30_Facility Inspection Report - Biosolids Compost Facility

2 W
f I� 1 ti V
Instructions for the City of Goldsboro Facility Site Evaluation for Stormwater Discharges
Section la.(Facilities with a NPDES Stormwater Discharge Permit and associated SWPPP)
A.What is the permit number,effective date,and expiration date? 2-3cJ i
Permit Number�/L�f 1 U0 Z 7 Effective Date !I X Expiration Date J / 3
B.Is a c py of the Stormwater Pollution Prevention Plan(SWPPP)'on site and is it up-to-date?
Yes No Comments
C.Are the weekly, monthly,and semi-annual inspections being performed and recorded?
Yes)�- No—comments
E.Are sampling events being conducted ac ording to the permit, recorded,and submitted as required?
Yes.)0 No_Comments V'�3�
F.Have there been any reportable spills an have they been recorded and reported as required?
Yes(Reportable Spills 4No(Reportable Spills)_If Yes, have they been recorded and reported?
Yes(Reported/Recorded)_No(Reported/Recorded)Comments
Section 1b.(Inspections of NPDES Permitted Facilities)
A.Inspect all stormwater control devices,to include drop inlets,curb inlets,box inlets,culverts,pipes,and
discharge points listed in the SWPPP. No a deficiencies below and/or attach them to this report.
B.Inspect all storage area,parking areas, maintenance areas,fueling areas,and ASTs that are exposed to
stormwater discharge and/or listed in the,SWPPP. Note any deficiencies below and/or attached them to this
report. rr; ' �v� - ;,P ely
Section 2. (Facilities Without an NPDES Stormwater Discharge Permit or SWPPP)
A.Does the facility have any other permits,exemptions,or plans that affect any stormwater discharge?
B. If so,list the permit,exemption,or plan,effective date,and expiration date, if any.
C.Complete the attached checklist.
D.Inspect those areas noted on the attached checklist as having the potential to affect stormwater discharge to
a receiving stream or river. Note any areas of concern below and/or attach them to this report.
Section 3.(Corrective Actions)
A.List all deficiencies or areas of concern noted in the permit review or the site inspection on the second page.
B.For each item listed,provide a course of action to address the issues as required,and provide a timeline for
correction and re-inspection as necessary.
C. Provide a copy of the report to the facility Point of Contact(POC); brief the POC on the facility inspection and
findings;and note the date,time,and POC name on the report.
(If necessary,continue comments on additional pages and attach the to this report)

Fill-in this sheet as necessary,attach any notes or comments,sign, brief the POC,and note as below.
Deficiency/area of Recommended course of Timeline for correction/reinspection
concern action
Provide a copy of this report to the facility Point of Contact(POC);brief the POC on the facility
inspection and findings;and note the date,time,and POC name on the report.
Date Time
POC
Name of Inspector Signature
Date of Report

r
FACILITY AND PROPERTY INSPECTION FORM
Building/Area: Department:
Address:
Date: Time: Point of Contact: Phone:
Do the following activities have the potential to affect stormwater flows? YES NO PPD EF
A.Waste Handling,Storage,Loading,and Unloading
1. Solid Waste-trash,refuse,yard debris?
2.Liquid Waste? Vel
3.Recycled Material?
4. Scrap Metal?
B.Vehicle and Truck Operations
1. Parking? V-1
2.Washing?
3.Maintenance?
C.Open Space and Grounds Management
1.Landscaping? S
2.Mowing?
S1
3. Herbicides and Pesticides?
D.Facility Operations and Maintenance
1.Facility operations?
2.Facility washing,sweeping and maintenance? y
E. History
1.History of Spills or Leaks?
2. History of Discharges?
F.Is the facility securely locked when not in use? J
Comments
YES: Check if activity has the potential to effect stormwater runoff from this site
NO: Check if activity would have no effect on stormwater runoff from this site
PPD: Potential for a pollutant discharge to receiving stream or river—low: 1, medium: 3, high: 5
EF: Probability of Stormwater Discharge to receiving stream or river—low: 1,possible: 3, likely: 5