HomeMy WebLinkAboutNCS000405_34_10 Federal Self Storage- Sand Filter Inspection Report 11-2-2021_20211119Annual Stormwater Operation and Maintenance Report Cover Sheet
Town Of Gibsonville, North Carolina
The Town of Gibsonville National Pollution Discharge Elimination System Phase II (NPDES Phase II) Stormwater Permit
(NCS000405) requires that structural SCMs 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 SCM was designed.
A. General Information
Use only one Cover Sheet per site with as many specific structural Stormwater Control Measure (SCM)
Inspection Report attachments as needed. Please attach digital photographs of the site and structural SCMs as
applicable.
Project Name: 10 Federal Self Storage Annual Inspection Date: 11/2/2021
Property PIN Number: 8845461882 Inspection Company: AWCK
10 Federal Self Storage -
SCM Owner:Sand Filter Company Address: 740 Chapel Hill Rd.
Owner Address:250 Huffine Street Burlington, NC 27216
Gibsonville, NC 27249 Inspector Name: Phil Ross— Cert.# - 3376
Owner Phone #:------- Inspector Phone #: 336-226-5534
Owner Email: ------- Inspector Email: pross@awck.com
is. inspection xeport Attachments
The listed attachments are the Structural SCM Inspection Reports to be completed for this particular site. Please
use one attachment per inspected and submit all forms together with this Cover Sheet as one single report Also,
please document the number of each structural SCM found at this site in the below blank spaces.
# of SCM's
Bioretention Area
Dry Extended Detention Basin
Filter Strip, Restored Riparian Buffer and Level Spreader
Grassed Swale
Infiltration Basin
Infiltration Trench
Permeable Pavement
Sand Filter 1
Underground Detention
Wet Detention Basin
Stormwater Wetland
Proprietary Device
Gibsonville O&M Reports -
Cover Page 1 of 2
Annual Storrawater Operation and Maintenance Report Cover Sheet
Town of Gibsonville, North Carolina
C. Inspection Results
FAIL*
*If any one item on the inspection form is coded as 'Work Needed', then the entire SCM fails inspection.
*If a site has multiple SCMs and one fails inspection, this cover sheet is marked as 'Fail' until all items on all SCMs pass inspection.
Note: Applicable SCM Inspection Reports and confirmatory digital photographs summarizing required repairs must
be submitted to the Town 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
and maintenance process in a QA/QC role in order to ensure that repairs are being performed properly.
PASS C
ote: A passed inspection form should be signed, stamped, and sealed below by the appropriate Professional
id submitted to the Town on or before the established inspection due date. Attach all applicable SCM
Reports 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 SCM's 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 thorough
;pection has been completed for ALL structural SCMs that are associated with this particular site. All inspected
SCMs are performing properly and are in compliance with the terms and conditions of the approved
agreement required by the Town of Gibsonville.
a-� X�:�—
Signature:
Date: 11 /2/2021
Certification #: 3376
Gibsonville O&M Reports
Cover
NC State University
Certificate of Completion
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Stormwater BMP Inspection & Maintenance Certification
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Page 2 of 2
Sand Filter
Operation and Maintenance Inspection Report
Town of Gibsonville, North Carolina
Project Name: 10 Federal Self Storage - Sand Filter Inspection Date: 11/2//2021
City Project Number: 127 Recent Rainfall Date: 10/29/2021
Property PIN Number: 8845461882
BMP Name: Sand Filter
BMP Owner: 10 Federal Self Storage
Owner Address: 250 Huffine Street
Gibsonville, NC 27249
Owner Phone #: 336-276-0554
Owner Email:
-ode Key:
V/A = Not Applicable M = Monitor (potential for future problem)
VP = Not a Problem WN = Work Needed
Rainfall Depth (in): 0.74
Inspector: Phil Ross - Cert.#3376
Company: AWCK
Phone #: 336-226-5534
Email: pross@awck.com
Entire BMP
Cods
Trash/debris is present.
M
Monitor for Trash
kdjacent Pavement (if applicable)
Sediment is present on the pavement surface. NP
ether (describe)
Perimeter of sand filter
Areas of bare soil and/or erosive gullies have formed. NP
Vegetation is too short or too long. NP
ether (describe)
Flow diversion structure
the structure is clogged. NP
the structure is damaged. NP
ether (describe)
Forebay or pretreatment area
Sediment has accumulated to a depth of >6 inches.
NP
Erosion has occurred.
NP
Weeds are present.
N P
Other (describe)
Page 1 of 2
Potential Problem Comments
Filter bed and underdrain collection system
Water is ponding on the surface for >24 hours after a storm NP
Dther (describe)
Outlet device
Clogging has occurred NP
Device is damaged NP
Other (describe)
Receiving Water
Erosion or other signs of damage at the outlet. N P
ether (describe)
Miscellaneous
Access
NP
Vandalism
NP
Signage (if applicable)
N/A
Other (describe)
ADDITIONAL COMMENTS
Embankment and area around the Sand Filter have a good stand of grass.
Pool area, Monitor and use aquatic herbacide treatments to control unwanted aquatic vegetation.
Monitor area for trash and remove.
PHOTOGRAPHS
Attach digital photographs of the site and structural BMPs including a caption describing the photo.
Page 2 of 2
Photographs — 10 Federal Self Storage— Sand Filter Inspection—11-2-2021
Overall Sand Filter picture from west
I,;:
Inlet Pipe in Good Condition
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■ y
y f f
Pond area, Slopes are vegetated and
mowed
Overall Sand Filter picture from east
Sand filter, clean and good vegetation
around structure
Outlet area Pipe under the Rail Road pipe
to this area functioning ok..