20140147 Ver 1_Inspection_20160106

Wetland Inspection Report
Project Num: 20140147 Version: 1 Status: Issued
Project Name: NCDOT- NC 89 Project Type: Other
County: Surry Region: Winston-Salem
Location: NCDOT- NC 89
Latitude: +36° 29' 59" Longitude: -80° 38' 41"
SW Plan Location
Site Owner Name NC DOT Division 11
Inspection Date: 1/5/2016
Reason for Inspection Routine
Inspection Type: Site Inspection (DOT)
Inspection Contact Person:
On-Site Representative(s):
Primary Inspector: Dave Wanucha
Secondary Inspector(s):
Title: Phone:
Facility Compliance Status: � Compliant ❑ Not Compliant
Program Areas: 401 (includes isolated/non-404)
Question Areas:
� Permit (401 WQC)
Inspection Summary:
Phone: [phone]
page: 1

Site Number: 20140147 Owner: Pettyjohn, Michael A.
Inspection Date: 1/5/2016 Inspection Type: Site Inspection (DOT) Reason for Visit: Routine
Permit (401 WQC) Yes No NA NE
Does the impact(s) match what was approved in the 401 WQC or non 404 permit? �❑❑❑
Are the culverts and/or filled areas installed properly? �❑❑❑
Is the site compliant with additional conditions of the 401 WQC or non 404 permit? �❑❑❑
Comment: The winqwalls at the outlet end of the culvert were repaired. The scour hole/plunqe pool was backfilled
with Class II and B stone and appears to be stable at this time.
page: 2