NCC202794_NOT Closeout Documents_20210315

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN2000062
Erosion Control Division
P.O. Box 2511 Date: 1-15-21
Winston-Salem, NC 27102
Report by: David Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: I DILLON RESIDENCE Location: 5721 DAVIS RD.
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x7' One) Yes: No: X Describe:
3. Weather and soil conditions: Sun/Rain 44 damp/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.C4B.0107(e)]
Q--- 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.
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) (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 cw
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
7. Contact made with (name): SCOTT DILLION Title OWNER
8. Contact Method: phone # [phone]) email (X--- [e-mail]) letter O person O
9. Corrective actions needed:
( ) No seeding noted () Partially seeded (X) Areas seeded (NO) Off -site sedimentation (X) Project in compliance
Home constr. done. Permanent ground cover sufficient to restrain erosion has been established. No additional self -
monitoring or self -inspections are required. Project is in compliance and released under the SPCA. Termination of
coverage under the NPDES General Stormwater Permit for Construction Activities (NCG01) must be requested by the
permittee via a Notice of Termination (NOT). The NOT is available at: https://edocs.deg.nc.gov/Forms/NCGO1-Termination.
Please note that this correspondence must be uploaded as part of completing the NOT process.
Office use only: Cityworks ( ) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ()