NCC211905_NOT Closeout Documents_20221222

SEDIMENTATION INSPECTION REPORT (City of Winston-Salem/Fors th Count
Winston-Salem Field Operations Department Permit #: EN2100052
Erosion Control Division
P.O. Box 2511 Date: 11-1-22
Winston-Salem, NC 27102
Report by: David Evans, CESSWI
Revised 1-1-20 Phone: [phone]
Project: Sage Creek — SFD Erosion Control Plan Location:Monarch Way, Winston-Salem, NC 27106
1. Pictures: ("x" One) Yes: X No:
2. Potential for NPDES Violation: ("x" One) Yes: No: X Describe:
3. Weather and soil conditions: SUN 74D 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)]
0--- 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)]
( )--- 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)]
0--- Insufficient measures to retain sediment on site, [UDO Sec. 8.4.6 (D) (1) (a); & G.S. 113A-57(3)]
0--- Failure to take all reasonable measures, [UDO Sec. 8.4.4 (B); & 15A N.C.A.C.4130105]
0--- 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 cur
Other (describe):
-ent self -inspection records, [G.S. 113A-54.1 & 15A NCAC 0413. 0131]
7. Contact made with (name): WHITNEY GIFFORD Title ISENHOUR HOMES --FOREMAN
8. Contact Method: phone # O email ([e-mail]) letter ( ) person ( )
9. Corrective actions needed:
10. Comments: O No devices in place O Additional devices needed O Devices need maintenance (Some) Devices in & functioning
( ) No seeding noted O Partially seeded (X ) Areas seeded (NO) Off -site sedimentation (X) Project in compliance
Sediment removed from silt fences at toe slope at rear of Lot #36. Disturbed areas seeded & strawed. Good germination
of recent seeding at top of slope. 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 or Construction Activities (NCG01) must be
requested by the permittee via a Notice of Termination (NOT). The NOT is available at:
https:Hedocs.deq.nc.gov/Forms/NCGO1-Termination. Please note that this correspondence
must be uploaded as part of completing the NOT process.
Office use only: Cityworks ( ) Excel O Financially responsible contact ( ) ARCGIS ( )