20070173 Ver 5_Notice of Sediment Release and Cleanup_20161014

Burdette Jennifer a
From: VVY8 (Wendy Bailey) <VVY8@novonordiskcom>
Sent: Friday, October l4` ZUl6Z:ZZPK4
To: ][e-mail]|; 8urdette' Jennifer a
Cc: 8eth.Reed@kim|ey'horn.com; K4VVKN (Matt Kuntz)
Subject: Permit# SAVV'ZUl5 02127
Attachments: Environmental map.pdf, BMP Site Inspection post Hurricane Matthew
00ct2016zipzip_renamed; 8K4P Site Inspection 06-07 Oct 2016.zip.zip-renamed
Mr. Thomas & Ms. Burd8tt8--
ThiS rn8SSag8 is to provide notification that during hurricane preparations on 06 October 2O16, at Novo
Nordisk API, 3611 Powhatan Rd., Clayton, NC we had a breach of the silt fence during a pump-down of
pond #3(rnap attached). During the activity, a silt bag was installed in line to prevent silt from entering
the adjacent wetlands. Unfortunately, the intake Qnthe hose was too close tQthe ground causing an
excess Qfsilt tQaccumulate inthe bag preventing the water from escaping. Sometime after 1:OO prnthe
silt bag ruptured and caused silt to breach the double-silt fence in approximately 50' radius. Our
contractor(Fluor) immediately powered down the pump and contacted crew members to begin corrective
actions. Hand shovels were utilized to remove sediment impacts, a temporary basin was installed with
rip-rap and wash stone, silt fence repairs were made and mulch was installed between the double row of
silt fence; all corrective actions were cQrnp|8t8d the evening of 06 October 2016. P|8aS8 find attached a
copy Qfthe O6 October 2016 BMP Site Investigation Report.
On 07 October 2016, Charles P8nd8rwith ]QhnStQn County Erosion Control made a site visit and viewed
the impacted area. Mr. P8nd8rStat8d that it appeared the area had been cleaned to the best of our
ability, but recommended we follow up with you.
Saturday 09 October 2016 we received 1O.4" Qfrain from Hurricane Matthew. Fluor crew rn8rnberS were
on site on 09 October to aSS8SS the StQrrnS impact. I've attached the fQ||Qw up inspections from 09
October 2O16for your review. Although w8received a tremendous amount Qfrain, the erosion control
devices irnp|8rn8nt8d on site, worked very well and helped drastically reduce the impact to the
wetlands. The sediment basin and rip-rap added on 06 October 2016 prevented additional impact on the
wetlands previously effected bythe silt bag rupturing.
AS of 11 October 2016, the site has returned to "normal" standing. The silt fences are in working order,
silt traps and basins have begun to drain and pump outs are only taking place in areas with active
construction.
If after review, you f88| that additional rn8aSur8S are required or site visit is needed, p|8aS8 do not
hesitate tQcontact me.
Respectfully-
Wendy Bailey
Sr. Environmental Professional
Novo Nordisk Pharmaceutical Industries, Inc.
so1zPowhatan Road
Clayton, mcz7sz7'yz17
USA
+1919'550'2200 (phone)
919-750-6047 (mobile)
wno@novonoru|ax.00m
z

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2

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BMP Site Inspection Report: NOTE: If an issue Is discovered and reported,then note to whom the Issue was reported and update the log
when the issue is resolved.
Sediment Traps, Basins, Points Note: See sheet CL XX DAPI-US 3 15 00200 for"zones"201-220 of construction site.
of Discharge, & Spills Nole: A qualified person must Inspect the erosion and sedimentation control eMPs once per week and/or
withta 24 hours after a storm event.A"qualified person'is a person knowledgeable in the principles end
Complete report within 24 hours of Inspectinp,the site. pratllce of eroslon and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could Impact stormvrater quality,and the skills to assess the effectiveness of any
Todd Sig- gerstaff stormwater controls selected and Installed to meet the requirements ofthls permit.
'Duringyourslle Inspection,you must at a minimum Inspect the following areas af.yourslte:
4.1.5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
Quatlfled Person's Title consistent with Part 2.2;
1te51117BrifftEfl Superintendent 4.1.5.2 All stormwater controls(including pollution prevention measures)Installed at the site to comply with this
Permit;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit,
4.1,5.4 All areas where stormwater typically flows within the site,Including dralnageways designed to divert,
Qualified Person's Qualifications convey,and/or treat stormwater;
Multiple Yea l-s EXII 4.1.5.5 All points of discharge from the site;and
4.1.5.6 All locations where stabilization measures have been Implemented.
You are not required to Inspect areas that,at the time of the inspection,are considered unsafe to your inspection
personnel."(from EPA NPDES CGP)
InspectionDa;elTime
Weather Conditions Weather Conditions MOO(Last 24 In Compliance with SWPPP loos to R�rt7(Y" Resolved?(YM)
p Since Last Repofl Today Hours) (Y"q L)
I� Aar IIN+
2i�0 G1wJudAjhO, riN • Ib /t/
Reason for Insepcllon: Zane A44 row d rMn o 6 of Photos qikej Wq f% ?fplos are Mandatory);
Rwllil CAM 1?1Z.ffPAil.edwesg 5V%b-J ►?6K.0i 3 1 3 ph-0 WS
2 - sW
Locallon of Photos Taken:
[Setns..s1 V6rp 46 N Ql
I�Llda.i�-
❑csrrilie oondilion,lfhyltycondilians change,issues,resolutions lrnplerrienVA:
G IDA*
Srli� 6 1nRd. �uST4ti4, Bao WwS� Pe;,6 used >b F:
Chsf-, �D *a, Sed,n..c,r+ /v AA w.►s1+o� *h"v In SFO
IA.�,4o w&414,.d, We webs 41So �. p �Yion� �i•�,D a! yy/r 1:wh•> m Kc1
Dischargesoecuiring at Urne of InsWUon: � PlOns of discharges of zedfinenflpollutla� J-4 e ���, ��Ht
tVp # 3 —VC;, 3G01vp 163 '�lo wQAIAmpS
Porwp 1 -40 t`1+G" 11a..� ft�u..hwls.» ltd
All ArSxhAAbus AQA_ IV-1;06dL 4hirwuth Sr 1i,3AT
l,ocalinns of BMPs to be malnlained: Locations where additional now BMPs are needed:
'PNv D3
Loullons of BMPs thatare damaged4ailingflnadequale:
PL,-p 43 BFC) -F.4.teal r I�ZCe.0t a. WC.1C,4v-�1 pY 140,1J.
.. S►1� -f'c�cc �A�flt 1 . Tc.,,p Se✓,..-..� 8rts;ry %-�, ��- fit..,f
Cerlifica6on by a Respmslbte Cotptuaa Officer is Required(as per EPA NPDES CGP 2012 1.11.1.1,page 14):
'I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
quanned personnel properly gathered and evaluated the Information contained therein.Based on my Inquiry of the person or persons who manage the system,or those persons
directly responslble for gathering the informatton,the info rmatlon contained Is,to the best of my knowl edge and belie I,true,accurate,and complete.I am aware that there are
signincantpenal I]esf r hmillingfa elnformatlon,includtngthepossibilityoIflneandimprlsonmentforknow!ngviolations.'
5�nalure: pale:

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BMP Site inspection Report: NOTE: If an Issue is discovered and reported,then note to whom the Issue Was reported and update the log
When the issue Is resolved.
Note:See sheet CL XX DAPI-US 315 00200 for"zones'201-220 of construction site.
Silt Fences & Dikes
Note: A qualified person must Inspect the erosion and sedimentation control BMPs once per week and/or
within 24 hours after a storm event.A'qualifiied person'Is a person knowledgeable In the principles and
Complete report vvkhln 24 hours of Inspecting the site. practice of erosion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could Impact slormwater quality,and the skills to assess the effectiveness of any
Todd Blggqrstaff starmwater controls selected and installed to meet the requirements ofthis permit.
'During your site inspection,you must at a minimum inspect the following areas of your site:
4;]-5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
Qualified Person's Title consistent with Part 2.2;
4.1.5.12(all slormwater controls(including pollution prevention measures)installed at the site to comply with this
Site Sttl)erhiteLT erit permlt;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit;
4.1.5.4 All areas where stormwater typically flows within the site,including drainageways designed to divert,
QuaTlned Person's Qualifications convey,and/or treat sloriAviater;
M u tip a ears xl) 4.1.5.5 All points of discharge from the site;and
4.1.5.6 All locations where stabilization measures have been implemented.
You are not required to inspect areas that,at the time of the Inspection,are considered unsafe to your Inspection
personnel."(from EPA NPDES CGP)
Weather Conditions Weather motions Ra5lfall(Last 24 In Complionce with SWPPP
Inspeclan 1{ Dale/Time Since Last Report Today flours) (YIN) Issue to Report?(YIN) Resolved?(YM)
U n OuetLeas I've
y° 3:00- c10,41 TAI'm . /n Al Y Y
Reason for Insepclion; Zane: A#y%L4it4 V%Al #of Photos(Tiimme-Slainped Photos are Mandatory):
V14z�eAke Ne��A0IL4ejess 5��ti,•� �r..}7 w3 �' /v �'� 7p�+-mw
I4
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Location of Photos Taken:
h7UD +amu ' M 3
`+n 1--ti-14,,.A S
Describe condition,iNwhyconditlons change,issues,resolutions impterhented:
U-')KIll,e IAA1b7[cA,N�' S;1e AtP'Hn4'4toP► '
weeKe4 Vw" - %SSuet. Ilsked Selo.-o.
i)• Spo Mee".)&) To 8e c%Awird -Ve^h) A TACOCO MA p sV%,,w,% l a"}rvw
111 @ �•+Iu �3 rw1oKs.1}%,%4Q, 1e 3r I} 13.vg �se1 wa P.1r,•Pr,..l= %^a104f3t,sir t P4,41ed;n•.,a
pink.fges occurring zil time of inspect f:• Locations of dlscharges of sedimenVpollut)on: W v%S wA3ysd iAk4ft 4h, we- lml os)
F61Aa �3 , Srl� 3AB usarel t�or..r� *43
tA�1 prs ctn�a5c.d wAdea we{-►wn.p S,
i.nr Llimis of BMPs to be maintained: ff�� Locations where additional new BMPs are needed:
MOM. At , of SP o gT41M1 .e„oW �Ar tue�h i) � R re.,.:o l M'A F�vi..rr<sr�
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Locations of BMPs that areaanagrJllaili+>grinadegtiate SA% 0,5e,t44%jr— sth8.1 -D*3
5r0 (4-4-Iea
-1b�eS on%
Certification bye Responsible Corporate Officer Is Required(as per EPA NPDES CGP 20121.11.1.1,page I-4):
'I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personne)property gathered and evhluated the information contained therein.Oased onlny Inquiryof the person or persons who manage the system,or those persons
directly responsible for gathering the information,the Information contained is,to the best of my knowledge and belief,true,accurate,and complete.I am aware thatthere are
significant penalties for spbmittln$false Information,including the possibility of fine and Imprisonment for knowing violations.'
signature:

October 6:
@ 3:30pm: During inspections, Todd Biggerstaff and Wendy Bailey Found that the silt
bag had busted behind pond#3. The silt bag was being used to filter water pumped from
pont#3 to a silt-fence-outlet (SFO) directly behind the damn. The sediment hat was
collected in the bag was washed through the SFO and into the wetlands. Pictures were
captured and crews were called to evaluate the impact to the wetlands and start a plan
to remove all sediment by hand.
@4:40pm: Crews started to remove all sediment by hand using shovels, racks and
buckets. The sediment impacted an area of 50' radius from SFO. The silt fence was
repaired with new SFO installed. Temporary basin with rip-rap &wash stone was put in
place directly in front of outlet. Once wetland areas were cleaned, light mulch was
spread over the area. Mulch that was used was from the previous wetlands on site that
had been cleared. Mulch was also installed between the silt fences. Work was
completed around 8:30pm.
October 7:
@7:39am: Contacted Charles Pender to make a site visit to review incident.
@9:00am: Reviewed area under good daylight to evaluate the clean up
@10:30 Todd Biggerstaff, Charles Pender (Johnston County Erosion control), Wendy
Bailey (Novo Nordisk EHS) and Justin Lamb (Fluor) reviewed the area. Per Charles
Pender area looked to be cleaned to the best of our ability by hand. No issues. Only
request made was to contact ACOE to review and see if any native seeding would be
required, to establish the area. The action to contact ACOE to be handled by Wendy
Bailey.
Pictures were taken before of incident and after incident was cleaned.

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BMP Site Inspection Report; NOTE: If an Issue Is discovered and reported,then note to whom the issue was reported and update the log
when the Issue is resolved.
Nate: See sheet CL XX DAPI-US 315 00200 for"zones"201-220 of construction site.
Mark Clearing Limits
Note: Aqua€ified person must inspect the erosion and sedimentation control BMPs once per week and/or
within 24 hours after a storm event. A"qualified person"Is a person knowledgeable in the princip€es and
Complete report within 24 hours of inspecting the site. practice of erosion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could impact stormwater quality,and the skills to assess the effectiveness of any
Todd Biggerstaff stormwater controls selected and installed to meet the requirements of this permit.
"During your site inspection,you must at a minimum inspect the following areas of your site:
4.1.5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
consistent with Part 2,2;
Qualified Person's Title 4.1.5.2 All stormwater controls(including pollution prevention measures)installed at the site to comply with this
Ste SLlperinten ent permit;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit,
4.1.5.4 All areas where stormwater typically flows within the site,Induding drain ageways designed to divert,
convey,and/or treat stormwater;
Qualified Person's qualifications 4.1.5.5 All points of discharge from the site;and
M U tI p @ Years Exp 4.15.6 All locations where stabilization measures have been Implemented.
You are not required to inspect areas that,at the time of the inspection,are considered unsafe to your inspection
personnel."(from EPA 14PDES CGPI
Wealher Conditions Weather Conditions Rainfall(Lost 24 In Compliance with SWPPP Issue to Report? YIN Resolved? YIN
InspeclEon# f}atel time Since Last Report Today Flours) (YIN) p (YIN)
Resolved?(
)
013 0 Q rn C IMA, Y N
Reason for Insepction: Zone: #of Photos(Time-Stamped Photos are Mandatory):
H V Q,',u4 NE M,4 J+hefa 5�' A it &1.1- Location of Photos Taken;
-fe i Ree �0N
Nw+ec-!�r
Describe conditions,iflwhy lines move,issues,resolutions implemented:
All 1 flee 4.41,4& = S�5riA11be 't S 01?
Discharges occurring at time of inspection: Locations of discharges of sedimenllpollution:
D11301A4g+,.4i W44eX * 1E4 All AizeAs la'hex WAIM
is CuRR-eu41 d,st1j.4a fr��,WA4c4
+fie N Soufh we¢lq,��ls L� 1 v �-3 iS Gleam , jh44y 14A,.vedI
Locations of BMPs to be maintained: Locations where additional new BMPs are needed:
.iS wr �tlGLt'/
Locations of BMPs that are damagedlfallinglinadequale:
Certification by a Responsible Corporate officer is Required(as per EPA NPUES CGP 20121.19.1.1,page 1-4):
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information contained therein.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information contained is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
significant penalties for submitting false Information,Including the possibility of fine and Imprisonment for knowing violations."
Signature: Date:

1 �!
BMP Site inspection Report: NOTE: If an issue is discovered and reported,then note to wham the issue was reported and update the log
when the issue Is resolved.
Sediment Traps, Basins, Points Note: See sheet CL XX DAPI-U5 3 15 00200 for"zones"201-220 of construction site.
of Discharge, & Spills Note, A qualified person must inspect the erosion and sedimentation control BM Ps once per week and/or
within 24 hours after a storm event. A"qualified person"is a person knowledgeable in the principles and
Complete report within 24 hours of inspecting the site. practice of erosion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could Impact stormwater quality,and the skills to assess the effectiveness of any
Todd Biggerstatt stormwater controls selected and installed to meet the requirements ofthis permit.
"During your site inspection,you must at a minimum inspect the following areas of your site:
4.1.5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
Qualified Person's Title Consistent with Part 2.2;
4.7..5.2 Ail stormwater controls(including pollution prevention measures)installed at the site to comply with this
Site Superintendent permit;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit;
4.1.5,4 Ali areas where stormwater typically flows within the site,including drainageways designed to divert,
Qualified Person's Qualifications convey,and/or treat stormwater;
4.1.5.5 All points of discharge from the site,and
Multiple Years Exp 4.1.5.5 All locations where stabilization measures have been implemented.
You are not required to Inspect areas that,at the time of the inspection,are considered unsafe to your Inspection
personne#."(from EPA NPDE5 CGP)
Weather Gonditions Wea(her Conditions Rainfall tLasl24 In Compliance with SWPPP
Inspeclien# Datel Time Since Last Report Today Hours) [YIN) issue to Report?(Y!N) Resolved?(YIN)
Reason for Insepction: one: 144he Q/ lie #of Photos(Time-Stamped Photos are Mandatory):
}�,a►�, �'ve„�f z1how„ h��a s S�� q i�hcr> 5
i
Location of Photos Taken:
SD-+►i
Describe condition,iflwhyconditions change,issues,resolutions implemented: SD- — Z P1104-0.5
i
oil cugae..-h h,gve. w,p,ka � c7,sch•o.o�r.,f, 74�7 5�4
P�w}S +� IAF sc hAe Re @. a i iso�.►� Z
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Discharges occurring at time of inspection: Locations of discharges of sedimentlpollution:
tJe+Ivvi,is E, 9.o 4�3
Locations of BMPs to be maintained: Locations where additional new BMPs are needed:
,0&4A0.15 .u44,(e
Locations of BMPs that are damagedlfailinglinadequaie:
)4,9&, e,,WjWdte oder/,
Certification by a Responsible Corporate Officer is Required(as per EPA NPDES CGP 20121.11.1.1,page I-4):
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel property gathered and evaluated the Information contained therein.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information contained Is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
significant penalties for submitting false information,including the possibility of fine and Imprisonment for knowing violatlons."
Signature: [late:
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MW V-Tr
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Oct 9. 2016
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BMP Site Inspection Report: NOTE: If an Issue Is discovered and reported,then note to whom the issue was reported and update the log
when the Issue is resolved.
Note: See sheet CL XX DAPI-U5 3 15 00200 for"zones"201-220 of construction site.
Soil Stabilization
Note: A qualified person most inspect the erosion and sedimentation control BMPs once per week and/or
within 24 hours after a storm event. A"qualified person"is a person knowledgeable in the principles and
Complete report within 24 hours of Inspecting the site. practice of erasion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could impact stormwater quality,and the skills to assess the effectiveness of any
ToddB igge rsta stormwater controls selected and installed to meet the requirements of this permit.
"During your site Inspection,you must at a minimum inspect the follow€ng areas of yours€te:
4.1.5.1 MI areas that have been cleared,graded,or excavated and that have not yet completed stabilization
consistent with Part 2.2;
Qualified Person's Title 4.1.5.2 All stormwater controls(including pollution prevention measures)installed at the site to comply with this
Site Superinten e n t permit;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit;
4.1.5.4 All areas where stormwater typically flows within the site,including drainageways designed to divert,
Qualified Person's Qualifications convey,and/or treat stormwater;
4.1.5.5 All points of discharge from the site;and
Multiple Years Exp 4.1.5.6 All locations where stabilization measures have been implemented.
You are not required to inspect areas that,at the time ofthe inspection,are considered unsafe to your inspection
personnel."(from EPA NPDES CGP)
Weather Conditions Weather Conditions Rainfall(Last 24 In Compliance with SWPPP Issue 10 Re Resolved?
Inspection# pate!Time orf? YIN YfN Since Last Report Today Hours) (YIN)
p ( ( )
Ow
1
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Reason for Insepction: one: ,Q o d #of Photos(Time-Stamped Photos are Mandatory):
illU
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Location of Photos Taken:
2- ?9%60- +0 Auy jtg04,-AJ
Describe conditions,undisturbedlactivelinactive/stabilized,If/why conditions change,issues,resolutions implemented: y- A rf+ro—
14,001 "Sh Od ON JSP 4x Ad Ameel 60,0&sf,,r Gwa
57,de 40� C-0//'VslZ. ,S�rGre IJ/e e•� ��e� s./f rervea 1�.a1 A,
�J'raS h, REr� /7'O �eP�V /�Q►9�Oto� ,S� f� �er4C �P,4,+�p //D
Discharges occurring at time of inspection: Locations of discharges of sediment/pollution:
,valve )N VA*95' ✓fbNl:
Locations of BMPs to be maintained: Locations where additional new BMPs are needed:
54- It Ve,c y We- -- SeG�,.,,,� AM s to pes `C ?ago
e-L s, 5C-1%a.J, le, CL �a
`i'he uPt,an���� wee K, l7e�e�-d5
Locations of BMPS that are damagedlfailinglinadequate:
61+ P^ce- O OAA rade.,, U y r
Ceriitication by a Responsible Corporate Officer is Required(as per EPA NPDES CGP 26121.11.1,1,page 1-4):
'I certify under penalty of law that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information contained therein.Based on my inquiry ofthe person or persons who manage the system,or those persons
directly responsible for gathering the information,the information contained is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
significant penalties for submitting false Information,including the possibility of fine and imprisonment for knowing violations,
Signature: Date:

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Oct 9 .2016

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BMP Site Inspection Report: NOTE' If an Issue is discovered and reported,then note to whom the issue was reported and update the tog
when the issue is resolved.
Note:See sheet CL XX DAPI-US 315 00200 for"zones"201-220 of construction site.
Inlet Protection
Note: A qualified person must inspect the erosion and sedimentation control BMPs once per week and/or
Within 24 hours after a storm event. A"qualified person"is a person knowledgeable In the principles and
Complete report within 24 hours of inspecting the site. practice of erosion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could impact stormwater quality,and the skills to assess the effectiveness of any
Todd BIg(gerSta stormwater controls selected and installed to meet the requirements ofthis permit.
"During your site inspection,you must at a minimum inspect the following areas of your site:
14.1.5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
consistent with Part 2,2;
Qualified Person's Title 4,1,5,2 All stormwater controls(including pollution prevention measures)installed at the site to comply with this
Site Superinten ent permit;
4.1.53 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit;
4.1.5.4 All areas where stormwater typically flows within the site,-including drainageways designed to divert,
Qualified Person's Qualifications convey,and/or treat stormwater;
4.1.5.5 At I points of discharge from the site;and
M u tip e Years exp 4.1.5.6 Ali locations where stabilization measures have been implemented.
You are not required to inspect areas that,at the time of the inspection,are considered unsafe to your inspection
personnel,°(from EPA NPUS CGP)
Inspection# Dalel Time Wealher Conditions Weather Conditions Rainfall{Last 2.4 In Compliance with SWPPP Issue to Report?(YIN) Resolved?(YIN)
Since Last Report Today Flours) (YIN)
p
Reason for Insepction: X A Zone: 147qNA,d 4W #of Photos(Time-Stamped Photos are Mandatory):
bu
44i i4 /S
Location of Photos Taken:
RbMC
Descfibe condition,if/whyconditions change,issues,resolutions Implemented:
/� ,
1! �W
Lb�A.Iy r }pwl a mak•1{*4-tr i C G/G4ti1
Discharges occurring at time of inspection Locations of discharges of sedimenttpollution:
Locations of BMPs to be maintained: Locations where additional new BMPs are needed:
N 1+ 5AU*XS a0 45 5"40"" ,eIprW,( � r
` � Y
ere s'�G�✓+�1
Locations of BMPs that are damagedlfailinglinadequate:
i
Cerlification by a Responsible Corporate Officer is Required(as per EPA NPDPS CGP 20121.11.1.1,page 1-4):
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the Information contained therein.Based on my Inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the Information,the Information contained is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
significant penalties for submitting false Information,including the possibility of fine and Imprisonment for knowing violations."
Signature: Date:

i
j
i
BMP Site Inspection Report: NOTE: if an issue is discovered and reported,then note to whom the Issue was reported and update the log
when the issue is resolved,
Housekeeping (including Trash Note: See sheet CL XX DAPI-1.1531500200for"zones"201-220 of construction site.
& Dewatering) Note: A qualified person must inspect the erosion and sedimentation control BMPs once per week and/or
within 24 hours after a storm event.A"qualified person"is a person knowledgeable in the principles and
Complete report within 24 hours of inspecting the site.
practice of erosion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could impact stormwater quality,and the skills to assess the effectiveness of any
Todd Biggerstaff stormwater controls selected and installed to meet the requirements of this permit.
"During your site inspection,you must at a minimum inspect the following areas of your site:
4.1.5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
consistent with Part 2.2;
Qualified Person's Title
4.1.5.2 All stormwater controls(including pollution prevention measures)installed at the site to comply with this
Site Supel'Intell elft permit;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit;
4.1.5,4 ATI areas where stormwater typically flows within the site,including drainageways designed to divert,
Qualified Person's Qualifications convey,and/or treat stormwater,
Multiple Years Exp 4.1.5.5 All points of discharge from the site;and
4.1.5.5 All locations where stabilization measures have been implemented.
You are not required to inspect areas that,at the time ofthe inspection,are considered unsafe to your inspection
personnel."(from EPA NPDES CGP)
i
Weather Condifions Weather Conditlons Rainfall(Last 24 In Compliance with SWPPP
Inspection It DalotTime Since Last Report TodayHours) [YIN) Issue to Report?(YIN) Resolved?(M)
030 jr
R ason for Insepction: Zone: ��, r; � #F of Photos(Time-Stamped Photos are Mandatory):
�✓a�'►'+ �Jt..-�—" "RC2. �°r�tLlt�i�l�
Location of Photos Taken:
501- t4TTAL14GC)
Phokus a,.• ANu
Describe condition,iflwhyconditions change,issues,resolutions implemented:
��W��.r+�/ C i�u r+�p,•g �tl�D �' � f �I� "' t'Q.+17 '�Z'
i'�fipiw�� �rtrA�S 3O 1p
;s ef�he••,�g' d s��A�� �%f ��ps ga l �a,o.� ��%�s�.� ,w s 7
Discharges occurring at time of inspection: Locations of discharges of sedimentlpollution:
I
Locations of BMPs to be maintained: Locations where additional new BMPs are needed:
�i/0N a �p.✓e
Locations of BMPs that are damagedlfailinglinadequate:
Certification by a Responsible Corporate Officer is Required(as per EPA NPDES CGP 20121.11.1.1,page 1-4):
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information contained therein.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the information contained Is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
significant penalties for submitting false Information,including the possibility of fine and imprisonment for knowing violations."
Signature: Date:
s�

BMP Site Inspection Report: NOTE: If an issue Is discovered and reported,then note to whom the issue was reported and update the log
when the issue Is resolved.
Note: See sheet CL XX DAPI-US 315 00200 for"zones"201-220 of construction site.
Ponds
Note: A qualified person must inspect the erosion and sedimentation control BNiPs once per week and/or
within 24 hours after a storm event.A"qualified person"Is a person knowledgeable in the principles and
Complete report within 24 hours of inspecting the site. practice of erosion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could impact stormwater quality,and the skills to assess the effectiveness of any
Todd Biggerstatt stormwater controls selected and installed to meet the requirements of this permit.
"During your site inspection,you must at a minimum inspect the following areas of your site:
4.7..5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
Qualified Person's Title consistent with Part 2,2;
4.1.5.2 All stormwater controls(including pollution prevention measures)installed at the site to comply with this
Site Superintefl elft permit;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit;
4.2.5.4 All areas where stormwater typically flows within the site,Including drainageways designed to divert,
Qualified Person's Qualifications convey,and/or treat stormwater,
Multiple Years Exp 4.1,5.5 Ail points of discharge from the site;and
4,15.6 All locations where stabilization measures have been implemented,
You are not required to inspect areas that,at the time of the inspection,are considered unsafe to your inspection
personnel."(from EPA NPDES CGP)
Inspection# Date/Time Weather Conditions Weather Conditions Rafnfall(Last 24 3n Compliance Mth SWPPP
Since Last Report Today Hours) (YIN) Issue to Report?(YIN) Resolved?(VII)
41l12 Pc"O/ Alm;y ale a�,S gyp. & y
Reason for insepction:r ne: ofPhotos(Time-Stamped Photos are Mandatory):
p-/0+Y j SjJaw�/ 1'S
Location of Photos Taken:
Describe condition,if/whyconditions change,issues,resolutions implemented: Rom So (S),?14445
Z AtZe, 4Z,l4
1 � i S C�+�Ct�A►L�t+u$
IaA4l�L o�+ Da444+ 5dr.t,ci,+ti¢, ✓%Isb Pu*%jP1,q 4-6 h 5./i 1141, 1u DA Ave.
D,so-H,favel .L-A+sA eu'� of 76%? Sp+lf "y Lf.t„y/vkIe yob. '4V 4.1
also bt:K�r w, 7A-o �SDr& t�. v d# :s Ala
Discharges occurring at trine of in eclion: " D 6 i
ocatlans ci discharges o sedime,tlpo lution:
!U• -1A If h f 5AV 4.,4.
Locations of BMPs to be maintained: Locations where additional new BMPs are needed:
5�S ��,•a.5 Sf D'S be','k ©v4•IC4- :54,2 (.4-4W 5-
Locations
Locations of BMPs that are damaged/failingfinadequate,
Ceriificalion by a Responsible Corporate Officer Is Required(as per EPA NPDES CGP 2012 1.1 1,1J,page 1-4);
"f certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the Information contained therein.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the information,the Information contained is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
significant penalties for submitting false Information,including the possibility of fine and imprisonment for knowing violations.”
