NCC202454_NOT Closeout Documents_20210609

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN2000085
Erosion Control Division
P.O. Box 2511 Date: 6-8-21
Winston-Salem, NC 27102
Report by: David Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: I TAYLOR RESIDENCE Location: 2312 MISPAH CHURCH RD.
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: CLOUDS/SUN 79d 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(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)]
O--- 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 cui
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
7. Contact made with (name): TAYLOR WEBER Title OWNER
8. Contact Method: phone # O email (X-- [e-mail]) letter O person ( )
9. Corrective actions needed:
10. Comments: O No devices in place ( ) Additional devices needed () Devices need maintenance (Few) Devices in & functioning
() No seeding noted () Partially seeded (X) Areas seeded (NO) Off -site sedimentation (X) Project in compliance
Construction of new home 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:Hedocs.deg.nc.-gov/Forms/NCG01-
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 ()