SW4090301_Inspection Report_20110824

Compliance Inspection Report
Permit: SW4090301 Effective: 05/15/09 Expiration: 05/14/19 Owner: McDonalds USA LLC
Project: McDonald's-King, NC
County: Stokes Intersection Of S Main Street And Bailey Rd
Region: Winston-Salem
Contact Person: Jessie Lester Title:
Directions to Project:
Type of Project: State Stormwater - HD - Bioretention
Drain Areas: 001 - (Barkers Creek) (03-07-04 ) ( C)
002 - (Barkers Creek) (03-07-04 ) ( C)
003 - (Barkers Creek) (03-07-04 ) ( C)
On -Site Representative(s):
Related Permits:
Inspection Date: 08/24/2011 Entry Time: 02:00 PM
Primary Inspector: Sue L Homewood
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: State Stormwater
Facility Status: ■ Compliant 0 Not Compliant
Question Areas:
E State Stormwater
(See attachment summary)
King NC 27021
Phone: [phone]
Exit Time: 02:15 PM
Phone: [phone]
Inspection Type: Compliance Evaluation
Page: 1

Permit: SW4090301 Owner - Project: McDonalds USA LLC
Inspection Date: 08/24/2011 Inspection Type: Compliance EvaWation Reason for Visit: Routine
Inspection Summary:
File Review
Tes
NO
NA N
Is the permit active?
■
n
n n
Signed copy of the Engineer's certification is in the file?
■
n
n n
Signed copy of the Operation & Maintenance Agreement is in the file?
®
n
n n
Copy of the recorded deed restrictions is in the file?
n
n
® n
Comment:
Built Upon Area
Yes
No
NA
NE
Is the site BUA constructed as per the permit and approval plans?
■
n
n
n
Is the drainage area as per the permit and approved plans?
■
n
n
n
Is the BUA (as permitted) graded such that the runoff drains to the system?
©
n
n
n
Comment:
SW Measures
Yes
No
NA
NE
Are the SW measures constructed as per the approved plans?
©
n
n
n
Are the inlets located per the approved plans?
®
n
n
n
Are the outlet structures located per the approved plans?
®
n
n
n
Comment:
Operation and Maintenance Yes No NA NE
Are the SW measures being maintained and operated as per the permit requirements? 0 n n n
Are the SW BMP inspection and maintenance records complete and available for review or provided to DWQ n n n ■
upon request?
Comment:
Other Permit Conditions Yes No NA NE
Is the site compliant with other conditions of the permit? In n n n
Comment:
Other WQ Issues Yes No NA NE
Is the site compliant with other water quality issues as noted during the inspection? n n n n
Comment:
Page: 2