 9,00 a.m. and 3-00 p.m. Viewing time ends at 4�45
P.m. Anyone arriving without an appointment may view the files to the extent that time and
staff supervision are available.
2. You. must specify files, you want to review by facility name or incident number, as
appropriate. The number of files that you may review at one appointment 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_
There is no charge for 25 or less copies.: cost per copy after the initial 25 is 2.5 per copes
Payment is to be made by check, money order, or cash in the administrative offices.
4. Files must be kept in the order you received them. Files may not be taken from the office.
No briefcases, large totes etc. are permitted in the file review area To remove, alter,
deface, mutilate, or destroy material in public files is a misdemeanor for which you can be
fined up to $500.00.
5. In accordance with GS 25-3-512, a $25.00 processing fee will be charged and collected for
checks on which payment has been refused.
6. The customer must present a photo ID, sign -in, and receive a visitor sticker prior to
reviewing files.
FACILITY NAME
1..SG� 924.50� — //1--aW-0^4 00
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Signature/Name of Firm or Business Date Time In.
(Please attach business card to form if available)
# Copes. 3 Amt. Pd:
COUNTY
ay
Time Out