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SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN2000074
Erosion Control Division
P.O. Box 2511 Date: 2-11-2022
Winston-Salem, NC 27102
Report by: I KENT WALL
Revised 1-1-20 Phone: [phone]
Project: I DARWICK ACRES LOT GRADING Location:F250 GLENSHIRE CT
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? ("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(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. 4B.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. 4B.0007(b) or 15A
N.C.A.C. 4B.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.CAB0105]
( )--- Inadequate buffer zone, LUDO Sec. 8.4.6 (A); & G.S. 113A-57(1)]
( )--- 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. 4B.0124(d)]
Unprotected exposed slopes, [ UDO Sec. 8.4.6 (B) (1) (t); & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO Sec. 8.4.12; & 15A N.C.A.C. 413.01131
Failure to keep cm
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 04B 0131]
7. Contact made with (name): I JASON MYERS Title
8. Contact Method: phone # () email (X) fax # () letter() person( )
9. Corrective actions needed:
N/A
10.
--lau„ta: t) iNu uevices 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
THE SCOPE OF WORK COVERED UNDER THIS PERMIT HAS BEEN COMPLETED. PRIOR TO FINALING THE
GRADING PERMIT, YOU WILL NEED TO TERMINATE THE NCGO1 PERMIT COVERAGE. PLEASE GO TO
THE FOLLOWING WEB ADDRESS TO APPLY: https:Hedocs.dgq.ne.gov/Fonns/NCGOI-Termination. AND USE
THIS INSPECTION REPORT FOR SUPPORTING DOCUMENTATION.
11. Others present; I PETE RAMEY FRO VIA EMAIL