NCC215990_NOT Closeout Documents_20221017

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Fors th Count
Winston-Salem Field Operations Department Permit #: EN2100222
Erosion Control Division
P.O. Box 2511 Date: 5-5-22
Winston-Salem, NC 27102
Report by: Favid Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: HARVEST STONE SFD Location:2287 HARVEST STONE LANE
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: SUN 78D 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): KEVIN WALTON Title FOREMAN
8. Contact Method: phone # Q email (X—[e-mail]) fax # ( ) letter ( ) person Q
9. Corrective actions needed:
10. Comments: (X) No devices in place ( ) Additional devices needed ( ) Devices need maintenance ( ) Devices in & functioning
( ) No seeding noted Q Partially seeded (X) Areas seeded (NO ) Off -site sedimentation (X) Project in compliance
Home construction complete. Sites stable. No erosion problems. FINAL.
11. Others present:
EMAIL Cc: Tom Quackenbush [e-mail]
Office use only: Cityworks O Final O [white notebook] Excel O Financially responsible contact ( )