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SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Fors th Count
Winston-Salem Field Operations Department Permit #: EN2100066
Erosion Control Division
P.O. Box 2511 Date: 4-13-2022
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 1-1-20 Phone: [phone]
Project: LOT 5 — ARBORS AT MEADOWLARK Location: 5817 ZINFANDEL ST
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 / 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)]
( )--- 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): NICK ACHOR Title ARENA BUILDERS
8. Contact Method: phone # () email (X) fax # () letter () person ( )
9. Corrective actions needed:
N/A
10. Comments: O 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: https:Hedocs.deg.nc.gov/Fonns/NCGOI-Termination. AND USE THIS INSPECTION REPORT
FOR SUPPORTING DOCUMENTATION.
Office use only: Cityworks (X) Final O [white notebook] Excel ( ) Financially responsible contact ( )