NCC190501_NOT Closeout Documents_20201229

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Traffic Field Operations Department Permit #: EN1900079
Erosion Control Division
P.O. Box 2511 Date: 5/6/2020
Winston-Salem, NC 27102
Report by: WesleyWilliams
Revised 7-1-19 Phone: [phone]
Project: I Albohn Property Location: 9361 Benefit Church Road
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x7' One) Yes: No: X Describe:
3. Weather and soil conditions: Sun/Wet 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)
( )--- No approved plan, [UDO Sec. 5-7 (G) ; & G.S. 113A-57 (4) and 15A N.C.A.C4B.0107(c)]
( )--- Failure to follow approved plan, [UDO sees-20.1; & G.S. 113A-61.1]
( )--- Failure to submit revised plan, [UDO See. 5-18.2; & G.S. 113A-54.1(b) and 15A N.C.A.C. 413.0118(a)]
( )--- Failure to provide adequate groundcover, [UDO See. 5-7 (D)(1); & G.S. 113A-57(3); & 15A N.C.A.C. 413.0007(b) or 15A N.C.A.C.
413.0124(e)]
( )--- Insufficient measures to retain sediment on site, [UDO Sec. 5-7 (D)(1); & G.S. 113A-57(3)]
( )--- Failure to take all reasonable measures, [UDO Sec. 5-5.2; & 15A N.C.A.C.4130105]
( )--- Inadequate buffer zone, [UDO See. 5-7 (A); & G.S. 113A-57(1)]
( )--- Graded slopes and fills too steep, [UDO See. 5-7 (B); & G.S. 113A-57(2) or 15A N.C.A.C. 413.0124(d)]
Unprotected exposed slopes, [ UDO See. 5-7 (D)(2); & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO See. 5-13; & 15A N.C.A.C. 413.0113]
Failure to keep current self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
Other (describe):
7. Contact made with (name): Samuel Evans Title General Contractor
8. Contact Method: phone # (X) email (x) fax # O letter O person ( )
Corrective actions needed:
No corrective actions needed at the time of inspection.
10. Comments: ( ) No devices in place ( ) Additional devices needed ( ) Devices need maintenance (x) Devices in & functioning
( ) No seeding noted ( ) Partially seeded (X) Areas seeded (NO) Off -site sedimentation (YES ) Project in compliance
The site is in stable condition and complete per the approved plan. Please submit the e-NOT and provide
documentation.
11. Others present:
Office use only: Cityworks (x) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ()