NCC191931_NOT Closeout Documents_20210106

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN1900077
Erosion Control Division
P.O. Box 2511 Date: 12-31-2020
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 1-1-20 Phone: [phone]
Project] RETAIL / RESTAURANT DEVELOPMENT Location: F4809 COUNTRY CLUB RD
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: RAINING / WET Initial inspection: ("x" One) Yes: No: X
4. Is site currently under notice of violation? ("x" 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. 8.4.6 (G) ; & G.S. 113A-57 (4) and 15A N.C.A.C413.0107(e)]
( )--- 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. 413.0118(a)]
( )--- Failure to provide adequate groundcover, [UDO See. 8.4.6 (D) (1) (b); & 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. 8.4.6 (D) (1) (a); & G.S. 113A-57(3)]
( )--- Failure to take all reasonable measures, [UDO Sec. 8.4.4 (B); & 15A N.C.A.C.4130105]
( )--- Inadequate buffer zone, [UDO See. 8.4.6 (A); & G.S. 113A-57(1)]
( )--- 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. 413.0124(d)]
Unprotected exposed slopes, [ UDO See. 8.4.6 (B) (1) (1); & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO See. 8.4.12; & 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): BLAKE HAYWORTH Title
8. Contact Method: phone # () email (X) fax # () letter () person ( )
9. Corrective actions needed:
N/A
10. Comments: O No devices in place O Additional devices needed O Devices need maintenance O Devices in & functioning
( ) No seeding noted ( ) Partially seeded ( ) Areas seeded (NO) Off -site sedimentation (YES) Project in compliance
THIS PROJECT HAS BEEN COMPLETED AND IS STABLE. PLEASE APPLY FOR AND OBTAIN THE NOTICE
OF TERMINATION OF THE NCGO1 PERMIT. ONCE THE NCGO1 PERMIT IS TERMINATED, THEN THIS
GRADING PERMIT CAN BE FINALED.
11. Others present:
Office use only: Cityworks (X) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ()