HomeMy WebLinkAboutNCS000402_33_2021 Mebane Fire Department #3 SCM Device 121, 121A,122,123 Inspection Report -6-17-2021_20210629Annual Stormwater Operation and Maintenance Report Cover Sheet
City of Mebane, North Carolina
The City of Mebane National Pollution Discharge Elimination System Phase II (NPDES Phase 77) Stormwater Permit
(NCS000402) requires that structural BMPs be inspected annually to preserve and continue their function in controlling
stormwater runoff quality and quantity at the degree or amount of function for which the structural BMP was designed.
A. General Information
Use only one Cover Sheet per site with as many specific structural BMP Inspection Report attachments as
needed. Please attach digital photographs of the site and structural BMPs as applicable.
Project Name
City Project Number:
NCDWQ Permit #:
BMP Owner:
Book and Page Number (s):
Owner Address:
Owner Phone #:
Owner Email:
Mebane Fire Station #3
121, 121A, 122,123
City of Mebane
Pin# 9824027111
1469 Mebane Oaks Road
Mebane, NC 27302
919-563-5901
B. Inspection Report Attachments
Annual Inspection Date:
Inspection Company:
Company Address:
Inspector Name:
Inspector Phone #:
Inspector Email:
6/17/2021
AWCK
740 Chapel Hill RD
Burlington, NC 27216
Phil Ross
336-226-5534
pross@awck.com
The listed attachments are the Structural BMP Inspection Reports to be completed for this particular site. Please
use one attachment per BMP inspected and submit all forms together with this Cover Sheet as one single report
Also, please document the number of each structural BMP found at this site in the below blank spaces.
# of BMPs
Bioretention Area 2
Dry Extended Detention Basin
Filter Strip, Restored Riparian Buffer and Level Spreader
Grassed Swale
Infiltration Basin
Infiltration Trench
Permeable Pavement
Sand Filter
Underground Detention
Wet Detention Basin
Stormwater Wetland
Proprietary Devices Stormtech, TreeBox 2
Mebane O&M Reports-04-28-14
Cover Page 1 of 2
Annual Storrawater Operation and Maintenance Report Cover Sheet
City of Mebane, North Carolina
C. Inspection Results
FAIL*
*If any one item on the inspection form is coded as 'Work Needed', then the entire BMP fails inspection.
*If a site has multiple BMPs and one fails inspection, this cover sheet is marked as 'Fail' until all items on all BMPs pass inspection.
Note: Applicable BMP Inspection Reports and confirmatory digital photographs summarizing required repairs must
be submitted to the City following completion of the preliminary inspection. A re -inspection and certification must be
completed within 30 days of the failed preliminary report. It is strongly encouraged that the inspector be part of the
repair and maintenance process in a QA/QC role in order to ensure that repairs are being performed properly.
PASS E
ote: A passed inspection form should be signed, stamped, and sealed below by the appropriate Professional
id submitted to the City on or before the established inspection due date. Attach all applicable BMP Inspection
and confirmatory digital photographs accordingly.
D. Professional Certification (Registered North Carolina professional engineer, surveyor, landscape architect,
soil scientist, aquatic biologist, or a person certified by the North Carolina Cooperative Extension Service for
stormwater
To be completed only when all structural BMPs at this site are functional with no outstanding maintenance issues.
Phil Ross , as a duly registered SCM Inspector_ in the State of North Carolina attest that a
i inspection has been completed for ALL structural BMPs that are associated with this particular site. All
d structural BMPs are performing properly and are in compliance with the terms and conditions of the
d maintenance agreement required by the City of Mebane.
&-410-
Signature:
Date: 6/ 17/2021
Certification #: 3376
Mebane O&M Reports-04-28-14
Cover
NC State University
Certificate of Completion
is here6ygrantato:
Phd ss
7o certify that they have compreUd o satisfaction the wo43hop tided
Stormwater BMP Inspection & Maintenance Certification
NC STATE UNIVERSITY NCstou9/—ty,AtaleigkX
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yYann6tfiuCayofAugust 28, 2018
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Certifcation Number: 3376 ,Nw m E Nunn Mi4 QrE Imm—
Page 2 of 2
Bioretention Operation and Maintenance Inspection Report
City of Mebane, North Carolina
Project Name: Mebane Fire Station #3
Inspection Date: 6/17/2021
City Project Number: 121
Recent Rainfall Date: 6/12/2021
Property PIN Number: Pin# 9824027111
Rainfall Depth (in): 1.28
BMP Name: Bioretention Basin #1
BMP Owner: Mebane Fire Department #3
Inspector: Phil Ross
Owner Address: 1469 Mebane Oaks Road
Company: AWCK
Mebane, NC 27302
Phone #: 336 226-5534
Owner Phone #: 919-563-5901
Email: pross@awck.com
Owner Email:
Code Key:
N/A = Not Applicable M = Monitor (potential for future problem)
NP = Not a Problem WN = Work Needed
JW Potential Problem
Entire BMP
Trash/debris is present INP
Perimeter of the Bioretention Cell
Bare soil/erosive gullies INP
Other (describe)
Inlet Device: Pipe, stone verge or swale
The pipe is clogged (if applicable)
NP
The pipe is cracked or otherwise damaged
NP
Erosion is occurring in the Swale (if applicable)
NP
Stone verge clogged or covered in sediment
NP
Other (describe)
Pretreatment Area
Sediment accumulation (greater than 3-inches)
NP
Erosion/gullies present
NP
Invasive vegetation
NP
Flow is bypassing pretreatment
NP
Other (describe)
Bioretention cell: vegetation
Pruning needed for optimal plant health
NP
Plants are dead, diseased or dying
NP
Tree stakes/wires are present 6 months after planting
NP
Other (describe)
Page 1 of 2
Potential Problem
Bioretention cell: soils and mulch
Mulch is breaking down or floated away
NP
Soils/mulch clogged with sediment
NP
Low soil pH/heavy metals accumulation (Per Soil Test)
NP
Other (describe)
Underdrain System (if applicable)
Clogging has occurred INP
Other (describe)
Drop Inlet
Clogging has occurred
NP
Drop inlet is damaged
M
Crack on side oy lid future repair may be needed
Debris on trash rack
NP
Other (describe)
Receiving Water
Erosion or other signs of damage at the outlet IM I Add Mulch to cover bare area on back of slope
Other (describe)
Miscellaneous
Access
NP
Vandalism
NP
Signage (if applicable)
N/A
Other (describe)
ADDITIONAL COMMENTS
Overall Bioretension Basin is in excellent shape.
Monitor Drop Inlet Lid support, May need future repair
Monitor and add mulch to the rear of dam to cover bare area.
PHOTOGRAPHS
Attach digital photographs of the site and structural BMPs including a caption describing the photo.
Page 2 of 2
Photographs — Mebane Fire Departmart #3 Bioretention #1( 121) Inspection- 6-17-2021
Overall Pond picture.
Inlet from Roof Water
�r , ter, i�}"~ ✓ "' f.
r: a-
r
Inside outlet bog in good condition
Parking Lot Curb Cut Inlet
Monitor and repair damaged corner as
needed.
Inspection ports. Device is draining well
Bioretention Operation and Maintenance Inspection Report
City of Mebane, North Carolina
Project Name: Mebane Fire Station #3
Inspection Date: 6/17/2021
City Project Number: 121 A
Recent Rainfall Date: 6/12/2021
Property PIN Number: Pin# 9824027111
Rainfall Depth (in): 1.28
BMP Name: Bioretention Basin #2
BMP Owner: Mebane Fire Department #3
Inspector: Phil Ross
Owner Address: 1469 Mebane Oaks Road
Company: AWCK
Mebane, NC 27302
Phone #: 336 226-5534
Owner Phone #: 919-563-5901
Email: pross@awck.com
Owner Email:
Code Key:
N/A = Not Applicable M = Monitor (potential for future problem)
NP = Not a Problem WN = Work Needed
JW Potential Problem
Entire BMP
Trash/debris is present INP
Perimeter of the Bioretention Cell
Bare soil/erosive gullies INP
Other (describe)
Inlet Device: Pipe, stone verge or swale
The pipe is clogged (if applicable)
NP
The pipe is cracked or otherwise damaged
NP
Erosion is occurring in the Swale (if applicable)
NP
Stone verge clogged or covered in sediment
NP
Other (describe)
Pretreatment Area
Sediment accumulation (greater than 3-inches)
NP
Erosion/gullies present
NP
Invasive vegetation
NP
Flow is bypassing pretreatment
NP
Other (describe)
Bioretention cell: vegetation
Pruning needed for optimal plant health
NP
Plants are dead, diseased or dying
NP
Tree stakes/wires are present 6 months after planting
NP
Other (describe)
Page 1 of 2
Potential Problem
Bioretention cell: soils and mulch
Mulch is breaking down or floated away
NP
Soils/mulch clogged with sediment
NP
Low soil pH/heavy metals accumulation (Per Soil Test)
NP
Other (describe)
Underdrain System (if applicable)
Clogging has occurred
INP
Other (describe)
IM
I Replace Inspection Covers as needed
Several of the current ones are cracked
Drop Inlet
Clogging has occurred
NP
Drop inlet is damaged
NP
Debris on trash rack
NP
Other (describe)
Receiving Water
Erosion or other signs of damage at the outlet
IM
I Add Mulch to cover bare area on back of slope
Other (describe)
IM
I Mulch or seed Bare area on back of slope
Miscellaneous
Access
NP
Vandalism
NP
Signage (if applicable)
N/A
Other (describe)
ADDITIONAL COMMENTS
Overall Bioretension Basin is in excellent shape.
Monitor and Replace Inspection covers that are missing and or cracked
Monitor and add mulch to the rear of dam to cover bare area.
PHOTOGRAPHS
Attach digital photographs of the site and structural BMPs including a caption describing the photo.
Page 2 of 2
Photographs — Mebane Fire Departmart #3 Bioretention #2( 121 A) Inspection- 6-17-2021
Overall Pond picture, vegetation in good
shape.
. Inside of Drop Outlet Box looks Good.
Monitor and add Mulch to bare area on
rear side of dam.
Drop Otlet Box
Inspection Cover in place but cracked.
Monitor and replace.
Outlet appears to be functioning OK.
Monitor and remove any extra debris.
Proprietary Device Operation and Maintenance Inspection Report
City of Mebane, North Carolina
Project Name: Mebane Fire Station #3 Inspection Date:
City Project Number:
122 Recent Rainfall Date:
Property PIN Number:
9824027111 Rainfall Depth (in):
BMP Name:
StormTech Filter
Inspector Name:
Phil Ross - Cert. # 3376
Inspector Company:
Alley, Williams, Carmen & King
Code Key:
f/A = Not Applicable M = Monitor (potential for future problem)
= Not a Problem WN = Work Needed
Adjacent pavement (if applicable)
Sediment is present on the pavement surface NP
Other (describe)
Inlet Device
Structure is clogged NP
Structure is damaged NP
Other (describe)
Flow diversion structure
Structure is clogged NP
Structure is damaged NP
Other (describe)
6/17/2021
6/12/2021
1.28
Collection Chamber/Filter
Sediment present
NP
Measured Sediment Depth - OK
Trash present
NP
Other (describe)
Outlet Device
Device is clogged
NP
Device is damaged
NP
Burlington Reports-06-25-13
H-Proprietary Device
Potential Problem
Comments
Miscellaneous
Access
NP
Vandalism
NP
Signage (if applicable)
N/A
Other (describe)
PHOTOGRAPHS
Attach digital photographs of the site and structural BMPs including a caption describing the photo.
ADDITIONAL COMMENTS
StormTech Chamber SC310.
Device seems to be funtioning properly.
Burlington Reports-06-25-13
H-Proprietary Device
Photographs — Mebane Fire Departmart #3 Storm Filter and Detention ( 122) Inspection- 6-17-2021
Overall surface site picture area is well
managed.
Inside Surface yard inlet drop box.
Inlet Control Man Hole
Surface yard inlet
Inspection Port Appears to be well drained
no sediment.
Inside Inlet Control Device in good
shape no sediment.
r
Proprietary Device Operation and Maintenance Inspection Report
City of Mebane, North Carolina
Project Name: Mebane Fire Station #3 Inspection Date:_
City Project Number: 123 Recent Rainfall Date: _
Property PIN Number: 9824027111 Rainfall Depth (in).
BMP Name: Tree Box
Inspector Name: Phil Ross - Cert. # 3376
Inspector Company: Alley, Williams, Carmen & King
Code Key:
f/A = Not Applicable M = Monitor (potential for future problem)
= Not a Problem WN = Work Needed
Adjacent pavement (if applicable)
Sediment is present on the pavement surface NP
Other (describe)
Inlet Device
Structure is clogged NP
Structure is damaged NP
Other (describe)
Flow diversion structure
Structure is clogged NP
Structure is damaged NP
Other (describe)
6/17/2021
6/12/2021
1.28
Collection Chamber/Filter
Sediment present
NP
Trash present
NP
Other (describe)
Outlet Device
Device is clogged
NP
Device is damaged
NP
Burlington Reports-06-25-13
H-Proprietary Device
Potential Problem
Comments
Miscellaneous
Access
NP
Vandalism
NP
Signage (if applicable)
N/A
Other (describe)
PHOTOGRAPHS
Attach digital photographs of the site and structural BMPs including a caption describing the photo.
ADDITIONAL COMMENTS
Monitor and add additional plantings as needed.
Device seems to be funtioning properly.
Burlington Reports-06-25-13
H-Proprietary Device
Photographs — Mebane Fire Departmart #3 Stormwater Tree Box ( 123) Inspection- 6-17-2021
Overall Sidewalk and inlet Area
Access cover location
Inspection Lid cover
Plantings in Tree Box
Inside Cover
Inlet Areas around sidewalks and
parking area