NCC216991_NOT Closeout Documents_20221205

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Forsyth County)
Winston-Salem Field Operations Department Permit #: 293656
Erosion Control Division
P.O. Box 2511 Date: ] 1-9-2022
Winston-Salem, NC 27102
Report by: KENT WALL
Revised 1-1-20 Phone: [phone]
Project: PENDLETON 3430 COUNTRY CLUB RD
J Location
1. Pictures: ("x" One) Yes: No: X
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: LPT 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, EUDO See. 8.4.6 (G) ; & G.S. 113A-57 (4) and 15A N.C.A.C4B.0107(c)]
()--- 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. l7 (B) (5); & G.S. 113A-54.1(b) and 15A N.C.A.C. 4B.0118(a)]
( )--- Failure to provide adequate groundcover, [LIDO 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 an Site, [UDO Sec. 8.4.6 (D) (1) (a); & G.S. 113A-57(3)]
()--- Failure to take all reasonable measures, [UDO See. 8.4.4 (B); & 15AN.C.A.C.4B0105]
{ )--- Inadequate buffer zone, [UDO Sec. 8.4.6 (A); & G.S. 113A-57(1)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. 4B.0124(d)]
Unprotected exposed slopes, [ 1JDO Sec. 8.4.6 (B) (1) {0; & G.S. 113A-57(2)]
Failure to install and maintain erosion control measures, [UDO See. 8.4.12; & 15A N.C.A.C. 4B.0113]X
Failure to keep cui
Other (describe):
rent self -inspection records, [G.S. 113A_54.1 & 15A NCAC o4B. 0131]
7. Contact made with (name): TRENT ADAMS Title
S. Contact Method: phone # O email (X) fax # O letter O person ( )
9. Corrective actions needed:
NO CORRECTIVE ACTIONS ARE REQUIRED AT THIS TRAE,
10. Comments: () No devices in place () Additional devices needed () Devices need maintenance () Devices in & functioning
() No seeding noted ( ) Partially seeded (X) Areas seeded (NO) Off -site sedimentation (YES) Project in compliance
THIS PROJECT HAS BEEN FINISHED AND STABILIZE. GRADING PERMIT 9293656 HAS BEEN CLOSED.
Office use only: Cityworks (X) Final () [white notebook] Excel () Financially responsible contact () ARCGIS ()