NCC201293_NOT Closeout Documents_20210525

Local Delegated E&SC Program Name
p A61 Gress a�_� „ f / f%
County: i L6A) Project: ��� K Ul2a �a /J/✓� �iWn River basin: �f%Uc a.. f1$Lll �C lLit
Person fmancially responsible: DS4 S " orneo Project # Iq/S
Address: &INO 6- Vh cl..- Case #
1. Project location: /14C
Pictures: No: Yes: ideo: ❑ Di 'tal: ❑
2. Weather and soil conditions: el, aA Vyd First inspection: Yes: ❑ No:
3. Is site currently under notice of violation? Yes: ❑ No:
4. Is the site in compliance with S.P.C.A.. and rules? Yes: N No: ❑ If no, check violations below:
5. Violations:
❑ a. No approved plan, G.S. 113A-57 (4) and 15A N.C.A.0 4B.0107(c) ❑ g. Inadequate buffer zone, G.S.113A-57(1)
❑ b. Failure to follow approved plan, G.S. 113A-57(5) ❑ h. Graded slopes and fills too steep,
❑ c. Failure to submit revised plan, G.S.113A-54.1(b) and G. S. 11 3A-57(2) or 15A N.C.A.C.4B.0124(e)
15A N.C.A. C. 4B. 0 118 (a) ❑ i. Unprotected exposed slopes, G.S.113A-57(2)
❑ d. Failure to provide adequate groundcover, G.S.113A-57(3) and ❑ j. Failure to install and maintain measures,
15A N.C.A.C.4B.0107(b) 15A N.C.A.C.4B.0113
❑ k. Failure to self -inspect G.S.113A-54.1(e) and
❑ e. Insufficient measures to retain sediment on site, G.S. 113A-57(3) 15A N.C.A.C.4B.0131
❑ f. Failure to take measures to protect properly, 15A N.C.A.C. 4B.0105 1111. Other (describe)
6. Potential NPDES Permit Violation under NCG 010000? Yes: ❑ No:19 Not Applicable: ❑ If no, check violations below:
❑ m. Failure to imuiage construction site polluivotc, NCG 010000 &_c. 11, B.1 ❑ r. Failure to have approved plan and NPDES
❑ n. Failure to provide ground stabilization, NCG 010000 Sec. H. B.2 permit oil site, NCG 010000 Sec. III, 3(d)
❑ o. Failure to maintain rain nauge or record daily rainfall, ❑ s. Failure to install and maintain BMP's,
NCG 010000 Sec. 11, 1;.1(a,b) NCG 010000 Sec. 111, 4
❑ p. Failure to ineet self -inspection and reporting requirements, ❑ t. Failure to operate and maintain control
NCG 010000 Sec. 11, B.1(c-i.) measures, NCG 010000 See. IV, 1
❑ q.. failure to dewater sediinem basin 6-oin surface, NCG 0.10000 Sec. II. BA ❑ u,13ypass ofstornitivater control facilities,
.NCG 010000, Sec, IV, 3
❑ v. Other (dtscribc)_
7. Has sedimentation damage occurred since last inspection or at I" inspection? Yes: ❑ If yes, where? (check autliat apply) No:
Lake/natural watercourse on the tract: ❑ Lake/natural watercourse off the tract: ❑ Other property: ❑
Description:
Stormwater Discharge Outfall with sediment loss:
Degree of damage: slight: ❑ moderate: ❑ severe: ❑
8. Contact made with (name): • Title:
Inspection report given: ❑ or sent: ❑ to person financially responsible. Date given/sent:
9. Corrective actions needed:
For Local Programs with sites involving disturbances less than what is required for a plan,
applicable violations include 'T' "g" I" "j" and "I".
Likewise, the corrective actions and close-out text highlighted below are also still applicable to
disturbances less than what would be required for a plan.
Local Programs who choose to require plan approvals for disturbances of less than 1 acre should
edit the citations referenced on this form to replace them with those from their own ordinance.
Report by:#(bthers present:
Date of inspection: S-1'7-4Va2f Time arriving on site: 47: e00 Q� Time leaving site: q.'025 Qr✓r
cc: Page 1 of
Revised 01 /27/2021

Local Delegated.&SCProgr^am Name
Address
County: Project:
9. Corrective actions needed (continued)
Project #
❑ Submit an adequate sedimentation and erosion control plan for approval, covering all areas disturbed or to be disturbed.
❑ Install all sedimentation and erosion control measures as shown on the approved plan.
❑ Submit a revised sedimentation and erosion control plan for approval for the following areas:
❑ Provide adequate permanent ground cover on all areas where development has been completed according to the time limits in the approved
plan, including the following areas:
❑ Install erosion and sediment control devices sufficient to retain sediment on the tract at the following areas:
❑ Install temporary sediment traps or basins and associated diversions as shown on the approved plan, including the following locations:
❑ Install adequate drop inlet protection as shown on the approved plan, including the following locations:
❑ Provide an adequate stream buffer zone of sufficient width to confine visible sedmentation within the 25% of the buffer nearer the Iand
disturbance using natural or artificial means (nunnnurn 25-foot width in Trout Waters) including the following areas:
❑ Reduce the angle of graded slopes to an angle on which vegetative ground cover maybe established including the following locations:
❑ For disturbed areas less than one acre, provide adequate temporary or permanent ground cover on all graded slopes where rough or fine
grading has been completed for 21 calendar days, including the following locations:
❑ Maintain all sedimentation and erosion control measures as specified in the approved plan and as required to prevent sedimentation
damage including the following
❑ ('roperly hztndle concrete if.) avoid contact with surface waters, wetlands or buffers and prevent dischar,ge from site.
❑ Relocate soil stockpiles at least 50 feet away from storm drain inlets or surface waters.
❑ Provide adequate temporary or peimianent ground cover on arms where land -disturbing actN ity leas ceased in 7 or 14 days acca.rdulg to
NCG 01000 permit conditions at the following areas: _.
❑ Provide secrn-lent basins with a drainage area ofoue acre or 4oreater with askimtner orflashboaud riser.
❑ Inspect all erosion and sedimentation control measures and storm discharge outfalis at least weekly and within 24 boars of a rainfall event
of l inch or greater and complete self -monitoring reports.
❑ 1aintain a rain gauge in good working order and record daily rainfall amounts.
10. Comments:
Revised 01 /27/2021

2
Lo cal DelegatedE&SCProgram Name
Address
Report by: Date of inspection: Page of
Check only one box, if closing out project.
❑ Permanent ground cover sufficient to restrain erosion has been established. No additional self -monitoring or self -inspections are
required. Project is released and coverage under the NPDES General Stormwater Permit for Construction Activities is terminated.
❑ Permanent ground cover sufficient to restrain erosion has been established. No additional self -monitoring or self -inspections are
required. Project is in compliance and released under the SPCA. Termination of coverage under the NPDES General Stormwater
Permit for Construction Activities (NCG01) mustbe requested by the permittee via a Notice of Termination (NOT). The NOT is
available at: httus://edoes.deo.ne.govAForms/NCG01-Termination. Please note that this correspondence mustbe uploaded as part of
completing the NOT process.
Report by: Qom" Date of inspection: -i9 a( Bp?� Page 3 of
a -in eyeh�5
Revised 01/27/2021

March 23, 2020
LETTER OF APPROVAL
Thornwood LLC, Milton Schaeffer
Circle K Stores, Andy Priolo
Circle K - NTI Gum Branch -Western Blvd
2219 Bel Arbor Place
Wilmington, NC 28403
RE: Circle K- NTI Gum Branch Acres Approved: Total Acres 22.35 Disturbed 7.0
Project ID: 19-1503
County: Onslow
City: City of Jacksonville
Address: Gum Branch Road/Western Blvd
River Basin: White Oak/New River Stream Classification: NSW SC
Submitted By: Brian Downs Timmons Group
Date Received by: October 14, 2019 Complete Application Date: March 23, 2020
Plan Type: Soil and Erosion Control
Dear Mr. Schaeffer,
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to
be acceptable and hereby issue this Letter of Approval. The enclosed Certificate of Approval
must be posted at the job site. This plan approval shall expire three (3) years following the date
of approval, if no land -disturbing activity has been undertaken, as is required by
As of April 1, 2019, all new construction activities are required to complete and submit an
electronic Notice of Intent (NOI) form requesting a Certificate of Coverage (COC) under the
NCGO10000 Construction Stormwater General Permit. This form MUST be submitted prior to
the commencement of any land disturbing activity on the above named project. The NOI form
may be accessed at deq.nc.gov/NCGO1. Please direct questions about the NOI form to Annette
Lucas at [e-mail] or Paul Clark at Paul.clarknncdenr.gov. After you submit a
complete and correct NOI Form, a COC will be emailed to you within three business days.
Initially, DEMLR will not charge a fee for coverage under the NCGO1 permit. However, on or
after August 1, 2019, a $100 fee will be charged annually. This fee is to be sent to the DEMLR
Stormwater Central Office staff in Raleigh.
Title 15A NCAC 4B .0118(a) and the NCGO1 permit require that the following documentation
be kept on file at the job site:
1. The approved E&SC plan as well as any approved deviation.
2. The NCGOI permit and the COC, once it is received.
3. Records of inspections made during the previous 12 months.

Letter of Approval
Milton Schaeffer
March 17, 2020
Page 2 of 2
Also, this letter gives the notice required by of our right of periodic inspection
to insure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance -oriented, requiring
protection of existing natural resources and adjoining properties. If, following the
commencement of this project, the erosion and sedimentation control plan is inadequate to meet
the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General
Statute 113A-51 through 66), this office may require revisions to the plan and implementation of
the revisions to insure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and
State water quality laws, regulations, and rules. In addition, local city or county ordinances or
rules may also apply to this land -disturbing activity. This approval does not supersede any other
permit or approval.
Please note that this approval is based in part on the accuracy of the information provided in the
Financial Responsibility Form, which you provided. You are requested to file an amended form
if there is any change in the information included on the form. In addition, it would be helpful if
you notify this office of the proposed starting date for this project. Please notify us if you plan to
have a preconstruction conference.
Your cooperation is appreciated.
e y,
Pat Donovan -Brandenburg
Stormwater and Soil/Erosion Control Manager
City of Jacksonville
Enclosures: Certificate of Approval
NCGO1 Fact Sheet
ec: Brain Downs