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Home My WebLink AboutNCS000240_Municipal Facility Inspection SOP_20220930City of Charlotte NPDES MS4 Permit Program Municipal Good Housekeeping and Pollution Prevention Inspection and Monitoring Program Standard Operating Procedure Charlotte -Mecklenburg STORM WATER Services M Permit Numbers NCS000240 Version 8.0 November 2021 Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 (& and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Document Approval The following City of Charlotte staff have reviewed and approved this Municipal Good Housekeeping and Pollution Prevention Inspection and Monitoring Program Standard Operating Procedure document as of the date shown below: Name Title Signature Date Craig Miller NPDES MS4 Permit Craig Mi.(it r 11/16/2021 Supervisor(City) Richard Farmer Water Quality n / IG�/w.ci 11/22/2021 Supervisor (County) Andrew DeCristofaro Water Quality Program Specialist (City) �l 11/17/2021 Julianna Hawley Environmental Specialist II (County) 11/17/2021 Tim Besier Environmental Specialist II(County) v 11/17/2021 Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 ((b and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Document Revision History This Municipal Good Housekeeping and Pollution Prevention and Good Housekeeping Inspection and Monitoring Program Standard Operating Procedure document has been revised as of the dates shown below: Version Effective Lead Author Summary of Changes Number Date 1.0 May 2008 Craig Miller Original Version 2.0 July 2011 Craig Miller General updates to SOP and appendices 3.0 August 2013 Craig Miller General updates to SOP and appendices 4.0 August 2014 Craig Miller General updates to SOP and appendices 5.0 August 2015 Craig Miller General updates to SOP and appendices 6.0 August 2017 Kristen O'Reilly General updates to SOP and appendices 7.0 December Craig Miller General updates to SOP and appendices. Addition 2020 of table of contents. November General updates to SOP and appendices. Addition 8.0 2021 Craig Miller of document approval and document revision history tables. ii Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 ((b and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Table of Contents 1. PROGRAM MANAGEMENT.................................................................................................................................. I 1.1. Purpose and Background.........................................................................................................1 1.2. Program Organization..............................................................................................................1 1.3. Program Schedule....................................................................................................................2 1.4. Quality Objectives and Criteria...............................................................................................3 1.5. Documentation and Records....................................................................................................3 2. PROGRAM IMPLEMENTATION.......................................................................................................................... 4 2.1. Prioritization Strategy..............................................................................................................4 2.2. Equipment and Tools...............................................................................................................5 2.3. Staff Preparation and Training.................................................................................................5 2.4. Implementation Methods and Procedures................................................................................5 3. ASSESSMENT AND RESPONSE ACTIONS......................................................................................................... 9 List of Appendices: Appendix A Facilities Contact List.................................................................................. i Appendix B Facility Inspection Report/Checklist............................................................x Appendix C Facility Inspection Report Cover Letter Template ................................ xviii Appendix D Corrective Action Document Form for Facility Inspections .....................xx Appendix E Corrective Action Documentation Form for Monitoring Benchmark Exceedances............................................................................................ xxii iii Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 ((b and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ 1. PROGRAM MANAGEMENT 1.1. Purpose and Background Certain municipal facilities, such as street maintenance yards, fleet maintenance garages, and wastewater treatment plants, conduct activities that, when not managed properly, may generate polluted stormwater runoff and negatively impact surface water quality. Sometimes their field operations may do the same. The purpose of the municipal facility inspection and monitoring program is to evaluate those municipal facilities and field operations, and based on those evaluations, implement practices to minimize polluted runoff. The City of Charlotte's MS4 NPDES permit, under Section G "Pollution Prevention and Good Housekeeping for Municipal Operations," requires that facilities identified through an inventory process be evaluated for good housekeeping and pollution prevention as it relates to stormwater runoff. The inventory process, as described in the City's Municipal Facility Inventory Procedures, involves reviewing all city -owned properties based on a set of criteria. Those properties meeting certain criteria, mainly a significant potential to generate polluted stormwater runoff, are included in the municipal inspection and monitoring program. The permit requires that when deficiencies are identified through inspections and monitoring, corrective actions must be implemented to address pollution sources. The permit also requires that facilities included in the final inventory must have a Stormwater Pollution Prevention Plan (SPPP). Facilities with their own general stormwater permit certificates of coverage have full SPPPs as required by their permits, while all other facilities have condensed SPPPs that cover key good housekeeping and pollution prevention elements. All SPPPs are reviewed for proper implementation and updated annually. Another component of the inspection program is evaluations of municipal field operations. Many crews conduct services throughout the city that impact stormwater quality. Field operations, such as landscaping, street maintenance, and building maintenance, may generate stormwater pollution when not managed properly. Other operations, such as catch basin cleaning and street sweeping, reduce stormwater pollution. Both types of operations have been and will continue to be evaluated. Charlotte -Mecklenburg Stormwater Services (CMSWS) works with key personnel within those operations to implement best practices and conduct corrective actions where needed. 1.2. Program Organization The Water Quality Program Specialist (WQPS) on the Surface Water Quality Team, NPDES Permit Group, is responsible for overall management and oversight of the Municipal Good Housekeeping and Pollution Prevention inspection and monitoring program. The WQPS conducts facility inventory updates, prioritizes sites for inspections, participate in inspections, reviews and issues inspection and Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 ((b and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ monitoring reports, reviews and updates SPPPs, evaluates field operations, works with site personnel and management on corrective actions, develops policies and procedures, and measures program effectiveness. Employees of the Mecklenburg County Land Use and Environmental Services Agency Water Quality Program (LUESA-WQP), which is a part of CMSWS, are also directly involved in the program. Staff schedule and conduct facility inspections and monitoring and prepare draft inspection and monitoring reports. LUESA-WQP implements many permit program requirements through contract services for the City of Charlotte. Select employees are involved in the municipal inspection and monitoring program. Project Leads from LUESA-WQP are responsible for overall implementation of activities described for this program in the contract Work Plan. The City's NPDES Program Supervisor and Surface Water Quality Program Manager also provide direction and oversight for the program. 1.3. Program Schedule The current NPDES permit term is from October 2018 through October 2023. The Municipal Facility Program Inventory, Appendix A, lists all facilities that are inspected each year. The Inventory also lists each facility's address, contact names, and phone numbers. The Inventory was developed in 2007 and is updated annually, as needed, according to the Municipal Facility Inventory Procedures. All facilities listed on the inventory are inspected, at a minimum, semi-annually, with permitted vehicle maintenance facilities on a quarterly inspection schedule per permit requirements. One inspection is coordinated and led by CMSWS personnel, but conducted with site personnel, while the other inspections are done autonomously by site personnel. The decision to conduct semi-annual inspections at non -permitted facilities was made in order to maintain a regular presence and provide adequate direction and oversight, with the goal of minimizing polluted stormwater. An exception to the above statements is fire stations, which are inspected once every five years. Fire stations were not identified as facilities with a significant potential for generating polluted stormwater runoff; however, there are certain on -site activities that warrant inspections on a less frequent basis. Evaluation of pollution -generating activities within field operations is conducted on an ongoing basis. The evaluation process involves conducting field observations, meeting with both management and field staff to collect information about operations, and working with them to develop and implement best practices to minimize stormwater pollution. Because there are many field operations that may impact stormwater, the process is on an ongoing process throughout and beyond the permit term. 2 Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 (& and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ 1.4. Quality Objectives and Criteria The main objective of the inspection program is to prevent or otherwise reduce stormwater pollution at municipal facilities and operations, with an overall goal of protecting the municipal stormwater system and surface water quality. To help accomplish the main objective and goal, specific program objectives are as follows: • Implement corrective actions (mainly best management practices) at facilities and in field operations where deficiencies are identified. • Instill a sense of ownership among municipal facility and field personnel concerning our municipal stormwater system. • Conduct all inspections, monitoring, SPPP updates, and documentation as required in the City's NPDES MS4 permit and specified in this SOP. Achievement of these objectives and goals are measured against a set of criteria in order to help measure program success. The criteria used to measure achievement of objectives and goals include: • Accomplishment of corrective action items • The number of outfalls at permitted facilities meeting monitoring benchmarks • The percentage of facility inspections, required monitoring, and SPPP reviews completed annually (goal = 100%) Please note that additional details for monitoring activities are in CMSWS' Industrial/ Municipal Monitoring Program Standard Administrative Procedures (SAP) Quality Assurance Project Plan (QAPP), which is part of a larger QAPP document. This larger QAPP document details monitoring procedures conducted by LUESA staff that support a variety of CMSWS programs. 1.5. Documentation and Records At the beginning of each permit term year, the LUESA-WQP MH-I and MH-M Program Leads generate inspection and monitoring work orders within Cityworks for all facilities to be inspected. Cityworks is a GIS-based database used by CMSWS and other agencies to store and track environmental data and generate reports. The appropriate work plan program designations are MH- I(1) for inspections and MH-M(1) for monitoring . Inspectors enter key information about the inspection/facility and attach all reports, checklists, pictures, and monitoring results to the activity report. The LUESA-WQP MH-I and MH-M Program Leads review and close out all activity reports. The Facility Inspection Report/Checklist, Appendix B, is used to ensure specific items are reviewed during the inspection. The first page is where information about the facility contacts, 3 Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 (& and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ operations, and history are recorded. An inspection summary is also on the first page, and that is where the Inspector discusses key issues, findings, and corrective action recommendations. Specific areas and issues to inspect, such as vehicle fueling and waste storage areas, are covered on the next two pages. All elements of the facility's SPPP are covered next followed by monitoring issues and finally a list of items for Phase II MS4 permittees (inspection form is also used by Mecklenburg County's Phase II program). The report/checklist was designed to work for both permitted and non - permitted facilities. After all information is collected during the inspection, the form is filled out electronically and sent along with a cover letter (Facility Inspection Report Cover Letter Template in Appendix C) as the final report. The WQPS transcribes recommendations for corrective actions in inspection reports to a Correction Actions Documentation Sheet (Appendix D) and sends that with the final report. Further details about the forms and program procedures are in section 135. 2. PROGRAM IMPLEMENTATION 2.1. Prioritization Str9M Priorities for the Municipal Inspection and Monitoring Program depend on several factors. For facility inspections, they include whether a facility has an NPDES Stormwater permit and the facility's potential for generating significant polluted stormwater runoff, as stated in the MS4 permit. The plan is for all facilities listed in the inventory to be inspected at least semi-annually, once by CMSWS personnel and once autonomously by facility personnel. Facilities with an NCG08 Permit for Vehicle Maintenance are required to be inspected quarterly as of July 1, 2021, once by CMSWS personnel and the remaining inspections conducted autonomously by facility personnel. Inspections are conducted to maintain a regular presence and provide adequate direction and oversight to minimize polluted stormwater at target facilities. Facility stormwater monitoring is required at all facilities with an NPDES Stormwater permit. CMSWS personnel conduct monitoring at six of the facilities: two CATS bus maintenance facilities, Central Yard, the Heavy Equipment Shop, the Light Vehicle Maintenance Facility, and 12a' Street Fleet Maintenance. Six conduct their own monitoring including the five wastewater treatment plants (qualitative monitoring only) and the airport. Field operations are quite numerous and varied, including activities such as street maintenance, water/sewer line repair, landscaping, and construction. Factors determining priorities for field operations evaluations include their potential for impacting stormwater quality, the types and quantity of pollutants generated, geographic extent of impact, and others. Basically, operations/activities that have a large potential to impact stormwater quality, generate illicit discharges, have large field crews C! Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 ((b and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ who work throughout the city, and generate pollutants listed as impairing 303(d)-listed streams receive top priority. 2.2. Equipment and Tools Following is a list of safety gear, equipment, and tools that may be needed to implement the inspection program. Equipment and tools needed for monitoring are also discussed in the Monitoring Program QAPP. Safe . Gear hard hat reflective safety vest hearing protection rainwear coveralls or change of clothes gloves safety toe footwear 2.3. Staff Preparation and Training Equipment/Tools credentials/ID standard forms and checklists logbook/notebook and pen cell phone copies of previous reports watch flashlight permit copy tape measure calculator GIS iPhone App All facilities have records in Cityworks as well as electronic copies of documents on the City's G drive. Typically, staff are assigned the same facilities to inspect each year so they maintain familiarity with it, but if someone is not familiar with a site's history, past reports should be reviewed prior to conducting inspections in order to obtain historical information and determine progress toward corrective actions and pollution prevention in general. Staff should also review the facility's SPPP and relevant maps. LUESA-WQP staff also receive annual refresher training on the inspection and monitoring program and procedures. The training is prepared and conducted by the LUESA-WQP Program Leads. The training consists of a Power Point presentation that comprehensively covers all elements of the program. New staff read this SOP and shadow experienced staff throughout the inspection and documentation process until they demonstrate adequate knowledge and skills to lead inspections and monitoring. 2.4. Implementation Methods and Procedures 5 Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 (& and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ 2.4.1 Facility Inspections The main difference between municipal and private industrial facility inspections is that industrial inspections are regulatory -focused while municipal inspections are more audit -focused. Since municipal inspections are internal (meaning, one local government entity is looking at another), an Inspector's role is one of assistance and collaboration. They should interact with facility personnel to reflect the assistive nature, but also make them aware that facility cooperation is vital. Facility personnel must take ownership of stormwater issues at their facilities by implementing good housekeeping and pollution prevention practices on a day-to-day basis, assisting with and conducting inspections, and performing corrective actions recommended after inspections. Once Inspectors are assigned facilities to inspect, they follow a similar process for each. An inspection appointment is made with appropriate facility contacts and the City's WQPS. Information in facility files, including previous inspection reports, monitoring data, photos, and maps, is reviewed. Inspectors identify previous deficiencies and recommended corrective actions to determine progress during the inspection process. On the day of the inspection, Inspectors hold a brief opening meeting with facility personnel. The purpose of the opening meeting is to discuss the purpose of the inspection, what will be reviewed and evaluated, and what will be done following the inspection in terms of a written report and implementation of corrective actions. If the facility has an NPDES Stormwater permit, compliance with permit requirements is reviewed at that time. Proper implementation of the facility's SPPP is also reviewed. Inspectors primarily focus on outdoor areas exposed to stormwater, although indoor areas should be inspected too. Examples of focus areas include materials storage, material loading/unloading, fueling, maintenance, vehicle and equipment washing, stormwater drainage system, outfalls, and structural control measures. The Facility Inspection Report/Checklist (Appendix B) is used to conduct the inspection. Inspectors take photos of deficient areas and any areas that may be discussed in the evaluation report. They also record notes to help remember details when it comes time to write the report. Inspectors follow all internal safety rules as well as those of the department and facility being inspected. They also ensure that at least one employee from the facility, preferably the facility Manager, accompanies them throughout the entire inspection. Following the site inspection, the Inspector reviews observations, especially any deficient items, that will be discussed in the final report with facility personnel. Recommendations for correcting deficient items may be offered as well. It is also explained that a written report will be sent from the WQPS to appropriate departmental personnel and follow-up from CMSWS will occur for assistance and to determine progress on implementing corrective actions. Cel Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 (& and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Within 10 working days after an inspection, the Inspector enters relevant information into Cityworks and attaches photos. The purpose of the report is to provide a summary of inspection observations and recommendations for improvement. Each recommendation provided should correlate to a deficiency or poor management practice discussed in the report. To provide balance and positive re - enforcement, good management practices and conditions should be highlighted in the report as well. Data fields in sections I — IV are filled out for City facilities. "N/A" may be entered for some fields if the information is not relevant to a particular facility. The draft report is submitted electronically to the LUESA-WQP MH-I Program Lead, who then reviews the report and sends it back to the Inspector for edits. LUESA-WQP staff also review and update each facility's SPPP annually. The draft report and updated SPPP are then submitted electronically to the WQPS at the City of Charlotte The WQPS reviews the draft report and edits it as appropriate. The WQPS also prepares a cover letter using the Facility Inspection Report Cover Letter Template in Appendix C and transcribes recommendations from the report to a Correction Actions Documentation Sheet (Appendix D). The WQPS also reviews the draft updated SPPP and makes edits to create a final version. Final versions of all documents are saved to the Cityworks reports created by the Inspector. The WQPS sends the final documents to the facility Manager and copies to that person's Manager and others involved in the inspection. The Manager is directed to place documents in their SPPP. They're also directed to implement the corrective actions, as necessary, complete the documentation sheet with comments on actions taken and completion dates, and return the sheet to the WQPS. The WQPS periodically needs to communicate with facility staff to ensure completion of corrective actions and returning of the completed sheet. 2.4.2 Facility Monitoring Standard Administrative Procedures for municipal facility stormwater monitoring are in the Industrial/ Municipal Monitoring Program SAP/QAPP, a document that is part of a larger QAPP for the variety of monitoring LUESA staff conduct. All six of the City facilities with required analytical monitoring requirements have permit coverage under NCG080000 (Transit & Transportation/Vehicle Maintenance); qualitative monitoring is required as well. Permit monitoring requirements are found here: https:Hdeq.nc.gov/media/20028/download. Three of the six facilities have representative outfall status. The WQPS maintains documentation of approval of the representative status. After monitoring results are received from the lab, Inspectors review the data and determine if any permit benchmark excursions have occurred. They enter the data into a spreadsheet that has the history of all six facilities' monitoring results and keeps up with each outfall's Tier status. Inspectors also fill out qualitative monitoring reports based on observations recorded during monitoring. Within five working days from receiving lab results, the Inspector fills out Discharge Monitoring Reports 7 Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 (& and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ (DMRs) and, after review of the data by the County's Data Analyst, attaches them and the qualitative monitoring reports to Cityworks reports and notifies the WQPS of the report numbers. The WQPS reviews the results, signs the DMRs (or gets someone with signatory authority to sign them), and submits the DMRs to DEQ. Copies of all DMRs, lab data, and qualitative monitoring forms are sent to facility Managers to include in their SPPPs. They are also attached to Cityworks reports created by LUESA-WQP staff and saved to the City's G drive under the Municipal Good Housekeeping program folder. If analytical data results are not within permit benchmark ranges, the WQPS coordinates appropriate follow-up based on permit requirements for Tier 1, 11 and III responses. This includes coordinating with facility staff on appropriate corrective actions and all Tier I/I1/1I1 paperwork and reporting. An example of a benchmark excursion corrective action document forms is in Appendix E. Copies of all paperwork are kept in facility SPPPs and electronically on the City's G drive. 2.4.3 Field Operations Evaluations From 2007 - 2014, a variety of field operation activities were evaluated by conducting a series of meetings and field observations and working with management and personnel to improve practices and develop written best management practices. The evaluation process began with information gathering. Meetings were held with management personnel from various departments to discuss the types of field activities they conduct, the policies and procedures they have in place and any concerns or questions. Following meetings with management, field observations were conducted. The field observations allowed a first-hand look at how activities are being conducted, what the potential stormwater impacts are, and what procedural alternatives may be available. Staff set up "ride -along" field observations through appropriate management personnel. After meetings and field observations were conducted, staff worked with personnel to implement improvements. In most cases the changes focused on reducing impacts to stormwater, but in some cases where the operations provide a benefit (e.g., street sweeping), changes focused on improving efficiency. Staff provided feedback quickly after each field operation was evaluated and worked with personnel to develop a summary of the best management practices appropriate to their work. Since this initial evaluation was completed in 2014, staff have focused on communicating best management practices in annual municipal good housekeeping and pollution prevention training and evaluating practices with personnel from various departments in much the same way it was done initially. The main difference is that the evaluation process is currently triggered when staff discover a concern, primarily through staff field observations at City work sites and reports from the public and internal staff. Once an initial investigation into a reported problem is complete, staff N. Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 ((b and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ communicate with management personnel, conduct field observations and work with staff to establish best management practices. Depending on the issue, evaluating field operations and working with personnel to implement new practices can be a long-term, ongoing process. Others may be fairly simple and require less time. The process does not end at the end of the five-year permit term. The goal is to bring about improvements through the process, so evaluations and corrective actions will likely change over time. Approach strategies are re-evaluated and implemented appropriately as the program evolves. 3. ASSESSMENT AND RESPONSE ACTIONS The municipal inspection program is assessed annually to determine the following: • Are procedures described in this Plan being followed? • If procedures are not being followed properly, what steps should be taken to ensure that they are? • What progress has been made toward achievement of goals and objectives? • Does the Plan need to be modified based on the assessment outcome? The City's WQPS conducts the assessment and obtains information for the assessment through input from the LUESA-WQP Program Leads and Inspectors assigned to the program. Input is also sought throughout the year by talking to management and other employees involved in the facility inspection/monitoring and field operations evaluation process. Other key assessment metrics are monitoring results, observations during inspections and field evaluations, and the implementation of recommended corrective actions and best management practices. Based on the outcome of the assessment, specific actions are taken by the WQPS to improve the program, including items such as revising this Plan, modifying the inspection and field evaluation process, and/or modifying how follow-up activities are conducted. Z Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Ef£ Date: November 2021 CI IARWTTE.. Appendices• Attachment A Facilities Contact List Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Facility Physical Address Contact Title Phone # Notes Name Charlotte- 5501 Josh Jimmy Environmental • Cell: 980-288- Alternate contact is Joshua Eller Douglas Birmingham Jordan Affairs Manager 3793 704-793-7706 International Pkwy., Charlotte, • Desk: 704-359- Mailing address is CLT Airport NC 28208 4789 Douglas Airport, CLT Center - Engineering, 5601 Wilkinson Blvd, Charlotte, NC 28208 CMPD - 8315 Byrum Dr., Josh Animal Control 704-336-4423 Alternative contact is Lori Todd Animal Charlotte, NC Fisher Division Director 704-336-6693 Control Shelter 28217 CATS Bus 3145 S. Tryon St., Jim Fox Superintendent of office: 704-336- Alternative contact is Frank Maintenance Charlotte, NC Maintenance 4075 Pisauro. 704-432-4081 Operations 28217 mobile: 980-721- Facility 9473 CATS Transit 901 N. Davidson Johnny Superintendent of office: 704-578- Maintenance St., Charlotte, NC Williams Maintenance 8862 Operations 28202 Center CATS Transit 310 E. Trade St., Louis Properties office: 704-375- Alternative contact is John Center Charlotte, NC Crespo Manager 1000 Pierson, CATS 28202 mobile: 704-516- 5728 CATS Light 3305 Pelton St., John Facility/Property cell: 980-721-1397 Rail Charlotte, NC Pierson Supervisor Maintenance Facility - South CATS Light John Facility/Property cell: 980-721-1397 Rail Pierson Supervisor Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Maintenance Facility - North CDOT - Craig 3701 Craig Ave., Earnest Operations 704-353-1616 alternate contact is main #: 704- Avenue Charlotte, NC Franklin Supervisor 336-3200 Operations 28211 CDOT — Street 4411 Northpointe Jeremy Field Operations Cell: 704-309-2730 alternate contact is Tony Maintenance Industrial Blvd., Hill Supervisor Bartlett, 704-336-8493 or Northwest Charlotte, NC Stephen Bolt 704-336-2584, District 28216 Superintendent CDOT — Street 6001 General Kelvin Operations Cell: 704-432-4618 alternate contact is Ken Maintenance Commerce Dr., Miller Supervisor Bonham 704-432-2215 or Northeast Charlotte, NC Stephen Bolt 704-336-2584, District 28213 Superintendent CDOT — Street 4600 Sweden Rd., Tom Operations 980-365-3588 alternate contact is Stephen Bolt Maintenance Charlotte, NC Shabani Supervisor 704-336-2584, Superintendent Southwest 28273 District Charlotte 4000 Westmont Jason Operator in 704-357-1344 Water - Irwin Dr., Charlotte, NC Bolic Responsible Creek WWTP 28217 Charge Charlotte 12400 Hwy 29 N, Henry Operator in 980-214-5977 Water - Charlotte, NC Eudy Responsible Mallard Creek 28262 Charge WWTP Charlotte 12701 Lancaster Kim Operator in 704-542-0736 Water - Hwy, Pineville, Neely - Responsible McAlpine 28134 WWTP Charge Creek WWTP David St. Zone 3 Field Call: 704-506-1886 & Zone 3 Field Laurent - Operations Operations Zone 3 Manager Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Charlotte 4901 Neck Rd., Darrell Operator in office: 704-875- Water - Huntersville, NC Dewitt Responsible 6443 McDowell 28078 Charge Creek WWTP Charlotte 5301 Closeburn Billy Operator in 704-556-9397 Water - Sugar Rd., Charlotte, NC Allen Responsible Creek WWTP 28210 Charge Charlotte 11609 Hord Dr., William Zone 1 Field Cell: 704-309-3532 Water - Field Huntersville, NC Lee Operations Operations Manager Zone 1 Charlotte 5730 General Matthew Zone 2 Field Cell: 704-301-7827 alternate contact is Don Keaton, Water - Field Commerce Dr., Morris Operations 704-336-6146 Distribution Charlotte, NC Manager Zone 2 28213 Charlotte 4100 W. Tyvola Edric Zone 4 Field 980-307-3990 Water - Field Rd., Charlotte, NC Williams Operations Operations 28208 Manager Zone 4 Charlotte 12548 Pump Tim Plant Supervisor 704-507-5267 Water - Station Rd., Carver Catawba Pump Charlotte, NC Station 28216 Charlotte 5200 Brookshire Terry Plant Supervisor office: 704-399- Water - Blvd, Charlotte, Crowe 2426, ext. 260 Franklin WTP NC 28216 cell 704 201-3857 Charlotte 7980 Babe Stillwell David Plant Supervisor 704-948-6954 X Water - Lee S Rd., Huntersville, Banick 260 Dukes WTP NC 28078 cell: 704-634-9104 Charlotte 820 Beatties Ford Steve Plant Supervisor 704-336-2100 Water - Vest Rd., Charlotte, NC Clift Cell: 704-574-6226 WTP 28216 iii • CHARLOTTE_ Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 Landscape 701 Tuckaseegee Quin Hall Superintendent 704-507-4071 Alternate contact is Chad Management Rd., Charlotte, NC McDonald, 704-607-0880 Operations 28208 Heavy 4600 Sweden Rd., Jeremy Shop Manager 704-432-2092 alternate contact is Scott Clark, Equipment Charlotte, NC Henderso cell:704-517-2901 704-432-2093 Shop 28273 n Heavy Truck 829 Louise Ave., Tim Shop Manager 704-336-4938 Shop & Truck Charlotte, NC Lawrence cell: 704-574-9954 Wash 28204 Light Vehicle 1031 Atando Ave., Louise Shop Manager 704-336-4961 Maintenance Charlotte, NC Mason Facility 28206 Small Engine 701 Tuckaseegee Paul Shop Supervisor 704-336-4938 Shop Rd., Charlotte, NC LeBoeuf cell: 980-721-4675 28208 12th Street 900 West 12th Marcus Shop Manager 704-336-4414 Shop Street, Charlotte McAdoo NC 28206 Northeast 5801 General Marcus Shop Manager Equipment Commerce Dr. McAdoo Maintenance Charlotte, NC Facility 28213 Solid Waste — 829 Louise Ave., Leron Operations cell: 704-516-9149 Alternate contact: Street Street Sweeper Charlotte, NC McIver Supervisor Sweeping - Keith Higgins Yard 28204 704-507-2024 Solid Waste — 922 Louise Ave., Noble Operations cell: 704-507-7687 Collections Charlotte, NC Scott Supervisor Parking Lot 28205 Police and Fire 1770 Shopton Rd., Diane Facility Manager 704-432-1709 Training Charlotte, NC Overstree Academy 28217 t IV • CHARLOTTE_ Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 Fire Logistics 1501 N. Graham Chief Chief of Logistics 704-336-2411 alternate contact is Robert St., Charlotte, NC Damian Washam, 704-336-2127 28206 Owens Fire Station #1 221 N. Myers St. Chief Chief of Logistics 704-336-2150 Damian Owens Fire Station #2 1817 South Blvd. Chief Chief of Logistics 704-336-2580 Damian Owens Fire Station #3 6512 Monroe Rd. Chief Chief of Logistics 704-568-4141 Damian Owens Fire Station #4 525 N. Church St. Chief Chief of Logistics 704-336-4409 Damian Owens Fire Station #5 224 Wesley Chief Chief of Logistics 704-336-2499 Heights Way Damian Owens Fire Station #6 249 S. Laurel Ave. Chief Chief of Logistics 704-336-2668 Damian Owens Fire Station #7 3210 N. Davidson Chief Chief of Logistics 704-336-2851 St. Damian Owens Fire Station #8 1201 The Plaza Chief Chief of Logistics 704-336-2152 Damian Owens Fire Station #9 4529 McKee Rd. Chief Chief of Logistics 704 432-6874 Damian Owens Fire Station 2810 Wilkinson Chief Chief of Logistics 704-399-2206 #10 Blvd Damian Owens • CHARLOTTE_ Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 Fire Station 620 W. 28th St. Chief Chief of Logistics 704-336-2130 # 11 Damian Owens Fire Station 420 Inwood Dr. Chief Chief of Logistics 704-523-3732 # 12 Damian Owens Fire Station 4337 Glenwood Chief Chief of Logistics 704-399-4710 # 13 Dr. Damian Owens Fire Station 114 N. Sharon Chief Chief of Logistics 704-364-8253 #14 Amity Rd. Damian Owens Fire Station 3617 Frontenac Chief Chief of Logistics 704-568-4484 # 15 Ave. Damian Owens Fire Station 6623 Park South Chief Chief of Logistics 704-554-7363 # 16 Dr. Damian Owens Fire Station 5308 Morris Field Chief Chief of Logistics 704-359-8259 # 17 Dr. Damian Owens Fire Station 2337 Keller Ave. Chief Chief of Logistics 704-399-2933 # 18 Damian Owens Fire Station 1016 Sardis Ln. Chief Chief of Logistics 704-432-6170 # 19 Damian Owens Fire Station 9316 Nations Ford Chief Chief of Logistics 704-525-3217 #20 Rd. Damian Owens Fire Station 1023 Little Rock Chief Chief of Logistics 704-399-1532 #21 Rd. Damian Owens vi • CHARLOTTE_ Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 Fire Station 1917 Sugar Creek Chief Chief of Logistics 704-597-8840 #22 Rd. Damian Owens Fire Station 7400 E. Harris Chief Chief of Logistics 704-536-0331 #23 Blvd. Damian Owens Fire Station 7132 Pineville- Chief Chief of Logistics 704-542-6071 #24 Matthews Rd. Damian Owens Fire Station 6741 Pleasant Chief Chief of Logistics 704-392-8636 #25 Grove Rd. Damian Owens Fire Station 9231 S. Tryon St. Chief Chief of Logistics 704-588-6752 #26 Damian Owens Fire Station Ken Hoffman Dr. Chief Chief of Logistics 704-547-9355 #27 Damian Owens Fire Station 8031 Old Chief Chief of Logistics 704-598-6990 #28 Statesville Rd. Damian Owens Fire Station 2121 Margaret Chief Chief of Logistics 704-537-9341 #29 Wallace Rd. Damian Owens Fire Station 4807 Belle Oaks Chief Chief of Logistics 704-357-3791 #30 Dr. Damian Owens Fire Station 3820 Ridge Road Chief Chief of Logistics 704-432-8239 #31 Damian Owens Fire Station 9225 Bryant Farm Chief Chief of Logistics 704-544-3975 #32 Rd Damian Owens vii Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Fire Station 2001 Mt. Holly- Chief Chief of Logistics 704-432-0688 #33 Huntersville Rd Damian Owens Fire Station 2824 Rocky River Chief Chief of Logistics 704-432-0935 #34 Rd. Charlotte, NC Damian Owens Fire Station 1120 Pavillion Chief Chief of Logistics 704-432-0931 #35 Blvd Damian Owens Fire Station 2325 West Mallard Chief Chief of Logistics 704-432-1782 #36 Creek Church Rd Damian Owens Fire Station 13828 S. Tryon St Chief Chief of Logistics 704-432-3954 #37 Damian Owens Fire Station 1200 Shopton Road Chief Chief of Logistics 704-353-1275 #3 8 West Damian Owens Fire Station 8325 Providence Chief Chief of Logistics 704-336-4878 #39 Road Damian Owens Fire Station 9720 Harrisburg Chief Chief of Logistics 704-432-5159 #40 Damian Owens Fire Station 5740-B West Blvd. Chief Chief of Logistics 704-588-0700 #41 Damian Owens Fire Station 5620 Central Ave. Chief Chief of Logistics 704-432-1813 #42 Damian Owens Fire Station 429 Clanton Rd. Chief Chief of Logistics 704-353-1932 #43 Damian Owens viii d)) Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CII RLOTTE..: Appendix B Facility Inspection Report/Checklist M d)) CII HLOTTE..: Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 MH-I ElPP-2❑ PP-2-CMS Facility Name: Inspection ❑ PP-2-CPCC ❑ IN-1 ❑ Type: NCG Permit Permit No.: NCSO Effective Date Not Applicable ❑ (if applicable): Permit Status (If not currently permitted): Inspection Discharges to: Date: Facility Personnel Inspector(s): Assisting with Inspection (Name/Phone Number): Entry Time: Exit Time: SIC Code: Facility Hours of Operation: Facility Description: File Review/History: Xi d)) CII PUJOTTE..: Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 Inspection Summary: This form is a procedural guide for Inspectors to follow when conducting inspections. facility stormwater compliance L Site Inspection Were deficiencies observed with the following items? (Inspector should comment on violations/deficiencies observed) Yes No NA Repeat Finding 1. Stormwater System: catch basins, open ditches, channels, pipes, outfalls, etc. ❑ ❑ ❑ ❑ Comments: 2. Erosion Issues ❑ ❑ ❑ ❑ Comments: 3. Structural Stormwater BMPs ❑ ❑ ❑ ❑ Comments: 4. Illicit Discharges / Connections ❑ ❑ ❑ ❑ Comments: 5. Aboveground Storage Tanks (ASTs): List size, material type, and if secondary containment is provided El ❑ ❑ Comments: 6. Underground Storage Tank (UST) Fill Port Area ❑ ❑ ❑ ❑ Comments: 7. Outdoor Material Storage Area(s) ❑ ❑ ❑ ❑ Comments: 8. Outdoor Processing Area(s) ❑ ❑ ❑ ❑ Comments: x1i d)) CII PUJOTTE..: Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 9. Loading/Unloading Area(s) ❑ ❑ ❑ ❑ Comments: 10. Vehicle/Equipment Area(s): fueling, washing, maintenance, storage ❑ ❑ ❑ ❑ Comments: 11. Oil/Water Separator / Pretreatment ❑ ❑ ❑ ❑ Comments: 12. Waste Storage / Disposal Area(s): scrap metal, dumpsters, grease bins, etc. El ❑ ❑ Comments: 13. Food Service Area(s) ❑ ❑ ❑ ❑ Comments: 14. Indoor Material Storage Area(s) ❑ ❑ ❑ ❑ Comments: 15. Indoor Processing Area(s) ❑ ❑ ❑ ❑ Comments: I. Site Inspection (continued) Yes No NA Repeat Finding 16. Floor drains — illicit connections ❑ ❑ ❑ ❑ Comments: 17. Spill Response Equipment ❑ ❑ ❑ ❑ Comments: II. Stormwater Pollution Prevention Plan Does the site have a Stormwater Pollution Prevention Plan (SPPP)? ❑ ❑ ❑ ❑ If the site has a SPPP, then complete questions in Sections II and III. 1. Does the Plan include a General Location (USGS) map? ❑ ❑ ❑ ❑ Facility location in relation to roads and surface waters. Includes: name of receiving stream or name of municipal storm sewer system, and accurate lat. and long. of point of discharge. 2. Does the Plan include a "Narrative Description of Practices"? ❑ ❑ ❑ ❑ Should cover storage practices, loading and unloading areas, outdoor process areas, dust or particulate generating or control processes, waste disposal practices, etc. 3. Does the Plan include a detailed site map including outfall locations and drainage areas? El ❑ El ❑ d)) CII PUJOTTE..: Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 Should show • Location of industrial activities (storage areas, disposal areas, process areas, unloading and loading areas) • The drainage structures • Drainage areas for each outfall and activities occurring in the drainage area • Building locations • Existing BMPs and impervious surfaces and the % of each drainage area that is impervious • For each outfall, a narrative description of the potential pollutants which could be expected to be present in the stormwater discharge. This forces permittee to analyze the site with relation to stormwater discharges. It is also a tool for the inspector to understand if the site has changed over time, i.e. if site map does not match facility they must update their plan. 4. Does the Plan include a list of significant spills occurring during the ❑ ❑ ❑ ❑ past 3 years? Needs to include corrective actions that were taken. The permittee needs to know what the reportable quantities are for wastewater, oil pollution, and SARA Title III. 5. Have stormwater outfalls been evaluated for the presence of non- El ❑ El El discharges? Signature required: • Corporation - signed by Responsible Corporate Officer or assigned manager • Partnership or Sole Proprietorship — General Partner or the Proprietor Municipality, State, Federal, or other public agency — either principal executive officer or ranking elected official 6. Has the facility evaluated feasible alternatives to current practices? ❑ I ❑ ❑ ❑ • Provide a review of the technical and economic feasibility of changing the methods of operations and/or storage practices to eliminate or reduce exposure of materials and processes to stormwater. • In areas where elimination of exposure is not practical, the stormwater management plan shall document the feasibility of diverting the stormwater runoff away from areas of potential contamination. 7. Does the facility provide all necessary secondary containment? ❑ ❑ ❑ ❑ • Applies to liquid raw materials, manufactured products, waste materials, or by-products • Single AST capacity > 660 gallons • Multiple AS containers in close proximity to each other with a total combined capacity of > 1,320 Repeat II. Stormwater Pollution Prevention Plan (continued) Yes No NA Finding • If connected to SW conveyance; controlled by manually activated valves or other similar devices? (Closed?) • Collected water observed for color, foam, outfall staining, visible sheens, and dry weather flow prior to release • Document individual making observation, description of water, date, and time of release Retain record 5 years 8. Does the Plan include a BMP summary? ❑ ❑ ❑ ❑ Narrative description of BMPs to be considered including oil and grease separation, debris control, vegetative filter strips, infiltration and stormwater detention or retention, where necessary. The need for structural BMPs shall be based on the assessment of potential sources to contribute xiv d)) CII HLOTTE..: Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 significant quantities of pollutants to stormwater discharges and data collected through monitoring of stormwater discharges. 9. Does the Plan include a Spill Prevention and Response Plan ❑ ❑ ❑ ❑ (SPRP)? • Assessment of potential pollutant sources based on materials inventory of the facility • Facility personnel responsible for implementing the SPRP shall be identified • Responsible person shall be on -site at all times during facility operations that have the potential to contaminate stormwater runoff through spills or exposure of materials associated with the facility operations. 10. Does the Plan include a Preventative Maintenance and Good El ElEl ❑ Housekeeping Plan? • Document schedules of inspections and maintenance activities of stormwater control systems, plant equipment and systems • Inspect material handling areas • Regular cleaning schedules of these areas 11. Does the facility provide and document Employee Training? ❑ ❑ ❑ ❑ • Provide at a minimum, annual training for all personnel including: proper spill response, cleanup procedures, preventative maintenance activities for all personnel involved in any of the facility's operations that have the potential to contaminate stormwater runoff • Develop training schedule and identify facility personnel responsible for implementing the training 12. Does the Plan include a list of Responsible Parties? ❑ ❑ ❑ ❑ Identify position responsible for the overall coordination, development, implementation, and revision of the SPPP 13. Is the Plan reviewed and updated annually? ❑ I ❑ ❑ ❑ Have there been any changes to the design, construction, operation, or maintenance of the facility, which would have a significant effect on the potential for the discharge of pollutants to surface waters? Does plan include changes? 