NCC202295_NOT Closeout Documents_20220803

SEDIMENTATION INSPECTION REPORT (City of Winston--Salem/Forsyth County)
Winston-Salem Field Operations Departmew Permit #:
EN2000t148
Erosion Control Division
P.O. Box 2511 Date: 7-6-2022
Winston-Salem, NC 27102
Reportby: KENT WALL
Revised 1-1-20 Phone: [phone]
Project: I MARK ENGLISH PROPERTY Location: 3938 OXFORD STATION WAY
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: CX' all applicable sections)
)-- No approved plan, PJDO sec. 8.4.6 (C) ; & G_S_ 113A 57 (4) and 15A N.C.A.C4B.0107(c)]
{ }--- Failure to follow approved plan, [UDO SecX4.19 (A); & G.S. 113A-61.1]
( )-- Failure to submit revised plain, [UDO sec. 8.4.17 (B) (5); & G.S. 11.M 54.1(h) and 15A N_C -A.C. 413.0118(a)]
( ).--- Failure to provide adequate groundcover, JUDO 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, [LIDO Sec. 8.4.6 (D) (1) (a); & G.S_ 113A-57(3)]
(} - Failure to take all reasonable measures, [UDO sec. SAA (B); & 15A N.C.A.C.41301051
--- Inadequate bu.#Ter Zone, J1.1DO Sec- 9_4.6 (A); & G_s_ 113A 57(1)]
( )--- Graded slopes and fills too steep, [UDO See. 8.4.6 (B) (1) (a, 6, c); & G.S_ I13A 57(2) or 15A N.CA.C. 413A124(d)]
Unprotected exposed slopes, [ UDO See- 8.4.6 (13) (1) (1); & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO Sec. 8.4.12, & 15A N,CA.C. 4B_0113]
Failure to keep current self -inspection records, [G_S. 113A-54.1 & 15A NCAC 04B. 0131)
Other (describe):
7. Contact made with (name): MARK ENGLISH Title FRO
8. Contact Method: .phone 0 () email (X) fax # () letter () person ( )
9. Corrective actions needed:
NO CORRECTIVE ACTIONS.
10, Comments: () No devices in puce () Additional devices needed () Devices need maintenance (X) Devices in & functioning
() No seeding noted () Partially seeded (X) Areas seeded (NO) Off-siie 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 NCGDI PERMIT COVERAGE. PLEASE GO TO THE FOLLOWING WEB
ADDRESS TO APPLY: hJtos:,' edocs.de(i.ne_t,�oy/.Forms/NCGOI-Termination. AND USE THIS INSPECTION REPORT
FOR SUPPORTING DOCUMENTATION.
I I. Others present: I BOB RICHAR©SON — VIA EMAIL
Office use only: Cityworks (X) Final () [white notebook] EXcel () Financially responsible contact ( ) ARCGIS ()