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SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Fors th Count
Winston-Salem Field Operations Department Permit #: EN2100027
Erosion Control Division
P.O. Box 2511 Date: 8-17-2022
Winston-Salem, NC 27102
Report by: F KENT WALL
Revised 3-3-22 Phone: [phone]
Project: WALTON PROPERTY Location: 8952 DOUBLETREE LN
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x7' 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(c)]
0--- 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, [UDO 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, [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 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, [ UDO Sec. 8.4.6 (B) (1) (fl; & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO Sec. 8.4.12; & 15A N.C.A.C. 413.0113]
Failure to keep cur
Other (describe):
Cent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
7. Contact made with (name): JASON WALTON Title OWNER
8. Contact Method: phone # O email (X) fax # O letter O person ( )
9. Corrective actions needed:
NO CORRECTIVE ACTIONS REQUIRED.
10. Comments: ( ) No devices in place ( ) Additional devices needed ( ) Devices need maintenance (X) 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: hlWs:Hedocs.deg.nc.gov/Fonns/NCGOI-Termination. AND USE THIS INSPECTION REPORT
FOR SUPPORTING DOCUMENTATION.
11. Others present:
Office use onlv: Cityworks (X) Excel O Financially responsible contact O