14. Does the Plan include a Stormwater Facility Inspection Program? ❑ ❑ ❑ ❑ • Inspect semi-annually at a minimum - once in Fall and once in Spring • Inspection and subsequent maintenance activities performed shall be documented • Record date and time • Individual performing inspection • Narrative description of the stormwater outfall and plant equipment and systems • Records should be incorporated into the SPPP Stormwater Pollution Prevention Plan Comments: xv d)) CII HLOTTE..: Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 Repeat III. Qualitative and Analytical Monitoring Yes No NA Finding 1. Has the facility conducted its Qualitative Monitoring semi- El El El Elannually? Color Odor Clarity Floating Solids Suspended solids Foam Oil Sheen Other indicators 2. Has the facility conducted its Analytical Monitoring? ❑ ❑ ❑ ❑ 3. Has the facility conducted its Analytical Monitoring from Vehicle ❑ ❑ ❑ ❑ Maintenance areas? Qualitative and Analytical Monitoring Comments: IV Permit and Outfalls 1. Is a copy of the Permit and the Certificate of Coverage available at ❑ ❑ ❑ ❑ the site? 2. Were all outfalls observed during the inspection? ❑ ❑ ❑ ❑ 3. If the facility has representative outfall status, has it been ❑ ❑ ❑ ❑ documented by the NC Division of Water Quality? 4. If the facility has a No -Exposure Certificate, has the facility self- ❑ El El El and documented this on an annual basis? Permit and Outfalls Comments: Y. Phase II Permit Requirements (See Attached Compliance Document) 1. Is the permittee properly disposing of wastes removed from the streets, parking lots and the MS4 and documenting the quantity (lbs., ❑ ❑ ❑ ❑ cubic yards)? (inspector should indicate the disposal method in the comments section). xv1 d)) CII RLOTTE..: Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 2. Were any public transportation (roadway) projects constructed within El El ❑ ❑ the last year? (list roadway projects in comments section) 3. Is the permittee implementing BMPs (and maintaining records) to reduce polluted storm water runoff from the municipally -owned streets, ❑ ❑ ❑ ❑ roads, and public parking lots? 4. Is the permittee implementing BMPs (and maintaining records) to reduce polluted storm water runoff from the municipally owned or ❑ ❑ ❑ ❑ maintained storm water catch basins and conveyance systems? 5. Did the Co-Permittee provide pesticide license numbers (indicate license #) for all employees and contractors performing application activities and was license validity verified through a search on the NC ❑ ❑ ❑ ❑ Dept. of Agriculture and Consumer Services website (indicate Expiration date)? 6. Does the permittee document areas treated with ❑ ❑ ❑ ❑ pesticides/herbicides for comparison to annual thresholds? 7. Did permittee comply with pesticide limitations specific to the Goose Creek Watershed? ❑ ❑ ❑ ❑ 8. Is the permittee implementing BMPs to reduce polluted storm water runoff from vehicle and equipment cleaning ❑ ❑ ❑ ❑ areas? Phase II Permit Requirement Comments: xvii d)) Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CII RLOTTE..: Appendix C Facility Inspection Report Cover Letter Template Xvlll Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 ob and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ / /Charlotte-Meckfenburg STORM WATER N1 Services —V— <date> <Recipient's Name, Recipient's Job Title> <Department Name> <Address> <City, State Zip Code> Subject: <FYXX Stormwater Inspection - Facility Name> Dear <Recipient's Name>: StormWater.CharMeck.org On DATE, Inspector Name(s) of Charlotte -Mecklenburg Storm Water Services (CMSWS) inspected Facility Name at Facility Address. Please review the updated Stormwater Pollution Prevention Plan (SPPP) and read the enclosed report which provides details of the inspection. There were X recommendations and X deficiencies. <adjust previous sentence depending on if recommendations or deficiencies were observed, if none were observed consider adding a "Congratulations!" or "Great job"sentence instead> Please fill out the enclosed Corrective Action Documentation Form to record follow-up to the recommendations and deficiencies and return the form to me once complete, as this is required for permit compliance. <remove previous sentence if no Corrective Action Documentation Form is required or enclosed> Finally, print and file this inspection report, the completed Corrective Action Documentation Form <remove if no Corrective Action Documentation Form is required or enclosed> and the updated SPPP in your SPPP binder. Thank you for your time and cooperation. As always, if you have any questions or need any assistance, please contact me at (XXX) XXX-XXXX. Sincerely, <Name> <Title> Charlotte -Mecklenburg Storm Water Services <City of Charlotte OR Mecklenburg County> cc: <Relevant Facility Staff Name, Relevant Facility Staff Department> <Relevant CMSWS Staff, CMSWS> • 2145 Suttle Avenue 600 East 41n Sitaei ChM.P., NC 28208 a 8 ` Charlotte, NC 28202 X1X d)) Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CII RLOTTE..: Appendix D Corrective Action Documentation Form for Facility Inspections XX Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CHARLOTTE_ Municipal Facility Stormwater Inspection Corrective Action Documentation Facility <Facility Name> Inspection Date <DD/MM/YYYY> Manager <Facility Manager Name> Documentation of corrective actions is needed for permit compliance. Check Yes or No as to whether the item was implemented (Note: all deficiencies must be implemented) and the date completed. For recommendations that were not implemented, please provide an explanation. Follow-up inspections will be conducted for deficiencies. If any actions need to be modified, please make a note of it below. PLEASE RETURN FORM WHEN COMPLETE by interoffice mail or email to Andrew DeCristofaro. Observation Deficiency or Recommendation? CMSWS' recommended corrective action Implemented? Completion Date (if applicable) Notes/ Explanation Yes No Signature Date xxi d)) Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CII RLOTTE..: Appendix E Corrective Action Documentation Form for Monitoring Benchmark Exceedances XXll d)) Municipal Good Housekeeping and Pollution Prevention Inspection Version 8.0 and Monitoring Program Eff. Date: November 2021 CHARLOTTE..: Tier 1/11/III Response to Excursion(s) from Stormwater Permit Benchmark Values Location: Permit #: COC #: Outfall # Sample Date Pollutant Parameter Benchmark Value/Range Sample Result Rainfall (in.) Date of site inspection/ meeting Personnel at inspection / meeting Selected Corrective Actions Implementation Date(s) Notes: Pictures (optional):