NCC200074_NOT Closeout Documents_20210216

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN1900168
Erosion Control Division
P.O. Box 2511 Date: 1-20-21
Winston-Salem, NC 27102
Report by: David Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: I CIRCLE K Locatio 1065 Bethania-Rural Hall Rd.
1. Pictures: ("a'' One) Yes: No: X
2. Potential for NPDES Violation: ("a'' One) Yes: No: X Describe:
3. Weather and soil conditions: Sun 49D damp Initial inspection: ("a'' One) Yes: No: X
4. Is site currently under notice of violation? ("a'' One) Yes: No: X
5. Is the site in compliance with S.P.C.A. and rules? ("a'' One) Yes: X No: If no, check violations below.
6. Violations: ("X" all applicable sections)
( )--- No approved plan, [UDO See. 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. 4B.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. 4B.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 cur
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
7. Contact made with (name): JOSH EDDINGS itle CONTACT
8. Contact Method: phone # O email (X---Josh Eddings [e-mail]) letter O person ( )
9. Corrective actions needed:
10. Comments: () No devices in place ( ) Additional devices needed ( ) Devices need maintenance (X) Devices in & functioning
() No seeding noted (X ) Partially seeded ( ) Areas seeded (NO) Off -site sedimentation (X) Project in compliance
Building done. Lot paved & landscaped. Rear area seeded & mulched with good germination. No erosion problems.
OK to get Notice of Termination for NCGO1 Permit from the State. Once email received from State rescinding the permit.
please upload it to our IDT permitting system for the project.
11. Others present: I Email Cc: Chase Gough---chase@,wimcocorp.com
Office use only: Cityworks O Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ()