20150035 Ver 4_Sites inspection_20180612

Wetland Inspection Report
Project Num: 20150035 Version: 4 Status: Issued
Project Name: NCDOT - SR 1221 Project Type: New Road/Highway
County: Rowan Region: Winston-Salem
Location: NCDOT - SR 1221
Latitude: +35° 32' 05" Longitude: -80° 33' 44"
SW Plan Location
Site Owner Name NC DOT Division 9
Inspection Date: 6/12/2018
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: 20150035
Inspection Date: 6/12/2018
Owner: Tippett, Lyndo
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: DOT staff and contractors and mvself reviewed permit sites 1,2,3,6 and 7 as part of a final proiect
closeout. All sites were built per the plans and functioninq as desiqned.
page: 2