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SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN1900075
Erosion Control Division
P.O. Box 2511 Date: 1-5-2022
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 1-1-20 Phone: [phone]
Project: I FIN'S CAR WASH Location: 1940 HEALY DRIVE
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe
3. Weather and soil conditions: PT CLOUDY / MOIST 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(c)]
( )--- Failure to follow approved plan, [UDO Sec.8.4.19 (A); & G.S. 113A-61.1]
( )--- Failure to submit revised plan, [UDO Sec. 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 Sec. 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 Sec. 8.4.6 (A); & G.S. 113A-57(l)]
( )--- Graded slopes and fills too Steep, [UDO Sec. 8.4.6 (B) (1) (a, b, c); & G.S. 113A-57(2) or 15A N.C.A.C. 413.0124(d)]
Unprotected exposed slopes, [ UDO Sec. 8.4.6 (B) (1) (f); & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO Sec. 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): TYLER COOK Title OMEGA CONSTRUCTION
8. Contact Method: phone # O email (X) fax # O letter O person ( )
9. Corrective actions needed:
N/A
10. Comments: ( ) 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 (YES) Project in compliance
THIS PROJECT HAS BEEN COMPLETED AND IS STABLE. PRIOR TO FINALING THE GRADING PERMIT,
YOU WILL NEED TO TERMINATE THE NCGO1 PERMIT COVERAGE. PLEASE GO TO THE FOLLOWING WEB
ADDRESS TO APPLY: hops:Hedocs.deg.nc.gov/Fonns/NCGOI-Termination. AND USE THIS INSPECTION REPORT
FOR SUPPORTING DOCUMENTATION.
11. Others present:
Office use only: Cityworks (X) Final ( ) [white notebook] Excel ( ) Financially responsible contact ( ) ARCGIS ( )