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SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN1900152
Erosion Control Division
P.O. Box 2511 Date: 2/11/2021
Winston-Salem, NC 27102
Report by: F Wesley Williams
Revised 1-1-20 Phone: [phone]
Project: I Quality Mart Union Cross Location: 1 1980 Pecan Lane
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: x Describ
3. Weather and soil conditions: Cloudy /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. 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 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 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) (t); & 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 cw
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 048. 0131]
7. Contact made with (name): Rodney Cheek Title Owner
8. Contact Method: phone # () email (X) fax # () letter () person ( )
9. Corrective actions needed:
No corrective actions needed at the time of inspection.
10. Comments: ( ) No devices in place O Additional devices needed O Devices need maintenance ( ) Devices in & functioning
O No seeding noted ( ) Partially seeded (X) Areas seeded (No) Off -site sedimentation (Yes ) Project in compliance
All phases of grading and construction are complete. The site is stabilized per the approved plan
11. Others present:
Office use only: Cityworks ( ) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ()