SW4130801_Inspection_20141103

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North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
November 3, 2014
George T. Barnes
Glandon Forest Equity, LLC
3900 Merton Drive, Suite 210
Raleigh, NC 27609
Subject: NOTICE OF INSPECTION
Dollar General — Snow Camp
Permit No. SW4130801
Alamance County
Dear Mr. Barnes:
John E. Skvarla, III
Secretary
On November 3, 2014, Aana Taylor -Smith of the Winston-Salem Regional Office of the Division of Energy,
Mineral, and Land Resources (DEMLR) inspected the Dollar General — Snow Camp site in Alamance County to
determine compliance with Stormwater Management Permit Number SW4130801 issued on August 13, 2013.
DEMLR 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 "Stormwater 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 211.1003 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 DEMLR 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.
Thank you for your assistance and cooperation during this inspection. Please be advised that violations of the
Stormwater Management Permit may be subject to a civil penalty assessment of up to $25,000.00 per day
for each violation. If you have any questions, comments, or need assistance with understanding any aspect of
your permit, please do not hesitate to contact Ms. Taylor -Smith or me at [phone].
Sincerely,
Matthew E. Gantt, PE
Regional Engineer
Land Quality Section
Enclosure: Stormwater Inspection Report
cc: WSRO Files
DWR Central Files
Division of Energy, Mineral, and Land Resources
Land Quality Section • Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107 • Phone: [phone] FAX: [phone]

Compliance Inspection Report
Permit: SW4130801 Eftective:08/13113 Expiration: 08/12/21
Project: Dollar General - Snow Camp
Owner: Glandon Forest Equity LLC
County: Alamance Adress: W Greensboro Chapel Hill Rd
Region: Winston-Salem
CitylState/Zip: Snow Camp NC 27349
Contact Person: George T Barnes Title: Phone: [phone]
Directions to Project:
Approx 450 ft west of the intersection of snow camp rd and w greensboro chapel hill rd.
Type of Project: State Stormwater - General Permit
Drain Areas:
On -Site Representative(s):
Related Permits:
Inspection Date: 11/03/2014 Entry Time: 09:00AM
Primary Inspector: Aana Taylor -Smith
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ® Compliant ❑ Not Compliant
Question Areas:
® State Stormwater
(See attachment summary)
13
Exit Time: 09:15AM
Phone: [phone]
Inspection Type: Compliance Evaluation
page: 1

Permit: SW4130801 owner- Project: Glandon Forest Equity LLC
Inspection Dale: 1110312014 Inspection Type Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Please refer to attached inspection letter.
File Review Yes No NA NE
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:
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:
SW Measures Yes No NA NE
Are the SW measures constructed as per the approved plans? ® 1111 ❑
Are the inlets located per the approved plans? ® ❑ ❑ ❑
Are the outlet structures located per the approved plans? ® ❑ ❑ ❑
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:
Other Permit Conditions Yes No NA NE
Is the site compliant with other conditions of the permit? ® ❑ ❑ ❑
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