SW8070726_COMPLIANCE_20121206

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 010
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
COMPLIANCE EVALUATION INSPECTION
DOC DATE
17W12 �2 Ole
YYYYMMDD

STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
SECTION �(Q p
TIME/DATE
NAME
REPRESENTING
Guidelines for Access The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations Please read
carefully the following guidelines signing the form
1 Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment to review the files Appointments will be scheduled
between 9 009m and 3 00ym Viewing time ends at 4 45pm _Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available
2 You must specify files you want to review by facility name The number of files that you
may review at one time will be limited to five
3 You may make copies of a file when the copier is not in use by the staff and if time permits
Cost per copy is 2 5 cents for ALL copies if you make more than 25 copies There is no
charge for 25 or less copies Payment may be made by check, money order, or cash at the
reception desk. Copies can also be invoiced for your convenience
4 FILES MUST BE KEPT IN ORDER YOU FOUND THEM Files may not be taken from
the office To remove, alter, deface, mutilate, or destroy material in one of these files is a
misdemeanor for which you can be fined up to $500 00 No briefcases, large totes, etc are
permitted in the file review area
5 In accordance with General Statue 25-3-512, a $25 00 processing fee will be charged and
collected for checks on which payment has been refused
FACILITY NAME COUNTY
I `D\,\A 77
2 it
3
4
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lz/6/i -1,
Signature and Name of Firm/Business Date
Please attach a business ca d t this form
COPIES MADE 9- PAID
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Time In
INVOICE
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State Stormwater Inspection Report
General
Project Name Food lion Shallotte
Permit No SW070726
Expiration Date 8-10-2017
Contact Person
Phone Number
Inspection Type
Inspection Date 02/12/2010
Time In 9 30am
Time Out 10 00am
Current Weather partly cloudy
Recent Ram (Date)?
Ram — in
Location
Facility Address / Location
City Shallotte Zip County Br Lat 0` "N Long - "W
Permit Information
Rule 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
Density (circle one) High (HD) 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 (specify)
File Review Vae Nn N/A NIF
I Is the permit actives
I X
2 Signed Engineer's Certification on file'
X
3 Signed Operation and Maintenance agreement on file?
X
4 Recorded Deed Restrictions on files
I
I X
Sda Visif Ruff Ilnnn Aran tR11A1 Vaa kin NIA MIC
5 BUA is constructed and consistent with the permit requirements?
X
6 BUA (aspermitted) is graded such that the runoff drams to the system? (high dense only)
X
7 Drainage area is consistent withpermit? 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 Stormwatar RMPs Vae kin MIA N/F
9 Stormwater BMPs are located per the approvedplans?
I X
10 S[ormwater BMPs have dimensions (e length, width, area matchingthe approved plans'?
X
1 1 Stormwater BMPs are constructed per the approvedplans?
X
Sites 11mit Onaraf inn and Mainfananen Vac Mn NIA Mir
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 clippings, leaves, etc is controlled?
X
JX
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)
Site Visit Other Permit Conditions Yes No N/A N/E
17 Is the site compliant with other conditions of thepermit? I IX
Site Visit Other Water Quality Issues Yes No NIA N/E
18 Is the site compliant with other water quality issues as noted during the inspection? X
State Stormwater inspection Report, Version 3 0 3-09 Page 1 of 4

State Stormwater Inspection Report
WET DETENTION O & M Inspection Checklist
INLETS and FOREBAY
I
inlets are located per the approved plans
El
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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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SIDE SLOPES AND BANKS
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
❑
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8
Free of muskrats or beaver activity
❑
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9
Grass is being maintained and mowed (not scalped) as required
❑
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❑
PERIMETER AND MAIN BAY
10
Vegetated shelf is 6 1 or 10 1 as permitted and properly vegetated
❑
❑
❑
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I I
Algal growth covers less 50% of the area
❑
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❑
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12
Cattails, phragmites or other invasive plants cover less than 50% of the basin surface
❑
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13
Main treatment area is free from excess sediment accumulation
❑
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OUTLETS
14
Swale or emergency outlet bypass is in the correct place and is in good condition
❑
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15
Drawdown device is correctly sized free of damage or clogging
❑
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16
Orifice size matches the approved plans
❑
❑
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17
Outlet is free of erosion or other signs of damage
❑
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18
Trash rack is installed
❑
❑
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19
Vegetated filter is in place (if applicable)
❑
❑
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❑
20
Relative elevations match approved plans
❑
❑
❑
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21
Fountain pump (if permitted) is less than or equal to the maximum allowable size
❑
❑
❑
❑
State Stormwater Inspection Report, Version 3 0_3-09 Page 2 of 4

State Stormwater Inspection Report
Compliance Status /x / Compliant ❑ Non -Compliant
Letter Sent (circle one) Yes `No/ Letter type CEI NOV NOV7RE Other
Date Sent ✓ Reference Number 7GG• le-y%O
Inspector Name and Signature
(/
Date �_�rJ' Zo/'y
State Stormwater Inspection Report, Version 3 0_3-09 Page 3 of 4