NCS000409_Municipal Facilities Annual SWPPP Inspection_20210330

Belmont Public Works
1401 E Catawba St ' Belmont, NC 28012 ' www.dtyofbehnont.org
Telephone [phone] " Fax [phone]
Annual Inspection Checklist - Stormwater Pollution Prevention Plan for Municipal Facilities
Date and Time: 6-24-20 12:20pm-2:15pm
Facility/Department: Public Works -1401 E Catawba St, Belmont, NC 28012
* * * *Public Works Facility currently under construction*
Inspected by: Chad Waldrup, Zach Gehrer
Walkthrough
Records Review
AN
Comments
Comments
Yes No N/A
Yes No N/A
A. Parking Lot
1. Is the lot regularly swept or vacuumed and not washed or
hosed down?
X
Quarterly
R
2. Is loose trash and debris picked up, removed regularly, and
Weekly
disposed of properly?
X
X
3. Is the lot regularly inspected for signs of vehicle and
Weekly
equipment leaks or staining?
X
X
4. Are the found leaks/fluids cleaned up using dry absorbent
methods only?
X
X
5. Are the vehicles and/or equipment identified as leaking oil
and/or fluids moved to an area not affected by stormwater
X
X
or sent out for maintenance?
6. Are there regular inspections and maintenance of the
Sheet Flow
stormwater system for loose debris, clogged inlets, and
X
X
proper drainage?
7. Are bare and/or eroded areas stabilized with seed/straw,
Island and turning radii need
matting, mulch, and/or sod as needed?
seed/straw
X
X
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
B. Spill Response and Prevention
1. Is the Facility's SWPPP in an easily accessible place?
X
X
2. Do all Facility employees know where to find and how to
reference the SWPPP?
X
X
3. Are Spill Prevention Inspections performed regularly (i.e.
Weekly
stormwater system, materials storage, solid waste, parking
X
X
lot, vehicle and equipment storage areas)?
4. Are records of completed Spill Prevention Inspections kept
on file?
X
X
5. Is the Facility's stonnwater system free of debris, clogs,
failures, and draining properly?
X
X
6. Are storage areas swept and/or vacuumed on a regular
Loose trash picked up weekly
basis?
X
X
7. Are primary and secondary containment units, pallets, and
Weekly
racks regularly inspected and maintained?
X
X
8. Are completed Spill Report Forms kept on file?
None on file or to report
None on file to report
X
X
9. Are oil water separators regularly inspected and
maintained?
X
X
10. Are spill kits and/or clean-up materials properly stocked
X
Oil-Dri, Absorbent Pads, PIG
X
and easily accessible in each storage area?
Spill Kits **Need to Re -Stock
Oil-Dri**
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 2

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
C. Vehicle and Equipment
Maintenance Area
1. Is there a designated covered area for vehicle and equipment
Designated covered area
maintenance with an oil/water separator that is connected to
inside shop but no Oil/Water
the sanitary sewer system?
X
Separator — some
X
vehicles/equipment sent out
for maintenance
2. Are vehicles and equipment sent out for maintenance?
Major repairs sent out, Minor
X
repairs done inside shop
X
3. Are vehicle and equipment maintenance activities
performed in the designated bay or area?
X
X
4. For maintenance activities performed outside, is adequate
Only when necessary
protection provided for the stormwater system?
X
X
5. Are the fueling tanks and area protected with an adequate
Diesel fuel tanks are double
spill/leak containment barrier?
X
walled — no cover, no
X
dikes/barriers
6. Are fuel tanks regularly inspected for leaks, spills, and/or
overflows?
X
X
7. Are spill kits and/or clean up materials properly stocked and
Oil-Dri, Absorbent Pads, PIG
easily accessible in the maintenance area?
X
Spill Kits **Need to Re -Stock
X
Oil-Dri* *
8. Is the maintenance area regularly swept or vacuumed clean
Weekly loose trash picked up
instead of washed or hosed down?
X
and/or swept
X
9. Are oil/water separators operating and being maintained
properly?
X
X
10. Are all maintenance waste materials disposed of properly?
X
X
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 3

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
D. Vehicle and Equipment Wash
Area
1. Is there a designated covered area for vehicle and equipment
WWTP Sludge Transfer
washing with an oil/water separator that is connected to the
Station, Gravel Pad at PW
sanitary sewer system?
X
drains to vegetated area, Yard
X
hydrant area on gravel pad
and vegetated area
2. Are vehicles and equipment taken to and washed at the
Sign in/out sheet kept on file at WWTP
Wastewater Treatment Plant's Sludge Transfer Station?
X
X
3. Are washing procedures for the WWTP Sludge Transfer
Station followed?
X
X
4. Are vehicle/equipment washing activities performed in the
Gravel Pad at PW drains to
designated bay or area only?
vegetated area, Yard hydrant
X
area on gravel pad and
X
vegetated area
5. Is wash water contained to the designated wash bay to the
maximum extent practical?
X
X
6. Are oil/water separators operating and being maintained
X
X
properly?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 4

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
E. Materials Storage Area(s)
1. Are Safety Data Sheets available and easily accessible in the
Facility?
X
X
2. Are materials, chemicals, fluids, etc. stored according to the
manufacturer's instructions?
X
X
3. Is an inventory of materials that could leak or spill kept in
SDS serves as this list
the storage area or on file in the facility?
X
X
4. Is a list, with contact info, for appropriate respondents kept
in the storage area, or in the facility, in case of a leak or
X
X
spill?
5. When practicable, are materials, fluids, chemicals, etc.
Move Fire Barrels into P&R
stored indoors?
x
Storage BuildingX
6. For materials, fluids, chemicals, etc. stored outdoors, is
Double -Walled Diesel Fuel
adequate cover and protection from run-on and run-off
X
Tanks — No Cover, No
X
provided?
containment Dike/Barrier
7. When practicable, are materials, fluids, chemicals, etc.
Gas and Mixed Oil cans need
elevated using secondary spill/leak containment units,
to be in Fire Cabinet, 55 gal
pallets, and/or racks so that leaks/spills are easily visible?
x
drums need to be on pallets
X
8. Are materials, fluids, chemicals, etc. stored in original
containers with original labels?
X
X
9. Are materials, fluids, chemicals, etc. containers and storage
Weekly
area(s) regularly inspected for leaks and spills?
X
X
10. Are storage area(s) swept or vacuum cleaned and not
washed or hosed down?
X
X
11. Are spill kits or clean-up materials properly stocked and
Oil-Dri, Absorbent Pads, PIG
easily accessible in the storage area(s)?
X
Spill Kits**Need to Re -Stock
X
Oil-Dri**
12. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch storage
Salt/Slag pile covered with plastic
area(s) covered and contained to the maximum extent
X
— See Davis Park/Tennis
X
practicable?
Ct/Material Storage Area ASWPPP
13. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch
materials separated to the maximum extent practicable?
X
X
14. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch storage
Weekly
area(s) regularly inspected to ensure cover, containment,
X
X
and separation of materials?
15. Is the storage area(s) secured to prevent unauthorized
PW Facility locked daily
entries?
X
X
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 5

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
F. Solid Waste Storage Area(s)
1. Are dumpsters and containers emptied on a regular basis by
Weekly
contracted removal company?
X
X
2. Are there regular inspections of the storage area, dumpsters,
Weekly
and containers for signs of leaks, spills, and/or overflows?
X
X
3. Are leaks, spills, and/or overflows corrected immediately?
To the Maximum Extent
X
Practicable
X
4. Is cover and/or protection from run-on and run-off provided
To the Maximum Extent
for dumpsters and containers to the maximum extent
X
Practicable
X
practicable?
5. Are all containers' lids closed and secure to keep rain from
entering?
X
X
6. Is loose debris and trash in the solid waste storage area
Weekly To the Maximum
picked up and disposed of properly on a regular basis?
X
Extent Practicable — sometimes
X
multiple times per week
7. Is the area free of loose debris, trash, garbage?
Loose trash/debris in area
X
X
8. Are there regular inspections and maintenance of the
stormwater system for clogs, debris, and proper drainage?
X
X
9. Are bare or eroded areas stabilized with seed/straw, matting,
X
X
mulch, and/or sod,as needed?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 6

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
G. Parks and Open Space
1. Are loose garbage and debris picked up and disposed of
Weekly — sometimes multiple
regularly?
x
times per week
x
2. Are containers regularly emptied and the trash and/or debris
Weekly
disposed of properly?
X
X
3. Are containers regularly inspected for leaks and overflows?
X
X
4. Are container leaks and overflows corrected immediately?
X
X
5. Are grass clippings left on the lawn or bagged and properly
disposed of?
X
X
6. Is grass and vegetation kept to a minimum of two to four
inches in height?
X
X
7. Is all yard debris (i.e. tree limbs, leaves, grass clippings etc.)
kept out of the stormwater system and off of impervious
surfaces to the maximum extent practicable?
X
X
8. Are there regular inspections and maintenance of the
Weekly
stormwater system for debris, clogs, and proper drainage?
X
X
9. Are practices and guidelines on pesticides, herbicides, and
fertilizers being followed by City Staff and contracted
X
X
operations?
10. Are bare or eroded areas stabilized with seed/straw
X
Public Works currently under
X
matting, mulch, and/or sod as needed?
construction — construction site
has E&SC measures in place
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 7

Walkthrough
Records Review
F:A
Comments
Comments
Yes No N/A
Yes No N/A
H. Waste Water Treatment Plant
(NCDENR DWQ General Permit No.
NC110023 Review)
1. Have all inspections required by the NCDENR DWQ
General Permit No. NO10023 been performed and
X
X
recorded in a timely manner?
2. Have all reports required by the NCDENR DWQ General
Permit No. NO10023 been filed and submitted to
NCDENR DWQ in a timely manner?
X
X
3. Have the Spill Prevention and Response requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
4. Have the Preventive Maintenance and Good Housekeeping
requirements of the Stormwater Pollution Prevention Plan
been performed, recorded, and up to date?
X
X
5. Have the Employee Training requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
6. Have the Visual Inspections requirements of the Stormwater
Pollution Prevention Plan been performed, recorded, and up
X
X
to date?
7. Have the Record Keeping and Reporting requirements of the
Stormwater Pollution Prevention Plan been performed,
recorded, and up to date?
X
X
8. Have the Erosion and Sedimentation requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 8

Belmont Public Works
1401 E Catawba St ' Belmont, NC 28012 ' www.dtyofbelmont.org
Telephone [phone] " Fax [phone]
Annual Inspection Checklist - Stormwater Pollution Prevention Plan for Municipal Facilities
Date and Time: 6-22-20 1:OOpm to 2:15pm
Facility/Department: Water Treatment Plant 205 N Tenth St, Belmont, NC 28012
Inspected by: Chad Waldrup, Joe Roy, Zach Gehrer
Walkthrough
Records Review
EM
Comments
Comments
EL_
Yes No N/A
Yes No N/A
A. Parking Lot
1. Is the lot regularly swept or vacuumed and not washed or
hosed down?
X
X
2. Is loose trash and debris picked up, removed regularly, and
Minimal amount of litter
disposed of properly?
along edge of gravel lot from
X
contractors at time of
X
walkthrou h
3. Is the lot regularly inspected for signs of vehicle and
equipment leaks or staining?
X
X
4. Are the found leaks/fluids cleaned up using dry absorbent
methods only?
X
X
5. Are the vehicles and/or equipment identified as leaking oil
Sent Out for maintenance
and/or fluids moved to an area not affected by stormwater
X
X
or sent out for maintenance?
6. Are there regular inspections and maintenance of the
Sheet Flow
stormwater system for loose debris, clogged inlets, and
X
X
proper drainage?
7. Are bare and/or eroded areas stabilized with seed/straw,
Asphalt Lot and temporary
matting, mulch, and/or sod as needed?
X
gravel lot
%
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
B. Spill Response and Prevention
1. Is the Facility's SWPPP in an easily accessible place?
Study Area
X
X
2. Do all Facility employees know where to find and how to
reference the SWPPP?
X
X
3. Are Spill Prevention Inspections performed regularly (i.e.
stormwater system, materials storage, solid waste, parking
X
X
lot, vehicle and equipment storage areas)?
4. Are records of completed Spill Prevention Inspections kept
on file?
X
X
5. Is the Facility's stormwater system free of debris, clogs,
Sheet Flow, One storm drain
failures, and draining properly?
on site and it drains to
X
clarifier which drains to
X
sanitary sewers stem
6. Are storage areas swept and/or vacuumed on a regular
basis?
X
X
7. Are primary and secondary containment units, pallets, and
racks regularly inspected and maintained?
X
X
8. Are completed Spill Report Forms kept on file?
None on file to report
X
X
9. Are oil water separators regularly inspected and
maintained?
X
X
10. Are spill kits and/or clean-up materials properly stocked
X
X
and easily accessible in each storage area?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 2

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
C. Vehicle and Equipment
Vehicles Sent Out For
Maintenance Area
Maintenance
1. Is there a designated covered area for vehicle and equipment
Mud Plant would be used if
maintenance with an oil/water separator that is connected to
necessary — Covered - No
the sanitary sewer system?
X
oil/water separator
X
2. Are vehicles and equipment sent out for maintenance?
X
X
3. Are vehicle and equipment maintenance activities
Only when necessary
performed in the designated bay or area?
X
X
4. For maintenance activities performed outside, is adequate
Only when necessary
protection provided for the stormwater system?
X
X
5. Are the fueling tanks and area protected with an adequate
spill/leak containment barrier?
X
X
6. Are fuel tanks regularly inspected for leaks, spills, and/or
overflows?
X
X
7. Are spill kits and/or clean up materials properly stocked and
easily accessible in the maintenance area?
X
X
8. Is the maintenance area regularly swept or vacuumed clean
instead of washed or hosed down?
X
X
9. Are oil/water separators operating and being maintained
properly?
X
X
10. Are all maintenance waste materials disposed of properly?
R
When necessary
X
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 3

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
D. Vehicle and Equipment Wash
WWTP or
Area
Commercial Car Wash
1. Is there a designated covered area for vehicle and equipment
washing with an oil/water separator that is connected to the
sanitary sewer system?
X
X
2. Are vehicles and equipment taken to and washed at the
WWTP or Commercial Car
Washing at WWTP records are kept on
Wastewater Treatment Plant's Sludge Transfer Station?
X
Wash
X
file at WWTP
3. Are washing procedures for the WWTP Sludge Transfer
Station followed?
X
X
4. Are vehicle/equipment washing activities performed in the
designated bay or area only?
X
X
5. Is wash water contained to the designated wash bay to the
maximum extent practical?
X
X
6. Are oil/water separators operating and being maintained
X
X
properly?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 4

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
E. Materials Storage Area(s)
1. Are Safety Data Sheets available and easily accessible in the
Facility?
X
X
2. Are materials, chemicals, fluids, etc. stored according to the
manufacturer's instructions?
X
X
3. Is an inventory of materials that could leak or spill kept in
the storage area or on file in the facility?
X
X
4. Is a list, with contact info, for appropriate respondents kept
in the storage area, or in the facility, in case of a leak or
X
X
spill?
5. When practicable, are materials, fluids, chemicals, etc.
stored indoors?
X
X
6. For materials, fluids, chemicals, etc. stored outdoors, is
adequate cover and protection from run-on and run-off
X
X
provided?
7. When practicable, are materials, fluids, chemicals, etc.
elevated using secondary spill/leak containment units,
pallets, and/or racks so that leaks/spills are easily visible?
X
X
8. Are materials, fluids, chemicals, etc. stored in original
containers with original labels?
X
X
9. Are materials, fluids, chemicals, etc. containers and storage
area(s) regularly inspected for leaks and spills?
X
X
10. Are storage area(s) swept or vacuum cleaned and not
washed or hosed down?
X
X
11. Are spill kits or clean-up materials properly stocked and
easily accessible in the storage area(s)?
X
X
12. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch storage
area(s) covered and contained to the maximum extent
X
X
practicable?
13. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch
materials separated to the maximum extent practicable?
X
X
14. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch storage
area(s) regularly inspected to ensure cover, containment,
X
X
and separation of materials?
15. Is the storage area(s) secured to prevent unauthorized
entries?
X
X
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 5

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
F. Solid Waste Storage Area(s)
2 Trash Containers,
2 Recycling Containers
1. Are dumpsters and containers emptied on a regular basis by
contracted removal company?
X
X
2. Are there regular inspections of the storage area, dumpsters,
and containers for signs of leaks, spills, and/or overflows?
X
X
3. Are leaks, spills, and/or overflows corrected immediately?
X
X
4. Is cover and/or protection from run-on and run-off provided
Lids kept closed unless in use
for dumpsters and containers to the maximum extent
X
X
practicable?
5. Are all containers' lids closed and secure to keep rain from
entering?
X
X
6. Is loose debris and trash in the solid waste storage area
picked up and disposed of properly on a regular basis?
X
X
7. Is the area free of loose debris, trash, garbage?
X
X
8. Are there regular inspections and maintenance of the
Sheet Flow
stormwater system for clogs, debris, and proper drainage?
X
X
9. Are bare or eroded areas stabilized with seed/straw, matting,
X
Asphalt area
X
mulch, and/or sod,as needed?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 6

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
G. Parks and Open Space
1. Are loose garbage and debris picked up and disposed of
Minimal amount of trash along
regularly?
edge of gravel lot from
x
contractors at time of
x
walkthrou h
2. Are containers regularly emptied and the trash and/or debris
disposed of properly?
X
X
3. Are containers regularly inspected for leaks and overflows?
X
X
4. Are container leaks and overflows corrected immediately?
X
X
5. Are grass clippings left on the lawn or bagged and properly
disposed of?
X
X
6. Is grass and vegetation kept to a minimum of two to four
inches in height?
X
X
7. Is all yard debris (i.e. tree limbs, leaves, grass clippings etc.)
kept out of the stormwater system and off of impervious
surfaces to the maximum extent practicable?
X
X
8. Are there regular inspections and maintenance of the
Sheet Flow
stormwater system for debris, clogs, and proper drainage?
X
X
9. Are practices and guidelines on pesticides, herbicides, and
fertilizers being followed by City Staff and contracted
X
X
operations?
10. Are bare or eroded areas stabilized with seed/straw
X
X
matting, mulch, and/or sod as needed?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 7

Walkthrough
Records Review
F:A
Comments
Comments
Yes No N/A
Yes No N/A
H. Waste Water Treatment Plant
(NCDENR DWQ General Permit No.
NC110023 Review)
1. Have all inspections required by the NCDENR DWQ
General Permit No. NO10023 been performed and
X
X
recorded in a timely manner?
2. Have all reports required by the NCDENR DWQ General
Permit No. NO10023 been filed and submitted to
NCDENR DWQ in a timely manner?
X
X
3. Have the Spill Prevention and Response requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
4. Have the Preventive Maintenance and Good Housekeeping
requirements of the Stormwater Pollution Prevention Plan
been performed, recorded, and up to date?
X
X
5. Have the Employee Training requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
6. Have the Visual Inspections requirements of the Stormwater
Pollution Prevention Plan been performed, recorded, and up
X
X
to date?
7. Have the Record Keeping and Reporting requirements of the
Stormwater Pollution Prevention Plan been performed,
recorded, and up to date?
X
X
8. Have the Erosion and Sedimentation requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 8

Belmont Public Works
1401 E Catawba St ' Belmont, NC 28012 ' www.dtyofbelmont.org
Telephone [phone] " Fax [phone]
Annual Inspection Checklist - Stormwater Pollution Prevention Plan for Municipal Facilities
Date and Time: 8-28-20 8:50am
Facility/Department: Wastewater Treatment Plant (WWTP)
298 Parkdale Dr, Belmont, NC 28012
Inspected by: Chad Waldrup, Tanya Setzer, Anthony Bain
Walkthrough
Records Review
EM
Comments
Comments
Yes No N/A
Yes No N/A
A. Parking Lot
1. Is the lot regularly swept or vacuumed and not washed or
hosed down?
X
X
2. Is loose trash and debris picked up, removed regularly, and
Parking lot and drive is free of
disposed of properly?
R
trash and debris
R
3. Is the lot regularly inspected for signs of vehicle and
equipment leaks or staining?
X
X
4. Are the found leaks/fluids cleaned up using dry absorbent
methods only?
X
X
5. Are the vehicles and/or equipment identified as leaking oil
and/or fluids moved to an area not affected by stormwater
X
X
or sent out for maintenance?
6. Are there regular inspections and maintenance of the
stormwater system for loose debris, clogged inlets, and
X
X
proper drainage?
7. Are bare and/or eroded areas stabilized with seed/straw,
Asphalt
matting, mulch, and/or sod as needed?
X
X
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 1

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
B. Spill Response and Prevention
1. Is the Facility's SWPPP in an easily accessible place?
Office Area
X
X
2. Do all Facility employees know where to find and how to
reference the SWPPP?
X
X
3. Are Spill Prevention Inspections performed regularly (i.e.
stormwater system, materials storage, solid waste, parking
X
X
lot, vehicle and equipment storage areas)?
4. Are records of completed Spill Prevention Inspections kept
on file?
X
X
5. Is the Facility's stormwater system free of debris, clogs,
failures, and draining properly?
X
X
6. Are storage areas swept and/or vacuumed on a regular
basis?
X
X
7. Are primary and secondary containment units, pallets, and
racks regularly inspected and maintained?
X
X
8. Are completed Spill Report Forms kept on file?
None to report
X
X
9. Are oil water separators regularly inspected and
maintained?
X
X
10. Are spill kits and/or clean-up materials properly stocked
X
In RAS Building
X
and easily accessible in each storage area?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 2

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
C. Vehicle and Equipment
Maintenance Area
1. Is there a designated covered area for vehicle and equipment
Sludge Transfer Station but
maintenance with an oil/water separator that is connected to
only when necessary — no
the sanitary sewer system?
X
cover and no oil/water
X
separator - drain flows to
Plant Headworks
2. Are vehicles and equipment sent out for maintenance?
X
X
3. Are vehicle and equipment maintenance activities
When necessary
performed in the designated bay or area?
X
X
4. For maintenance activities performed outside, is adequate
protection provided for the stormwater system?
X
X
5. Are the fueling tanks and area protected with an adequate
500 gallon Double -Walled
spill/leak containment barrier?
X
Secondary Containment
X
Aboveground Tank
6. Are fuel tanks regularly inspected for leaks, spills, and/or
overflows?
X
X
7. Are spill kits and/or clean up materials properly stocked and
In RAS Building
easily accessible in the maintenance area?
X
X
8. Is the maintenance area regularly swept or vacuumed clean
instead of washed or hosed down?
X
X
9. Are oil/water separators operating and being maintained
properly?
X
X
10. Are all maintenance waste materials disposed of properly?
R
When necessary
R
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 3

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
D. Vehicle and Equipment Wash
Area
1. Is there a designated covered area for vehicle and equipment
Sludge Transfer Station — no
washing with an oil/water separator that is connected to the
cover and no oil/water
sanitary sewer system?
x
separator — drains to head of
x
plant
2. Are vehicles and equipment taken to and washed at the
Wastewater Treatment Plant's Sludge Transfer Station?
X
X
3. Are washing procedures for the WWTP Sludge Transfer
Station followed?
X
X
4. Are vehicle/equipment washing activities performed in the
designated bay or area only?
X
X
5. Is wash water contained to the designated wash bay to the
maximum extent practical?
X
X
6. Are oil/water separators operating and being maintained
X
X
properly?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 4

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
E. Materials Storage Area(s)
1. Are Safety Data Sheets available and easily accessible in the
Office Area
Facility?
X
X
2. Are materials, chemicals, fluids, etc. stored according to the
manufacturer's instructions?
X
X
3. Is an inventory of materials that could leak or spill kept in
SDS Sheets
the storage area or on file in the facility?
X
X
4. Is a list, with contact info, for appropriate respondents kept
24 Hour Emergency Contact
in the storage area, or in the facility, in case of a leak or
X
List — kept in offices, hallway
X
spill?
message board, and break room
5. When practicable, are materials, fluids, chemicals, etc.
stored indoors?
X
X
6. For materials, fluids, chemicals, etc. stored outdoors, is
adequate cover and protection from run-on and run-off
X
X
provided?
7. When practicable, are materials, fluids, chemicals, etc.
elevated using secondary spill/leak containment units,
pallets, and/or racks so that leaks/spills are easily visible?
X
X
8. Are materials, fluids, chemicals, etc. stored in original
containers with original labels?
X
X
9. Are materials, fluids, chemicals, etc. containers and storage
area(s) regularly inspected for leaks and spills?
X
X
10. Are storage area(s) swept or vacuum cleaned and not
washed or hosed down?
X
X
11. Are spill kits or clean-up materials properly stocked and
In RAS Building
easily accessible in the storage area(s)?
X
X
12. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch storage
Mulch stored under Metal
area(s) covered and contained to the maximum extent
X
Storage Shed 2
X
practicable?
13. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch
Mulch stored under Metal
materials separated to the maximum extent practicable?
X
Storage Shed 2
X
14. Are Rock, Rip -Rap, Dirt, Salt/Slag, and/or Mulch storage
Mulch stored under Metal
area(s) regularly inspected to ensure cover, containment,
X
Storage Shed 2
X
and separation of materials?
15. Is the storage area(s) secured to prevent unauthorized
Facility operated 24 hours, 7
entries?
X
days a week w/ Code Locked
X
Gate Entryway
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 5

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
F. Solid Waste Storage Area(s)
1. Are dumpsters and containers emptied on a regular basis by
contracted removal company?
X
X
2. Are there regular inspections of the storage area, dumpsters,
and containers for signs of leaks, spills, and/or overflows?
X
X
3. Are leaks, spills, and/or overflows corrected immediately?
X
X
4. Is cover and/or protection from run-on and run-off provided
Lids on dumpster and cans kept
for dumpsters and containers to the maximum extent
X
closed unless in use
X
practicable?
5. Are all containers' lids closed and secure to keep rain from
entering?
X
X
6. Is loose debris and trash in the solid waste storage area
picked up and disposed of properly on a regular basis?
X
X
7. Is the area free of loose debris, trash, garbage?
X
X
8. Are there regular inspections and maintenance of the
Sheet Flow to catch basins
stormwater system for clogs, debris, and proper drainage?
X
which drain to Outfall No. 1
X
9. Are bare or eroded areas stabilized with seed/straw, matting,
X
Dumpster is stored on asphalt
X
mulch, and/or sod,as needed?
drive. Cans are stored behind
curb on grass
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 6

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
G. Parks and Open Space
1. Are loose garbage and debris picked up and disposed of
regularly?
X
X
2. Are containers regularly emptied and the trash and/or debris
disposed of properly?
X
X
3. Are containers regularly inspected for leaks and overflows?
X
X
4. Are container leaks and overflows corrected immediately?
X
X
5. Are grass clippings left on the lawn or bagged and properly
Grass clippings left on lawn
disposed of?
X
X
6. Is grass and vegetation kept to a minimum of two to four
inches in height?
X
X
7. Is all yard debris (i.e. tree limbs, leaves, grass clippings etc.)
kept out of the stormwater system and off of impervious
surfaces to the maximum extent practicable?
X
X
8. Are there regular inspections and maintenance of the
stormwater system for debris, clogs, and proper drainage?
X
X
9. Are practices and guidelines on pesticides, herbicides, and
fertilizers being followed by City Staff and contracted
X
X
operations?
10. Are bare or eroded areas stabilized with seed/straw
X
X
matting, mulch, and/or sod as needed?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 7

Walkthrough
Records Review
Comments
Comments
Yes No N/A
Yes No N/A
H. Waste Water Treatment Plant
SWPPP Currently
(NCDENR DWQ General Permit No.
being Reviewed and
NC110023 Review)
Updated as part of this
Annual Inspection
1. Have all inspections required by the NCDENR DWQ
General Permit No. NO10023 been performed and
X
X
recorded in a timely manner?
2. Have all reports required by the NCDENR DWQ General
Permit No. NO10023 been filed and submitted to
NCDENR DWQ in a timely manner?
X
X
3. Have the Spill Prevention and Response requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
4. Have the Preventive Maintenance and Good Housekeeping
requirements of the Stormwater Pollution Prevention Plan
been performed, recorded, and up to date?
X
X
5. Have the Employee Training requirements of the
Employee Training is
Employee Training is scheduled for
Stormwater Pollution Prevention Plan been performed,
X
scheduled for 9-14-20
X
9-14-20
recorded, and up to date?
6. Have the Visual Inspections requirements of the Stormwater
Pollution Prevention Plan been performed, recorded, and up
X
X
to date?
7. Have the Record Keeping and Reporting requirements of the
Stormwater Pollution Prevention Plan been performed,
recorded, and up to date?
X
X
8. Have the Erosion and Sedimentation requirements of the
Stormwater Pollution Prevention Plan been performed,
X
X
recorded, and up to date?
City of Belmont I Inspection Checklist - Stormwater Pollution Prevention Plan For Municipal Facilities 8