NCC214172_NOT Closeout Documents_20220622

SEDIMENTtC
TION INSPECTION REPORT (City of Winston-Salem/Forsyth Count
Winston-Salemld Operations Department Permit #:
Erosion Controivision EN2100147
P.O. Box 2511 Date:
Winston-Salem, 27102 5-25-2022
Revised 3-3-22
Report by: I KENT WALL
Phone: [phone]
Project: LOT 4 — ELINA DR Location: 5773 ELINA DR WINSTON-SALEM
1. Pictures: ("x" ne) Yes: No: X
2. Potential for PDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and it conditions: PT CLOUDY / WET Initial inspection: ("x" One) Yes: X No:
4. Is site current under notice of violation? ("x" One) Yes: No: X
5. Is the site in c
6. Violations: ("
( )--- No appro
( )--- Failure to
( )--- Failure to
( )--- Failure to
( )--- Insu
( )--- Failure to
( )--- Inadeqi
( )--- Graded
( )--- Unproteci
( )--- Failure to
( )--- Failure to
( )--- Other (de
pliance with S.P.C.A. and rules? ("x" One) Yes: X No: If no, check violations below:
all applicable sections)
plan, [UDO Sec. 8.4.6 (G) ; & G.S. 113A-57 (4) and 15A N.C.A.C413.0107(c)]
[low approved plan, [UDO Sec.8.4.19 (A); & G.S. 113A-61.1]
bmit revised plan, [UDO Sec. 8.4.17 (B) (5); & G.S. 113A-54.1(b) and 15A N.C.A.C. 4B.0118(a)]
)vide 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
measures to retain sediment on site, [UDO Sec. 8.4.6 (D) (1) (a); & G.S. 113A-57(3)]
Ike all reasonable measures, [UDO Sec. 8.4.4 (B); & 15A N.C.A.C.4130105]
buffer zone, [UDO Sec. 8.4.6 (A); & G.S. 113A-57(1)]
)es 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)]
exposed slopes, [ UDO Sec. 8.4.6 (B) (1) (t); & G.S. 113A-57(2)]
stall and maintain erosion control measures, [UDO Sec. 8.4.12; & 15A N.C.A.C. 4B.0113]
;p current self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
be):
7. Contact made wit (name): JASON READER Title FRO
8. Contact Method: hone # O email (X) fax # O letter O person ( )
9. Corrective action eeded:
NO CORRECTI)SE ACTIONS.
10. Comments: ( ) N devices in place ( ) Additional devices needed ( ) Devices need maintenance ( ) Devices in & functioning
O No I
eeding noted ( ) Partially seeded (X) Areas seeded (NO) Off -site sedimentation (YES) Project in compliance
THIS PROJECT ik,AS BEEN COMPLETED AND IS STABLE. PRIOR TO FINALING THE GRADING PERMIT,
YOU WILL NEE TO TERMINATE THE NCGO1 PERMIT COVERAGE. PLEASE GO TO THE FOLLOWING WEB
ADDRESS TO A PLY: https://edocs.deq nc gov/F0i-ins/NCG01 Termination. AND USE THIS INSPECTION REPORT
FOR SUPPORTI G DOCUMENTATION.
I I. Others present:
Office use only: Cittorks (X) Excel ( ) Financially responsible contact ( )