NCG120095_COMPLETE FILE - HISTORICAL_20171031

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
pf HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ (/I61•/ I D 51
YYYYMMDD

Permit: NGG120095
SOC:
County: Forsyth
Region: Winston-Salem
Compliance inspection Report
Effective: 02/15/13 Expiration: 10/31/17 Owner: Winston-Salem/Forsyth County Utilities
Commission
Effective: Expiration: Facility: Old salisbury Road Landfill
3336 Old Salisbury Rd
Winston Salem NC 27127
Contact Person: Edward Gibson Title: Phone: [phone]
Directions to Facility:
The entrance is located 114 mi from intersection of peters creek pkwy (NC 150) and old salisbury rd
System Classifications:
Primary ORC: Certification:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 02/19/2016
Primary Inspector: Glen White
Secondary Inspector(s):
Entrytime: 10:00AM
Reason for Inspection: Routine
Permit Inspection Type: Landfill Stormwater Discharge COC
Facility Status: ® Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Phone:
Exit Time: 10:30AM
Phone: [phone]
Inspection Type: Technical Assistance
Page: 1

Permit: NCG120095 Owner - Facility: Winston-SalemfForsyth County Utilities Commission
Inspection Date: 02t1912016 Inspection Type : Technical Assistance Reason for Visit: Routine
Inspection Summary
On February 19, 2016, Sue White and Glen White of NCDEQ - Land Resources visited the facility and met with Adam
Rickett, Facility Supervisor with WS Utilities and Rachel Kirkman, PG of Golder Associates following submission of a
"Non -Exposure Application" for Exlusion to the current Stormwater Permit NCG120095.
It appears the "Non -Exposure Applicaton" was submitted in error and that the request should have been for 'Representative
Outfall Status" in hopes of reducing the required monitoring locations. Many of the basins that are currently required to be
monitored have had no industrial flow for several years and they would Ike to remove them from monitoring.
The only issue noted is that the facility is currently in "Tier II" monitoring because of elevated results for certain parameters
at three sample locations. NCDEQ would prefer that the cause of elevated samples be determined and corrective action
take place to bring results back into the required parameters before "RO Status" is issued.
Once the "RO Application" is submitted, a full inspection will take place to review all records and monitoring data. At that
time, Analytical monitoring locations may be reduced dependent on results of past sample data.
Page: 2

Permit: NCG120095 Owner -Facility: Winston-Salem/Forsyth County Uliblies Commission
Inspection Date: 0211912016 Inspection Type : Technical Assistance Reason for Visit: Rouline
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
!
❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
E
❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
®
❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
N
❑ ❑ Cl
# Does the facility provide all necessary secondary containment?
0
❑ ❑ ❑
# Does the Plan include a BMP summary?
0
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
N
❑ ❑ ❑
# Does the facility provide and document Employee Training?
W
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
®
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
❑
❑ ❑ ❑
# Does the Plan include a Stormwater Facility inspection Program?
M
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ❑ ❑
Comment: Will do a complete review when reviewed for Representative Outfall approval or denial.
Application currently being submitted for review.
Qualitative Monitoring
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ® ❑ ❑ ❑
Comment:
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ■ ❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? 0 ❑ ❑ ❑
Comment: Facilitv has been conducting it's monitorina as reauired. It's in Tier II due to elevated results at a
couple of outfalls. Engineer to investigate cause. Representative Outfall status is more likely to
get approval if all parameters are being met and in a Tier I sampling mode.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ ❑ ❑
# Were all outfalls observed during the inspection? ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ❑
Comment: Outfalls were not inspected at this time. A complete inspection will be performed when we go
back in following months.
Page: 3

- `�f v z3�l�l�
Division of Energy, Mineral and and Resources
— . a Land Quality Section
NCDENR National Pollutant Discharge Elimination System
Np C�NA OwJtT T O NO EXPOSURE CERTIFICATION for .Exclusion
ENYi IO1iMEM1T AHD N� RFZpIJwGES -
NCGNE0000
FOR AGENCY USE ONLY
Date Received
Year Month
Day
Certificate of Coverage
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit
based on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for storm water discharges associated with industrial activity in the State of North Carolina
because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility
means all industrial materials and activities are protected by a storm resistant shelter (with some
exceptions) to prevent exposure to rain, snow, snowmelt, andlor runoff.
For permitted facilities in North Carolina, DEMLR must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
Industrial materials or activities include, but are not limited to: material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste
products. Material handling activities include the storage, loading and unloading, transportation, or
conveyance of any raw material, intermediate product, final product or waste product. A storm resistant
shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and
similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak.
"Sealed" means banded or otherwise secured and with locked or non -operational taps or valves;
adequately maintained vehicles used in material handling; and final products, other than products that
would be mobilized in stormwater discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion.
In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for
individual outfalls. if any industrial activities or materials are, or will be, exposed to precipitation, the
facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure
Certification form, you certify that a condition of no exposure exists at this facility or site and are
obligated to comply with the terms and conditions of,40 CFR 922.26(g).
If approved, your conditional no -exposure exclusion must be self re -certified at least annually.
Please see information here: http:llportal.ncdenr.org/web/lr/npdes-stormwater
For questions, please contact the DEMLR Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of ownerloperator (address to which all certification correspondence will be mailed):
Name Adam Rickett, Project Supervisor,
Contact
Street Address
City
Telephone No.
[e-mail] _
3336 Old Salisbury Road
Winston-Salem
336 734-1565
State NC ZIP Code 27127
Fax: [phone]
Page 1 of 7
SWU-NCGNE last revised 5/5/2015

r
ry• a i .n �ti.�.
1: ..tom .♦ yr ' .
`4 '.• :' r
• a• i Y - '�. t y� • 1 .L. • ,
.� ♦ a Y
'w ,_ k. I .
•� * r .
,
` Y. �i • f ; ;,.
x.
a
c ••
R

NCGNE0000 No Exposure Certification
2)
Location of facility producing discharge:
Facility Name Old Salisbury Road C&D Landfill
Facility Contact Adam Rickett
Street Address 3336 Old Salisbury Road
City Winston-Salem
County Forsyth
Telephone No. 336 734-1565
3) Physical location information:
State NC ZIP Code 27127
Fax: [phone]
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). Take US 52 S. to Clemmonsville Road exit; Turn right
and travel to #150: proceed south on #150 approximately three miles to the intersection of Hickory Tree.
and Old Salisbury roads: turn right: go 2/10 mile to site on left.
(A copy of a map with the facility clearly located on it should be included with the certification application.)
4) Is the facility located on Native American Lands?❑ Yes X No
5) Is this a Federal facility? ❑ Yes X No
Latitude —36' 00' 04.458" N_ Longitude _800 16' 37.678" W_ (deg., min., seconds)
6) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing (outfalls for Ponds 2,3,4&5 only) Date operation began August 1996
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
7) Was this facility or site ever covered under an NPDES Stormwater Permit? X Yes ❑ No
If yes, what is the NPDES Permit Number?_120034
8) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 4 9 5 3
9) Provide a brief description of the types of industrial activities and products produced at this facility:
Construction and demolition debris landfill with active soil borrow area.
10) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
© Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
Page 2 of 7
SWU-NCGNE Last revised 5/5/2015

NCGNE0000 No Exposure Certification
Exposure Checklists (12. - 14.)
11) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") if you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion.
Note — information applies to Pond #2, 3, 4 and 5 only
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes X No ❑ NIA
residuals from using, storing or cleaning industrial machinery or equipment
remain and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spillslleaks ❑ Yes X No ❑ NIA
c. Materials or products from past industrial activity ❑ Yes X No ❑ NIA
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes X No ❑ NIA
e. Materials or products during loading/unloading or transporting activities ❑ Yes X No ❑ NIA
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes X No ❑ N/A
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes X No ❑ N/A
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained ❑ Yes X No ❑ NIA
by the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., ❑ Yes X No ❑ NIA
dumpsters])
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes X No ❑ N/A
k_ Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes X No ❑ N/A
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes X No ❑ NIA
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes X No ❑ NIA
stored outside, has the facility had any releases in the past three (3) years?
12) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
Note — information applies to Pond #2, 3, 4 and 5 only
a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or X Yes ❑ No ❑ N/A
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any X Yes ❑ No ❑ NIA
Page 3 of 7
SWU-NCGNE Last revised 5/5/2015

NCGNE0000 No Exposure Certification
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
13) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
Note — information applies to Pond #2, 3, 4 and 5 only
a. Is secondary containment provided for single above ground storage containers X Yes ❑ No ❑ NIA
(including drums, barrels, etc.) with a capacity of more than 660-gallons?
b. Is secondary containment provided for above ground storage containers stored X Yes ❑ No ❑ NIA
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund
Amendments and Reauthorization Act (SARA) water priority chemicals*?
d. Is secondary containment provided for hazardous substances*" designated in
40 CFR §116?
e. Are release valves on all secondary containment structures locked?
14) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg_ or more of hazardous waste
generated per month) of hazardous waste?
If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
Footnotes to Questions 14) c. & d.
❑ Yes ❑ No X NIA
❑ Yes ❑ No X NIA
X Yes ❑ No ❑ NIA
❑ Yes X No ❑ NIA
© Yes X No ❑ NIA
❑ Yes X No © NIA
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40
CFR §372.38.
**Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable
Quantities of the hazardous substances listed in 40 CFR §117.3.
Page 4 of 7
SWU-NCGNE Last revised 515l2015

NCGNE0000 No Exposure Certification
15) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
Note — information applies to Pond #2, 3, 4 and 5 only
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes X No ❑ NIA
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions permitted by an Air Quality
Permit? Please specify:
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: 34-1
Program: Solid Waste.
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
Permit: Program:
❑ Yes X No ❑ NIA
❑ Yes X No ❑ NIA
❑ Yes X No ❑ N/A
❑ Yes ❑ No X NIA
Page 5 of 7
SWU-NCGNE Last revised 5/5/2015

NCGNE0000 No Exposure Certification
16) Certification:
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no
exposure" and obtaining an exclusion from NPDES stormwater permitting.
I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities
or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every five (5) years to the North Carolina
Division of Water Quality and, if requested, to the operator of the local municipal separate storm sewer system (MS4) into
which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Water
Quality, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, I certify under penally of
law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is to the best of my knowledge and belief true, accurate and complete. I am aware
that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for
knowing violations.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief
such information is true, complete, and accurate.
Printed Name of Person Signing: Adam Rickett
Title: P isor
{ of Applica {Date 5igne
�l
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders
inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a Tine not to
exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
SWU-NCGNE Last revised 5/5/2015

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
X This completed application and all supporting documentation.
X A map with the location of the facility clearly marked.
X If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of a No Exposure Exclusion.
For questions, please contact the DEML.R Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 7 of 7
SWU-NCGNE Last revised 5/5/2015

LE
Iq (-c
_L�
Winston-Salem t Forsyth County
r City/County
V#I��t�eS
Water - Sewer - Solid Waste Disposal
Hanes Mill Road
Solid Waste Facility
City of \C iruran %lem
325 W. Hanes Mill Rnad
VC mrun-Salcni, NC 27105
C;ryljnk 311 (336,727.H000)
Fa. 336.6G 1.4')il5
iuuuu. a il)rp�eir, orbr
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[phone]
Attention: Mr. Matthew Ganig,_Regional Engineer
Re: Old Salisbury Road Construction and Demolition Landfill Work Plan
Forsyth County, North Carolina
NPDES General Permit No. NCG120034
Dear Mr. Gantt:
As you are aware, the Winston-Salem/Forsyth County City/County Utilities Commission is
monitoring stormwater under Permit No. NCG120034 at the Old Salisbury Road Construction and
Demolition (C&D) Landfill. The Commission is submitting this Work Plan to maintain
compliance with the general stormwater permit and document the planned compliance actions for
the facility.
The stormwater samples for the first semi-annual compliance period were collected on March 27,
2015 and April 20, 2015. Of the eleven outfalls at the facility, ten had available flow to sample
on these dates; Outfall 8 was not sampled during the second semi-annual event. Based on the
analytical data, the permit benchmark value for fecal coliform was exceeded at Outfall 4, Outfall
5, Outfall 7, and Outfall 11.
The stormwater samples for the second semi-annual compliance period were collected on
November 9, 2015. Of the eleven outfalls at the facility, ten had available flow to sample on this
date; Outfall 11 was not sampled during the second semi-annual event. Based on the analytical
data, the pen -nit benchmark value for fecal coliform was exceeded at Outfall 1, Outfall 2, Outfall
4, Outfall 5, Outfall 6, and Outfall 10. The stormwater samples for the second semi-annual
compliance period were collected on November 9, 2015. Of the eleven outfalls at the facility, nine
had available flow to sample on this date; Outfall 8 and Outfall 11 were not sampled during the
second semi-annual event_ Based on the analytical data, the permit benchmark value for fecal
coliform was exceeded at Outfall 1, Outfall 2, Outfall 4, Outfall 5, Outfall 6, and Outfall 10.
The Commission has documented the presence of wildlife and droppings in and around all
sediment basins that are sampled as part of the stormwater compliance monitoring program at the
facility. The attached photographs show that the likely source of fecal coliform is not the landfill.
Gcy Council: M—t Al." Juissn: \ ioian H. 8-6. \Lana L'ru'Rtsq,arc. tionh—t Ward: l lcniu D. Adam., Smit Wad; Pat, aa,., Sutlthwc'•t W anl; R,shrn C. C:f & *Ai,, Wa lz
MW \lolly U.4jit, Souls Wanl; 10i 6Wur 11l Lwnht m Wad; Lht�io L I mugom.n. F? W'ad: jim ' hylur, Jr.. Lk, 1). GAsrhy
kunyth [:o�eny Gwsruiasionern Ilavid H. nh-l.-r, C:rufruun; Llssrt �luriu. Diu• Cl,.sir,'lid lkals4eu Ri.f,ad 1! Lisnillr. W.hn Ai,rarxll: (iloeu 11, Whixnhunr, lx:nytc W.th-n,Lv,uu;
Call 311 or 336.727-8000 G'°' %I,°'g`r Dudicy Wang. Ir,
city o Ink citY 7i O11N5.0Fg CityiConnty utility Vk; h.rir; W cdg G,ni,. )r, HA -id E, I lay;'I;,m t;dt im Hmold H. H,dn­; Lonµ:
I'asl tit Alct; ill, Chri. Parker, fin: Ruffin: Al H. Sgrrsour

Based on noted wildlife activities in the vicinity of multiple site ponds, and the absence of other
compliance issues, it is likely that the fecal coliform exceedances are unrelated to landfill activities
(see attached photographs). Recent fecal coliform benchmark exceedances for Pond 2, Pond 4,
and Pond 5, which are located adjacent to closed landfill areas, serve as additional evidence that
the fecal coliform exceedances are unrelated to landfill activity. Therefore, we respectfully request
that the monthly monitoring requirement under Tier Two be waived until the completion of
activities contained within this Work Plan.
The Commission has completed the first requirement of Tier One of Permit No. NCG120034:
"Conduct a stormwater management inspection of the facility within two weeks of receiving
sampling results." We have prepared this Work Plan to address these benchmark value
exceedances in accordance with the additional Tier One requirements. Specifically, the purpose
of the Work Plan is to "identify and evaluate possible causes of the benchmark value
exceedance(s)" and "identify potential, and select the specific improvements to reduce
concentrations of the parameters of concern, or to bring concentrations within the benchmark
range."
The Work Plan is also designed to meet the Tier One requirements to "implement the selected
actions within two months of the inspection." The implementation of the Work Plan is dependent
upon the occurrence of a qualifying storm event during non -holiday hours that a laboratory can
receive samples within holding times, which may not occur within the required two -month period.
The Commission will strive to complete these assessment activities in a timely manner and prior
to the first semi-annual compliance sampling event for 2016. The details of the Work Plan are
presented below.
Work Plan
As noted in the attached correspondence, several ponds at the facility are not located in areas of
recent or future landfill activity. As shown on the attached figure, Pond #2, #3, #4 and #5 receive
stormwater runoff from closed landfill areas and/or haul roads that are no longer in use for primary
traffic. Therefore, the Commission is requesting that Pond #2, #3, #4, and #5 be removed from
the compliance monitoring network and receive "no -exposure" certifications as requested in the
attached correspondence, and therefore no additional compliance actions are recommended for
these ponds.
The Commission will obtain additional non-compliance samples and conduct analysis for the
constituents of concern from several sampling locations in an effort to isolate the potential
source(s) of constituents of concern. To address the fecal coliform issues, the following samples
will be collected. We propose to sample the sediment ponds associated with Outfall 1, Outfall 6,
Outfall 7, Outfall 10, and Outfall 11 for analysis of fecal coliform at a time that does not coincide
with a stormwater event, to help evaluate the effects of standing water in the ponds during non -
storm periods.
Also, upstream and downstream samples will be collected along three site drainages and creeks as
shown on Figure 2, which correlate with sampling locations specified in the facility's solid waste
permit (i.e., upstream point SW -I, and downstream points SW-2, SW-3, and SW-4). These

samples will be used to help determine the background concentrations in surface water features
and evaluate the potential contributions of the on -site outfalls to the concentrations of constituents
of concern. No on -site drainages occur on site in the vicinity of the borrow area and associated
ponds (Pond 10 and Pond 11).
Sample Collection Procedures
The stream locations will be sampled as soon as possible during the storm event after discharge is
noted from one or more of the adjacent ponds.
Qualityssurance/Quality Control
Samples will be analyzed by a laboratory certified for fecal coliform.
Schedule
The Commission will collect samples from the sediment basins associated with Outfall 1, Outfall
6, Outfall 7, Outfall 10, and Outfall 11 for analysis of fecal coliform as soon as possible (and not
during a rain event). The Commission will attempt to collect all other stormwater samples as soon
as a qualifying event occurs during hours that a certified laboratory can receive samples, and as
soon as possible so that sampling can hopefully be completed prior to the first semi-annual
compliance event for 2016.
Other Action Items
The Commission will evaluate the existing Erosion and Sediment Control Plan and stormwater
features at the facility and evaluate specific structural Best Management Practice (BMP)
improvements that may help reduce concentrations for parameters of concern. The Commission
is also requesting that the DEQ consider eliminating some of the outfalls for future sampling
events, based on the fact that several outfalls are associated with the closed landfill and do not
receive stormwater from areas with pertinent industrial activities as outlined in our attached request
for no -exposure certifications for these outfalls.
Closing
If you have any questions or require any additional information, please contact me. if you have any
suggestions or recommendations to this Work Plan, please let us know soon, as we plan to proceed
as soon as possible. We appreciate your assistance with this project.
Sincerely,
WINSTON-SA RS35 COUNTY CITYIQCJNTY UTILITIES COMMISSION
Adam Rickett
Project Supervisor
Attachments

Photographs
No -Exposure Certification Request
C: Keith Huff, Stormwater Division Director, City of Winston-Salem, Suite 232, City Hall,
101 N. Main Street, Winston-Salem, NC, 27101
Ron DiFrancesco, PE, Golder Associates Inc., 3719 Saunders Avenue, Richmond,
Virginia, 23227, [e-mail]
Rachel P. Kirkman, PG, Golder Associates NC, Inc., 4900 Koger Boulevard, Suite 140,
Greensboro, NC, 27047, [e-mail]
Photographs

-. r
Photographs land Z — geese on closed landfill side
Photographs 3, 4, and 5 — geese droppings on closed landfill side

'tr
Winston-Salem F Forsyth County
ka
niyU1'i0t ieus
December 29, 2015
Water r Sewer r Solid Waste Disposal
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Hanes Mill Road Winston-Salem Regional Office
Solid Waste Facility 585 Waughtown Street
[phone]
City of V( imton-Salmn
325 W Han. A1i11 Road
VX insum-Salem, NC 27105
CiryLinic 31 t (336.727.8000)
Fax [phone]
ruUmuitya us.rsrg
Attention: Mr. Matthew Gantt, Regional Engineer
.Re: Old Salisbury Road Construction and Demolition Landfill
Forsyth County, North Carolina
NPDES General Permit No. NCG120034
Dear Mr. Gantt:
t��,
The Winston-Salem/Forsyth County City / County Utilities Commission (Commission) is
monitoring stormwater under Permit No. NCG120000 at the Old Salisbury Road Construction and
Demolition Landfill in Winston-Salem, North Carolina. The Commission retained Golder
Associates NC, Inc. (Golder) to conduct a site inspection and provide recommendations for
improved compliance for the stormwater program. Golder conducted site visits and provided
compliance recommendations, which the Commission then implemented.
As part of Golder's inspections, several ponds at the facility were noted as being part of the
sampling plan that are not located in areas of recent or future landfill activity. As shown on the
attached figure, Pond 92, 93, 94 and #5 receive stormwater runoff from closed landfill areas and/or
haul roads that are no longer in use for primary traffic. Therefore, the Commission is requesting
that Outfall 92, 93, #4, and #5 be removed from the compliance monitoring network and receive
"no -exposure" certifications as documentation of this modification.
If you require additional information, please let us know. We appreciate your assistance with this
project, and look forward to your response.
City Jninn: Vivo. H. Burke, Nlinu 1'ru'1cuiF,on. tirrrtlrmyt Mrd; t)ntisr D. A.Lm+, Nardi WA; dart ik—, Snuthwe,t Wind; PAt it C. C: A. Wi 1Y9rd;
,1tn111- Lcio; ,. &milt W rd, Jcli 11.telnvn.h, Nunh, u \lzd: Uenrin L biunt5wntc -. &m \t' A; 1amnil4y4n, Jr.. =Wuahu W4d: (,iw \1anaF,tt: Ln' 1). G-411
Forsyth (:aunty Corttml.ior D.,id R. 1'Iciet. U.iurun; Ihm ,\lanitt, Vl.c Ouir,'lod RapWu RO,ard V. Limillr. C'Cahu 161—f.11; (;1-i+ U. 1Xlji cnhunr-, V cmt, V)thrr4r 1c
Call 311or 336-727-8000 Gunn' hta aF n D.Jcy Utm. Jr.
cltylink (�T.Ityo ws.org G,v/County L61hy Cnm n;a.inns 0,id NriIL Chairman: Randall ti 'limlc, l'i. hair, )Xc,Iq [.Tunis. Jr.; HtmIS L ILr;'16m Gdfj..; for 4d R. Hol.— ll mt 1m.g:
haul S. A1,<;A Chris N&Lr. Jim Ru97n; Al H. tig rnexu

Sincerely,
WINSTON-SALEm[FoRSYTH COUNTY CrrY/COUNTY UTILITIES COMMISSION
Adam Rickett
Project Supervisor
Attachments -
Non -Exposure Certification Form
Figure 1 Site Location Map
Figure 2 Stormwater Location Map
C: Keith Huff, Stormwater Division Director, City of Winston-Salem, Suite 232, City Hall,
101 N. Main Street, Winston-Salem, NC, 27101
Ron DiFranceseo, PE, Golder Associates Inc., 3719 Saunders Avenue, Richmond,
Virginia, 23227, rdifrancesco(a)golder. com
Rachel P. Kirkman, PG, Golder Associates NC, -Inc., 513 Oak Branch Drive, Greensboro,
NC, 27047, rkirkman@g_o,lder.com

i
4 Af;A
WCDEINR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Division of Water Quality
Charles Wakild, RE.
Director
t•---
John E. Skvarla, III
Secretary
fV.C-Dept. Of EN
t
February 15, 2013 FEB i8 2013
Winston-
Salem
Mr. Edward Gibson, Solid Waste Engineer Regional office
c/o City of Winston-Salem/City-County Utilities Commission
P.O. Box 2511
Winston-Salem, North Carolina 27102
Subject: General Permit No, NCG120000
Winston-Salem Old Salisbury Road Landfill
COC No. NCG 120095
Forsyth County
Dear Mr. Gibson:
R
f
In accordance with your application for a discharge permit received on November 15, 2012, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state — NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15,
2007 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are unacceptable to
you, you have the right to request an individual permit by submitting an individual permit application. Unless such
demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Water Quality: The Division of Water Quality may require modification or revocation and reissuance of the certificate
of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or
any other federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater Staff
Planner at telephone number [phone].
Sincerely,
ORIGINAL SIGNED Si
KEN PICKLE
Charles Wakild, P.E.
cc: Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 NorthCarolilia
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 i/
Phone: [phone] FAX: [phone]il�tYi rQ1I
+ �
Internet: www.ncwatergvality.org
An Equal opportunity ! Affirmative AUion Emplcyei

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCC120000
CERTIFICATE OF COVERAGE No. NCG120095
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
City of Winston-Salem/City-County Utilities Commission
is hereby authorized to discharge stormwater from a facility located at
Old Salisbury Road Landfill
3336 Old Salisbury Road
Winston-Salem
Forsyth County
to receiving waters designated as South Fork Muddy Creek, a Class C waterbody, Yadkin River Basin; in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, II1, IV,
V and VI of General Permit No. NCG 120000, as attached.
This Certificate of Coverage shall become effective February 15, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 15, 2013.
ORIG�E�-P1G1( SIGNED
81
Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Winston-Salem West Quadrangle
I Welcome Quadrangle
logo 0 100C 2000 3000 4000 5000 6000 7000 FEET
i 7 - 1
.5 0 1 KILOMETER
Figure 2. Location of Project Area in Southern Forsyth County.
OLD SALISBURY ROAD LANDFILL
QUADRANGLE. WCAMN

t
3
I
0
5
I
4
VEILS: T RI NFINFORCL'1 MAFRNG
TIC Uw 1 (NUN'R AMERWAN GHFFh C350 VH FGIAL)
I_ THERE — IG SEDHL:AII R ks AVO 1 S LN'T 7—UNSRE, - L TRA$rl Rwc
L i11L 11RNF'` FROM To S4 SIRIRY ROAD, PAS' iwF=/,Nrjv,IUSF AN➢ t ��, �F �_
APNROKII,ATELY UR TO THE UMrTS OF WASTE IS ASPHALT PAVED.
UR f.YP R5CI1 PIPE FOR
TYPICAL EMERGENCY SPILLWAY �1 HRINrmAL sr'IuwaY
_ 1 SC;0, -ao sr IIAJ iIlL
` FIGHT OF THe R,5,1
``� MN IS_ } F CONCRETE EVSF
VERB
r M��
1; \ TYPICAL TERRACE DETAIL i1
SOIL BORROW
AREA J'
L
RACE @PRAP PROT<CIION
AROUND curVFRT-
,- 1, CUIVERT
' \' ! � L%ISiING GROJNO (TT)
a 07/SY NDN-Yrtm.N rFCTaInFJ `�
- - - - - I - SECTION 2' ArvcRGR
I.
TYPICAL OUTLET APRON D
- t;JRLL% II I INING UP
N I -' MPRt]vtV F coo LANDFILL DY4L
y _ jt= —
y ; TYPICAL SIDESLOPE DIVERSION BERM
NS
i SCALLNDJsr - --
N
r
_ N
I I
14 .f I
I EGENF) —
I
;EOIMFNI TRAP ST'Alf
SOIL BORROW
(tL'INENT UASTN - SB$# I AREA 11
1NPAVLO ROAD --- --- -' - - - .- _ '-
7 a
I� EM[RGkhGY SPILLWAY
7R OF DAM
- FM AINKMFRT STAIN.—
. SWTII WGF-ANON
;I - - _ TUAr Nk'1NFORCCG rRkG (NOR1H
' AMLRIGM c:l 37p OR ERUAI )
M N B
}I _ WILk'T MROh
I9ARRcu _-�-----
.NJT,-SEEP COLLAR
TYPICAL SEDIMENT
BASIN RISER/BARREL
N!S LLJJ
A
-9--',A•
HIP-HaP
OVERFILL tl" hUR
ti r
1
♦' LIN
SFTTLEMENI
5.
5UL PASS 6
@LL(1W SFIilID
TOMOF
Mrs
S_VR_ ,
111
URN GROJNO
I,LIER TAURIC
a
P3ML
95G yIONF>
b,'N.1
I
jP-IA"
-r ICI LR FARNIC
HIS
�44
�'
lJ.
MOLRIIIE➢
T%ICRI FLOW
nr.W —
-Flow w OF BENCI,
1 30 W
b
f
I
1
IOe_OF BUNCH� CR�LS
M
OF BEWS4
D
A
2 < 5 6 6
N'TURF Te�n}M& UATI'IwC
OTES: (NORTH-OHO1N GREW i,R90 OR LDUN) ('� eF'MFRVCNCr 51'ILLWAY
I. IHFRF ARE IU SFDwEM BASR:B AND I SEDIV7T TRAP VN&TF- r- �� W. I TOP W pA
2, THE ORIMAVI FiUP 7 SAI NOD O NOPL, PAiI TUC SCNAVED NIO _
4PPR0%IMATFIY UP TO iNF LIMUO OF wAc,TE IS PSHeiALT PAVED- ��.�-�^ - I - ��� � VhTNLIO'iN��
_ It>AF RTjNFUHCFD Tfu4C (NORTH
TYPICAL EMERGENCY SPILLWAY T1 OR cMP RfirL PIP JI M 4MERIOAN cR a5c OR EGu4 )
PISINCIPAi SPILLWAY M R
Wliil RRRNN
VTg 2' Tw NC9fkT j5 _
SD' TO L.' STLINE _F
OF MIT M-H - —Id. LI -
A.... CUNCRFTE HISL `ANTI SCUP MIT -A,
TYPICAL SEDIMENT
-. -- -- BASIN RISER/BARRELn
TYPICAL TERRACE DETA�NTS
^TS
l- - L — RIVRAP STONE
SOIL BORROW v'-+a^ as R4a
AREA. uENT
4 -� (YYeRnI FOIE
PLAN_�L�
�ry�� tMERGFNCY
_ VL4CF RIPRW YRCTFCT.pY
C
- -ROUNDRr-RAsS e-
- - carveRT—
L
1
I en ow SLITLFn
11' -
I CULVERT-
l:l pE
- 1\ TOR IX LLW
_ InvHAP STONE 5 OPC AM%, 1A SIDE
NAnHA. GRGYND
t 4.M7MI SLD�F
I FI.TLN FABRIC J GISIING GRDUNp (I -)A
— f
2' AW_H0R
1
5' Y11. 9" la•
Fsp2,5; Na. .Ovc. coIF%IILCJ ST9NL I" —1 wP'"RM1A
SFCTIO `. 9' nwcl,VN 15OU r.:, Ft 4en
F.
%. J.. a MAIL
TYPICAL OUTLET APRON
II LINING OR -T - tFrITER 445RIr.
CdGO LANDFILLreap WEO LGI 5[cro
I _ f TYPlCAL�SEDIMENT TRAP
Nrs
to j L
YOIIND_O FiLL
TYPICAL SIDESLOPE DIVERSION BERM
�1 00041
3u' wr Law
LDri TEL OF DFNCM
E
7 f
f -
4 i !
LLr,ENL7
�.
iEUfMCNY IRAP SF## '� - � _ -_ _- _. -' _ r.REGT UI eFNCH
SOIL BORROW r �oL uF RENcr
- _ I
(FOIMLNT-BASIN - STif';�AREA
- - _ - _ _ _ ' M
JNPAVEU ROA¢ --- ��
1
NOTL5 IURF RENFOIJEiU MATTING
TUI OF nM1H 4 (NfGRS}i AYLNICAN ORECN L_SO OR EGMA j
1. TF ARE ID SUNYFNF BASINS MR I SEDIMM NLW DWBI J nUSH R K
HE �
2, InRt<—, kR OLn 5 .I JRY RC.W, WV THE SLALL'1LAlSE AND '--I
APPROMIMA — UP TO THL LIMITS 0f W&F 1S A VI.l YAVFp,
TYPICAL EMERGENCY SPILLWAY G PRINDCIVMYAL 3PIL'aNL PI WAAYy'DE ID
�r FITS Y TIIGN NK:mT fS �L s ••;'.-
yU' 'O IpG' STONC HAII THE
HI OF IF (USER
VCNixLIF RASE
�.
I_ Tx LKN. s[ IY r 1
T1 .. -- CULVLRI
TYPICAL TERRACE DETAIL I
SOIL BORROW
AREA
N
I III "OU''O OIILVCrtf L
CVLWII
.. - FPN4F s oNE
FK15T1NC U40U4•C ,'IWy
- n w/s+' MGM_WpvN ca:leKT'LIm E-/
ECTION antHol
✓ TYPICAL OUTLET APRON
4 I mL' OR
C&0 L4Nor-1LL: �I-d, ,wwlwF0 iCLMO
'SE44
e ` L TYPICAL SIDESLOPE DIVERSION BERM n
N
ads -
LEGEND pp
rl
SP01MtN7 7iiAt' NN 51 _
`4 - - - -- SOIL BORROW -
SETSIMFNI RAS]N - SB:#I¢ - _ _ .. - AREA
yy I�
UNI'AVEG R9AD -- --- 1 - - n
8
A CM1RG CY A'II I. WAY
1
I- or UAM
-
-FAIHANKMENT SIMAI IiED
VElallvl
rx V
TURF REIN7aRV'kU
rnNc tNURN+
J�
_
1 AVFRI AN GR
350 0A FOUN.)
TYPICAL
BASIN RISER/BARRED
SEDIMENT
M R
` 'J _
- 4rv, REEK Cats i
OUTLET APHUN
N-
9'-14"
HIP RAP
e�
"'I
OVERI ILL 6' FOR
sLn_LMFNr
1� I
MIN
�EMERGI,4
v
-1 an
21 5N1F
,-
RY FA55 5"
� UUUDd SETTLLU
9.OPF M4K.
3• I
i-1 PILL
pP of D4Y
NATiRAL GNOVIi'Y
FlI TR FA9RiC
A
pl au
SLUFL
5' MIN.
91-Ia-?I
�S/ STONE-
"1
NL' RaP
-f
Cu FI Ac.a
—
i
� FILT" FAUItIC
til
MUUL.DLU
cN�RF rLaw
FLOWS
;RDb' '
OF IILNCH
CRCSI pF NINCH
TnE cr 4xFNrx c,arRT or NLNrJn
D
I

-
r
19
Is SITE LOCATION + `J•
8 � •� , w r 1 1•
LEGEND
g 0 loon 2000 3000
SITE LOCATION
SCALE FEET
NOTES �` ""• "` '�
RfV WTE ��`�ISKN� �ESGRiaTK>� IFS L CAM I CNK IRV
1. TOPOGRAPHIC CONTOURS OBTAINED FROM USA TOPO PRG)ECT
MAPS THROUGH ESRI ARCGIS LICENSE. OLD SALISBURY ROAD
C&D LANDFILL
5 REFERENCES! SPECIFICATIONS
COORDINATE SYSTEM NC STATE PLANE TR1F
DATUM: NAD 1983 US FT. SITE LOCATION MAP
a
_ PROTECT No 1139634115 FILE No 1139634115n067
DESIGN I BSa J 12-17-15 SCALE AS SHOWN
CADD BSO I 12-ty-1S TITLE
(AAAssociates�FIGURE 1
k REVIEW RPK 12.17-15