NCS000410_Document Request_20190607

ROY COOPER
Governor
MICHAEL S. PEGAN
Secretary
S. DANIEL SMITH
Interim Director
Village of Clemmons
Attn: Scott Buffkin, Village Manager
3715 Clemmons Road
Clemmons, NC 27012
NORTH CAROLINA
Environmental Quality
June 7 h, 2019
Subject: COMPLIANCE AUDIT — DOCUMENTATION REQUEST
Village of Clemmons
NPDES MS4 Permit No. NCS000410
Forsyth County
Dear Permit Holder:
The Department of Environmental Quality (DEQ) will be performing a National Pollutant Discharge
Elimination System (NPDES) Municipal Separate Storm Sewer System (MS4) Permit Compliance
Audit for the subject permit the week of July 15th (please let us know which days that week would be
preferred). The audit is expected to take at least two (2) full days. DEQ will determine the scope of
the compliance audit based on a review of provided documentation, and a draft agenda will be
provided once the scope of the audit has been determined.
Please submit the following permit information within seven (7) calendar days:
• Current Stormwater Management Plan (SWMP)
• Most recent Annual Report
• Organizational Chart and a description of stormwater program responsibilities for each
ply
• Map of the MS4 permitted area with receiving waters
• Formal agreements with outside entities that implement MS4 Program components
All submitted documentation will become a permanent record of the compliance audit.
Additional information may be requested prior to, during and/or following the compliance audit.
Documentation shall be submitted via e-mail to [e-mail], or to:
NCDEQ-DEMLR Stormwater Program
Attn: Brandon Wise, Stormwater Specialist
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 3001 Winston-Salem. North Carolina 27103
336.776.9600

Please ensure that appropriate MS4 staff will be available during the audit to answer questions and
provide program implementation, record keeping and compliance information. Please also arrange
for an appropriate meeting room that will accommodate your staff, 3 staff members from DEQ, and
access to any electronic tools routinely utilized to implement the MS4 Program (e.g. databases, GIS,
etc.).
Should you have any questions regarding the scheduled MS4 Permit Compliance Audit, please feel
free to contact me at [e-mail] or [phone].
Sincerely,
BraAon Wise
Stormwater Specialist
Land Quality Section
Winston-Salem Regional Office
cc: Jeanette Powell, DEMLR MS4 Program Coordinator
Alaina Morman, DEMLR Stormwater Compliance & Enforcement
DEMLR NPDES MS4 Permit Laserfiche
Mike Gunnell, MS4 Permit Contact, 3800 Dillon Industrial Drive, Clemmons, NC 27012
North Carolina Department of Environmental Quality I Division of Energy. Mineral and Land Resources
Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27103
336.776,9800