NCS000408_37_Autozone Bioretention 78 Inspection Report 2020 with Coversheet_20211011

Annual Stormwater Operation and Maintenance Report Cover Sheet
City of Graham, North Carolina
The City of Graham National Pollution Discharge Elimination System Phase II (NPDES Phase II) Stormwater Permit
(NCS000408) 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:
State GRIN #:
Owner Address:
Owner Phone #:
Owner Email:
AutoZone
76, 77, 78
Innes Investments LLC
8883186794
1310 South Tryon St.
Charlotte, NC 28205
N/A
N/A
B. Inspection Report Attachments
Inspection Date:
Inspection Company:
Company Address:
Inspector Name:
Inspector Phone #:
Inspector Email:
6/26/2020
AWCK
740 Chapel Hill Rd.
Burlington, NC 27216
Phil Ross — Cert. #3376
336-226-5534
[e-mail]
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 3
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
Graham O&M Reports-04-28-14
Cover Page 1 of 2

Annual Stormwater Operation and Maintenance Report Cover Sheet
City of Graham, North Carolina
C. Inspection Results
FAIL* E_
*If any one item on a mspec ion 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
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.
, as a duly registered _ in the State of North Carolina attest that a
inspection has been completed for ALL structural BMPs that are associated with this particular site. All
structural BMPs are performing properly and are in compliance with the terms and conditions of the
maintenance agreement required by the City of Graham.
SEAL
Signature:
Date:
Certification #:
Graham O&M Reports-04-28-14
Cover Page 2 of 2

Bioretention Operation and Maintenance Inspection Report
City of Graham, North Carolina
Project Name:
Autozone Inspection Date:
City Project Number:
#78 Recent Rainfall Date:
Property PIN Number:
88831886794 Rainfall Depth (in):
BMP Name:
Stormwater Bioretention
Inspector Name:
Phil Ross
Inspector Company:
AWCK for City of Graham
Code Key:
N/A = Not Applicable M = Monitor (potential for future problem)
NP = Not a Problem WN = Work Needed
Perimeter of the Bioretention Cell
Bare soil/erosive gullies INP
Other (describe) INP
6/24/2020
6/19/2020
0.38
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
WN
Curb Cuts are full of sediment. Sediment
Other (describe)
removal needed and continue to monitor.
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)
M
Monitor and mow in a timely way.
Burlington O Reports-06-25-13
M-Wet Detention
Page 1 of 2

otential Problem e
Comments
Bioretention cell: solis 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
NP
Debris on trash rack
NP
Other (describe)
Receiving Water
Erosion or other signs of damage at the outlet INP
Other (describe)
Miscellaneous
Access
NP
Vandalism
NP
Signage (if applicable)
NP
Other (describe)
WN
Fire Ants present, Treat mounds and monitor
PHOTOGRAPHS
Attach digital photographs of the site and structural BMPs including a caption describing the photo.
ADDITIONAL COMMENTS
1. Curb Cut inlets full of sediment. Remove sediment and Monitor.
2. Monitor, mow and maintain grass basin cover
3. Fire ants are present. Treat mounds and monitor. Fireants distrupt normal maintenance.
Burlington O Reports-06-25-13
M-Wet Detention
Page 2 of 2

Photographs — Autozone SW Bioretention Basin #78 — 6/24/20
Overall SW Bioretention picture.
Outlet Riser
Inlet from Trash Bin area stopped up
Debris removal needed.
Riprap inlet full of sediment, removal
needed.
Inside Riser structure seems to be draining
OK.
jp
. `• 'ttr .
Several Fire Ant mounds. Treatment
needed.