NCC205333_NOT Closeout Documents_20211201

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN2000183
Erosion Control Division
P.O. Box 2511 Date: 8-19-21
Winston-Salem, NC 27102
Report by: David Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: I DURISOL DRAINAGE IMPROVEMENTS Location: 8640 BROAD ST. RURAL HALL
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: Sun 90d damp 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)]
( )--- 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. 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) (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 current self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
Other (describe):
7. Contact made with (name): Robbie Cox Title FOREMAN-DURISOL
8. Contact Method: phone # O email (X--- [e-mail]) letter O person (X )
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
Grading completed. Site stable. 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.
11. Others present:
Office use only: Cityworks O Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ()