33_Pollution Prevention and Good Housekeeping SOP

Standard Operating Procedures:
Pollution Prevention and Good Housekeeping:
Municipal Facilities Inspection and Maintenance
Program
GREENSBORO
NORTH CAROLINA
Water Resources Department
Stormwater Management Division
April 2022

City of Greensboro - Water Resources
Standard Operating Procedures
Last Published Date:
J
GREENSBORO
Name of Procedure:
Division:
Municipal Facilities Inspection and Maintenance
Stormwater
Program
Number:
Revision:
Effective Date:
Pages:
4/7/2022
4/7/2022
16
Prepared by: Sherri Scalcione, Elea Reyna
Approved by:
Ocampo (Water Quality Specialist)
Table of Contents
Section1: Introduction..................................................................................................................2
Section 2: Pre -inspection Procedures............................................................................................ 2
Review of Drainage and Storm Sewer Outfall Maps .................................................. 2
In -House Record Review............................................................................................ 3
FacilityNotification.................................................................................................... 3
Inspection and Safety Equipment............................................................................... 3
Section 3: Physical Walkthrough of the Facility.......................................................................... 4
Wrap -Up Meeting........................................................................................................ 5
Section 4: Filing and Documentation of Inspection..................................................................... 5
Documents................................................................................................................... 5
Filingof Documents.................................................................................................... 6
Appendices
A. Municipal Facilities List and Rank........................................................................... 7
B. Municipal Facility Assessment Form........................................................................ l l
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Municipal Facilities Inspection Program

C. Municipal Facility Assessment Letter....................................................................... 12
D. Municipal Facility Inspection Report .......................................................................13
E. Contact Log for Municipal Assessment....................................................................14
List of Tables
Table 3.1: List of Inspection Equipment....................................................................................... 3
Standard Operating Procedures
Municipal Facilities Inspection Program Page 2 of 14

Section 1: Introduction
This program was designed to meet the requirements of the NPDES permit Part II, Section G,
which states that the City of Greensboro will maintain an inventory of municipal facilities owned
or operated by the City that have the potential of generating polluted runoff, as well as to
implement an inspection and maintenance program for such facilities. The purpose for the City
of Greensboro Stormwater Management Division's Municipal Facility Inspection and
Maintenance Program is to evaluate city owned and operated facilities based upon their risk for
generating polluted runoff. These facilities will be inspected for potential sources of polluted
stormwater runoff, deficiencies and will be recommended to implement practices to minimize
polluted stormwater runoff.
Prior to the implementation of the inspection program, a complete list of all City owned and
operated facilities was obtained from the GIS layer file named "City Facilities". Using the GIS
software, history of spills and/or concerns, proximity to a stream or the stormwater conveyance
system in addition to the specific activities at a particular location, each facility was ranked High,
Medium or Low risk for the potential of generating polluted runoff. These rankings are described
as follows:
High Risk: Facilities in this category would have a large amount of outdoor processing
activities, are in close proximity to a stream and/or have material storage on -site
or have obvious poor housekeeping issues. Examples of these facilities would be
golf courses, satellite fueling stations, facilities that store salt for deicing
roadways or the Coliseum that has many vendors using this property at all times.
Medium Risk: This category includes facilities that have some outdoor storage or processing,
that may not be in close proximity to a stream. Examples of these type facilities
would be larger parks, the science center, water treatment plants and fire training
centers.
Low Risk: Facilities that have limited or no outdoor processing areas. Examples of these
facilities would be libraries, parking decks, recreation centers and fire stations.
Section 2: Pre -inspection Procedures
Prior to the inspection of a facility, inspectors should follow the pre -inspection procedures listed
below. This will ensure that the inspection is conducted proficiently and in a professional
manner. The pre -inspection procedures involve the following:
♦ Prioritization of facilities to be inspected
♦ Research the specific activities performed at the facility
♦ Review of stormwater GIS maps for drainage patterns and outfall locations
♦ Review of files for prior correspondence
♦ Facility contact and notification of inspection
♦ Proper inspection and safety equipment for entering the facility
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Review of Drainage and Storm Sewer Outfall Maps
Prior to visiting a municipal facility, inspectors should review in-house stormwater drainage and
sewer maps via ArcMap/GIS. Print the map and bring a copy to the inspection for better
understanding of the facility's stormwater conveyance system.
In -House Record Review
A comprehensive review of in-house records will be an important and valuable tool when
conducting municipal facility inspections. These records can potentially provide information on
the number of spills, manufacturing processes and material storage, past water quality violations,
and other reports that give the inspector a good background history on the site.
A list of in-house records that would be beneficial for inspectors to review include the following:
♦ Spill and Complaint Database
♦ Enforcement files
♦ Inspections performed by the Fire Department's Inspections Division
If deemed necessary, or if a facility has a history of noncompliance, spills, etc., a review of
information from other governmental records may be beneficial. This list includes the following:
♦ Guilford County Division of Environmental Health
♦ NCDEQ regional office in Winston-Salem
♦ The EPA's website for Industrial Facilities: http://www.epa.gov/enviro/html/qmr.html
Facility Notification
Another step in the pre -inspection process will be to schedule an inspection with the facility.
Most contacts have been established via the Good Housekeeping's educational efforts. If there is
not a contact person for the facility, the inspector can ask the Water Quality Supervisor or
Stormwater Division Manager if they have one.
When reaching out to the contact person be sure to advise the representative why the City is
conducting the inspection and what pertinent areas the inspection will focus on (i.e., physical
walkthrough of the facility, materials storage, material loading/unloading, fueling, maintenance,
vehicle and equipment washing, BMPs, stormwater drainage system, outfalls, etc.)
Inspection and Safety Equipment
When making initial contact with the facility, it is also important to ask the representative what
necessary equipment is needed for a safe entrance to the facility. Table 3.1 below includes a list
of personal protective equipment and additional materials that may be needed to properly
complete the inspection.
Table 3.1 List of Inspection Equipment
Standard Operating Procedures
Municipal Facilities Inspection Program Page 4 of 14

Documents and Inspection Tools
Safety Equipment and Protective Clothing
• City ID and business cards
• Hard hat
• Facility file (records and maps)
• Hearing protection
• Inspection Check list
• Safety shoes (steel toe)
• Field notebook
• Reflective safety vest
• Clipboard
• Safety glasses
• Cell phone
• Digital camera
• Flashlight/mirror
• Manhole pick
• Tape measure
Inspector Training
The Stormwater Division employee conducting the facility inspection should receive training
prior to when the inspection takes place to ensure that procedures for inspections are correctly
done and standardized. The goal of the inspector training is to ensure that applicable staff
members understand the importance of each Best Management Practice (BMP) and that each
BMP is properly implemented. Stormwater Division employees that are responsible for facility
inspection may receive training using the following resources:
• Review of applicable SOPs, manuals, ordinances, and safety guidelines
• Field training/shadowing with other employees
• Partnering (team before solo)
• Database use and other documentation review
• External training or certifications as applicable
In addition to the training that takes place for new hires, ongoing training for current employees
also takes place. Ongoing training comes in many forms including, but not limited to, the
following:
• Team meetings
• Internal training on any updates/changes (database, procedures, etc.)
• External training or certifications as applicable
Section 3: On -Site Inspection Procedures
Upon arrival at the facility, the inspector should introduce himself or herself as a City of
Greensboro Stormwater Division inspector and offer the appropriate credentials (i.e., business
card and/or employee ID). After introductions, the inspector should communicate to the
company representatives that the inspector is here to assess the site for potential stormwater
issues and extent of the inspection, which include the following:
♦ Physical walkthrough of the facility
♦ Wrap-up meeting with company officials
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Municipal Facilities Inspection Program Page 5 of 14

At this time, also inquire about what duties are performed at this site. Be sure to ask about
chemicals, bulk storage, secondary containment, and vehicle/equipment washing, fueling areas
and landscaping practices to name a few. Find out what and how other departments or division
may use that property.
Physical Walkthrough of the Facility
A thorough inspection of the entire facility should be completed. A list of general things an
inspector should look for is as follows:
♦ On -site BMPs
♦ Presence of illicit connections and improper disposal
♦ Evidence of past spills
♦ Material handling and storage areas, including loading/unloading areas
♦ Equipment fueling and maintenance areas
♦ Storm sewer structures and receiving streams
♦ Secondary containment structures
♦ Ground disturbance and contamination
In regards to impacts to stormwater runoff, the inspector should pay close attention to outside
processing and manufacturing areas and notice where and how materials are stored (materials
should be properly labeled and located out of high traffic areas); examine storm drains, drainage
swales, and outfalls for debris and evidence of spillage; and document any non-stormwater (dry
weather) flows in the storm drains and outfalls. Inspectors should also note whether to
recommend dry weather flows for further monitoring. It is appropriate for the inspector to have a
field notebook and camera to document any findings while doing the walkthrough.
Each site will be unique and will have different processes that have the potential to impact
stormwater runoff. The inspector needs to keep the big picture in mind (e.g. noting where
materials will go and how the receiving stream may be affected if there is a spill or heavy rain).
Remember that being on the site is the most opportune time to discuss the facility's operations
with the facility's representative. When in doubt, ask for clarification; being hesitant may cause
the inspector to miss potential problem areas.
Wrap -Up Meeting
A wrap-up meeting with the facility official will provide a final opportunity to answer questions,
gather information, present findings and deficiencies as well as remind them of the Good
Housekeeping training material. Inspectors should be prepared to discuss the preliminary
findings of the inspection. However, it is not necessary to share all findings of the inspection
with the facility official, especially if advice or direction is needed on a particular issue. Explain
the next steps in the process and what further communications the Stormwater Division may
have with the facility, such as sending the inspection letter.
Section 4: Filing and Documentation of the Inspection
An important final step in the inspection procedures is the documentation of observations made
during the facility inspection. Inspectors should refer to the contact log, assessment report, and
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letters that accompany report, which are located in:
Y.• I Storm_Mgmtl by_section I by_waterqualityl by ­projects I Good House Keeping Program (Permit
Requirements lPart C Inspection and Evaluation of Facilities. These documents, as well as field
notes, will serve as the main tools to record the findings of the inspection. A general description
of the documentation forms is listed below.
List of Facilities (Appendix A)
This is a list of City of Greensboro facilities and the current ranking assigned to each facility.
The ranking was determined as described in Section 1 of this document.
Assessment Form (Appendix B)
This form should be completed by inspectors while conducting the facility inspection. It has been
designed to give users a checklist of things to cover while doing the inspection. In addition, there
is blank space for comments. Inspectors may find it beneficial to carry a field notebook if extra
space is needed for notes and/or sketches.
Inspection Letters (Appendix C)
This letter template will be used to communicate the findings of the inspection to the facility
representatives. Make sure to have all letters approved by the Water Quality Supervisor and/or
Division Manager prior to sending them to the facility representative.
Inspection Summary Report (Appendix D)
This is a summary report with the address and contact information of the facility. It includes a
GIS snapshot of the property, a list of the areas of concern, written description of the conditions
of those areas and other pertinent information. Finally the report includes recommendations of a
variety of good housekeeping practices specific to certain areas of the facility that will reduce the
risks of generating polluted runoff.
Contact Log for Municipal Inspections (Appendix E)
Inspectors should use the contact log to document correspondence with the facility contact
representative and/or owner. This would include emails, phone messages, voicemail, and letters.
The keeping of a contact log will be especially helpful if questions are raised during the
inspection notification process.
Filing of Documents
A hard copy file of all inspection documents should be created and placed in the current year's
quick reference binder. Last year's inspection information should be moved to the hard copy file
in a section in the file cabinet for City Owned/Operated Facility Inspection. To supplement the
hard copy, an electronic folder should be created for each facility. These electronic folders
should be stored at the following location:
Y.IStorm_Mgmtlby sectionlby_waterqualitylby_projectslGoodHouseKeepingProgramlPermit
Requirements Part C Inspection and Evaluation of Facilities. Create a new folder under the
facilities name with the year of the inspection. This folder is also an appropriate place to store
all photos taken during the inspection.
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Municipal Facilities Inspection Program Page 7 of 14

Municipal facility follow-up
All inspection documentation such as the Site Assessment Report and letter should be sent out to
the main contact for the municipal facility. In addition, a phone call should be made to talk about
the suggested corrective items that the SW inspector has for the facility.
Corrective Actions and Documentation
After the SW inspector has talked to the municipal facility staff about what corrective actions are
recommended, the inspector may schedule a second visit to the facility for a follow-up inspection
to check the corrective items taken. Photographs of the items should be taken for proper
documentation and saved in the Good Housekeeping Program Inspection and Evaluation of
Facilities folder (Y.• I Storm_Mgmtl by_section I by_waterquality I by_projects I Good House Keeping
Program TermitRequirements Part CInspection and Evaluation of Facilities).
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Municipal Facilities Inspection Program Page 8 of 14

Appendix A: List of City Owned Facilities with Rank (April 2022)
Site Name
Type
Address
Rank
Parks and Recreation Maintenance
Office and Operations
320 E FRIENDLY AVE
H
City Fueling Station & Salt Barn
Office and Operations
6900 DOWNWIND RD
H
Bryan Park Complex
Magnet Park
6275 BRYAN PARK RD
H
Parks and Recreation Maintenance
Office and Operations
316 E FLORIDA ST
H
Tanger Family Bicentennial Gardens
Public Garden
1105 HOBBS RD
H
Greensboro Coliseum
Special Facility
1921 W LEE ST
H
Forest Lawn Cemetery
Cemetery
3901 FOREST LAWN DR
M
Caldwell Park
Community Park
3211 W CORNWALLIS DR
M
Carolyn Allen Park and Athletic Complex
Community Park
3610 DRAWBRIDGE PKWY
M
Fire Station #01
Fire Station
1514 N CHURCH ST
M
J. Edward Kitchen Operation Center
Office and Operations
2602 S ELM-EUGENE ST
M
Transfer Station
Office and Operations
6310 BURNT POPLAR RD
M
Greensboro Arboretum
Public Garden
401 ASHLAND DR
M
Jaycee Park
Regional Park
3802 JAYCEE PARK DR
M
Country Park
Regional Park
3905 NATHANAEL GREENE DR
M
Barber Park
Regional Park
1500 DANS RD
M
Hester, Oka T Park
Regional Park
800 AILANTHUS ST
M
Curb Market
Special Facility
501 YANCEYVILLE ST
M
Natural Science Center
Special Facility
4301 LAWNDALE DR
M
Greensboro Arts Center
Special Facility
200 N DAVIE ST
M
Gillespie Golf Course
Sports Facility
306 E FLORIDA ST
M
Mitchell Water Treatment Plant
Water/Sewer Facility
1041 BATTLEGROUND AVE
M
Lake Townsend Treatment Plant
Water/Sewer Facility
6268 BRYAN PARK RD
M
Green Hill Cemetery
Cemetery
901 WHARTON ST
L
Maplewood Cemetery
Cemetery
235 BINGHAM ST
L
Latham Park
Community Park
905 CRIDLAND RD
L
Peeler Recreation Center
Community Park
1300 SYKES AVE
L
Windsor Recreation Center
Community Park
1601 E LEE ST
L
Glenwood Recreation Center
Community Park
2010 COLISEUM BLVD
L
Craft Recreation Center
Community Park
3911 YANCEYVILLE ST
L
Price Park
Community Park
1420 PRICE PARK DR
L
Smith Senior Center
Community Park
2401 FAIRVIEW ST
L
Lewis Center
Community Park
3110 FOREST LAWN DR
L
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Site Name
Type
Address
Rank
Brown Center Park
Community Park
302 E VANDALIA RD
L
Market St Park
Community Park
3299 STARMOUNT DR
L
Lindley Recreation Center
Community Park
2907 SPRINGWOOD DR
L
Warnersville Recreation Center
Community Park
601 DOAK ST
L
Nocho Park
Community Park
1010 DUKE ST
L
Leonard Recreation Center
Community Park
6324 BALLINGER RD
L
Keeley Park
Community Park
4138 KEELY RD
L
Fire Station #10
Fire Station
4208 HIGH POINT RD
L
Fire Station #49
Fire Station
4302 W FRIENDLY AVE
L
Fire Station #48
Fire Station
1400 W VANDALIA RD
L
Fire Station #18
Fire Station
5903 BALLINGER RD
L
Fire Station #41
Fire Station
4504 LAKE BRANDT RD
L
Fire Station #14
Fire Station
3633 SUMMIT AVE
L
Fire Station #52
Fire Station
1000 MEADOWOOD ST
L
Fire Station #08
Fire Station
2201 COLISEUM BLVD
L
Fire Station #56
Fire Station
820 FRANKLIN BLVD
L
Fire Station #20
Fire Station
8404 W MARKET ST
L
Fire Station #17
Fire Station
6405 OLD OAK RIDGE RD
L
Fire Station #40
Fire Station
1805 PISGAH CHURCH RD
L
Fire Station #05
Fire Station
1401 WESTOVER TER
L
Fire Station #53
Fire Station
2013 WILLOW RD
L
Fire Station #04
Fire Station
401 GORRELL ST
L
Fire Station #61
Fire Station
105 W VANDALIA RD
L
Fire Station #43
Fire Station
4854 LAKE JEANETTE RD
L
Franklin Blvd, 816
Fire Station
816 FRANKLIN BLVD
L
Fire Station #57
Fire Station
1539 MT HOPE CHURCH RD
L
Fire Station #21
Fire Station
2870 HORSEPEN CREEK RD
L
Fire Station #02
Fire Station
5109 N CHURCH ST
L
Fire Station #07
Fire Station
1064 GATEWOOD AVE
L
Logan St, 905
Library
905 LOGAN ST
L
Vance Chavis Library
Library
900 S BENBOW RD
L
Hemphill Branch Library
Library
2301 W VANDALIA RD
L
Glenwood Library
Library
1901 W FLORIDA ST
L
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Site Name
Type
Address
Rank
Benjamin Library
Library
1530 BENJAMIN PKWY
L
McGirt-Horton Library
Library
2509 PHILLIPS AVE
L
Central Library
Library
219 N CHURCH ST
L
Caldcleugh Center Park
Mini Park
1700 ORCHARD ST
L
Greensboro Municipal Credit Union
Downtown
Office and Operations
217 N GREENEST
L
McKnight Mill Rd, 2320-2330
Office and Operations
2320 2330 MCKNIGHT MILL RD
L
Governmental Plaza
Office and Operations
300 W WASHINGTON ST
L
Bardolph Building
Office and Operations
301 E WASHINGTON ST
L
Parks and Recreation Maintenance
Office and Operations
320 E FRIENDLY AVE
L
Central City Services
Office and Operations
611 HOMELAND AVE
L
Cone Building
Office and Operations
1101 FOURTH ST
L
Sanford Smith Building
Office and Operations
514 YANCEYVILLE ST
L
Greensboro Municipal Credit Union
Soabar St
Office and Operations
301 SOABAR ST
L
Huffine Mill Rd, 1824
Office and Operations
1824 HUFFINE MILL RD
L
Justice Building
Office and Operations
1201 COLISEUM BLVD
L
Davie Parking Deck
Parking Deck
109 E MARKET ST
L
Bellemeade Parking Deck
Parking Deck
220 N GREENEST
L
Greene Street Parking Deck
Parking Deck
211 S GREENE ST
L
Church Street Parking Deck
Parking Deck
215 N CHURCH ST
L
Elm Street and McGee Street
Parking Lot
Parking Lot
336 S ELM ST
L
Guilford Metro 911 Storage Parking
Lot
Parking Lot
1106 PERRY ST
L
Spring Garden St, 211
Parking Lot
211 SPRING GARDEN ST
L
Coliseum Blvd, 1011
Parking Lot
1011 COLISEUM BLVD
L
Coliseum Parking Lot
Parking Lot
1730 W LEE ST
L
Elm Street and Greene Street
Parking Lot
Parking Lot
328 S ELM ST
L
MLK Jr Drive and S Elm Street
Parking Lot
Parking Lot
501 S ELM ST
L
Federal PI and Washington St
Parking Lot
Parking Lot
305 W WASHINGTON ST
L
Depot Complex Lot
Parking Lot
323 S DAVIE ST
L
Summit Ave/Lindsay St Parking Lot
Parking Lot
127 SUMMIT AVE
L
Maple Street Police Station
Police Facility
1106 MAPLE ST
L
Swing Road Station
Police Facility
300 S SWING RD
L
Police Department Headquarters
Police Facility
320 FEDERAL PL
L
Gateway Gardens
Public Garden
2800 E LEE ST
L
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Site Name
Type
Address
Rank
The Bog Garden
Public Garden
3238 NORTHLINE AVE
L
Dudley School
School Shared Use
Facility
1200 LINCOLN ST
L
Grimsley School
School Shared Use
Facility
801 WESTOVER TER
L
Page School
School Shared Use
Facility
201 ALMA PINNIX DR
L
Allen Middle School
School Shared Use
Facility
1108 GLENDALE RD
L
Unknown
Shared Use Facility
1501 HUFFINE MILL RD
L
Lake Daniel Reservoir
Special Facility
520 BENJAMIN PKWY
L
Canada Dry Property
Special Facility
2411 HIGH POINT RD
L
Aldersgate Senior Citizens
Center
Special Facility
2608 MERRITT DR
L
Greensboro Sportsplex
Sports Facility
2400 16TH ST
L
Lindley Pool
Sports Facility
2914 SPRINGWOOD DR
L
War Memorial Stadium
Complex
Sports Facility
510 YANCEYVILLE ST
L
Haw River Pumping Station
Water/Sewer Facility
7415 BROOKS BRIDGE RD
L
Lake Brandt Pumping
Station
Water/Sewer Facility
5966 LAKE BRANDT RD
L
Aycock Street Tank
Water/Sewer Facility
607 S AYCOCK ST
L
Air Harbor 20 MG Reservoir
Water/Sewer Facility
516 AIR HARBOR RD
L
Regional Road Tank
Water/Sewer Facility
801 N REGIONAL RD
L
Winola Court Tank
Water/Sewer Facility
111 WINOLA CT
L
GTCC Northwest Campus
Water/Sewer Facility
7998 LEABOURNE RD
L
Lake Higgins Marina
Watershed Park
4235 HAMBURG MILL RD
L
Lake Townsend Marina
Watershed Park
6332 TOWNSEND RD
L
Lake Brandt Marina/offices
Watershed Park
5945 LAKE BRANDT RD
L
Service Cenj
Ferations
401 PATTON
NPDES
GTA Operations Facility and
Administrative Offices
Office and Operations
221 W MEADOWVIEW RD
NPDES
White Street Landfill
Office and Operations
2503 WHITE ST
NPDES
North Buffalo Water
Reclamation Facility
Water/Sewer Facility
2199 WHITE ST
NPDES
T.Z. Osborne Water
Reclamation Facility
Water/Sewer Facility
2350 HUFFINE MILL RD
NPDES
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Municipal Facilities Inspection Program Page 12 of 14

Appendix B: Site Assessment Report
City ofGreenshoro — Site Assessment Report
CREEhM93R4
FACILITY INFORMATION
Date:
Facility:
Address:
Contact:
Phone:
CHECKLIST: PREVENTATIVEMAIN TENANCE}GOODHOUSEKE EPING
J=InCDmpliance X = Needs Remediation NA = Not Applicable
Materials arestared in areas that limitexpasureta precipitation or runoff.
Materials (e.g., chemicals}are properly labeled.
Above -ground staragetanks and material -handling areas have adequate secondary cantainmen=.
includingfunctianing valves/locks.Processes
are in place for properly removing rainwaterframsecandary containment.
Loading and unloading areas are praperly maintained to prevent non-ktq w " discharges.
Vehiclelequipmentmointenance areas are praperly maintained.
Vehicle andlor equipmentwas hing is done in an area so that wasteorater can be praperly managed.
Leaks atmaterial-handling areas and fuelingstatians are praperly contained,with procedures in
placefar proper disposal.
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Appendix C: Letter to accompany report
GRnEHSBOR0
4GPIm C501441tiA
1pate]
[Name, Title]
[Department]
[Address]
Ore ensboro,-NC [zip]
F E.= Municipal Fa cilitie s Asse ssment Program
[Facility Name] [Facility Address]
Dear [NIr.,Ms] [lastnarne]=
On [Date]: [Inspector name] with the Stommater IvIanagemerrt Division conducted an
assessmentof[facilitvname]locatedat[streetaddress]. Thanks again toall [deparnnentor
name] personnel x-,ho attended Plea se re a dthe enclose drep ort, which reviews details of the
assessment.
This report details the different components ofthe assessment including specific are obsennation
and arry re c on=ndations for corrective actions
[S„nun rizemainconeemsandreconzimidanon€here]
Iv�zllbeirncontactvAthvoutofollowuponthisrep ort. Pleasedoyour besttoimplemerrtany
recomnyndedcorrecuve actions and to continue tobe aware o f v ourgoodhousekeepnng
practices.
Thanks again foryourtime andcooperation Ifvouhavea7questionsorconcems,please
c ontactme at [phorbe] or [email].
Sincerely,
[Name]
[Title]
CC: David Phlegar,Storrrr.-.aterDi-,-isionlianager
Peter Schneider. Water Qualit-,- Sup en-isor
File
PO BOX 3136 • GREEN5B01R0 NC 37'103.3136 • WWMGREEN5B000•NC,630V • 336.373•CITY
FA0
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Appendix D: Inspection Report
Facility Name
Inspection Date:
Contact Information:
Address of facility
Contact: Name & phone
Areas of Concern:
List out the areas
Area: Narrative about the particular area and why it is a concern. Be sure to list any procedures
in place to reduce potential for limiting and/or generating polluted run off.
Other: This is a spot for any other observastions or procedures that we'd like to make note of
that may not fit anywhere else. Questions or issues from the site, where they are asking us for a
resolution.
Recommendations: The division's recommendations on practices or procedures that could limit
potential run off.
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Municipal Facilities Inspection Program Page 15 of 14

Appendix E: Contact Log for Municipal Inspections
Contact Log for Municipal Inspections
Date:
Type of Contact (On -site, telephone/voicemail, letter, etc.):
Contact with whom (name and position/title):
Contact phone number (if applicable):
Nature of Contact:
Date:
Type of Contact (On -site, telephone/voicemail, letter, etc.):
Contact with whom (name and position/title):
Contact phone number (if applicable):
Nature of Contact:
Date:
Type of Contact (On -site, telephone/voicemail, letter, etc.):
Contact with whom (name and position/title):
Contact phone number (if applicable):
Nature of Contact:
Date:
Type of Contact (On -site, telephone/voicemail, letter, etc.):
Contact with whom (name and position/title):
Contact phone number (if applicable):
Nature of Contact:
Date:
Type of Contact (On -site, telephone/voicemail, letter, etc.):
Contact with whom (name and position/title):
Contact phone number (if applicable):
Nature of Contact:
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