NCC213230_NOT Closeout Documents_20221209

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Fors th Count
Winston-Salem Field Operations Department Permit #: EN2100093
Erosion Control Division
P.O. Box 2511 Date: 12-6-22
Winston-Salem, NC 27102
Report by: Favid Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: SECOND HARVEST FOOD BANK Location:3330 SHOREFAIR DR.
1. Pictures: ("x" One) Yes: X No:
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe
3. Weather and soil conditions: Sun 50d damp 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)]
Q--- 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. 413.0118(a)]
O--- 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): Jason McMaster Title Foreman —Landmark Co.
8. Contact Method: phone # (x) email (X [e-mail]) letter ( ) person ()
10. Comments: O No devices in place ( ) Additional devices needed ( ) Devices need maintenance (Some) Devices in & functioning
() No seeding noted () Partially seeded (X ) Areas seeded (NO ) Off -site sedimentation (YES) Project in compliance
Site stable. Building completed. Gravel now on inlet GI702. No Erosion Problems. Permanent ground cover sufficient to
restrain erosion has been established. No additional self -monitoring or self -inspections are required. Project is in
compliance and released under the SPCA. Termination of coverage under the NPDES General Stormwater Permit
for Construction Activities (NCG01) must be requested by the permittee via a Notice of Termination (NOT). The
NOT is available at: https://edocs.deq.nc.gov/Forms/NCG01-Termination. Please note that this correspondence
must be uploaded as part of completing the NOT process.