NCC191884_NOT Closeout Documents_20200625

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN1900110
Erosion Control Division
P.O. Box 2511 Date: 6-12-20
Winston-Salem, NC 27102
Report by: David Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: I PANERA BREAD Location: 2901 REYNOLDA RD.
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x7' One) Yes: No: X Describe:
3. Weather and soil conditions: Sun 84d Dry Initial inspection: ("x" One) Yes: No: X
4. Is site currently under notice of violation? ("x7' One) Yes: No: X
5. Is the site in compliance with S.P.C.A. and rules? ("x" One) Yes: X No: If no, check violations below:
6. Violations: ("X" all applicable sections)
O --- No approved plan, [UDO Sec. 8.4.6 (G); & G.S. 113A-57 (4) and 15A N.C.A.C4B.0107(e)]
Q --- Failure to follow approved plan, [UDO See.8.4.19 (A); & G.S. 113A-61.1]
() --- Failure to submit revised plan, [UDO See. 8.4.17 (B) (5); & G.S. 113A-54.1(b) and 15A N.C.A.C. 4B.0118 (a)]
O --- Failure to provide adequate grolnldcover, [UDO See. 8.4.6 (D) (1) (b); & G.S. 113A-57(3); & 15A N.C.A.C. 4B.0007 (b) or 15A
N.C.A.C. 4B.0124 (e)]
O --- Insufficient measures to retain Sediment on Site, [UDO Sec. 8.4.6 (D) (1) (a); & G.S. 113A-57(3)]
O --- Failure to take all reasonable measures, [UDO Sec. 8.4.4 (B); & 15A N.C.A.C.4B0105]
O --- Inadequate buffer zone, [UDO See. 8.4.6 (A); & G.S. 113A-57(1)]
O --- Graded slopes and fills too Steep, [UDO Sec. 8.4.6 (B) (1) (a, b, e); & G.S. 113A-57(2) or 15A N.C.A.C. 4B.0124 (d)]
O --- Unprotected exposed slopes, [UDO See. 8.4.6 (B) (1) (t); & G.S. 113A-57(2)]
() --- Failure to install and maintain erosion control measures, [UDO See. 8.4.12; & 15A N.C.A.C. 4B.0113]
O --- Failure to keep Current self -inspection records, [G.S. 113A-54.1 & 15A NCAC 04B. 0131]
O --- Other (describe):
7. Contact made with (name): PAT GALLAGHER Title . PROJECT MANAGER
8. Contact Method: phone # O email(X---pat(gmillstonemgmtgroup.com) letter O person ( )
9. Corrective actions needed:
10. Comments: (X ) No devices in place () Additional devices needed () Devices need maintenance ( ) Devices in & functioning
() No seeding noted ( ) Partially seeded (X ) Areas seeded (NO) Off -site sedimentation (X) Project in compliance
Building done. Paving done in park lot. Landscaping completed. Devices removed. No erosion problems. Site in
compliance with approved plan. . Please submit for Notice of Termination [N.O.T.] from State for your NPDES permit
and upload documentation when received, to IDT plan review file for this project.
11. Others present:
Office use only: Cityworks ( ) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ()