20170732 Ver 3_June inspection_20180608

Wetland Inspection Report
Project Num: 20170732 Version: 3 Status: Issued
Project Name: NCDOT - US 421/I-40 Bridge Replacements, Project Type: Road
Count Fors thlmprovements, Paving (U-28276/C-5620A) maintenance/repair/improvemen
Y� Y Region: �/inston-Salem
Location: NCDOT - US 421/I-40 Bridge Replacements, Improvements, Paving (U-2827B/C-5620A)
Latitude: +36° 05' Longitude: -80° 15' 30"
SW Plan Location
Site Owner Name NC DOT Division 9
Inspection Date: 6/5/2018
Reason for Inspection Routine
Inspection Type: Site Inspection (DOT)
Inspection Contact Person:
On-Site Representative(s):
Primary Inspector: Dave Wanucha
Secondary Inspector(s):
Facility Compliance Status: � Compliant
Program Areas: 401 (includes isolated/non-404)
Question Areas:
� Permit (401 WQC)
Inspection Summary:
Title:
❑ Not Compliant
Phone:
Phone: [phone]
page: 1

Site Number: 20170732 Owner: Tippett, Lyndo
Inspection Date: 6/5/2018 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: Each site was visited with DOT and Corps staff. Culverts were installed as planned. EC measures and
SDOs were maintained and in qood workinq order.
page: 2