NCC193092_NOT Closeout Documents_20210913

SEDIMENTATION INSPECTION REPORT (Village of Clemmons)
Winston-Salem Field Operations Department Permit #: EN1900115
Erosion Control Division
P.O. Box 2511 Date: 8-26-2021
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 7-1-19 Phone: [phone]
Project: I CLEMMONS FOOD PANTRY ocation: 2660 NEUDORF RD
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: PT CLOUDY / DRY 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. 4-7 (G) ; & G.S. 113A-57 (4) and 15A N.C.A.C413.0107(e)]
( )--- Failure to follow approved plan, [UDO See.4-20.1; & G.S. 113A-61.1]
( )--- Failure to submit revised plan, [UDO See. 4-18.2; & G.S. 113A-54.1(b) and 15A N.C.A.C. 413.0118(a)]
( )--- Failure to provide adequate groundcover, [UDO See. 4-7 (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. 4-7 (D)(1); & G.S. 113A-57(3)]
( )--- Failure to take all reasonable measures, [UDO See. 4-5.2; & 15A N.C.A.C.4130105]
( )--- Inadequate buffer zone, [UDO See. 4-7 (A); & G.S. 113A-57(1)]
( )--- Graded slopes and fills too steep, [UDO See. 4-7 (B); & G.S. 113A-57(2) or 15A N.C.A.C. 413.0124(d)]
Unprotected exposed slopes, [ UDO See. 4-7 (D)(2); & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO See. 4-13; & 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): JIM MCCRACKEN Title CALVIN CONSTR.
8. Contact Method: phone # () email (X) fax # () letter () person ( )
9. Corrective actions needed:
CORRECTIVE ACTIONS ARE NOT REQUIRED.
10. Comments: O 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
THIS PROJECT HAS BEEN COMPLETED AND IS STABLE. PRIOR TO FINALING THE GRADING PERMIT,
YOU WILL NEED TO TERMINATE THE NCGO1 PERMIT COVERAGE. PLEASE GO TO THE FOLLOWING
WEB ADDRESS TO APPLY: https:Hedocs.deg.nc.gov/Fonns/NCGOI-Termination. AND USE THIS INSPECTION
REPORT FOR SUPPORTING DOCUMENTATION.
11. Others present:
Office use only: Cityworks (X) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( )