SW8020502_Compliance Evaluation Inspection_20210426

RCM COOPER
tiovmmr
MICHAEL 5 REGAN
Secretary
Dfnxtor
April 26, 2021
Via Email Only: rschilsky(a)gmail.com
Dr. Randy Schilsky, Permittee
PO Box 86
Jacksonville, NC 28541
NOR- 4 CAROLINA
EwArentnsmW Quafty
Subject: Notice of Inspection
Schilsky Chiropractic
State Stormwater Management Permit No. SW8 020502
Onslow County
Dear Dr. Schilsky:
On April 9, 2021, the Wilmington Regional Office of the Division of Energy, Mineral and Land Resources
(DEMLR) inspected the subject project, located along Dolphin Street in Jacksonville in Onslow County to
determine the status of compliance with the State Stormwater Management Permit Number SW8 020502 issued
on July 2, 2018. DEMLR file review and site inspection revealedthat the project will be compliant once the
required deed restrictions are submitted.
Please be reminded that it is your responsibility as the permittee of record to submit a completed and signed
Permit Transfer Application Form to the Division of Energy, Mineral and Land Resources 30-60 calendar days
prior to making any of the below listed changes. This form is available on our website at:
a- An ownership change including the sale or conveyance Df the permitted project area in whole or in part.
This does not include the conveyance of subdivided residential lots to individuals which are made
subject to a recorded declaration of covenants and restrictions which contain the statements required by
the stormwater permit;
b. The sale or conveyance of the common areas to a Homeowner's or Property Owner's Association,
subject to the requirements of Session Law 2011-256;
c. Foreclosure proceedings;
d. Filing for Bankruptcy;
e. Dissolution of the partnership, corporate entity or LLC.
f. A name change of the owner / permittee;
g. A name change of the project;
h. A mailing address change of the permittee;
Please be advised that, as the permittee, you are required to comply with the terms, conditions and limitations of
the Stormwater Management Permit under Title 15A North Carolina Administrative Code 2H .1003 and North
Carolina General Statute 143-214.7, including the operation and maintenance of the permitted stormwater system.
�' w `� rh Carolina Departr�d ;* Encir-nmen;il Qualil3 ty , Adar. • f Ccurgy. Wiicrerat anu3 Land Resequ:es
EQQ,5
Wiftnington R4ona) Ot%ce 1 1/7 0"mW Drtve Extevls!o t i VVdm. ington. Noft Lwolina 2944,15
¢�'en�"��►'++�°°+w�, S.. 91t1.rH8.11I5

State Stormwater Permit No. SW8 020502
Page 2 of 2
Failure to provide the requested information, or to respond to this letter with a plan of action, including a timeline
to resolve the identified deficiencies, by April 19, 2021, are considered violations of the permit. If the requested
information is not submitted to this office by the due date, then DEMLR staff will re -inspect the site and may
issue a Notice of Violation. Please also note that any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the stormwater rules is subject to enforcement action as set
forth in NCGS 143 Article 21, including the assessment of civil penalties of up to $25,000 per day.
If you have any questions, please contact me at the Wilmington Regional Office, telephone number (910)-796-
7335 or via email at [e-mail].
Sincerely,
z PAWM
Kelly Johnson
Environmental Engineer
Enclosure: Compliance inspection Report
DES\kpj: \\\Stormwater\Permits & Projects\2002\020502 HD\2021 04 CEI neither 020502
cc: WiRO Stormwater Permit File

Project Name: �G
Contact Person:
Inspection Date: �.
Current Weather:
State Stormwater Inspection Request
Permit No: SW8 b
Phone Number:
Time In: V CPO
Recent Rain (Date)?
On.
Please Return to
Expiration Date:
Inspection Type:
Time Out: I f ?_�
Rain — in
Facility Address / Location: I City: I County:
Permit Information
Density (circle one): High (HD) Low (LD)
Stormwater Best Management P Ps) (insert number of each):
Wet Ponds Infiltration Basins Infiltration Trenches
Dry Ponds Bioretention Permeable Pavement
Cistern Level Spreader/Filter Strip Other (specify):
Notes or any areas to focus on:
File Review
LD Swales Stormwater Wetlands
Sand filters (circle one) Open Closed
Van Mn N/A N/F
1. Is the permit active?
2. Signed Engineer's Certification on file?
3. Signed Operation and Maintenance agreement on file?
Vol
4. Recorded Deed Restrictions on file?
0...14 1lwww A-- 1011 A%
V-- \I- MINA \1T
BUA is constructed and consistent with the permit requirements?
L5.
6. BUA (as permitted) is graded such that the runoff drains to the stem? (high densityonly)
7. Drai a area is consistent withpermit? (i.e. no un ermitted drainage to the SW BMPs)
/
r ' are d? (to reduce risk of sedimentation to the SW BMPs
Site Visit: Stormwater BMPs
Yam Nn N/A N/F
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 Vimit. nnaratinn and Maintananr_a
Vnc Mn MIA MIC
oints to the site are clear and well maintained?
Trash has been removed as needed?
F12.Access
Excessive landsca a debris ( ass cli in s, leaves, etc) is controlled?
Stormwater BMPs bein o erated and maintained as er the ermit re uirements?Inspection
and Maintenance records are available for inspection? (high densityonly, 1995 — resent only)
Site Visit: Other Permit Conditions Yes No NIA N/E
17. Is the site compliant with other conditions of the it?
Site Visit: Other Water Qualltv Issues Yes No NIA N/E
18. Is the site compliant with other water quality issues as noted during the inspection?
State Stormwater Inspection Report, Version 3.1 2021 02 Page 1 of 2

State Stormwater Inspection Request
—�- ss ucs n Sr cc A, a (� �-Q e r 4`'
of the pictures taken during the site
�\ LQ \ Covirlot-\ F� �c� P. ���-ti\ sG�; d sly- a¢f�r� P"t Iz\
Compliance Status v Compliant Non -Compliant
Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other
Date Sent: Reference Number:_
Inspector Name and Signature: Date: N
State Stormwater Inspection Report, Version 3.1 2021 02 Page 2 of 2

Johrlison, Kelly
From:
Randy Schilsky <[e-mail]>
Sent:
Thursday, April 8, 2021 10:51 AM
To:
Musial, Connor E; [e-mail]; matt niquescapesinc. com
Cc:
Johnson, Kelly; m [e-mail]
Subject:
[External] Re: Schilsky Office Park - State Stormwater (SW8 020502)
CAUTION; Extenial email, Go not clack links or op,v, attachments unless you verify. Send ali susricious email as an attachme—rft to
Report Spam.
Hello all, the pond noted above which received notice of non compliance has been repaired and is ready to be
reinspected. Please let us know when this is scheduled such that my contractor can be onsite to address any concerns
that may be evident still.
Best Regards,
Randy Schilsky
[e-mail]
mobile [phone]
On Jan 22, 2021, at 10:50 AM, Musial, Connor E <[e-mail]> wrote:
Thanks Kelly,
I'll be able to get out there and re -inspect the project next week
Connor Musial
Environmental Specialist
Land Quality Section
Division of Energy, Mineral, $ Land Resources
North Carolina Department of Environmental Quality
910.796.7315 office
919.268.7567 mobile
connor.musialO-ncdenr.Qov
127 Cardinal Dr. Extension
Wilmington, NC 28405
<Outlook-uvb4augd.png>
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From: Johnson, Kelly <[e-mail]>
Sent: Friday, January 22, 2021 10:34 AM
To: Musial, Connor E <[e-mail]>

Cc: [e-mail] <[e-mail]>
Subject: Schilsky Office Park - State Stormwater (SW8 020502)
Connor,
Mr. Schilsky called today, and he is ready for a reinspection. This was the one below. I am not in the
office and so I haven't pulled the file to pass it off to you. I will do that the next time I am there. But, I
wanted to give you a heads up in case you are in that area before I talk to you.
Thanks,
Kelly
<image002.jpg>
KtU JOk IA SOI&
Kelly Johnson
Environmental Engineer
NC Division of Energy, Mineral and Land Resources
Stormwater Permitting
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]
Note Change in Phone Number

Compliance Inspection Report
Permit: SW8170308 Effective:08/17/18 Expiration: 04/20/25
Project: Sound at Washington Acres
Owner: Dr Horton Inc
County: Mender Adress: 1326 Dogwood Ln
Region: Wilmington
City/State/Zip: Hampstead NC 28443
Contact Person: Anthony E Mills Title: Phone: [phone]
Directions to Project:
Traveling east on Washington Acres Road from Hwy. 17, turn south on Dogwood Lane.
Type of Project: State Stormwater - HD - Infiltration State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Topsail Sound and Middle Sound ORWArea) (03-06-24) (SA;ORW)
2 - (Topsail Sound and Middle Sound ORWArea) (03-06-24) (SA;ORW)
3 - (Topsail Sound and Middle Sound ORWArea) (03-06-24) (SA;ORW)
4- (Topsail Sound and Middle Sound ORWArea) (03-06-24) (SA;ORW)
LD - (Topsail Sound and Middle Sound ORWArea) (03-06-24) (SA;ORW)
On -Site Representative(s):
Related Permits:
Inspection Date: 03/09/2021 Entry Time 10:45AM
Primary Inspector: Trentt James
Secondary Inspector(s):
Kelly Johnson
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant 0 Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
Exit Time:12:00PM
Phone:
Inspection Type: Compliance Evaluation
page 1

Permit: SW8170308 Owner - Project: Dr Horton Inc
Inspection Date: 03/09/2021 Inspection Type Compliance Evaluation
SW Measures
Are the SW measures constructed as per the approved plans?
Are the inlets located per the approved plans?
Reason for Visit: Routine
Yes No NA NE
❑ ■❑❑
❑ ■❑❑
Are the outlet structures located per the approved plans? ❑ M ❑ ❑
Comment: Pond 2: The orifice (or skimmer if the E&SC is open) is missing.
Pond 2: FES200 does not drain to the forebay. There may have been a construction change such thc,
that pipe connected to Pip #2 which also drains to the forebay. The drop inlets are in place. This nee(
to be investigated and any changes need to be reflected on the plan.
Pond 1: There is erosion on the pond bank..
Ponds 1 & 2: There are breaks in the forebav berms.
page 2

Johnson, Kell
From: Johnson, Kelly
Sent: Tuesday, February 16, 2021 10:40 AM
To: 'Randy Schilsky'; Musial, Connor E; 'matt niquescapesinc. com'
Subject: RE: [External] Re: Schilsky Projects - State Stormwater (SW8 020502 & SW8 070211)
Attachments: 2021 02 pictures 020502.pdf, 2021 02 CEI_BIMS 020502.pdf, 2021 02 CEI_BIMS
070211.pdf, 2021 02 CEI_compliant 070211.pdf, 2021 02 CEI_deficient 020502.pdf, 2021
02 pictures 070211.pdf
The documentation has been corrected. The attached information shows that SW8 070211 has been fixed. We received
that transfer application, and so I will get that processed. I do see that that one expires in June, and so it will need to be
renewed. The other one, SW8 020502, is the one that needs to be fixed as you discussed with Connor.
Thanks,
Kelly
K I.I.W0h0Z0K,
Kelly Johnson
Environmental Engineer
NC Division of Energy, Mineral and Land Resources
Stormwater Permitting
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]
Note Change in Phone Number
From: Johnson, Kelly
Sent: Friday, February 12, 20213:06 PM
To: Randy Schilsky <[e-mail]>; Musial, Connor E <[e-mail]>; matt niquescapesinc. com
<[e-mail]>
Subject: RE: [External] Re: Schilsky Office Park - State Stormwater (SW8 020502)
I think I mixed these two ponds up? I think SW8 070211 pond was the one that got fixed and not SW8 020502? Sorry
for the confusion. I will get the letters fixed....
V-eUWokVtSOw
Kelly Johnson
Environmental Engineer
NC Division of Energy, Mineral and Land Resources
Stormwater Permitting
127 Cardinal Drive Extension
Wilmington, NC 28405-3345
Phone: [phone]
Note Change in Phone Number

From: Johnson, Kelly
Sent: Friday, February 12, 20212:34 PM
To: Randy Schilsky <[e-mail]>; Musial, Connor E <[e-mail]>; matt niquescapesinc. com
<[e-mail]>
Subject: RE: [External] Re: Schilsky Office Park - State Stormwater (SW8 020502)
This project is now in compliance. Please see attached. (The other adjacent one will be written up either today or
Monday.)
Thanks,
Kelly
K.@l.I,I JDkIVUSDIA,
Kelly Johnson
Environmental Engineer
NC Division of Energy, Mineral and Land Resources
Stormwater Permitting
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]
Note Change in Phone Number
From: Randy Schilsky <[e-mail]>
Sent: Friday, January 22, 20212:04 PM
To: Musial, Connor E <[e-mail]>; matt niquescapesinc. com <[e-mail]>
Cc: Johnson, Kelly <[e-mail]>; [e-mail]
Subject: [External] Re: Schilsky Office Park - State Stormwater (SW8 020502)
CAUTION: EaPternal email. Do not crick finks or open attachfften�s unles-L, you verify. Send all su �p c 7,js erriV asa1hrrmit t
Report Spate
Thanks Connor, If you know when you will be onsite or could give me notice atleast 12 hours in advance i would like to
notify the contractor and have them and I meet you out there to expedite any additional work needing attention.
Best Regards,
Randy Schilsky
[e-mail]
mobile [phone]
On Jan 22, 2021, at 10:50 AM, Musial, Connor E <[e-mail]> wrote:
Thanks Kelly,
I'll be able to get out there and re -inspect the project next week

Connor Musial
Environmental Specialist
Land Quality Section
Division of Energy, Mineral, & Land Resources
North Carolina Department of Environmental Quality
910.796.7315 office
919.268.7567 mobile
connor.musialAricdenr.gov
127 Cardinal Dr. Extension
Wilmington, NC 28405
<Outlook-uvb4augd.png>
Email c01?Z'S,10r denc,,1"o this ?.� dr&,SS rs sud ,4ie�t t'.7 the
Ndrh C , ;,:;:-i Ptoh,ic r' cxri!s Law rd may be ,a L";sj parties.
From: Johnson, Kelly <[e-mail]>
Sent: Friday, January 22, 2021 10:34 AM
To: Musial, Connor E <[e-mail]>
Cc: [e-mail] <[e-mail]>
Subject: Schilsky Office Park - State Stormwater (SW8 020502)
Connor,
Mr. Schilsky called today, and he is ready for a reinspection. This was the one below. I am not in the
office and so I haven't pulled the file to pass it off to you. I will do that the next time I am there. But, I
wanted to give you a heads up in case you are in that area before I talk to you.
Thanks,
Kelly
<image002.jpg>
KtWU JDhlA.sow
Kelly Johnson
Environmental Engineer
NC Division of Energy, Mineral and Land Resources
Stormwater Permitting
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]
Note Change in Phone dumber

RC]Y COOPER
Lovema-
MIC1`IAEL S. REGAN
ten.
BRLA.i WRENN
Mwor
February 15, 2021
NORTH CAROLINA
,ew4remnaddw
Via Email Only: rschilskynaEmail.com
Dr. Randy Schilsky, Permittee
PO Box 86
Jacksonville, NC 28541
Subject: Notice of Inspection — Not Compliant
Sddlsky Chiropractic
State Stormwater Management Permit No. SW8 020502
ouslow Cozmty
Dear Dr. Schilsky:
On February 3, 2021, the Wilmington Regional Office of the Division of Energy, Mineral and Land Resources
(DEMLR) inspected the subject project, located along Dolphin Street in Jacksonville in Onslow County to
determine the status of compliance with the State Stormwater Management Permit Number SW8 020502 issued
on July 2, 2018. DEMLR file review and site inspection revealed that the site is not in compliance 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. There is a potentially broken pipe causing a sink hole draining to the pond.
2. Sediment needs to be cleaned out of the pond.
3. The pond is sloughing at the entrance.
4. The slopes are eroding.
5. The outlet pipe is causing severe erosion.
6. The recorded deed restrictions are needed for the file.
Please be reminded that it is your responsibility as the permittee of record to submit a completed and signed
Permit Transfer Application Form to the Division of Energy, Mineral and Land Resources 30-60 calendar days
prior to making any of the below listed changes. This form is available on our website at:
httus./Idea .nc.Lzoy/about/divisions/energy-mineral-land-resources/enerp-v-mineral-land-rules/stormwater-
rogram1post-construction.
a An ownership change including the sale or conveyance of the permitted project area in whole or in part.
This does not include the conveyance of subdivided residential lots to individuals which are made
subject to a recorded declaration of covenants and restrictions which contain the statements required by
the stormwater permit,
b. The sale or conveyance of the common areas to a Homeowner's or Property Owner's Association,
subject to the requirements of Session Law 2011-256;
c. Foreclosure proceedings;
d. Filing for Bankruptcy;
e. Dissolution of the partnership, corporate entity or LLC.
£ A name change of the owner / permittee;
g. A name change of the project;
h. A mailing address change of the permittee;
Please be advised that, as the permittee, you are required to comply with the terms, conditions and limitations of
the Stormwater Management Permit under Title 15A North Carolina Administrative Code 2H .1003 and North
Carolina General Statute 143-214.7, including the operation and maintenance of the permitted stormwater system.
�— +� NoCh Carolina Department En4ortaenCai i2tral ty (Divisiae oFEnergy. Uirtpral and Land liesoun-rts
�y7.� 1 VY gian Ra9Jonal offxe 127 Cardinal Drive Extension f W imingtnm North Carolina 28405
ugAbwbnrnmgMMlr`"` ty
%o:19d.lZIS

State Stormwater Permit No. SW8 020502
Page 2 of 2
Failure to provide the requested information, or to respond to this letter with a plan of action, including a timeline
to resolve the identified deficiencies, by March 15, 2021, are considered violations of the permit. If the requested
information is not submitted to this office by the due date, then DEMLR staff will re -inspect the site and may
issue a Notice of Violation. Please also note that any individual or entity found to be in noncompliance with the
provisions of a stormwater management permit or the stormwater rules is subject to enforcement action as set
forth in NCGS 143 Article 21, including the assessment of civil penalties of up to $25,000 per day.
If you have any questions, please contact me at the Wilmington Regional Office, telephone number (910)-796-
7335 or via email at [e-mail].
Sincerely,
zW4 P
Kelly Johnson
Environmental Engineer
Enclosure: Compliance Inspection Report
DES\kpj: \\\Stormwater\Permits & Projects\2002\020502 HD\2021 02 CEI non -compliant 020502
cc: WiRO Stormwater Permit File

Compliance Inspection Report
Permit: SW8020502 Effective:02/20/18
Project: Schilsky Chiropractic Center
Owner: Randy M Schilsky
County: Onslow
Region: Wilmington
Expiration: 10/16/24
Adress: Western Blvd NCSR 1470-Dolphin Dr
City/State/Zip: Jacksonville NC 28540
Contact Person: Randy M Schilsky Title: Manager Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470
(Western Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 -(Mill Creek) (03-05-02 ) ( SC;NSW)
On -Site Representative(s):
Related Permits:
SW8101017 Bw Dolphin Ventures LLC Browning and White Building Lot 3 Schilsky
SW8070121 Covert Operations of Jacksonville - Lot 1-A Randy Schilsky Division -Dr
SW8000937 First Citizens Bank First Citizens Bank 2555 Western Boulevard
Inspection Date: 02/03/2021 Entry Time 12:30PM Exit Time: 02:OOPM
Primary Inspector: Connor Musial
Secondary Inspector(s):
Kelly Johnson
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant 0 Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
Phone:
Inspection Type: Compliance Evaluation
page 1

Permit: SW8020502 Owner Project: Randy M Schilsky
Inspection Date: 02/03/2021 Inspection Type Compliance Evaluation Reason for Visit: Follow-up
File Review Yes No NA NE
Is the permit active? 0 ❑ ❑ ❑
Signed copy of the Engineer's certification is in the file? 0 ❑ ❑ ❑
Signed copy of the Operation & Maintenance Agreement is in the file? 0 ❑ ❑ ❑
Copy of the recorded deed restrictions is in the file? ❑ 0 ❑ ❑
Comment: This permit is compliant other than missing deed restrictions for some of the lots. It is unknown if the
restrictions are recorded but not submitted. Copies of the deed restrictions for all of the lots is needec
for the file.
Built Upon Area Yes No NA NE
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? 0 ❑ ❑ ❑
Comment:
SW Measures Yes No NA NE
Are the SW measures constructed as per the approved plans? 0 ❑ ❑ ❑
Are the inlets located per the approved plans? 0 ❑ ❑ ❑
Are the outlet structures located per the approved plans? E ❑ ❑ ❑
Comment:
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ 0 ❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ ❑ ❑
DWQ upon request?
Comment: 1. There is a potentially broken pipe causing a sink hole draining to the pond.
2. Sediment needs to be cleaned out of the pond.
3. The pond is sloughing at the entrance.
4. The slopes are eroding.
5. The outlet pipe is causing severe erosion.
page 2

1.
t
k 14

State Stormwater Inspection Report
Dlenen Daturn+n VMI..
Project Name: 45LA \\ %,L�Q Q Z{ L
Permit No: SW8 0
Expiration Date:
Contact Person:
Phone Number:
Inspection Type:
Inspection Date: Feb.. 3 , ZGZ i
Time In: , Z ; 3 G
Time Out:
Current Weather:
Recent Rain (Date)?
Rain — in
Location
Facility Address / Location:
City: Zip: County: Lat: 0"N Long: - 0 4"W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule 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):
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 Yam Nn NIA Nil:
1. Is the.permit active?
2. Signed Engineer's Certification on file? Co/ -I I $
3. Signed Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions on file?
Cite Visit- MAN I Innn Arras /RI IA► r e� \ 1►T-�u1e LUM
5. BUA is constructed and consistent with the permit requirements?
6. BUA aspermitted) is graded such that the runoff drains to the stem? (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
Bits Visit- Ctnrmw2tor RMPa
4AL X)C3�-U\L «/ ve- K1- /ww %A110
9. Stormwater BMPs are located per the approvedplans?
10. Stormwater BMPs have dimensions e . length, width, area matching the approvedplans?
#A
11. Stormwater BMPs are constructed ver the aix3roved laps?
l/ -�
Site Visit: Operation and Maintenance
�11a
I • . I • aim
oints to the site are clearand well maintained?
h has been removed as needed?essive
r2Aess
landsca a debris ass cli in s, leaves, etc is controlled?
iwdn
mwater BMPs bein o erated and maintained as er the ermit re uirements?
:onI7---
Inspection and Maintenance records are available for ins ection? i densi onl 1995 — resent
v
Yes No NIA N/E
1 17. Is the site compliant with other conditions of the permit? I I I 1
o NIA N/E
1 18. Is the site compliant with other water aualitv issues as noted durine the inspection? I I
State Storinwater Inspection Report, Version 3.0 3-09 Page 1 of 2

State Stormwater Inspection Report
Comments
of the pictures taken during the site
GN L VA LQI\ (fo"OWrt Re)J P'c4U,'_- 5\v9C ► ,qs k opo a PC., A Zo21 -0z - 03
Compliant ❑ Non -Compliant
Letter Sent (circle one): Yes No
Letter type: CEI NOV NOVRE Other
)ate Sent: Reterence Number:
a
nspector Name and Signature: Date:
IfiE uV-fL 77 OF l H� PAD ISC1`}-� CUES
A?CU1 L'-T
e EQT 6 k'3, rTAL &Pie S
Q0C"45.
WNn a'(\2
r�•s � s � sc�, g
State Stormwater Inspection Report, Version 3.0_3-09
Page 2 of 2

Compliance Inspection Report
Permit:
SW8020502 Effective:02/20/18
Project:
Schilsky Chiropractic Center
Owner:
Randy M Schilsky
County:
Onslow
Region:
Wilmington
Expiration: 10/16/24
Auress: Western Bivci NGSR 1470-Doiphin Dr
City/State/Zip: Jacksonville NC 28540
Contact Person: Randy M Schilsky Title: Manager Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470
(Western Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Mill Creek) (03-05-02) (SC;NSW)
On -Site Representative(s):
Related Permits:
SW8101017 Bw Dolphin Ventures LLC - Browning and White Building Lot 3 Schilsky Chiropr,
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8000937 First Citizens Bank - First Citizens Bank 2555 Western Boulevard
Inspection Date: 06/28/2018 Entry Time: 11:OOAM Exit Time: 11:30AM
Primary Inspector: Holley A Snider() Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
0 State Stormwater
(See attachment summary)
Inspection Type: Compliance Evaluation
page: 1

Permit: SW8020502 Owner- Project: Randy M Schilsky
Inspection Date: 06/26/2018 Inspection Type Compliance Evaluation Reason for Visit: Follow-up
Built Upon Area Yes No NA NE
Is the site BUA constructed as per the permit and approval plans? M ❑ ❑ ❑
Is the drainage area as per the permit and approved plans? M ❑ ❑ ❑
Is the BUA (as permitted) graded such that the runoff drains to the system? M ❑ ❑ ❑
Comment:
SW Measures Yes No NA NE
Are the SW measures constructed as per the approved plans? M ❑ ❑ ❑
Are the inlets located per the approved plans? 0 ❑ ❑ ❑
Are the outlet structures located per the approved plans? 0 ❑ ❑ ❑
Comment:
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ 1:10 ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ ❑ M ❑
DWQ upon request?
Comment: The deficiencies identified during the 02/07/2018 inspection appear to have been corrected. However,
soils lacking vegetation are present on the NW bank of the detention pond opposite the outlet structure
and have the potential to become erosive. These areas should be monitiored and repaired as
necessary. The height of terminal end of the outlet structure appears to have the potential to cause
erosion and should be monitored A routine inspection will be conducted in approximately 9 -12 months
to ensure compliance with the operation and maintenance conditions of the permit.
page: 2

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State Stormwater Inspection Report
General
Project Name: `LS V �C�C1C
Permit No: SW8CgUSU),
Expiration Date:
Contact Person:
Phone Number:
Inspection Type:
Inspection Date:
Time In:
Time Out:
Current Weather:
I Recent Rain (Date)?
I Rain — in
Location
Facility Address / Location:
City.Zip: County. Lat. O G 6EN Long: - O �R7
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule 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):
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 vaQ ni„ Kiln K11C
1. Is the permit active?
2. Signed Engineer's Certification on file?
3. Signed Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions on file?
Site Visit: Built Upon Area (BUAI
5. BUA is constructed and consistent with the permit requirements?
6. BUA (as permitted) is graded such that the runoff drains to the system? (high de
7. Drainage area is consistent with permit? (i.e. no unpermitted drainage to the SW
8. Drainage area is stabilized? (to reduce risk of sedimentation to the SW BMPs)
9. Stormwater BMPs are located per the approved plans?
10. Stormwater BMPs have dimensions (eg. length, width, area) matching the approved
11. Stormwater BMPs are constructed per the approved plans?
Site Visit: Oneration and Maintenance
?
) )�s "-op- 01)i - -
Yes No /A N/E
Yes No N/A N/E
Voc-- -Aln we KIM
12.
Access points to the site are clear and well maintained?
13.
Trash has been removed as needed?
i
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 on.. )
Yes No N/A NIE
17. Is the site compliant with other conditions of the permit? I IE7-
Site Visit: Other Water guality Issues Yes No N/A N/E
18. Is the site compliant with other water quality issues as noted during the inspection?
State Stormwater Inspection Report, Version 3.0_3-09 Page 1 of 2

State Stormwater Inspection Report
Comments
Inspection Pictures (some of the pictures taken during the site vis
Compliance Status ❑ Compliant ❑ Non -Compliant
Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other
Date Sent: Reference Number:
Inspector Name and Signature:
Date:
State Stormwater Inspection Report, Version 3.0_3-09 Page 2 of 2

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
April 18, 2018
Dr. Randy M. Schilsky, Owner (Master Permittee, SW8 020502)
445-A Western Blvd.
Jacksonville, NC 28540
ROY COOPER
Governor
MICHAEL S. REGAN
secretary
WILLIAM E. (TOBY) VINSON, JR.
Interim Director
Dr. Shanie Covert, DDS, Owner (Current Permittee for Offsite Permit, SW8 070121)
Post Office Box 735
Sneads Ferry, NC 28460
Covert Operations of Jacksonville, LLC
Attn: Mr. Edward G. Covert, Manger (Proposed Permittee for Offske Permit, SW8 070121)
400 Dolphin Drive
Jacksonville, NC 28546
Subject: SW8 020502, Schilsky Chiropractic Center: Notice of Non -Compliant Inspection
SW8 070121, Lot 1A of Schilsky Chiropractic Center:
Notice of Compliant Inspection and Request for Additional Information
Onslow County
Dear All Parties:
On January 18, 2018 the Wilmington Regional Office of the Division of Energy, Mineral and Land
Resources (DEMLR) accepted a State Stormwater Transfer Application for SW8 070121. The package
also included an application to modify SW8 070121 which will be formally accepted for review once the
Transfer has been completed. In support of the permit transfer, the Division inspected both SW8 020502
and SW8 070121 on February 7, 2018. A letter requesting additional information was mailed on March
13, 2018, and a response was received on March 26, 2018. The following items are needed. Please
respond by May 2, 2018.
1. SW8 020502, Schilsky Chiropractic Center:
a. Maintenance Needed:
i. 3/13 (DEMLR): Please maintain the pond per the enclosed O&M Agreement.
(This agreement begins on Page 2 of the Wet Pond Supplement.) The side slopes
of the pond lack vegetative cover necessary to prevent erosion and rills are
present of the western'side slopes of the pond. The outlet pipe placement has
resulted in a large scour hole, extremely erosive slopes and potential sediment
damage to the adjacent wetlands. The presence of rills and scour hole at the
outlet pipe appear to be the result of lack of maintenance.
ii. 3/23 (Engineer): Dr. Schilsky has contacted his contracted pond maintenance
firm to address the noted deficiencies we will notify your office when that work
is complete.
iii. 4/18 (DEMLR): Once the work is complete, please submit photos for the file.
State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I U InAngton, NC 28405
910 796 7215 ..

State St:ormwater Permit No. SW8 020502 & SW8 070121
Page 2 of 4
b. Minor Modification & Certification:
i. 3/13 (DEMLR): An inlet pipe not shown on the approved plan was observed
depositing into the forebay of the pond. Please apply for a minor modification to
show the additional inlet pipe on the plan. (If the upcoming modification for SW8
070121 will impact the SW8 020502 plans, then please include those
modifications as well.) The certification from August 15, 2013 is still valid for
the current configuration. Please submit a partial certification showing that the
new inlet pipe is installed to match the upcoming minor modification.
ii. 3/23 (Engineer): The HDPE pipe to which you refer is "dormant" (not presently
in use). We can only speculate that it was installed by the contractor to possibly
facilitate serving the vacant lots across the street when/if they ever develop. If
necessary, we can certainly modify the permit now as requested, however from
our perspective, it makes more sense to wait until those lots are developed, as
additional Permit Modifications would be necessary at that time. Please consider
and advise.'
iii. 4/18 (DEMLR): If the pipe is not in use, is not currently needed, and you do not
want to modify the permit now, then I recommend that you plug the pipe. If it is
ever needed, then they can modify the permit to add it to the plans, and unplug it
at that time.
Master Table. The master table has been updated to clarify differences in lot numbers
that are discussed in the next section of the letter. (It also clarifies some other items that I
found during the review that are unrelated to the issue at hand, but will simplify things
for you as you develop tracts in the future). Please review this table, and provide
feedback if necessary. I will issue a permit correction to your permit, SW8 020502,
concurrently with the offsite permit in review, SW8 070502. You do not need to apply
for the correction or take any other action.
2. SW8 070121, Lot 1A of Schilsky Chiropractic Center:
a. 3/13 (DEMLR) & 3/23 (Engineer): After discussions with your engineer, I understand
that the plans for the master permit, SW8 020502, show Lot 1A as covering the area
occupied by what is legally two lots, Lot lA and Lot 1B. He reports that both lots are
under common ownership and there is no intent to convey either lot to a third party. The
intent of the SW8 070121 modification is to drain 43,746sf of impervious area to SW8
020502 (which is the maximum amount allocated to this lot by that permit), and 7,875sf
to an onsite stormwater wetland for a total of 51,621 sf of impervious area on the lot.
b. Deeds: The 2008 deed for "Lot lA", a 2.04ac lot has been submitted (BK3005/PG707-
708). Since this lot has since been subdivided into two lots, Lot lA and Lot 1B, please
submit the two deeds showing that Covert Operations of Jacksonville, LLC owns both
lots. (This entity is the incomingpermittee for the permit transfer)
State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, NC28405
910 796 7215

i State Stormwater Permit No. SW8 020502 & SW8 070121
Page 3 of 4
c. Deed Restrictions: Deed restrictions for a 2.04ac "Lot 1A" (which is now Lots IA and
1B) are recorded in BK3043/PG426-428 allowing 43,746sf of impervious area total.
i. Deed restrictions are required for master"permits (such as SW8 020502) to limit
impervious area for subdivided lots prior to the master permittee selling lots to
third parties. This ensures that the water draining from all of the lots in the
subdivision will "fit" in the pond once the subdivision is built -out. When a third
party buys a lot from the master permittee, deed restrictions should already be in
place. Then, the new owner of the lot gets their own. "offsite" permit (such as
SW8 070121) to drain their water "offsite" to the master permittee's pond. The
offsite permit then becomes the vehicle by which DEMLR regulates activity on
the specific lot. Since I understand the two lots are already owned by the entity
that will become the offsite permittee per the pending transfer, and that entity has
applied for an offsite permit which will restrict the lot's impervious area to
51,62Isf there is no need to deed restrict the lot to either 43,746 or 51,621 sf.
(Please note that if either lot is eventually sold, the permit does not transfer with
the land. You would have to transfer this permit to the new owner, and the new
owner would have to comply with the maximum impervious area under this
permit.)
ii. Please be advised that there is an impervious restriction recorded in case that
complicates any other aspects of your development.
d. Certification: The current permit is required to have been built in substantial
conformance with the permit (see page 7 of the permit for the certification checklist). I
do not see that this form has been submitted. Technically, a certification is a requirement
for a permit transfer because permits must be in compliance to transfer and it has to be
certified to be in compliance. However, since you have a pending modification for the
project it does not make sense to certify the project in its current state and then shortly
thereafter modify the permit causing it to have to be certified again. I recommend
submitting a signed statement from the incoming permittee, Covert Operations of
Jacksonville, LLC, attesting that they understand that they are accepting a permit transfer
for a project that has not been certified and that they understand they will be responsible
for certifying the project once it has been transferred to their name and constructed in
configuration permitted under the upcoming modification.
e. Drainage Area Line [.1042(2), .1042(2)(g)(iv), .1042(3)(b), and .1050(1) to support
.1042(2)(a)(iv)]: Please provide 2 copies of a signed, sealed, and dated drainage area
map supporting the identified drainage areas and associated built -upon areas presented in
the application documents.
f. Natural Features [.1042(2)(g)(iii)]: Please provide the boundaries of all surface waters,
wetlands, regulatory flood zones, protected vegetated setbacks, and protected riparian
buffers, or a note on the plans that none exist.
g. 10yr Peak Flow [per .1003(5)]: Will the project discharge at the 10yr peak? If so, please
demonstrate that this storm event will not cause erosion downslope of the stormwater
outlet discharge point.
h. Project Name: The transfer application lists the project name as "Lot lA Randy Schilsky
& wife Suezen Division — Dr. Shanie Covert." Is this the intended project name?
State of North Carolina I Environmental Quality 1 Energy, Mineral and Land Resources
Wilmington Regional Office 1 127 Cardinal Drtve Extension I Wilmington, NC 28.405
910 796 7215

State Stormwater Permit No. SW8 020502 & SW8 070121
Page 4 of 4
Please also note that any individual or entity found to be in noncompliance with the provisions of a
stormwater management permit or the stormwater rules is subject to enforcement action as set forth in
NCGS 143 Article 21, including the assessment of civil penalties of up to $25,000 per day.
If you have any questions, please contact me at the Wilmington Regional Office, telephone number (910)-
796-7331 or via email at [e-mail].
tSmely,on
ntal Engineer
enc: Master Table, SW8 020502
GDS\kpj: \\\Stormwater\Permits & Projects\2002\020502 HD\2018 04 CEI addinfo 020502
\\\Stormwater\Permits & Projects\2007\070121 Offsite\2018 04 CEI_addinfo 070121
cc: David Newsome, PE, Crystal Coast Engineering (via email only, crystalcoasteng@bizearr. com)
Nicholas Semanderes (via email only, delphibuilders@yahoo. com)
Randy Schilsky ([e-mail])
WiRO Stormwater Permit File, SW8 020502
WiRO Stormwater Permit File, SW8 070121
State of'North Carolina I Environmental Quality I Energy. Mineral and Land Resources
Wilmington Regional office 1127 Cardinal Drive Extension I Wilmington, NC 28405
910796 7215

Compliance Inspection Report
Permit: SW8020502 Effective:02/20118 Expiration: 10/16/24
Project: Schilsky Chiropractic Center
Owner: Randy M Schilsky
County: Onslow Adress: Western Blvd NCSR 1470-Dolphin Dr
Region: Wilmington
Contact Person: Randy M Schilsky
City/State/Zip: Jacksonville NC 28540
Title: Manager Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470
(Western Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater- HD - Detention Pond
Drain Areas: 1 - (Mill Creek) (03-05-02 ) ( SC; NSW)
On -Site Representative(s):
Related Permits:
SW8101017 Bw Dolphin Ventures LLC - Browning and White Building Lot 3 Schilsky Chiropra
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8000937 First Citizens Bank- First Citizens Bank 2555 Western Boulevard
Inspection Date: 04/18/2018 Entry Time: 09:OOAM Exit Time: 11:OOAM
Primary Inspector: Kelly Johnson
Secondary Inspector(s):
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
Phone: [phone]
Inspection Type: Modification Offsite
page: 1

Permit: SW8020502 Owner - Project: Randy M Schilsky
Inspection Date: 04/18/2018 Inspection Type Modification Offsite Reason for Visit: Follow-up
File Review Yes No NA NE
Is the permit active? 0 ❑ 0 2
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? 131300
Comment: File Review Only: See letter dated 4/18/18
page: 2

Compliance Inspection Report
Permit: SW8020502 Effective:02/24/16
Project: Schilsky Chiropractic Center
Owner: Randy M Schilsky
County: Onslow
Region: Wilmington
Expiration: 10/16/16
Adress: Western Blvd NCSR 1470-Dolphin Dr
City/State/Zip: Jacksonville NC 28540
Contact Person: Randy M Schilsky Title. Manager Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470
(Western Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Mill Creek) (03-05-02 ) ( SC;NSW)
On -Site Representative(s):
Related Permits:
SW8101017 Bw Dolphin Ventures LLC - Browning and White Building Lot 3 Schilsky Chiroprz
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8000937 First Citizens Bank First Citizens Bank 2555 Western Boulevard
Inspection Date: 02/07/2018 Entry Time: 11:40AM Exit Time: 12:20PM
Primary Inspector: Holley A Snider
Secondary Inspector(s):
Kelly Johnson
Reason for Inspection: Other
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant Not Compliant
Question Areas:
E ,State Stormwater
(See attachment summary)
Phone: [phone]
Inspection Type: Modification Offsite
page: 1

Permit: SW8020502 Owner • Project: Randy M Schilsky
Inspection Date: 02/07/2018 Inspection Type Modification Offsite Reason for Visit: Other
File Review Yes No NA NE
Is the permit active? 0 ❑ ❑ ❑
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: Lots 1A and 3 are recorded. See the Master Table for a deed restrictions summary.
Built Upon Area Yes No NA NE
Is the site BUA constructed as per the permit and approval plans? 0 ❑ ❑ ❑
Is the drainage area as per the permit and approved plans? 0 ❑ ❑ ❑
Is the BUA (as permitted) graded such that the runoff drains to the system? N ❑ ❑ ❑
Comment:
SW Measures Yes No NA NE
Are the SW measures constructed as per the approved plans? ❑ 0 ❑ ❑
Are the inlets located per the approved plans? ❑ ■ ❑ ❑
Are the outlet structures located per the approved plans? ❑ N ❑ ❑
Comment: An inlet pipe not shown on the approved pain was observed depositing into the forebay of the pond. The
side slopes of the pond lack vegetative cover necessary to prevent erosion and rills are present of the
western side slopes of the pond. The oulet pipe placement has resulted in a large scour hole,
extremely erosive slopes and potential sediment damage to the adjacent wetlands.
Operation and Maintenance
Are the SW measures being maintained and operated as per the permit requirements?
Yes No NA NE
❑ ■❑❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ M ❑ ❑
DWQ upon request?
Comment: The presence of rills and scour hole at the outlet pipe appear to be the result of lack of maintenance.
page: 2

Compliance Inspection Report
Permit: SW8020502 Effective:02/24/16 Expiration: 10/16/16
Project: Schilsky Chiropractic Center
Owner: Randy M Schilsky
County: Onslow Adress: Western Blvd NCSR 1470-Dolphin Dr
Region: Wilmington
City/State/Zip: Jacksonville NC 28540
Contact Person: Randy M Schilsky Title: Manager Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470
(Western Blvd.) then W. on Western Blvd_ approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 -(Mill Creek) (03-05-02 ) ( SC; NSW)
On -Site Representative(s):
Related Permits:
SW8101017 Bw Dolphin Ventures LLC - Browning and White Building Lot 3 Schilsky Chiropr2
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8000937 First Citizens Bank - First Citizens Bank 2555 Western Boulevard
Inspection Date: 02/07/2018 Entry Time: 11:40AM Exit Time: 12:20PM
Primary Inspector: Holley A Snider Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Other Inspection Type: Modification Offsite
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
page: 1

Permit: SW8020502 Owner - Project: Randy M Schilsky
Inspection Date: 02/07/2018 Inspection Type Modification Offsite Reason for Visit: Other
File Review Yes No NA NE
Is the permit active? ❑ ❑ ❑ 0
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: DEMLR SW Engineer to conduct file review.
Nv�
Built Upon Area Yes No NA NE
Is the site BUA constructed as per the permit and approval plans? ❑ 0 1111
Is the drainage area as per the permit and approved plans? ❑ 0 ❑ ❑
Is the BUA (as permitted) graded such that the runoff drains to the system? ❑ 0 ❑ ❑
Comment: Severs he Parcels have constr/u�cted IJUA not snown on the a roves Ian.
SW Measures v Yes No NA NE
Are the SW measures constructed as per the approved plans? � 31��j1� ElElElAre the inlets located per the approved plans? ❑ 0 ❑ ❑
Are the outlet structures located per the approved plans? ❑ N ❑ ❑
Comment: An inlet pipe not shown on the approved paln was observed depositing into the forebay of the pond The
side slopes of the pond lack vegetative cover necessary to prevent erosion and rills are present of the
western side slopes of the pond The oulet pipe placement has resulted in a large scour hole
extremely erosive slopes and potential sediment damage to the adjacent wetlands.
Operation and Maintenance
Are the SW measures being maintained and operated as per the permit requirements?
Yes No NA NE
❑ N ❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to ❑ 0 ❑ ❑
DWQ upon request?
Comment: The presence of rills and scour hole at the outlet pipe appear to be the result of lack of maintenance.
Other Permit Conditions Yes No NA NE
Is the site compliant with other conditions of the permit? ❑ ❑ ❑ E
Comment:
Other WQ Issues Yes No NA NE
Is the site compliant with other water quality issues as noted during the inspection? ❑ ❑ ❑
Comment:
page: 2

State Stormwater Inspection Report
General - -b p r AL� 5
Project Name:
Permit No: SW8 dV&504
Expiration Date:
Contact Person:
Phone Number:
Inspection Type:
Inspection Date a )-,
Time In: 11•. vv)
Time Out.
Current Weather: -_. -_ � -- -- ._---- - --_'- - -------- ; ✓
jRecent Rain (Date)?� .�
Rain
Location
Facility Address / Location:
City: Zip: County:omak� Lat: "N Long: - 0 "W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule
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):
4-
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):
.aj
File Review
YeS No NIA N/E
1. Is the permit active? a
2. Signed Engineer's Certification on file?
3. Signed Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions on file? SoM
one visa: rsuin upon Area esuA
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 unpermitted drainage to the SW BMPs
8. Drainage area is stabilized? (to reduce risk of sedimentation to the SW BMPs)
Site Visit: Stormwater BMPs
9. Stormwater BMPs are located per the app
10. Stormwater BMPs have dimensions (eg. 1
11. Stormwater BMPs are constructed per the
Site Visit: Operation and Maintenance
the
Yost Mn NIA MIF
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? i
.,
16. Inspection and Maintenance records are available for inspection? (hi densityonly, 1995 - present onl)
17. Is the site compliant with other conditions of the permit?
1 18. Is the site compliant with other water quality issues as noted durine the inspection?
Yes No
i
N/E
Yes No NIA N/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 ❑ Non -Compliant
Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other
Date Sent:
Inspector Name and Signature:
Reference Number:
Date:
ff i5 t S 111• �tivSE �� I Co vt9�)T I t 7�9�Q 15 q r\4 l o� I Vl
lioal»�s��n , lresr�'' + a15a Rod to mod ' ?
Ema�\ s or !;�%1e 11%0Vt 5W3 0`7oI al Y�Q%n'5, a combo
1IdilnH %.cns ��1,�• �am � Is �cm �+ 5+� � l
aDbdw %5loxN ?
State Stormwater Inspection Report, Version 3.0_3-09 Page 2 of 2

CI
4D

4

Hammers, Angela
From: Hammers, Angela
Sent: Tuesday, January 25, 2011 10:46 AM
To: Russell, Janet
Subject: Schilsky Chiropractic Center, SW8 020502
Attachments: 2011 01 CEI_compliant 020502 LH.doc
Janet,
I wanted to copy you on the latest inspection report for the Schilsky Chiropractic Center, SW8 020502. Please find the
Letter of Compliance attached (it is also filed on the S drive for project reference purposes).
Thank you for bringing this to our attention.
Sincerely
AK,06 i-tavu.vu.ers
Environmental Specialist
NC Department of Environment and Natural Resources
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
Office: 910.796.7215
Fax: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.

��h
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
January 24, 2011
Mr. Randy M. Schilsky, Owner
Schilsky Chiropractic Center
312 Dolphin Drive
Jacksonville, NC 28546
Division of Water Quality
Coleen H. Sullins
Director
Subject: NOTICE OF INSPECTION
Schilsky Chiropractic Center
Permit No. SW8 020502
Onslow County
Dear Mr. Schilsky:
Dee Freeman
-Secreta, r
On January 21, 2011, Angela Hammers of the Wilmington Regional Office of the
Division of Water Quality (DWQ) inspected Schilsky Chiropractic Center in Onslow
County to determine compliance with Stormwater Management Permit Number SW8
020502 issued on April 4, 2008. DWQ 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.
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.
If the project has changed name, ownership or mailing address, a formal change of
name/ownership form must be submitted to DWQ within 30 calendar days detailing the
change. Please provide the name, mailing address and phone number of the person or
entity that is now responsible for this permit.
Please be advised that 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 you
have any questions please contact me at the Wilmington Regional Office, telephone
number (810)-736- 7215.
Sincerely,
Angela Hammers
Environmental Specialist
Enclosure: Compliance Inspection Report
GDS1akh: SAWWWORMWATER120021Permits & Projectsl2011 01 CEI_compliant 020502
cc: Janet Russell, DWQ Express via email
John Hennessy-NPS-ACOU
WiRO Files
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 �7One�L, Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 1� of u1��lToliIld
Internet www.ncwaterquality.org ��'tlf�l���f
An Equal Opportunity 1 Affirmative Action Employer h[

Permit: SW8020502 Owner - Project: Randy M Schilsky
Inspection Date: 0112112011 Inspection Type: Modification Offsite Reason for Visit: Follow-up
Inspection Summary:
The following are observations from a follow up inspection:
1. The parking lot runoff from the rear of the Chiropractic Office (Lot 2-A) is being directed to Pond 1 per plan.
2. Pond 1 pond slopes have been cleared, EC matted and seeded; forebay berm break was repaired and tree
limbs/debris had been removed from the outlet area.
3. Documents were submitted to DWQ verifying the wetland impacts on/at Lot 1 were approved by the USACoE.
Documents put in the stormater file.
All items of deficiency noted have been addressed and this permit is found in compliance with stormwater system
components in good working order.
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:
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 parking lot runoff from the rear of the Chiropractic Office (Lot 2-A) is
being directed to Pond 1 per plan.
Operation and Maintenance
Are the SW measures being maintained and operated as per the permit requirements?
Yes No NA NE
■ ❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
0000
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: Pond 1 Obs: pond slopes have been cleared, EC matted and seeded;
forebay berm break was repaired and tree limbs/debris had been removed from the
outlet area.
Other WQ Issues
Is the site compliant with other water quality issues as noted during the inspection?
Comment: Documents were submitted to DWQ verifiying the wetland impacts on/at
Lot 1 were approved by the USACoE. Documents put in the stormater file.
Yes No NA NE
Page: 2

Compliance Inspection Report
Permit: SW8020502 Effective: 04/04/08 Expiration: 10/18/12
County: Onslow
Region: Wilmington
Contact Person: Randy M Schilsky Title: Owner
Owner: Randy M Schilsky
Project: Schilsky Chiropractic Center
Western Blvd NCSR 1470-Dolphin Dr
Jacksonville NC 28540
Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470 (Western
Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Draln Areas: . 1 -(Mill Creek) (03-05-02 ) (SC;NSW)
On -Site Representative(s):
Related Permits:
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8010522 First Citizens Bank - First Citizens Bank -Western Blvd Jackson
Inspection Date: 01/21/2011 Entry Time: 02..10 PM
Primary Inspector: Alida R Lewis
Secondary Inspector(s):
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
0 State Stormwater
(See attachment summary)
Exit Time: 02:45 PM
Phone: [phone]
Inspection Type: Modification Offsite
Page: 1

Compliance Inspection Report
Permit: SW8020502 Effective: 04/04/08 Expiration: 10/18/12 Owner: Randy M Schilsky
Project: Schilsky Chiropractic Center
County: Onslow Western Blvd NCSR 1470-Dolphin Dr
Region: Wilmington
Contact Person: Randy M Schilsky Title: Owner
Jacksonville NC 28540
Phone:[phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470 (Western
Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Mill Creek) (03-05-02) (SC;NSW)
On -Site Representative(s):
Related Permits:
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8010522 First Citizens Bank - First Citizens Bank -Western Blvd Jackson
Inspection Date: 12103/2010 Entry Time: 02:30 PM Exit Time: 02:45 PM
Primary Inspector: Alida R Lewis
Secondary Inspector(s):
Reason for Inspection: Follow-up
Permit Inspection Type: State Stormwater
Facility Status: Q Compliant ■ Not Compliant
Question Areas:
State Stormwater
(See attachment summary)
Phone: [phone]
Inspection Type: Modification Offsite
Page: 1

Permit: SW8020502 Owner - Project: Randy M Schilsky
Inspection Date: 12/03/2010 Inspection Type: Modification Offsite
Reason for Visit: Follow-up
Inspection Summary:
The pond slopes were not yet fully stabilized.
Notify DWQ when slopes are seeded and stable.
SW Measures
Yes No
NA
NE
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:
Built Upon Area Yes No NA NE
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:
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ ■ ❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWQ ❑ ❑ ❑ ■
upon request?
Comment: 1. The pond slopes were plowed up and workers were laying erosion
control matting down. Supposedly the slopes had been seeded.
Page: 2

ALv4ia*`PAwA
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
I, o el l rber 29, 2010
Mr. Randy M. Schilsky, Owner
Schilsky Chiropractic Center
312 Dolphin Dr.
Jacksonville, NC 28546
Subject: NOTICE OF INSPECTION
Schilsky Chiropractic Center
Permit No. SW8 020502
Onslow County
Dear Mr. Schilsky:
On November 23, 2010, Angela Hammers of the Wilmington Regional Office of the Division of
Water Quality (DWQ) inspected the Schilsky Chiropractic Center in Onslow County to determine
compliance with Stormwater Management Permit Number SW8 020502 issued on October 18,
2002 and modified on April 4, 2008. DWQ 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. Completely collect and direct all stormwater from rear parking lot of Chiropractic Office
(Lot 2-A) to Pond No. 1 as approved on stormwater plan.
2. Address the addition of the gravel parking lot extension by permit modification/revision
or remove per the approved stormwater plan.
3. Perform maintenance of Pond No. 1 to bring the pond into compliance and in good
working order.
4. Create a schedule for inspection and on -going maintenance of the stormwater system
according to the signed Operation &Maintenance Agreement (enclosed).
NOTE:
Lot 1 located at the north side of Dolphin Drive appears to have wetland area filled down to
halfway through the cul-de-sac.
Please inform this Office in writing before January 4, 2011, 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, when required, 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 January 4, 2011 then DWQ staff will re -inspect the site and issue a
Notice of Violation if the listed deficiencies have not been addressed.
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405
Phone: [phone] FAX: [phone] Customer Service:1-877.623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity\A!firmalveAction Employer
NonrthCarolina
Natura!!b+

Mr. Randy Schilsky
,Schilsky Chiropractic Center
Stormwater Permit No. SW8 020502
Please be reminded that if any ownership or name change has occurred it is the permittee's
responsibility to notify this office in writing. If you have any questions please contact me at the
Wilmington Regional Office, telephone number [phone].
Sincerely,
Angela Hammers
Environmental Specialist
Enclosure: Compliance Inspection Report; Copy of Operation & Maintenance Agreement
GDS\akh: S:\WQS\STORMWATER\INSPECT1020502.nov10
cc: John Hennessy-NPS-ACOU
Onslow County Inspections
Joanne Steenhuis, WiRO Wetlands Section; Georgette Scott, WiRO; WiRO Files
Page 2 of 2

Compliance Inspection Report
Permit: SW8020502 Effective: 04/04/08 Expiration: 10/18/12
County: Onslow
Region: Wilmington
Contact Person: Randy M Schilsky Title: Owner
Owner: Randy M Schilsky
Project: Schilsky Chiropractic Center
Western Blvd NCSR 1470-Dolphin Dr
Jacksonville NC 28540
Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470 (Western
Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Mill Creek) (03-05-02 ) ( SC;NSW)
On -Site Representative(s):
Related Permits:
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8010522 First Citizens Bank - First Citizens Bank -Western Blvd Jackson
Inspection Date: 11/23/2010 Entry Time: 11:20 AM Exit Time: 01:20 PM
Primary Inspector: Angela K Hammers
Secondary Inspector(s):
Reason for Inspection: Other
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant ® Not Compliant
Question Areas:
E State Stormwater
(See attachment summary)
Phone: [phone]
Ext.7317
Inspection Type: Modification Offsite
Page: 1

Permit: SW8020502 Owner - Project: Randy M Schilsky
Inspection Date: 11/23/2010 Inspection Type: Modification Offsite
Inspection Summary:
Reason for Visit: Other
The following deficiencies were noted during the inspection:
1. All parking. lot runoff from rear of Chiropractic Office (Lot 2-A) is not being collected and directed to Pond 1, some runoff
is draining to the wetland area.
2. Area of gravel parking observed extended from parking area NE of Lot 2-A not shown on plan.
3. Pond No. 1 slopes cleared of vegetation; debris collected around the orifice of the outlet structure; forebay berm had
break.
4. Lack of scheduled inspection and maintenance of stormwater system.
To bring this system into'compliance, the following must be completed:
1. Completely collect and direct all stormwater from rear parking lot of Chiropractic Office (Lot 2-A) to Pond No. 1 as
approved on stormwater plan.
2. Address the addition of the gravel parking lot extension by permit modification/revision or remove per the approved
stormwater plan.
3. Perform maintenance of Pond No. 1 to bring the pond into compliance and in good working order.
4. Create a schedule for inspection and on -going maintenance of the stormwater system according to the signed
Operation & Maintenance Agreement (enclosed).
NOTE:
Lot 1, north side at east end of Dolphin Drive Obs: wetland appears to be filled down to halfway through the cul-de-sac.
Notification to wetlands section for further investigation.
If you have questions, please contact Angel Hammers at 910-796-7317 or [e-mail].
Page: 2

Permit: SW8020502
Owner - Project: Randy M Schilsky
Inspection Date: 11/23/2010
Inspection Type: Modification Offsite
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:
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: Other
Comment: All parking lot runoff from rear of Chiropractic Office (Lot 2-A) is not being
collected and directed to Pond 1, some runoff is draining to the wetland area.
Area of gravel parking observed extended from parking area NE of Lot 2-A not shown
on plan.
Operation and Maintenance
Are the SW measures being maintained and operated as per the permit requirements?
Yes No NA NE
■ ❑ ❑ ❑
■❑❑❑
i ❑ ❑ ❑
❑ ❑ ❑ ■
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
0000
Vne Mn MA MR
0000
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWQ ❑ ❑ ❑ ■
upon request?
Comment: Pond No. 1 was currently under repair. Obs: pine tree stumps and debris
on the pond slopes and around the orifice of the outlet structure; soils at inlet being
pulled back to create the 5 ft deep side slopes of the forebay; forebay berm had break;
pond not discharging -good, as expected with less than 1 inch in last 5 days (4 days per
submitted pond calculations).
Other WQ Issues Yes No NA NE
Is the site compliant with other water quality issues as noted during the inspection? ❑ ■ ❑ ❑
Comment: Lot 1, north side at east end of Dolphin Drive Obs: wetland appears to be
filled down to halfway through the cul-de-sac. Notification to wetlands section for further
investigation.
Page: 3

Compliance Inspection Report
Permit: SW8020502 Effective: 04/04/08 Expiration: 10/18/12 Owner: Randy M Schilsky
Project: Schilsky Chiropractic Center
County: Onsiow Western Blvd NCSR 1470-Dolphin Dr
Region: Wilmington
Contact Person: Randy M Schilsky Title: Owner
Jacksonville NC 28540
Phone: [phone]
Directions to Project:
From intersection of US Hwy 17 & NC Hwy 24 in Jacksonville, N. on US Hwy 17 approximately 1.40 miles to NCSR 1470 (Western
Blvd.) then W. on Western Blvd. approximately 1.30 miles to Marlin Dr. then left on Marlin Dr. to Dolphin Dr.
Type of Project: State Stormwater - HD - Detention Pond
Drain Areas: 1 - (Mill Creek) (03-05-02) (SC;NSW)
On -Site Representative(s):
Related Permits:
SW8070121 Shanie Covert - Lot 1-A Randy Schilsky Division -Dr Shanie Covert
SW8010522 First Citizens Bank - First Citizens Bank-Westem Blvd Jackson
Inspection Date: 01/15/2010 Entry Time: 10:00 AM Exit Time: 02:00 PM
Primary Inspector: Mary Jean Naugle Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
0 State Stormwater
(See attachment summary)
Inspection Type: Stormwater
Page: 1

Permit: SVV8020502 Owner - Project: Randy M Schilsky
Inspection Date: 01/15/2010 Inspection Type: Stormwater Reason for Visit: Routine
Inspection Summary:
The following items were found in the " common plan " during inspection:
1. SW8 020502, Lot 2-A, SE corner of Dolphin Dr and Marlin Dr., parking lot runoff is not routed to stormwater pond.
The SE side of parking lot drains to wetlands and not the pond. Reroute stormwater runoff to permitted catch basin
nearby. Located just north of east end of Tarpon Trail.
2. SW8 070937, Lot 11, Neurophysciatric, corner of Tarpon Trail, swale is completely rocked. Ok since high density.
3. SW8 070211, master plan, swale on south side of property is overflowing and not routed to pond. The top of berm
located adjacent to lot 6 is higher than the swale bank and runoff is bypassing the pond. Lower top of berm and maintain
swale bank.
4. SW8 070211, master plan, swale on south side of property is overgrown with cattails, etc... Maintain vegetated swale.
5. SW8 070211, master plan, pond side slopes are eroding and not vegetated. Maintain pond.
6. SW8 070211, master plan, pond outlet is not covered with maximum 6" openings. The grating on large outlet is'/
open underneath. Ok per permitted plans.
7. SW8 070211, master plan, pond outlet is not accessible to verify draw down.
8. SW8 070211 Chalky Office Park —the Deed Restrictions recorded lot BUA for SW8 060506 that is filed in SW8
070211. DR document Article VIII(E), recorded last on 9/26/06. The values are correct for SW8 070211. Please submit
recorded deed restrictions amended with the correct permit no. SW8 070211.
9. SW8 020502, Lot 1, north side at east end of Dolphin Drive. Wetland has been partially filled down to halfway
through the cul-de-sac. Notified 401(Joanne).
10. SW8 020502, between Lot 1 [First Citizens] and Lot 1-A [Dental office], the road has gravel as stormwater drain.
Maintain system so that sediment, gravel, or debris does not enter the stormwater system and prevent full capacity.
11. SW8 020502, master plan, pond is overgrown with cattails and vegetated shelf is not maintained. Maintain pond.
12. SW8 020502, master plan, pond is not accessible — no embankment. Pond is fenced in. Cannot estimate depth.
Request PE certification.
13. SW8 020502, master plan, pond outlet is not accessible, but the large riprap on the outlet appears to have no
negative impact to wetlands on outlet from a distance view.
14. SW8 020502, master plan, observed metal debris along slope and in wetlands. Maintain stormwater system and
remove debris.
15. SW8 020502, master plan, sediment in street along Dolphin Drive heading toward stormwater system. Lot 2
grading in progress. Curb inlet back washed and sediment is leaving lot. Maintain system so that sediment, gravel, or
debris does not enter the stormwater system and prevent full capacity.
File: s:/stormwater/inspecV020502 common plan
Page: 2

Permit: SW8020502 Owner - Project: Randy M Schilsky
Inspection Date: 01/15/2010 Inspection Type: Stormwater Reason for Visit: Routine
vm M. ue NF
Is the permit cctive? . [,l n n
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: PE cert requested.
Built Upon Area Yes No NA NE
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: LOT 2A, SE corner, parking lot runoff is not routed to system.
SW Measures Yes No NA NE
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: LOT 2A, SE corner, parking lot runoff is not routed to system.
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? ❑ ■ ❑ ❑
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWQ ❑ ❑ ❑ ■
upon request?
Comment: Pond is eroded and needs maintenance.
Other Permit Conditions Yes No NA NE
Is the site compliant with other conditions of the permit? ■ ❑ ❑ ❑
Comment:
Other WO Issues Yes No NA NE
Is the site compliant with other water quality issues as noted during the inspection? ■ ❑ ❑ ❑
Comment:
Page: 3