SW7041213_HISTORICAL FILE_20100609

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

A(WA kk-lko
HDEFR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 9, 2010
Beaufort County Schools
Mr. Phillip Boyd
1010 Pennsylvania Ave.
Washington NC 27889
Subject: VIOLATION CLOSURE
NOV-2009-PC-0767
Stormwater Management Permit No. SW7041213
Chocowinity Primary School
Beaufort County
Dear Beaufort County Schools and Mr. Boyd:
On April 23, 2010 this Office received the Designer's Certification for the repairs to the
Chocowinity Primary School wet pond. The plan revision components were received in
February 2010 and have been approved. The Division considers this violation closed.
Please continue to inspect and monitor your site for compliance with both the permit and
O&M requirements. At the date of last inspection, a healthy groundcover was in the
process of being established (site had been seeded) but had not yet stabilized the site.
Fine grading and re -seeding work may be required to establish groundcover and prevent
erosion.
Thank you for your cooperation and conscientious effort to help safeguard the waters of
the State. If you should have any questions regarding these matters, please contact either
myself or any member of the Stormwater Unit at [phone].
Y
l�cerely,
J:rYV
Amy AAdms
Stormwater Compliance Coordinator
Surface Water Protection Section
Washington Regional Office
cc: Jo . n Hennessy-NPS-ACOU
aRO Files
DWQ Central Files
William Rivenbark, BCS Superintendent 321 Smaw Rd. Washington NC 27889
Alicia Vosburgh, CPS Principal 606 Gray Road Chocowinity NC 27817
J.S. Janowski, P.E.
North Carolina Division of Water Quality Internet www,ncwateLquali!y.org
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NofthCarofiina
An Equal Opportun41Afrimk-&e Action Employer— 50% RecycIO10% Post Consumer Paper Awmally

Chocowinity Primary School
Stormwater Permit No. SW7041213
Designees Certification
K, as a duly
registered Professional Engineer in the State of North Carolina, having been authorized to observe
(period icallyMeeklylfuII time)
the construction of the project,
(Project)
for
(Project Owner)
hereby state that to the best of my abilities, due care and diligence was used in the observation of the project
construction such that the construction was observed to be built within substantial compliance and intent of
the approved plans and speci�Gattions
Registration NNmber
Date
f11fF4�IV�

f «o
Eti
' Will
ru M-Mmam
� p
to 0FFIC•IAL�� .E
-0 Postage $ � 0
I.r! 2
a Cenlfied Fee
r3 Return ReCelpt Fee
M (Endorsement Required) a � He
M V
Restricted Delivery Fee j Q,
C3 (Endorsement Required)CO
M Total Pewrana R Fana -.t 1 b
o
m. Bent ra
BEAUFORT COUNTY SCHOOLS
rti
Q or�r'�of`' MR. PHILLIP BOYD
--
si 1010 PENNSYLVANIA AVE
IBM WASHINGTON NC 27889
■ Complete Items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
1
so that we can return the card to you.
■ Attach this card to the back of the mailplece
or on the front If space permits.AA
1. Article Addressed to:
BEAUFORT COUNTY SCHOOLS
MR. PHILLIP BOYD
1010 PEN NSYLVANIA AVE
WASHINGTON NC 27889
A. Signat re
X ❑ Agent
❑ Addressee
B. Re elved by (Printed Name) C.1
. ate of Delivery
r D
D. Is delivery address different from Item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se Type
Certified Mall ❑ Express Mi.
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C:O b.
4. Restricted Delivery? (Extra Feel •' El xes }
2. Article Nun , , : 1 . :::
(rrartsterfrt 7009'�008'Os 0000 5655i1428�
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-MAW j

RUM
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 3, 2009
CERTIFIED MAIL 97009 0080 0000 5655 4287
RETURN RECEIPT REOUESTED
Beaufort County Schools
Mr. Phillip Boyd
1010 Pennsylvania Ave.
Washington NC 27889
Subject: NOTICE OF VIOLATION
NOV-2009-PC-0767
1'ermit Condition Violations
Stormwater Management Permit No. SW7041213
Chocowinity Primary School
Beaufort County
Dear Beaufort County Schools:
This letter is to notify you are in violation of Title 15A North Carolina Administrative Code (NCAC) 21-1
.1003 for failing to comply with terms, conditions and limitations of a Stormwater Management Permit
No. SW7041213.
On August 28, 2009, Amy Adams of the Washington Regional Office performed an inspection to
determine the status of compliance with Stormwater Permit SW7041213. Permit Number SW7041213
was issued to you on April 6, 2005 for the Chocowinity Primary School located at 606 Gray Road,
Chocowinity, Beaufort County, North Carolina.
As a result of the site inspection and DWQ file review, the following observations and violations are
noted:
1. Condition 46-- Failure to Submit a Designer's Certification
Title 15A NCAC 214 .1008 0) requires that upon completion of construction, the designer for the type of
stormwater system installed must certify that the system was inspected during construction, was
constructed in substantial conformity with plans and specifications approved by DWQ, and complies with
the requirements of this Section. As of the date of this letter, DWQ has not reccived.this certification.
II. Conditions 2-4-- Failure to Provide Operation and Maintenance
Conditions 2-4 of Stormwater Permit SW7041213 requires that the permittee shall provide the operation
and maintenance necessary to operate the storm Nvater controls at optimum efficiency. **Specific
operation and maintenance failures are noted in the Comments section oflour inspection report. Also,
North Carolina Division of Water Quality Internet: www.ncwaterguality.org
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone]
An Equal Opporlunit Affirmative Action Employer- 50% Recyeled110% Post Consumer Paper
One
N orthCal-ol hi a
;Vatumlly

some of the photographs taken during the site inspection are included. Please refer to the new Operation
and Mainlenance Agreement for solutions to noted problems.
Required Response
1. This Office requires that you respond to this letter in writing to the address listed at the
bottom of the letterhead within 30 calendar days of receipt of this Notice. Please provide a
written "Plan of Action" which outlines the actions you will take to correct the noted
violation(s) and a time frame for completion of those actions.
Thank you for your immediate attention to this matter. Please be advised, these violations and any
continuing or future violations are subject to a civil penalty assessment of up to $25,000.00 per day
for each violation pursuant to North Carolina General Statute 143-215.6A.This office requires that
the violations, as detailed above, be properly resolved. Should you have any questions regarding these
matters; please contact either Amy Adams or myself at [phone].
S ncerely,
r
Al Ho Lie, Reg►o iso
Surface Water Protection Section
Washington Regional Office
cc: Enclosure: Stormwater Inspection Report
New O&M Agreement Form
cc: John I-Iennessy-NPS-ACOU
WaRO Files
DWQ Central Files
William Rivenbark, BCS Superintendent 321 Smaw Rd. Washington NC 27889
Alicia Vosburgh, CPS Principal 606 Gray Road Chocowinity NC 27817
J.S. Janowski, P.E.

If
General
State Stormwater Inspection Report
Project Name: Chocowinity Primary School
Permit No: SW7041213
Expiration Date: 4/6/2015
Contact Person: Mr. Phillip Boyd
Phone Number:
inspection Typc: Routine
Inspection Date: 09/28/2009
Time In: 1:00PM
Time Out: 2:15PM
Current Weather: Partly sunny, clear, humid
Recent Rain (Date)8/22/09
Rain — 3in
Location
Facility Address / Location: 606 Grey Road
City-, ChocowinitY �__Zip- 27817 County:Beaufort Lat: 35°29'52.73"N Long: 770 5'4397"W
Permit Information
Rule Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 2008 Coastal Rule Session Law 2006-246
GoosQ Creek High Quality Waters Outstanding Resource Waters
Density (circle one): High (HD) Low (LD)
Stormwater Best Management Practices (BMPs) (insert number of each):
_1_Wet Pond Infiltration Basins Infiltration "Trenches 2 Grassed Swales Stormwater Wetlands
Dry Pond Bioretention Permeable Pavement — Sand filters (circle one) Open Closed
Cistern Level Spreader/Filter Strip Other (spec):
File Review
Yes No NIA N/E
1. Is the permit active?
X
2 Signed Engineer's Certification on file?
X
3. Si �ned Operation and Maintenance agreement on file?
X
4. Recorded Deed Restrictions on file?
X
Site Visit: Built Unon Area iSUA1
Yes No NIA WE
5. BUA is constructed and consistent with the permit requirements?
X
6. BUA as ermitted is graded such that the runoff drains to the system? (high density only)
X
7. Drainage area is consistent with ermit? (i.e, no un ermitted drainage to the SW BMPs)
X
8. Drainage area is stabilized? to reduce risk of sedimentation to the SW BMPs)
X
Site Visit- Stormwater RMPs
Yes No NIA NIE
9. Stormwater BMPs are located per the approvedplans?
X
10. Stormwater BMPs have dimensions e . length, width, area matching the approvedplans?
X
11 • Stormwater BMPs are constructed per the approvedplans?
X
Site Visit- Oneration and Maintenance
Yes No NIA NIE
12. Access points to the site are clear and well maintained?
X
13. Trash has been removed as needed?
X
14• Excessive landscape debris (grass cli in s, leaves, etc) is controlled?
X
15, Stormwater BMPs being operated and maintained as per the permit requirements?
X
16. Inspection and Maintenance records are available for inspection'? (high density only, 1995 — present only)
X
Site Visit: Other Permit Conditions Yes No NIA NIE
17. Is the site compliant with other conditions of thepermit? X
Site Visit: Other Water Quality Issues Yes No NIA NIE
18. is the site compliant with other water quality issues as noted during- the inspection? X
State Stormwater Inspection Repon, Version 3.0 Page I of 2

State Stormwater Inspection Report
ments
1
LIN
1. A Designer's/Engineer's Certification has not been received for this project. Please have an Engineer certify that your system is
built in accordance with the approved plans and specifications.
2. 2 drop inlets (in bus parking, in grass between bus and teacher parking) are obstructed by debris. These inlets should be kept
clear of debris and/or grass overgrowth,
3. Several areas surrounding the pond have poor grass cover. Good grass cover should be established to stabilized the soils and
reduce the risk of sediment entering the SW BMP.
4, Grass in the swales, areas surrounding the pond and the pond side slopes should be maintained at a height of approximately 6
inches. ROUND -UP OR OTHER GRASS KILLERS SHOULD NOT BE USED NEAR POND OR SWALES.
5. The inlet swale to the pond is highly eroded and is actively "headcutting". This is a serious problem and should be immediately
addressed.
6. Two black PVC pipes are discharging into the pond that are not shown on the approved plans. Please identify the source of
these discharges.
7. The forebay is rapidly filling in on the southern end at the inlet swale due to severe erosion. Please survey your forebay depths
to verify the sediment removal elevation has not been reached. If so, please excavate back to original design depths.
8. The forebay berm appears to have some minor settling. Watch the berm condition and repair any erosional channels that may
form.
9. The side slopes of the pond are heavily eroded. These areas should be re -graded and re -seeded immediately.
10. The outlet structure bypass (top of structure) is clogged by debris, The trash grate should be checked regularly and cleared of
any debris that may obstruct water flow.
1 I . Some erosion was noted around the outlet pipe where it meets the pond side wall. This should be addressed.
12. The terminal end of the outlet pipe could not be located due to heavy vegetated growth. This vegetation should be cleared and
the outlet monitored for signs of damage or erosion.
Compliance Status ❑ Compliant X Non -Compliant
Letter Sent (circle one). Yes No
Date Sent:
Letter type: CEI NOV NOVRE Other
Reference Number: NOV-2009-PC-0767
Inspector Name and Signature: Date: / /050
State Stormwater Inspection Report, Version 3.0 Page 2 of 2

WET DETENTION O & M Inspection Checklist
A
1. Inlets are located per the approved plans:
®
❑
❑
❑
2. Inlet device (swale or pipe) is free of damage, clogs or erosion:
❑
®
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3. Forebay berm is in place and without erosion:
❑
®
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4. Forebay is free of excessive sediment:
❑
®
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5. Vegetated slopes are 3:1 or less:
®
❑
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6. Banks are stable and free of erosion or bare soil:
❑
®
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7. Slopes or berms are free of woody vegetation:
®
❑
❑
❑
8. Free of muskrats or beaver activity:
®
❑
❑
❑
9. Grass is being maintained and mowed (not scalped) as required:
❑
®
❑
❑
� c � S' � ? n+-s.
flj'
'PERIMETERANDMAIN BAY 1 IF, t. ' ` `' `. ,.
1--- -- _ ......,. i 5i . ,...w. r �9,.. � .... s: .:S_ .'i�F"_ s6•. - ' :- rk -.
e'�r
i[' r.ui91s-.J+`4�`,,
.. 1� s,
..eS .-.
10. Vegetated shelf is 6:1 or 10:1 as permitted and properly vegetated:
®
❑
❑
❑
11. Algal growth covers less 500/o of the area:
®
❑
❑
❑
12. Cattails, phragmites or other invasive plants cover less than 50% of the basin surface:
®
❑
❑
❑
13. Main treatment area is free from excess sediment accumulation:
®
❑
❑
❑
��.'����s 3��?''�.���..�'�t811r•r.-:�r+.,,A..#'-iTn,f�1:..4.'��.x3�,1:��'tx°G,Vn�i��iir�»�,-.:..,`Cn.�t:,.i�raw�-,{�...vhr,C2, �,Yr�f; isa.,'3`.�..,,,.x�a�ElfS ;`L:CA'.,.r:. r's'.'
„eOUTLETS�,:..�,F.f_,..
14. Swale or emergency outlet bypass is in the correct place and is in good condition:
®
❑
❑
❑
15. Drawdown device is correctly sized free of damage or clogging:
®
❑
❑
❑
16. Orifice size matches the approved plans
®
❑
❑
❑
17. Outlet is free of erosion or other signs of damage:
❑
❑
❑
18. Trash rack is installed
®
❑
❑
❑
19. Vegetated filter is in place (if applicable)
❑
❑
®
❑
20. Relative elevations match approved plans
®
❑
❑
❑
21. Fountain pump (if permitted) is less than or equal to the maximum allowable size:
❑
❑
®
❑
V3.3_09

SWALES/LOW DENSITY: O & M Inspection Checklist
1. Inlet and pipe system. installed as indicated on the approved plans:
2. Longitudinal slope is 5% maximum (where applicable):
3. Side slopes are 3:1 or less:
4. Swale maintains a 0.5 foot freeboard:
5. Swale is free from trash or debris:
6. Swale is free from bare soil, erosion or gullies:
7. Swales are free of woody vegetation:
8. Swale is free of excessive (covers grass, M4in. or more) sediment accumulation:
9. Vegetation is maintained at a height of approximately six inches:
10. Fertilizer has only been used once in the establishment of grass with no other applications:
11. Outlet is free of damage, clogs or erosion: .
12. Swale is free of ponding and it has been at least 48 hrs. since last rain:
1. Side slopes are 5:1 or less:
2. Swale length is 100 ft. or greater:
3. Maintenance agreement is provided:
4. Curb outlet swale is free of erosion and channelization:
1. Side slopes are 5:1 or less:
2. Swale length is 150ft. or greater:
3. Maintenance agreement is provided:
4. Bottom width is at least 2 feet but no more than 6 feet:
®
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❑
®
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®
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®
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®
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®
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®
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❑
®
❑
**Check permit to see if level spreader, filter strip or restored riparian buffer Is included. If it is, use the supplemental form
for those BMPs in addition to this form.
V3.3-o9

B
t
P.a
Baldwin & Associates
Engineering & Land Surveying
1015 Conference Drive
Greenville, NC 27858
252-756-1390
To: NCDENR
Washington Square Mall
Washington, NC 27889
Letter
Of
Transmittal.
Date: Job No:
04/04/05
Attention:
Roger Thorpe
Re:
Chocowinity Primary School
We are sending you: F—] Attached ❑ Under separate cover via
❑ Drawings ❑ Plans E Prints ❑ Samples
❑ Letter ❑ order ❑ Other
Grading Plan & Details
RECEOVEi)
APR 0 5 2005
DWQ-WARD
the following:
E Specifications
Transmitted as checked below:
x❑ For approval ❑ Approved as noted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as submitted ❑ Submit copies for distribution
As requested ❑ Returned for corrections ❑ Return corrected copies
❑ For review ❑ Other
Remarks:
S+grled: J. Stephen Jano�vaski Copy to.

Mite associates
ARCHITECTURE / 9Y61NEHiW6 / PLANNING
TO: NCDENR — Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
LETTER of TRANSMITTAL
DATE: December 3, 2002
Bill Moore -School
Classroom
S lRt r�}['ll^''.ISr 'V; I, yrll p•i 1V!i_ '_ it u^
Ili I l -Sr ,
a rt, i 1 e 1
� ! .�n. ��,
We are sending via UPS the following plans for:
Storm Water Management — Wet Detention Plan Approval
Coma- DWG . ' DATE ram--- ,.DESCRIPTION, NOTES:
2sets
Site plans and Details and area drainage maps
2
Original and copy Storm Water Management Permit Application
2
Original and copy Wet Detention Basin Supplement Form
2
Narratives
2
Specifications
Fee Enclosed for $480.00 check # 15252
This information is transmitted forapproval unless noted otherwise.
EC EI'�� ,
Drawings:
C100 Site Demolition Plan DEC 6 2004
C101 Site Geometry Plan
C201 Site Grading and Erosion Control Plan
C301 Site Details: Storm Water / Sanitary Sewer Structures DWQ-WARD
C302 Site Details: Erosion and Sedimentation Control
C303 Site Details: Concrete / Misc. Sections Details
C304 Site Details: Wet Detention Sections and Outlet Structure
C305 Site Details: Water= __
ILI
Todd Smith
copy: Dr. Jeffery Moss, BCS
Steve Janowski, P.E.
file: project notebook regulatory
2600 Meridian Drive / Greenville, NC 27834 / tei252.757.0333 / tax 252.757.1330 / e-mail: [e-mail]

Hite associates
ARCHITECTURE / ENGINEERING / PLANNING
TO: NCDENR - Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
ATTN: Bill Moore
We are sending via UPS the following plans for:
LETTER of TRANSMITTAL
DATE: December 16, 2002
RE: Chocowinity Primary School - New
Classroom addition
Storm Water Management - Wet Detention Plan Approval
,COPIES DWG DATE DESCRIPTION NOTES '
ADDITIONAL FEES TO ACCOMPANY CHECK #15252 (15331
FOR $20.00)
This information is transmitted for approval unless noted otherwise.
SIGNED: ---- -- - - ------�- �— - -- -- — —--�-----,--�—�--, , �--,---Y,
Todd Smith
file: PA
RECEIVED
DEC 17 2004
DWQ-WARD
2600 Meridian Drive / Greenville, NC 27834 / tel[phone] / tax 252.757 1330 / e-marl., dtsmith ftiteassoc. oom

WET DETENTION O & M Inspection Checklist
NE
1.
Inlets are located per the approved plans: 0 �trk.�� n. pqC
pc+,
❑ 4
❑
❑
2.
Inlet device Swale pipe) is free of damage, clogs or erosion:
t�
❑
2
❑
❑
3.
Forebay berm is in place and without erosion:
❑
D<
❑
❑
4.
Forebay is free of excessive sedim�enty�
E.
(]
❑
❑
'. ,...D.. ll '—C _ _ �w .� i �'j�}. Y.� l�i ' "z�r{ L ; 1 Fryl ..' . �tr't't y .Y.aP' f - ; •� f.�i§ i i� '.! , Y \.: C y`^iry �{ Y '.��tr'.3}.i.r4 f1 _1i. :,�: 'f ^
X ,�v+ y
E SLOP,ES,AND BANKS xx s �5 r 1� yFr yy_ ) tr. r
_SI
f: a
-.Di;Ks .."(^S,�'. .�7r-�:7*..� e�ti ',r .r-N, '�G,a=; `f,� -..��rw�++>:ci;
rhi�.s.r�f�^C.d�I:.:�.0'."/
NS..;'kI',.sr..1�C5'1e4C..JArG'�Z'ni,�`��f'C
a�
�;�. JS.-.—�Yt
5.
Vegetated slopes are 3:1 or less:
V
❑
❑
❑
6.
Banks are stable and free of erosion or bare soil:
❑
❑
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7.
Slopes or berms are free of woody vegetation:
R
❑
❑
❑
8. Free of muskrats or beaver activity:
9. Grass is being maintained and mowed (not scalped) as required:
❑ ❑
❑ ❑
10. Vegetated shelf is 6:1 or 10:1 as permitted and properly vegetated:
X
• ❑
❑
❑
11, Algal growth covers less 50% of the area: 1^+^ t
(�
❑
❑
❑
W0%W�'t�'t�12.
Cattails, phragmites or other invasive plants cover less of the
sin surface:
®
❑
❑
❑
13. Main treatment is free from excess sediment accumulation:
�
❑
❑
❑
�a�nyryea
r %_..,' ,�,'.:% I�+,^i� T'��1P't k•• ;�:r`l
OT,LETS� u ��? ' '. �, rt ' E p z i x 1 h
,
14. Swale or emergency outlet bypass is in the correct place and is in good condition:
R�
❑
❑
❑
15. Drawdown device is correctly sized free of damage or clogging:
❑
❑
❑
16. Orifice size matches the approved plans
❑
❑
❑
17. Outlet is free of erosion or other signs of damage: --�`�
❑
❑
❑
X
18. Trash rack is installed —� i vj eiea'rAd e V9 '1� El ❑ ❑
19. Vegetated filter is in place (if applicable) ❑ ❑ g ❑
20. Relative elevations match approved plans X ❑ ❑ ❑
21. Fountain pump (if permitted) is less than or equal to the maximum allowable size: ❑ ❑ >?, ❑
V3.3_09

State Stormwater Inspection Report
General
Project Name:
Permit No: SV -76 f l is
Expiration Dater
1,5
Contact Person:
Phone Number:
Inspection Type::R�V_
Inspection Date:
Time In:
Time Out: -,I', I `"- A
Current Weather: ;{�
Recent Rain (Date)? �
Rain -- in
Location
Facility Address I Location:
City: lip: County: Lat: "N Lang: - "W
Permit Information
Rue Subject to (circle one): 1988 Coastal Rule 1995 Coastal Rule 2008 Coastal Rule Session Law 2006-246
Goose Creek High Quality Waters Outstanding Resource Waters
I]eW,y (circle one): Fligh (ND) Low (LD)
Stormwater Best Management Practices (BMPs) (insert number of each):
Wet Ponds Infiltration Basins Infiltration Trenches LD Swales Stormwater Wetlands
Dry Ponds Bioretention Permeable Pavement Sand filters (circle one) Open Closed
Cistern Level Spreader/Filter Strip Other (spec{ : _
File Review Yes No NIA NIE
1. Is the permit active?
2. Signed Engineer's Certification on file?
3. Signed Operation and Maintenance agreement on file?
4. Recorded Deed Restrictions on file?
Site Visit: Built Unon Area IBUAI Yes No NIA NIE
5. BUA is constructed and consistent with the permit requirements?
6, 13UA (as ermitted is graded such that the runoff drains to the system? high density only)
7. Drainage area is consistent withpermit? (i.e. no un ermitted drainage to the SW 13MPs)
8. Drainage area is stabilized? (to reduce risk of sedimentation to the SW BMPs
Site Visit: Stormwater BMPs Yes No NIA NIE
9. Stormwater BN1Ps are located er the approvedplans?
10. Stormwater BMPs have dimensions (eo. length, width, area) matching the approvedplans?
11. Stormwater 13MPs are constructed per the approvedplans?
Site Visit: Ooeration and Maintenance Yes No NIA NIE
12. Access points to the site are clear and well maintained?
13. Trash has been removed as needed?
14. Excessive landscape debris (grass clippings, leaves, etc) is controlled?
15. Stormwater 13MPs being operated and maintained as per the permit requirements?
16. Inspection and Maintenance records are available for inspection? (high density only, 1995 - present only)
Site Visit: Other Permit Conditions Yes No NIA NIE
17. Is the site conillLant with other conditions of the 3crmit?
Site Visit: Other Water Quality Issues Yes No NIA NIE
I l 8. Is the site compliant with other water quality issues as noted during the inspection?
State Stormwater Inspection Report. Version 3.0
Page ] of 2

State Stormwater inspection Report
Inspection Pictures (some of the pictures taken during the site visit)
Compliance Status ❑ Compliant ❑ Non -Compliant
Letter Sent (circle one): Yes No Letter type: CEI NOV NOVRE Other
Date Sent: Reference Number:
Inspector Name and Signature:
Date:
Slate Slorntwater [nspcction Report, Version 3.0 Page 2 of 2

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