Signature: Date:

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BMP Site Inspection Report: NOTE: If an issue is discovered and reported,then note to whom the issue was reported and update the log
when the issue Is resolved.
Nore: See sheet CL XX QAPI-U5 315 00200 for"zones'201-220 of construction site.
Silt Fences & Dikes
Note: A qualified person mV
inspect the erosion and sedimentation control BMPs once per week and/or
within 24 hours after a storm event.A"qualified person"is a person knowledgeable in the principles and
Complete report within 24 hours of inspecting the site. practice of erosion and sediment controls and pollution prevention,who possesses the skills to assess conditions
Qualified Person(Field Inspector) at the construction site that could impact stormwater quality,and.the skills to assess the effectiveness of any
Toad Biggerstaff stormwater controls selected and installed to meet the requirements of this permit.
"During your site inspection,you must at a minirlum inspect the following areas of your site:
4.1.5.1 All areas that have been cleared,graded,or excavated and that have not yet completed stabilization
consistent with Part 2.2;
Qualified person's Title 4,1.5.2 All stormwater controls(including pollution prevention measures)Installed at the site to comply with this
Site Superintendent permit;
4.1.5.3 Material,waste,borrow,or equipment storage and maintenance areas that are covered by this permit;
4.1.5.4 Ali areas where stormwater typically flows within the site,including drainageways designed to divert,
Qualified Person's Qualifications convey,and/or treat stormwater,
4.1.5.5 All points of discharge from the site;and
M u ti p e Yea rs Exp 4.1.5.6 All locations where stabilization measures have been implemented.
You are not required to inspect areas that,at the time of the inspection,are considered unsafe to your Inspection
personnel."(from EPA NPDES CGP)
Inspect on# Dale1 Time Weather Conditions Weather Conditions. •Rainfall(Last 24 In Compliance with SWPPP Issue to Report?(YIN) Resolved?(Y/N)
Since Last Report Today Hours) (Y1N)
Reason for Insepction; Zone: d 1,7AV #of Photos(Time-Stamped Photos are Mandatory):
/9,D 6-t �Nspec��o.� Show;N� 4�I Irl 32f
47'-4 /-AvajLi G*MG Avee Ao"Vw"S Location of Photos Taken:
{(,}- stn wZ�l.,-ys•dy Itllt
Describe condition,11twhyconditionschange,issues,resolutions implemented: klo) SFO C,le m.-%Q 1
(y) Slopes W AO RIS. (y' 144-1 d
AQC9- It7, `r of /Q.9:u �'4e S�. e /DAKS 9L13d. �// 119oe
A /s g a►sehm;Tq. ,SSE �/or�s ow B.r�i�
pill 3550e /Uue ,bee.., Resohad, PAPire- See .4#, k,d
Discharges occurring at time of inspection: Locations of discharges of sedimentlpollution:
�rSGhAfL4,�{j. 05AVP +�Aklt. „„� ;P.—p *LL.
t1UP 14 1 A - To Drain+ UG}l+ai.�d;1a Cv �o►-al *�3
Imp Z. 2 5�',tl w+�y 41►4eti ;S C)e ,j 1,s Kj- S�,:k ;A, CO/4A.
Locations of BMPs to be maintained: Locations where additional new BMPs are needled:
51 bpe s 3eh„wd + +ta Rw+S C'oM&IJe. `Ik540+111, r►sutC^
mA�u�iRiuM�� -fel 3f0 i... A124a51wer,.+ 3i(+ +•tG
j4o+�iWs-WIfed, 3e�;k�. sly I4yr
Locations of BMPs that are damagedlfailinglinadequate: A Ion
- tl 51iopeS $y Ctrf- je,)+V%
1418h 044ef k
-pASS� � oLle�., ►1+ . .Ce P4Rce I,
DAA +0 J:)A0Pe44y -f'xon. �►lxo,a�, wA/�R 1s c%r,, lfhlly S'Ao”,
5-1* -re -e, W.11 Need. 40 be A" once wjkL ,/eueyk d'e6e.
Certficalion by a Responsible Corporate Officer is Required(as per EPA NPDES CGP 20121.11.1.1,page 1-4):
"I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the Information contained therein.Based on my Inquiry of the person or persons who manage tha system,or those persons
directly responsible for gathering the information,the information contained is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are
slgnificasit penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations."
Signature; Date:

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