NCC202562_NOT Closeout Documents_20221116

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: EN2000088
Erosion Control Division
P.O. Box 2511 Date: 11-8-2022
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 1-1-20 Phone: [phone]
Project: I SEAN ELLER PROPERTY Location: 1 610 HAUSER RD
I. 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: ("X" all applicable sections)
( )--- No approved plan, [UDO Sec. 8.4.6 (0) ; & G.S. 113A-57 (4) and 15A N.C.A.C4B.0107(e)1
{ )--- Failure to follow approved plan, [UDO See.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.
4B.0124(e)]
( )--- Insufficient measures to retain sediment on site, [UDO See, 8.4.6 (D) (1) (a); & G.S. 113A-57(3)]
( )--- Failure to take all reasonable measures, [UDO Sec. 8.4.4 (B); & 15A MC.A.C.4B0105]
( }--- Inadequate buffer zone, [UDO Sec. 8.4.6 (A); & G.S. t 13A-57(l )]
( )--- 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. I t3A-57(2)]
Failure to install and maintain erosion control measures, [UDO Sec. 8.4.12; & 15AN.C.A.C. 4B.0113]
Failure to keep cut -
Other (describe):
rent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 01311
7. Contact made with (name): SEAN ELLER Title I
OWNER
8. Contact Method: phone # O email (X) fax # O letter O person ( ]
9. Corrective actions needed:
10. Comments: ( ) No devices in place ( ) Additional devices needed ( ) Devices need maintenance ( ) Devices in & functioning
( ) No seeding noted O Partially seeded O 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 NCG01 PERMIT COVERAGE. PLEASE GO TO THE FOLLOWING WEB
ADDRESS TO APPLY: htips.//edocs.deg.nc. ov/Forms/NCG01-Tennination. AND USE THIS INSPECTION REPORT
FOR SUPPORTING DOCUMENTATION.
11. Others present:
Office use only: Cityworks (X) Final O [white notebook] Excel O Financially responsible contact O ARCGIS ( )