NCC201430_NOT Closeout Documents_20210603

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN2000033
Erosion Control Division
P.O. Box 2511 Date: 3-5-21
Winston-Salem, NC 27102
Report by: David Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: I Crow Hill Lot #39 Location: 2780 Pfafftown Forest Dr.
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x7' One) Yes: No: X Describe:
3. Weather and soil conditions: Sun 48d dry 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)]
( )--- 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 15AN.C.A.C. 4B.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 cut
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 048. 0131]
7. Contact made with (name): Justin Mendenhall Title SUPERVISOR —Arden Group
8. Contact Method: phone # O email (X justin@theardengroup,com) fax # ( ) letter ( ) person ( )
9. Corrective actions needed:
10. Comments: (X) 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 (X) Project in compliance
Home Constr. done. No erosion problems. 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 ()