NCC191366_NOT Closeout Documents_20231018

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit#: EN1900090
Erosion Control Division
P.O. Box 2511 Date: 10-10-2023
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 1-1-20 Phone: [phone]
Project WF—CLOVERDALE PARKING LOT Location 2120 CLOVERDALE AVE
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.8.4.6(G);&G.S. 113A-57(4)and 15A N.C.A.C4B.0107(c)]
0--- 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 Sec.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)]
0--- Unprotected exposed slopes, [UDO Sec.8.4.6(B)(1)(fl;&G.S. 113A-57(2)]
()--- Failure to install and maintain erosion control measures, [UDO Sec.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]
0--- Other(describe):
7. Contact made with(name): T.R. BOWERS Title WAKE HEALTH
8. Contact Method: phone#O email(X) fax#O letter O person()
9. Corrective actions needed:
NO CORRECTIVE ACTIONS.
10. Comments: ()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. YOU WILL NOW NEED TO TERMINATE THE NCGO1 PERMIT
COVERAGE. PLEASE GO TO THE FOLLOWING WEB ADDRESS TO APPLY:
https://edoes.deg.ne.gov/Fonns/NCGOI-Termination. AND USE THIS INSPECTION REPORT FOR SUPPORTING
DOCUMENTATION.
11. Others present:
Office use only: Cityworks (X) Final O [white notebook] Excel O Financially responsible contact O ARCGIS()