SW4160801_COMPLIANCE_20170426

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO. SW����i2�
DOC TYPE ❑ CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
YYYYMMDD

Compliance Inspection Report
Permit: SW4160801 Effective: 08/16/16 Expiration: 08/15/24
Project: Dollar General#17591 (Graham)
Owner: Glendon Forest Equity LLC
County: Alamance Adress: Southern High School Rd At
Region: Winston-Salem NC Hwy 87
City/State/Zip: Graham NC 27253
Contact Person: George T Barnes Title:
Directions to Project:
Southeast intersection of Southern Hlgh School Rd and S. NC 87 Hwy.
Type of Project: State Stonnwater - HD - Bioretention
Drain Areas: 1 - (Big Alamance Creek (Alamance Creek)) (03-06-03) (WS-V;NSW)
On -Site Representative(s):
Related Permits:
Inspection Date: 04/26/2017 Entry Time: 02:OOPM
Primary Inspector: Glen White
Secondary Inspector(sj:
Reason for Inspection: Routine
Permit Inspection Type: State Stormwaler
Facility Status: ® Compliant ❑ Not Compliant
Question Areas:
® State Stormwater
(See attachment summary)
Phone: [phone]
Exit Time: 02:30PM
Phone: [phone]
Inspection Type: Compliance Evaluation
page: 1

Permit: SW4160801 Owner - Project: Glendon Forest Equity LLC
Inspection Date: 04/26/2017 Inspection Type Compliance Evaluation Reason for Vlek: Routine
File Review Yee No NA NE
Is the permit active? N ❑ ❑ ❑
Signed copy of the Engineers certification is in the file? E ❑ Cl ❑
Signed copy of the Operation & Maintenance Agreement is in the file? 0 ❑ ❑ ❑
Copy of the recorded deed restrictions is in the file? N ❑ ❑ ❑
Comment:
Built Upon Area Yee 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? E Cl ❑ ❑
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?
N
❑ ❑ ❑
Are the outlet structures located per the approved plans?
N
❑ ❑ ❑
Comment:
Operation and Maintenance Yee 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 0 ❑ ❑ ❑
DWQ upon request?
Comment:
Other Permit Conditions Yee No NA NE
Is the site compliant with other conditions of the permit? N ❑ ❑ ❑
Comment:
Other WQ Issues Yes No NA NE
Is the site compliant with other water quality issues as noted during the inspection? U ❑ ❑ ❑
Comment:
page: 2