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SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Fors th Count
Winston-Salem Field Operations Department Permit #: EN1800002
Erosion Control Division
P.O. Box 2511 Date: 5-3-2022
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 3-3-22 Phone: [phone]
Project: 645 BLUE ROCK CT Location: 645 BLUE ROCK CT WINSTON-SALEM
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, [LIDO Sec. 8.4.6 (G) ; & G.S. 113A-57 (4) and 15A N.C.A.C413.0107(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, [LIDO 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, [LIDO Sec. 8.4.6 (D) (1) (a); & G.S. 113A-57(3)]
( )--- Failure to take all reasonable measures, [LIDO Sec. 8.4.4 (B); & 15A N.C.A.C.4130105]
( )--- Inadequate buffer zone, [LIDO 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. 413.0124(d)]
Unprotected exposed slopes, [ LIDO Sec. 8.4.6 (B) (1) (fl; & G.S.113A-57(2)]
Failure to install and maintain erosion control measures, [LIDO Sec. 8.4.12; & 15A N.C.A.C. 413.0113]
Failure to keep cw
Other (describe):
rent self -inspection records, [G.S. 113A-541 & 15A NCAC 0413. 0131]
7. Contact made with (name): GENE LOWDER Title
8. Contact Method: phone # (X) email (X) fax # O letter O person ( )
9. Corrective actions needed:
NO CORRECTIVE ACTIONS.
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.
11. Others present:
Office use only: Cityworks () Excel () Financially responsible contact ()