NCC190027_NOT Closeout Documents_20220518

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN1800176
Erosion Control Division
P.O. Box 2511 Date: 7-20-2021
Winston-Salem, NC 27102
Report by: F KENT WALL
Revised 1-1-20 Phone: [phone]
Project:
THE CROSSING AT BROOKBERRY Location: 5416 HUNDLEY RD
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: CLOUDY / MOIST 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(c)]
( )--- Failure to follow approved plan, [UDO Sec.8.4.19 (A); & G.S. 113A-61.1]
( )--- Failure to submit revised plan, [UDO Sec. 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 Sec. 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, c); & 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. 4B.0113]
Failure to keep cut
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
7. Contact made with (name): ELLIOTT BLACKWOOD Title
8. Contact Method: phone # O email (X) fax # O letter O person ( )
9. Corrective actions needed:
10. Comments: ()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 (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 — CERTIFICATE OF COVERAGE #
NCC 190027.
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.

Office use only: Cityworks (X) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARMS ()