NCS000247_WinstonSalem NPDES MS4 Phase I_Self Audit Report_Addendum #1 Site Evaluations_20220520

l"
Wins[on Salem
Field Operations
Stonnwater Division
Memorandum
TO: Mr, Paul Clark, Water Supply Watershed Protection Coordinator
FROM: Mr. Andrew Allen Assistant Stormwater Director .4 KA
DATE: May 20, 2022
SUBJECT Addendum #1, MS4 Site Visit Evaluations
e ty newmanns em The Stormwater Division is 1!O. Box 2511 pleased to submit Addendum #1 MS4 Sate Visit Evaluations,
Winston-Salem, NC 27102 to the City of Winston-Salem's MS4 Self -Audit Report, dated May 5, 2022. As per our
CityLink 336.727.8000 previous email correspondences, the Stormwater Division is submitting the following
site visit evaluations to the North Carolina Division of Water Resources (NCDWR) for
your review:
1. Municipal Facility Number 1, Fleet Services
2. Municipal Facility Number 2, Muddy Creek Wastewater Treatment Plant
3. MS4 Outfall Number 1, Outfall #138
4. MS4 Outfall Number 2, Outfall #411
5. Construction Site Number 1, Chick-fil-a at 1351 Glenn Center Drive
6. Construction Site Number 2, Brook Hill Development at 635 Hauser Road
7. Post -construction SCM Number 1, Dollar General at 3105 Kernersville Road
8. Post -construction SCM Number 2, UNC School of the Arts at 65 E. Acadia Ave.
I have uploaded all supporting documentation of these evaluations on the City's
OneDrive folder. If you have any problems accessing this information, please let me
know.
Again, I greatly apologize of the miscommunicationthat lead to the later submittal of
this information. I appreciate DWR's gracious time extension of May 24, 2022 to allow
Stormwater staff to complete the above -mentioned site evaluations. If you have any
questions, please feel free to contact me at [phone].
City Council: Mayor Allen Joines; Denise D. Adaros, Mayor Ro Tempore, Narth Ward; Barbara Hanes Burke, Northeast Ward; Robert C. Clark,
West Ward; John C. Larson, South Ward; Jeff Macintosh, Northwest Ward; Kevin Mandy, Oil Wes Ward; Annette Scippio, East Ward;
Call or 336-727-8000 James Taylor, Jr.,Sondteast Ward; City Manager: Lee D. Garrity
[e-mail]

MUNICIPAL SEPARATE STORM SEWER SYSTEM (MS4)
PHASE I PROGRAM SELF -AUDIT REPORT
NPDES PERMIT NO. NCS000247
CITY OF WINSTON-SALEM, NORTH CAROLINA
101 North Main Street
City Hall, Suite 53
Winston-Salem, N.C. 27101
Self -Audit Timeframe: April 7, 2022 to May 20, 2022
Report Date: May 20, 2022
NCS000247 Winston-Salem 2022 M54 Self -Audit

Self -Audit Details
Audit ID Number:
Self -Audit Date(s):
NCS000247 Winston-Salem 2022 MS4 Self -Audit
April 7, 2022 to May 20, 2022
Minimum Control Measures Evaluated:
® Program Implementation, Documentation & Assessment
® Public Education & Outreach
® Public involvement & Participation
0 Illicit Discharge Detection & Elimination
M Construction Site Runoff Controls
IN Post -Construction Site Runoff Controls
® Pollution Prevention and Good Housekeeping for Municipal Operations
M Program to Monitor and Control Pollutants
® Water Quality Assessment & Monitoring
Field Site Visits:
® Municipal Facilities. Number visited: 2
® MS40utfalls, Number visited: 2
® Construction Sites. Number visited: 2
N Post -Construction Stormwater Runoff Controls. Number visited: 2
❑ Other: . Number visited: Choose an item.
❑ Other: . Number visited: Choose an item.
Auditors
Name
Title
Andrew Allen
Assistant Stormwater Director
Keith Huff
Stormwater Director
Audit Report Author
Andrew K. Allen
May 20. 2022
Name
Date
Assistant Stormwater Director
Cam' "K
Title
Signature
Audit Report Author
Keith D. Huff
May20, 2022
Name
Date
Stormwater Director
Signature
Title
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 1 of 58

TABLE OF CONTENTS
Self -Audit Details...........................................................................................................................................1
PermitteeInformation..................................................................................................................................2
Listof Supporting Documents ............................................. .... ...:..................................................................3
Program Implementation, Documentation & Assessment...........................................................................5
PublicEducation and Outreach.....................................................................................................................8
Public Involvement and Participation.........................................................................................................11
Illicit Discharge Detection and Elimination (IDDE)......................................................................................15
Construction Site Runoff Controls................................:...............:......:.................. .....................................18
Post -Construction Site Runoff Controls......................................................................................................20
Pollution Prevention and Good Housekeeping for Municipal Operations..................................................27
Program to Monitor and Evaluate Stormwater Discharges to Municipal Systems.....................................32
Water Quality Assessment and Monitoring,...',,,,,
. . . . 35
Site Visit Evaluation: Municipal Facility No. 1.....................:..............:........................................................38
Site Visit Evaluation: Municipal Facility No. 2............................................................................0....,...........41
Site Visit Evaluation: MS4 Outfall No.1................,.....................................................................................44
Site Visit Evaluation: MS4 Outfall No. 2......................................................................................................46
Site Visit Evaluation: Construction Site No. 1..............................................................................................48
Site Visit Evaluation: Construction Site No. 2.............................................................................................051
Site Visit Evaluation: Post -Construction Stormwater Control Measure No. 1............................................54
Site Visit Evaluation: Post -Construction Stormwater Control Measure No. 2............................................56
DISCLAIMER
This audit consists of an evaluation of program compliance with the issued permit and implementation of
the approved Stormwater Management Plan. This audit report does not include a review of all program
components, and program deficiencies in addition to those noted may be present. The permittee is
required to assess program progress and permit compliance, and to implement the approved Stormwater
Management Plan in accordance with the issued permit.
NC5000247 Winston-Salem 2022 MS4 Self -Audit ili

21
Municipally -owned Stormwater Control Measures (SCMs) Inventory List
PDF
22
The Stormwater Division's FY -2020 to 2022 Inspected Municipal and Industrial
Facilities and FY 2022-2023 Proposed Facilities to Inspect
PDF
23
The Stormwater Division's Industrial and Municipal Inspection Form Template
PDF
24
An Example of a Municipally -owned Stormwater Pollution Prevention Plan
(SPPP) of Fleet Services (Template)
PDF
25
An Example of a Municipally -owned Spill Response Plan of Fleet Services
(Template)
PDF
26
Field Operations' MS4 Inspection and Maintenance Program SOPS
PDF
27
Street Sweeping Log of Municipally -owned Facilities/Parking Lots for FY 2021-
2022
Excel
28
Reference Lists of Small and Large Quantity Generators (SARA Title III) and Toxic
Release Inventory (Hazardous Waste, Disposal, and Recovery Facilities)
PDF
29
Master List of General and Individual Permitted Industrial Facilities within the
Municipal Boundaries of Winston-Salem
PDF
30
The Stormwater Division's Industrial Inspection SOP Manual
PDF
31
Priority 1 and 2 Industrial and Municipal Facilities List, FY 2020-2023
PDF
32
The Stormwater Division's Water Quality Assessment and Monitoring Plan
PDF
33
Fleet Services Reinspection Form, Municipal Site Visit Evaluation #1
PDF
34
Muddy Creek WWTP Reinspection Form, Municipal Site Visit Evaluation #2
PDF
35
MS4 Site Visit Evaluation, Outfall #1
PDF
36
MS4 Site Visit Evaluation, Outfall #2
PDF
37
Construction Site Visit Evaluation #1
PDF
38
Construction Site Visit Evaluation #2
PDF
39
Dollar General SCM Evaluation, Post -construction Site Visit #1
PDF
40
UNCSA Central Storage SCM Evaluation, Post -construction Site Visit #2
PDF
NC5000247_Winston-Salem 2022 MS4 Self -Audit Page 4 of 58

Site Visit Evaluation: Municipal Facility No.1
Facility Name:
Date and Time of Site Visit:
City of Winston-Salem Fleet Services
Date: August 20,.2021
Time: 9:10 -11:30 A.M.
Facility Address:
Facility Type (Vehicle Maintenance, Landscaping, etc.):
650 Rams Drive
Winston-Salem, NC 27101
Vehicle Maintenance with Fueling Operations
Name of MS4 Inspector(s) evaluated:
Most Recent MS4 Inspection (List date and name of inspector):
Ladonta 'Jamal' Clark
Date: April 26, 2021
MS4 Inspector: Brandon Wise
Name(s)
and Title(s) of Facility Representative(s) Present During the Site Visit:
Name
Title
Donald McDaniel
Fleet Services Team Leader
Timothy Harper
Team Leader
Angus Thomas
Team Leader
Observations
Facility Documentation/Training
Does the facility have a Stormwater Pollution Prevention Plan (SWPPP) or similar document? Is it facility -specific?
Yes. Since Fleet Services has a SIC number of 75 (Transit and Transportation); this municipally -owned facility was Issued a general
stormwater permit in 2008. Fleet Services' Stormwater Permit Number is NCG080801; it has a site -specific SWPPP since 2008.
Please reference Item #24 for Fleet Services' SWPPP template.
What type of stormwater training do facility employees receive? How often?
During FY 2021-2022, the Senior Community Educator, Stormwater Operations Analyst, and the City's Marketing and
Communications Department created a new training video that highlights proper pollution prevention & municipal good
housekeeping practices for key City operations to eliminate pollutant exposure to the environment. A main topic in this video
pertains to best management practices for vehicle washing, maintenance, and fueling activities. From November 2021 to March
2022, 22 team members of Fleet Services viewed and passed a confirmation test of Stormwater's new PP & MGH and IDDE training
video, including all three site supervisors. This educational video will need to be viewed by all City employees on an annual
frequency for maximum memory retention.
Other than this video training, Fleet has not performed site -specific training—Stormwater staff has denoted this requirement on
the Inspection form.
Inspector Training/Knowledge
What type of stormwater training does the MS4 Inspector receive? How often?
Mr. Clark was promoted to the position of Stormwater Inspector in 2012. Mr. Clark was trained in inspection techniques and best
professional knowledge by Mr. Andy Allen, the original Stormwater Inspector who oversaw and managed the city's Stormwater
Inspection Program from 2004-2007. Mr. Allen created the City's Stormwater Inspection Program in conjunction with NCDENR
WSRO staff —specifically, DWR Specialist Rose Pruitt, Mr. Allen's former job position was with the City's Industrial Waste Control
Chemist, who inspected industrial facilities for compliance with wastewater regulations. In 2006 when the Stormwater Division was
audited by an EPA Contractor, SAIL, the inspection process was refined, as recommended by Mr. Jerry Whitman (SAIC Contractor).
Since 2006, the City's Inspection Program has been amended, as needed, to remain compliant. Mr. Allen trained Mr. Clark over the
course of a year for a joint inspection regimen of 12 private and public facilities.
COVID-19 severely hampered staffs ability to attend in -person training; however, Mr. Allen and Mr. Clark attended almost all Wow
Wednesday Stormwater Training Sessions presented by DWR during 2021, In addition, both MS4 Inspectors reviewed and passed
the confirmation test from Stormwater's PP and MGH training video. This video will be required to be an annual training event.
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 38 of 58

Site Visit Evaluation: Municipal Facility No. 1
Did the MS4 inspector appear knowledgeable about Permit requirements for pollution prevention and good housekeeping?
Yes, Mr. Clark is very well -versed regarding general stormwater permit requirements for PP and MGH practices. During the
inspection, Mr. Clark had a hard copy of the NCGO8000 general stormwater permit requirements by comparing onsite conditions to
written SWPPP contents. Missing or deficient permit requirements (e.g, annual certification statement of nonstormwater
discharges) were denoted and listed as a Required Action to be completed by the Facility, Part 5 of the inspection form.
Did the MS4 inspector appear knowledgeable about stormwater pollution prevention and good housekeeping?
Yes, Mr. Clark is very knowledgeable concerning best management practices for PP and MGH operations. Mr. Clark is extremely
thorough and seeks problematic areas of potential pollutant exposure to the open environment. Mr. Clark examines
unloading/loading, waste disposal, product storage, automotive process (e.g. fueling, storage of wrecked vehicles, etc.) outdoor
processes, and dust or particulate generating sources to evaluate the risk exposure to rainwater. If risk is identified, Mr. Clark
provides written documentation for requiring corrective measures (aka BMPs) to eliminate exposure to stormwater. In addition,
Mr. Clark confirms that indoor fixtures (e.g. oil and water separators, collection floor drains, etc.) are connected the sanitary sewer.
During the August 20, 2021 Inspection of Fleet Services, Mr. Clark required 35 PP and MGH BMPs for Fleet Services to implement
for minimizing/eliminating pollutant exposure to rainwater.
Inspection Procedures
Does the MS4 inspector's process Include the use of a checklist or other standardized form?
Yes, the Stormwater Division uses a hybrid municipal/Industrial goodhousekeeping inspection form for evaluating private and
public facilities or operations. This form was revised in October 2020 to reflect general permit conditions as well as creating a
uniform evaluation tool that applies to all facilities/operations. Please reference Item #23, which is the City's Inspection Form
template that Stormwater staff uses to inspect facilities for determining compliance.
Does the MS4 inspector's process include taking photos?
Yes, Mr. Clark attached 30 pictures to his inspection form, which were taken during the inspection of Fleet Services. The
photographs highlight sources of pollutant exposure, examples of deficient measures, etc, while reinforcing required actions that
Fleet Services must implement to eliminate pollutant exposure.
Does the MS4 inspector's process include reviewing the facility's SWPPP (or similar document)?
Yes. As per Item #30, the City's industrial Inspection SOP Manual, the Stormwater Inspector requests a current SWPPP from the
facility PRIOR to the site inspection. Mr. Clark had a SWPPP current copy of Fleet Services (from Brandon Wise, who inspected Fleet
Services four months earlier) with him during the inspection as a technical resource. Based on the information that Mr. Clark
provided to Fleet Services staff (e.g. SDO locations, connectivity of oil/water separators to specific sewer laterals, etc.), it was
obvious that he had reviewed Fleet's SWPPP prior to the inspection.
Does the MS4 inspector's process include walking the entire facility and Inspecting all points of discharge?
Yes, Mr. Clark walked the entire facility area of Fleet Services and Inspected all three stormwater discharge outfalls (and upgradient
conveyances or drainage areas) for any obvious signs of pollutants. Mr. Clark highlighted pollutant removal from the upgradient
area (see Picture #1 in Item #33, Fleet Services' Inspection Form). In addition, Mr. Clark referenced remote operations that Fleet
oversees (automated vehicle -washing activities) at 2000 Lowery Street during the inspection; Mr. Clark required that this facility be
included for a routine cleaning schedule (and document accordingly) to eliminate pollutant exposure.
Did the MS4 inspector miss any obvious areas of concern? If so, explain:
No, Mr. Clark did not miss any obvious areas of concern — his inspection was extremely thorough.
Does the MS4 inspector's process include presenting the inspection findings to the facility contact?
Yes, Mr. Clark emailed Mr. McDaniel, Mr. Harper, and Mr. Thomas an electronic copy of the August 20,2021 reinspection form of
Fleet Services. This email was sent to each person on September 2, 2021— Mr. McDaniel provided verbal receipt of said inspection
form. Also, at the end of the inspection, Mr. Clark verbally communicated all Required Actions that Fleet Services would need to
complete, as per the initial inspection results.
NC5000247_Winston-Salem 2022 MS4 Self -Audit Page 39 of 58

Site Visit Evaluation: Municipal Facility No. 1
Inspection Results
Did the facility inspection result in any corrective actions to be implemented? If so, for what issue(s)?
Yes. Mr. Clark required 56 corrective measures to be implemented for achieving permit compliance. These corrective measures
range from updating SWPPP components to implementation of BMPs for pollutant reduction. Please reference Part 5, Required
Actions to be completed by the Facility, of the attached Item #33 for specific sites issues.
If compliance corrective actions were Identified, what.timeline for correction/follow-up was provided?
Mr. Clark provided a due date of December 3, 2021 for all corrective measures to be completed. The due date was contained in the
inspection form cover letter, written in red font color and italicized for ease of reference by Fleet Services staff. The time frame of
three months was agreed upon by Fleet Services staff and Mr. Clark.
PLEASE NOTE: Since the Stormwater Division has been unable to hire a new Stormwater Inspector since June 2021, Mr. Allen
performed a site reinspection of Fleet Services on March 8, 2022. Based on this reinspection, the Required Actions to be completed
by the Facility (Part 5 of the inspection form), the outstanding corrective measures decreased from 56 to 20 items. The new due
date from completion is May 13, 2022. After speaking to Mr. McDonald on May 17, 2022, Fleet Services has not sufficient time to
complete these 20 Required Actions due to a severe staff shortage. Mr. McDonald will investigate what potential solutions exist
with Departmental Director Geiss — Mr. McDonald will pose potential solutions to Stormwater staff for complying with all Required
Actions. Both entities will remain inclose contact with each other to successfully resolving Fleet Service's Stormwater inspection.
Notes/Comments/Recommendations
None
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 40 of 513

Site Visit Evaluation: Municipal Facility No. 2
Facility Name:
Date and Time of Site Visit:
Muddy Creek Wastewater Treatment Facility
May 16, 2022
9:00 A.M. — 2:00 P.M.
Facility Address:
Facility Type (Vehicle Maintenance, Landscaping, etc.):
4561 Cooper Road
Treatment Works. The plant is a 21 million gallon a day
Winston-Salem, NC 27127
wastewater treatment facility. This facility receives wastewater
from various areas of Winston-Salem and treats the sewage prior
to discharging into Muddy Creek.
Name of MS4 inspector(s) evaluated:
Most Recent MS4 Inspection (Date and Entity):
Ladonta 'Jamal' Clark
March 17, 2022 by Andy Allen
Name(s) and Title(s) of Facility Representative(s) Present During the Site Visit:
Name
Title
Mr. Keith Janes
Senior Utilities Plant Supervisor
Mr. Paul Morrison
Senior Operator
Mr. Mark Sloan
Senior Operator
Observations
Facility Documentation/Training
Does the facility have a Stormwater Pollution Prevention Plan (SWPPP) or similar document? Is it facllity-specific?
Yes. Since Muddy Creek WWTP has a pretreatment program and receives over 1.0 MGD of domestic sewage, so the facility is
required to be covered under a NCG110000 general stormwater permit. Muddy Creek WWTP was issued a Treatment Works
General Stormwater Permit by NC DEQ- the permit number is NCG110133. Muddy Creek WWTP received a site -specific SWPPP in
2008 from a contracted professional engineering firm. Numerous aspects of Muddy Creek WWTP's SWPPP needs to be updated to
reflect current site conditions or practices.
What type of stormwater training do facility employees receive? How often?
During FY 2021-2022, the Senior Community Educator, Stormwater Operations Analyst, and the City's Marketing and
Communications Department created a new training video that highlights proper pollution prevention & municipal good
housekeeping practices for key City operations to eliminate pollutant exposure to the environment. A main topic in this video
pertains to best management practices for general municipal operations (e.g. proper refueling practices, spill response activities,
etc.). From November 2021 to March 2022, all wastewater operators, including all senior staff members of Muddy Creek WWTP,
viewed and passed a confirmation test of Stormwater's new PP & MGH and IDDE training video. This educational video will need to
be viewed by all City employees on an annual frequency for maximum memory retention.
In addition, Senior Operators trained their respective operators regarding site -specific best management practices during annual
CEU (Continuing Education Units) training sessions as well as continuous on-the-job 'shadowing' activities. Mr. Clark instructed that
Muddy Creek WWTP staff document all stormwater-related training on sign -in sheets that briefly describes the training agenda or
subject matter (in addition, to all operators' printed names, signatures, employee numbers, date, and time duration of training).
Inspector Training/Knowledge
What type of stormwater training does the MS4 inspector receive? How often?
Mr. Clark was promoted to the position of Stormwater Inspector In 2012. Mr. Clark was trained in inspection techniques and best
professional knowledge by Mr. Andy Allen, the original Stormwater Inspector who oversaw and managed the city's Stormwater
Inspection Program from 2004-2007. Mr. Allen created the city's Stormwater Inspection Program in conjunction with NCDENR
WSRO staff —specifically, DWR Specialist Rose Pruitt, Mr. Allen's former job position was with the City's Industrial Waste Control
Chemist, who inspected industrial facilities for compliance with wastewater regulations. In 2006 when the Stormwater Division was
audited by an EPA Contractor, SAIL, the inspection process was refined, as recommended by Jerry Whitman (SAIC Contractor).
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 41 of 58

Site Visit Evaluation: Municipal Facility No. 2
Since 2006, the City's Inspection Program has been amended, as needed, to remain compliant. Mr. Allen trained Mr. Clark over the
course of a year for a joint inspection regimen of 12 private and public facilities.
COVID-19 severely hampered staffs ability to attend in -person training; however, Mr. Allen and Mr. Clark attended almost all Wow
Wednesday Stormwater Training Sessions presented by DEQ during CY 2021. In addition, both MS4 Inspectors reviewed and passed
the confirmation test from Stormwater's PP and MGH training video. This video will be required to be an annual training event.
Did the MS4 inspector appear knowledgeable about Permit requirements for pollution prevention and good housekeeping?
Yes, Mr. Clark is very well -versed regarding general stormwater permit requirements for PP and MGH practices. During the
Inspection, Mr. Clark had a hard copy of the NCG11000 general stormwater permit requirements by comparing onsite conditions to
written SWPPP contents. Missing or deficient SWPPP components, when compared to permit requirements (e.g. update narrative
descriptions of industrial/operational activities, document all stormwater-related employee training, etc.), are denoted and listed
as Required Actions to be completed by the Facility, Part 5 of the attached inspection form. After the inspection, Mr. Clark captured
and synthesized all needed action items in Part 5 for Mr. Morrison's future reference.
Did the MS4 inspector appear knowledgeable about stormwater pollution prevention and good housekeeping?
Yes, Mr. Clark is very knowledgeable concerning best management practices for PP and MGH operations. Mr. Clark is extremely
thorough and seeks problematic areas of potential pollutant exposure to the open.environment. Mr. Clark examines
unloading/loading, waste disposal, product storage, outdoor processes, and dust or particulate generating sources to evaluate the
risk exposure to rainwater. If risk is identified, Mr. Clark provides written documentation for requiring corrective measures (aka
BMPs) to eliminate exposure to stormwater. During the May 16, 2022 Inspection, Mr. Clark has identified a total of approximately
30 required actions for implementation to minimize/eliminate pollutant exposure to rainwater (e.g, install a locking mechanism on
the diesel fuel AST secondary containment drain) as well as SWPPP compliance items.
Inspection Procedures
Does the MS4 inspector's process include the use of a checklist or other standardized form?
Yes, the Stormwater Division uses a hybrid municipal/industrial goodhousekeeping inspection form for evaluating private and
public facilities or operations. This form was revised in October 2020 to reflect general permit conditions as well as creating a
uniform evaluation tool that applies to all facilities/operations. Please reference Item #23, which is the City's Inspection Form
template that Stormwater staff uses to inspect facilities for determining compliance.
Does the MS4 inspector's process include taking photos?
Yes, Mr. Clark attached numerous pictures to his inspection form, which were taken during the inspection of Muddy Creek WWTP.
The photographs highlight sources of pollutant exposure, examples of deficient measures, etc, while reinforcing required actions
that Muddy Creek WWTP must implement to maintain site compliance.
Does the MS4 inspector's process include reviewing the facility's SWPPP (or similar document)?
Yes. As per Item #30, the City's Industrial Inspection SOP Manual, the Stormwater Inspector requests a current SWPPP from the
facility PRIOR to the site inspection. Mr. Clark had a SWPPP copy of Muddy Creek WWTP with him during the inspection as a
technical resource. Based on the information that Mr. Clark provided to Muddy creek WWTP staff (e.g. SDO locations, areas of
Industrial activities, etc.), it was obvious that he had reviewed Muddy Creek's SWPPP prior to the Inspection.
Does the MS4 inspector's process include walking the entire facility and inspecting all points of discharge?
Yes, Mr. Clark walked the entire facility area of Muddy Creek WWTP and inspected all ten stormwater discharge outfalls for any
obvious signs of pollutants — no obvious signs of pollutants were observed by Stormwater staff during the inspection.
Did the MS4 inspector miss any obvious areas of concern? If so, explain:
No, Mr. Clark did not miss any obvious areas of concern — his inspection was extremely thorough. If any area of concern (e.g, dark
staining on an access road) was observed by Mr. Clark, he would direct the inspection to this area and ask pertinent questions until
he was able to render an informative (and correct) decision.
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 42 of 58

Site Visit Evaluation: Municipal Facility No. 2
Does the MS4 inspector's process include presenting the inspection findings to the facility contact?
Yes, Mr. Clark emailed Mr. Jones, Mr. Morrison, and Mr. Sloan an electronic copy of the reinspection form of Muddy Creek W WTP
on May 20, 2022. Also, at the end of the inspection, Mr. Clark verbally communicated all Required Actions that Muddy Creek
WWTP would need to complete. Mr. Clark asked if Mr. Sloan, Mr. Morrison, and Mr. Jones if they had any further questions. These
SWPPP Team Members did not have any questions at that time, but Mr. Clark provided his contact information for future
questions, as the need arises. Please reference Item #34, the Muddy Creek W WTP Reinspection form completed by Mr. Clark.
Inspection Results
Did the facility inspection result in any corrective actions to be Implemented? If so, for what issue(s)?
Yes. Mr. Clark has denoted 31 corrective measures to be implemented for achieving permit compliance. These corrective
measures range from updating SWPPP components to implementation of BMPs for pollutant reduction. Please reference Part 5,
Required Actions to be completed by the Facility, of the attached Item #34 for specific sites issues.
If compliance corrective actions were identified, what timeline for correction/follow-up was provided?
Mr. Clark provided a due date of Friday, August 19, 2022 for all corrective measures to be completed. The due date was contained
in the inspection form cover letter, written in red font color and italicized for ease of reference by Muddy Creek W WTP staff. The
time frame of three months was agreed upon by Muddy Creek W WTP staff and Mr. Clark.
Notes/Comments/Recommendations
None
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 43 of SS

Site Visit Evaluation: MS4 Outfall No. 1
Outfall ID Number:
Date and Time of Site Visit:
OF_138
May 12, 2022 at 9:50 As
Outfall Location:
Outfall Description (Pipe Material/Diameter, Culvert, etc.):
66 feet from the intersection of Nelson and W. Devonshire
30" circular, reinforced concrete pipe, submerged outlet with
Streets with a bearing of 56 degrees. Located within the City's
ponded water.
right-of-way.
Receiving Water:
Is Flow Present? If So, Describe (Color, Approximate Flow Rate,
An unnamed tributary of Salem Creek
Sheen, Odor, Floatables/Debris, etc.):
Yes, the outfall had a very low volume of discharge. The quantity
of discharge volume was so low that Stormwater staff could not
Most Recent Outfall Inspection/Screening (Date):
calculate a volume. No obvious signs of pollutants — the water
December 3, 2021
was clear, no odor, no solids, no sheen, no distressed or excessive
vegetation, no foam, and no discoloration. The outfall pool had
one plastic bottle and several pieces of trash, which is
Days Since Last Rainfall: 5
Inches: 0.54
unfortunately common for an ultra -urban subbasin. Some signs of
algal growth on several submerged macrophytical plants, but this
growth is due to stagnated water.
Name of MS4 Inspector(s) evaluated:
1) Nicholas Hole, Stormwater Technician
2) Ladonta 'Jamal' Clark, Stormwater Operations Supervisor
Observations
Inspector Training/Knowledge
What type of stormwater training does the MS4 Inspector receive? How often?
Mr. Hole received in-house training from Mr. Clark regarding indicator parameters (e.g, dissolved oxygen, conductivity, total
dissolved solids, pH, surfactants, etc.). This training included parameter description, Its significance within streams, normal,
ambient background levels within each watershed, units of measurement, and recordation means for proper documentation. In
addition, Mr. Hole has been 'shadowing' Mr. Clark for the past eight months when Mr. Clark was performing dry weather outfall
Investigative activities. Since Mr. Hole was hired ten months ago, this comprehensive training was completed within his first year of
employment. Dry weather outfall screening is a permit -required activity that staff performs on an annual frequency; refresher
training will occur every year prior to screening work for Stormwater staff.
Mr. Clark is a stormwater veteran with approximately 12 years within the Division; he was worked and shadowed Mr. Allen for the
past three years. When Mr. Clark has questions or needs technical guidance, he asks Mr. Allen and incorporates the working
knowledge into his repertoire. As training opportunities become available, Mr. Clark participates and absorbs the technical
Information (e.g. Wow Wednesday seminars) to increase his professional knowledge.
Did the MS4 Inspector appear knowledgeable about illicit discharge Indicators and Investigations?
Yes, Mr. Hole and Mr. Clark are knowledgeable concerning illicit discharge Indicators and investigative techniques and procedures.
Mr. Hole knew all visual and sensory Indicators of potential pollutants — he properly observed that no noticeable pollutants were
present within the outfall discharge (except for the numerous pieces of trash). Mr. Hole properly diagnosed that the algal growth
was due to stagnated water from groundwater baseflow into the stormwater collection system (due to the extremely dry weather
conditions). Mr. Hole examined the collected ambient Instanteous multiparameter readings and knew that the concentrations are
representative of a normal urban stream background levels. Since HDR staff observed sewage odor, cloudy, gray -colored water
from this outfall on December 2, 2021, Mr. Hole collected water samples to be laboratory testing for ammonia, nitrates, and fecal
coliforms parameters to verify these pollutants were not within the water column. NOTE: Stormwater staff collected these
parameters on December 3, 2021— ammonia and nitrates were non -detectable and fecal coliforms were 5,200 cfu/100 mL. Mr.
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 44 of 58

Site Visit Evaluation: MS4 Outfall No. 1
Clark and Mr. Hole walked the immediate upland drainage area —they observed numerous 'dog lots', but no obvious signs of
wildlife (tracks, scat, etc.). When consulting the Stormwater Division's septic tank GIS layer on May 12th, Mr. Hole and Mr. Clark
confirmed that no septic tank systems are located within the subbasin.
Inspection Procedures
Does the inspector's process include the use of a checklist or other standardized form?
Yes, Stormwater staff completed an initial illicit discharge compliant form after inspecting OF_138 on December 3, 2021. This form
summarized field Investigative activities, work outcomes, and pertinent information (e.g. date, time, Inspector's name, weather
conditions, etc.) During this site visit evaluation, Mr. Clark completed a standardized, divisional field-testing form that records
analyzed multlparameter results, date, time, initials of analyst, dry weather conditions notation, and comments. A standardized
chain of custody was completed for submitting the water samples to the contracted NC certified laboratory by Mr. Hole. Once
received from the laboratory, the certified laboratory results will be cataloged In Stormwater's Dry Weather Screening folder, which
is located at: G:\Techn_Projects_Files\Dry Weather Screening\2021-2022\Devonshire and Nelson Street. All major stormwater
discharge outfalls, which may contain an illicit discharge, are documented in this manner.
Does the inspector's process include taking photos?
Yes, Mr. Hale took several photographs on his city -issued !Phone that documents the physical characteristics of the outfall water
quality. These pictures memorialize the Instanteous water conditions of the active flow from OF_138; staff can reference this
information as future investigations occur in order to isolate fecal collform sources within the drainage subbasin. Within one
working day, Mr. Hole downloaded the photographs and placed into the appropriate stormwater outfall folder.
Did the MS4 inspector miss any obvious potential illicit discharge Indicators or maintenance issues? If so, what were they?
No, Mr. Hole and Mr. Clark did not miss any obvious illicit discharge indicators. Both team members were very thorough in their
investigative processes.
Inspection Results
Did the outfall inspection result in any work orders or maintenance requests? If so, for what Issue(s)?
Yes. Based on fecal coliforms, ammonia, and nitrates certified laboratory data from the May 12th sampling event, Stormwater staff
believes that the elevated levels of fecal coliforms are from numerous dog lots within the upland drainage area. The Senior
Community Educator will distribute pet waste pamphlets (in English and Spanish) to all houses within the subbasin.
Will a follow-up outfall inspection be conducted? If so, for what reason?
Due the number and consist levels of analyzed fecal coliforms at Outfall 138 (and non-detectable/extremely low concentrations of
ammonia and nitrates), the Senior Community Educator will perform public outreach activities, within the subbasin, in hopes of
changing one's behavior and begin picking up after their pets.
Notes/Comments/Recommendations
None
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 45 of 58

Site Visit Evaluation: MS4 Outfall No. 2
Outfall ID Number:
Date and Time of Site Visit:
OF_411
May 12, 2022 at 11:00 A.M.
Outfall Location:
Outfall Description (Pipe Material/Diameter, Culvert, etc.):
425 feet from the intersection of Cassell and Longfellow
Receiving dry ditch is an open channel that is four feet wide and
Streets at a bearing of 348 degrees.
one foot deep; discharge pipe is made of iron ductile material and
18 inches in diameter.
Receiving Water:
Is Flow Present? If So, Describe (Color, Approximate Flow Rate,
Salem Creek
Sheen, Odor, Floatables/Debris, etc.):
No, the receiving stream is an ephemeral channel that crosses
City/County Utilities' sewer easement.
Most Recent Outfall Inspection/Screening (Date):
July 7, 2021
Days Since Last Rainfall: 5
Inches:
0.54
Name of MS4lnspector(s) evaluated:
1) Nick Hole, Stormwater Technician
2) Ladonta 'Jamal' Clark, Stormwater Operations Supervisor
Observations
Inspector Training/Knowledge
What type of stormwater training does the MS4 inspector receive? How often?
Mr. Hole received in-house training from Mr. Clark regarding indicator parameters (e.g, dissolved oxygen, conductivity, total
dissolved solids, pH, surfactants, etc.). This training included parameter description, its significance within streams, normal,
ambient background levels within each watershed, units of measurement, and recordation means for proper documentation. In
addition, Mr. Hole has been 'shadowing' Mr. Clark for the past eight months when Mr. Clark was performing dry weather outfall
Investigative activities. Since Mr. Hole was hired ten months ago, this comprehensive training was completed within his first year of
employment. Dry weather outfall screening is a permit -required activity that staff performs on an annual frequency; refresher
training will occur every year prior to screening work for Stormwater staff.
Mr. Clark is a stormwater veteran with approximately 12 years within the Stormwater Division; he was worked and shadowed Mr.
Allen for the past three years. When Mr. Clark has questions or needs technical guidance, he asks Mr. Allen and incorporates the
working knowledge into his repertoire. As training opportunities became available, Mr. Clark participates and absorbs the technical
information (e.g. Wow Wednesday seminars) to increase his professional knowledge.
Did the MS4 Inspector appear knowledgeable about illicit discharge indicators and investigations?
Yes, Mr. Hole and Mr. Clark are knowledgeable concerning illicit discharge indicators and investigative techniques and procedures.
Since the stormwater discharge outfall and receiving open channel was dry during the investigation, Mr. Hole and Mr. Clark
investigated the upgradient drainage area to confirm the lack of flow. Results of this investigation showed that the upstream
conveyances receive overland flow from Route 52 and a low -density single-family development— both channels experience flow
only during wet weather events.
Inspection Procedures
NC5000247_Winston-Salem 2022 MS4 Self -Audit Page 46 of 58

Site Visit Evaluation: MS4 Outfall No. 2
Does the inspector's process include the use of a checklist or other standardized form?
Yes, Stormwater staff completed an initial illicit discharge compliant form after inspecting OF_411 on July 7, 2021. This form
summarized field investigative activities, work outcomes, and pertinent information (e.g. date, time, inspector's name, weather
conditions, etc.) During this site visit evaluation, Mr. Hole took several photographs of the stormwater discharge outfall and dry
ditch. Mr. Hole completed an updated illicit discharge compliant report to document today's reinspection and to closeout this dry
weather screening investigation. The stormwater discharge outfall report for OF_411 is located at: G:\Techn_Projects_Files\Dry
Weather Screening\2021-2022\Cassell Street and Longfellow Street.
Does the inspector's process include taking photos?
Yes, Mr. Hole took pictures of the outfall pipe and open channel as proof of no active flow. In addition, this memorializes the
outfall status for other Stormwater team members and documentation for closing out the outfall status as complete.
Did the MS4 inspector miss any obvious potential illicit discharge indicators or maintenance issues? if so, what were they?
No
Inspection Results
Did the outfall Inspection result in any work orders or maintenance requests? if so, for what issue(s)?
Since the stormwater discharge outfall and receiving open channel were dry, no further actions are required.
Will a follow-up outfall inspection be conducted? If so, for what reason?
No reinspections are required.
Notes/Comments/Recommendations
None
NC5000247_Winston-Salem 2022 MS4 Self -Audit Page 47 of 58

Site Visit Evaluation: Construction Site No. 1
Site/Project Name:
Date and Time of Site Visit:
Chick-fil-a
May 18, 2022 at 9:05 A.M.
Site/Project Address:
Operator:
1351 Glenn Center Drive
Nate Thompson, Chick-fil-a Incorporated (Financial Responsible
Kernersville, NC 27284
Owner)
Project Type
(Commercial, Industrial, Residential, CIP, Road, etc.):
Commercial
NCG Permit ID Number: Disturbed Acreage:
NCC220049 2.13 acres
Recent Enforcement Actions (Include Date):
None
Name of MS4 Inspector(s) evaluated:
Mr. Wesley Williams
Name(s) and Title(s) of Site Representative(s) Present During the Site Visit:
Name
Title
Mr. Mitch Japowicz
Project Manager
Observations
Site Documentation/Training
Does the site have a Stormwater Pollution Prevention Plan (SWPPP) or similar document? Is it site -specific?
Since the site has an approved erosion control plan (approved by the Winston-Salem/Forsyth County Erosion Control Division) as
well as implementing additional requirements of their NCG01000 permit (Ground Stabilization and Materials Handling sections),
these two components constitute a valid SWPPP. Yes, the SWPPP is site specific.
Does the site have approved erosion and sedimentation control plans onsite? Are they representative of current site conditions?
Yes, Mr. Japowicz had his hard copy of the approved erosion and sedimentation control plan onsite. When Mr. Williams inquired to
the planting scheme for permanent ground vegetation as well as temporary seeding specifications, Mr. Japowicz consulted his
approved erosion control plan to provide staff detailed answers.
What type of stormwater training do site employees receive? How often?
Mr. Japowicz hired a professional erosion control firm (i.e. J Westland Landscaping) for ensuring compliance with Installing,
maintaining, and inspecting all required erosion control measures (and completion of all needed performing all self -inspection
reports). When asked the proper spill response practices of any leaking heavy equipment by Mr. Allen, Mr. Japowicz knew the
required actions of mitigating and disposal of any petroleum -contaminated soil from the site.
Inspector Training/Knowledge
What type of stormwater training does the M54 inspector receive? How often?
Mr. Williams attended the 2022 Local Program Erosion Control Workshop, which covered a numerous of stormwater-related topics.
In addition, Mr. Williams completes eight hours of annual PDH (professional development hours) training to maintain his CPESC
(Certified Professional in Erosion and Sediment Control) Certification.
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Site Visit Evaluation: Construction Site No. 1
Did the MS4 inspector appear knowledgeable about MS4 and NCGO10000 requirements for construction sites?
Yes. For example, Mr. Williams knew that ground stabilization is required within 14 days of land disturbance completion, as per
NCG01000 requirements.
Did the MS4 inspector appear knowledgeable about erosion and sedimentation control/stormwater pollution prevention BMPs?
Yes, Mr. Williams was cognizant of proper placement of domestic waste receptacles; these port-a-jons were located away from any
stormwater conveyance, protected from accidental tip -over from vehicles, and routinely serviced by a licensed hauler. All erosion
control measures were in proper operating order and well -maintained.
Inspection Procedures
Does the MS4 inspector's process include the use of a checklist?
Yes, Erosion Control staff uses a standardized inspection form, which is based on DEMLR's site inspection template. Erosion Control
staff enters pertinent comments or recommendations and denotes any deficiencies by checking a corresponding box — the
inspection form language Is not modified by Inspectors.
Does the MS4 inspector's process include taking photos?
Yes — please see the attached photograph of a catch basin (Item #37), which drains to the site's sediment basin. Mr. Williams was
documenting that no sediment is being discharged into the stormwater collection system.
Does the MS4 inspector's process include reviewing approved plans (erosion and sedimentation control and/or SWPPP)?
Yes. During the Inspection, Mr. Williams referenced all erosion control features and measures, as per the approved plan, to
determine compliance. Mr. Williams uses his city -issued !Pad and takes electronic notes (please see the enclosed photo within Item
#37 of Mr. Williams using the iPad).
Does the MS4 inspector's process Include walking the entire site and inspecting all points of discharge?
Yes, Mr. Williams walked the entire site and inspected the one discharge outfall from the sediment basin.
Did the MS4 inspector miss any obvious violations? If so, explain:
No, Mr. William's inspection was very comprehensive— no violations were missed.
Does the MS4 Inspector's process include presenting the inspection findings to the site contact in writing?
Yes, Mr. Williams emailed an electronic copy of the generated inspection report to Mr. Japowicz on May 18, 2022.
Does the MS4 inspector's process Include providing construction stormwater educational materials to the site contact?
Yes. When an Erosion Control Inspector sends an inspection form or enforcement correspondence to a responsible entity, copies of
applicable regulations and/or cut sheets of detailed engineered drawings are transmitted, as needed.
Compliance/Enforcement
What, if any, enforcement actions (verbal warnings, NOV, etc.) did the Inspection result in?
None
If compliance issues were identified, what timeline for correction/follow-up was provided?
Not applicable
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Site Visit Evaluation: Construction Site No. 1
Notes/Comments/Recommendations
None
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page SO of S8

Site Visit Evaluation: Construction Site No. 2
Site/Project Name:
Date and Time of Site Visit:
Brooke Hill Subdivision
May 18, 2022 at 10:20 A,M.
Site/Project Address:
Operator:
635 Hauser Road
Mr, Daniel Greene, Manager
Lewisville, NC 27023
Project Type
(Commercial, Industrial, Residential, CIP, Road, etc.):
Residential Development
NCG Permit ID Number:
Disturbed Acreage:
NCC211962
39.50
Recent Enforcement Actions (Include Date):
A Notice of Violation was Issued on March 3, 2022 for offsite
Name of MS4 Inspector(s) evaluated:
Mr. Kent Wall
sedimentation and failure to maintain erosion control measures.
All issues were successfully resolved by April 4, 2022.
Name(s) and Title(s) of Site Representative(s) Present During the Site Visit:
Name
Title
Mr. Greene was not available for the site inspection
Manager
Observations
Site Documentation/Training
Does the site have a Stormwater Pollution Prevention Plan (SWPPP) or similar document? Is it site -specific?
Since the site has an approved erosion control plan (approved by the Winston-Salem/Forsyth County Erosion Control Division) as
well as implementing additional requirements of their NCG01000 permit (Ground Stabilization and Materials Handling sections),
these two components constitute a valid SWPPP. Yes, the SWPPP is site specific.
Does the site have approved erosion and sedimentation control plans onsite? Are they representative of current site conditions?
Yes. Mr. Wall retrieved a hard copy set of approved erosion control plans from the onsite contractor's box, which is positioned at
the site's main entrance. Mr. Wall compared onsite erosion control measures and corresponding grading stage to the approved
plan — both items were congruent to each other.
What type of stormwater training do site employees receive? How often?
Mr. Adams (Project Manager) has contracted a professional erosion control consultant, Mr. Herb Dunn, for NCG01000 compliance
(e.g. self -Inspections) and verification of proper Installation of construction of erosion control measures. Mr. Dunn performs light
SCM maintenance activities, for intensive, major maintenance activities, Mr. Dunn coordinates with the contractor for work
completion and oversees said work. Mr. Dunn has over 29 years of erosion control experience and completes supplementary
training, as needed.
Inspector Training/Knowledge
What type of stormwater training does the MS4 inspector receive? How often?
Mr. Wall attended the 2022 Local Program Erosion Control Workshop, which covered a numerous of stormwater-related topics. In
addition, Mr. Wall completes eight hours of annual PDH (professional development hours) training to maintain his CPESC (Certified
Professional in Erosion and Sediment Control) Certification.
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Site Visit Evaluation: Construction Site No. 2
Did the MS4 inspector appear knowledgeable about MS4 and NCG010000 requirements for construction sites?
Yes. For example, Mr. Wall knew that ground stabilization is required within 14 days of land disturbance completion, as per
NCGO1000 requirements. In addition, Mr. Wall knew the port -a -Jon was located at a spot that was not within 50 feet of a
stormwater conveyance system or feature.
Did the MS4 inspector appear knowledgeable about erosion and sedimentation control/stormwater pollution prevention BMPS?
Yes, Mr. Wall was cognizant of the need for a stone outlet measure, which will retain sediment from being conveyed to the down -
gradient storm discharge outfall (please reference Item #38), Also, Mr. Wall observed gulley and reel erosion, which is contributing
to sediment deposition onto an emergency spillway at Sediment Pond #3. If unaddressed, this situation could potentially cause an
offsite sedimentation issue.
Inspection Procedures
Does the M54 inspector's process include the use of a checklist?
Yes, Erosion Control staff uses a standardized inspection form, which is based on DEMLR's site inspection template. Erosion Control
staff enters pertinent comments or recommendations and denotes any deficiencies by checking a corresponding box —the
inspection form language is not modified by Inspectors.
Does the MS4 Inspector's process include taking photos?
Yes — please see the attached photographs that Mr. Wall took of recommended action items for the contractor to address (Item
#38):
Does the MS4 Inspector's process include reviewing approved plans (erosion and sedimentation control and/or SWPPP)?
Yes. During the inspection, Mr. Wall referenced all erosion control features and measures, as per the approved plan, to determine
compliance. Mr. Wall used the onsite hard copy approved plan and takes traditional written notes, which are transcribed onto the
inspection report (please see the enclosed photo within Item #38 of Mr. Wall referencing the approved plan).
Does the MS4 inspector's process include walking the entire site and inspecting all points of discharge?
Yes, Mr. Wall walked the entire site and inspected all five stormwater discharge outfalls.
Did the MS4 inspector miss any obvious violations? If so, explain:
No, Mr. Wall's inspection was very comprehensive — no violations were missed.
Does the MS4lnspector's process include presenting the inspection findings to the site contact in writing?
Yes, Mr. Wall emailed an electronic copy of the generated inspection report, including all photographs, to Mr. Mike Adams on May
18, 2022,
Does the MS4 inspector's process include providing construction stormwater educational materials to the site contact?
Yes. When an Erosion Control Inspector sends an inspection form or enforcement correspondence to a responsible entity, copies of
applicable regulations and/or cut sheets of detailed engineered drawings are transmitted, as needed.
Compliance/Enforcement
What, if any, enforcement actions (verbal warnings, NOV, etc.) did the inspection result in?
None
If compliance issues were identified, what timeline for correction/follow-up was provided?
Mr. Wall denoted eight recommendations for the contractor to address -these action Items will ensure that sediment is maintained
onsite. Mr. Wall will reinspect the site by Friday, June 10, 2022. If the recommendations are not completed prior to Mr. Wall's
NCS000247_Winston-Salem 2022 MS4 Self -Audit Page 52 of 58

Site visit Evaluation: Construction Site No. 2
upcoming reinspection, these Items will become corrective actions, The corrective actions must be finished within ten
report receipt - Erosion Control staff directly emails their inspection forms to the corresponding responsible entity.
Notes/Comment s/ Reco m mend at i ons
None
NCS000247_Winston-Salem 2022 M54 Self -Audit Page 53 of 58

Site Visit Evaluation: Post -Construction Stormwater Control Measure No. 1
Site Name:
Date and Time of Site Visit:
Dollar General (Winston-Salem Store #20429)
5/15/2022 (approximately 9:50am)
Site Address:
SCM Type:
3105 Kernersville Road,
Sand Filter
Winston-Salem, N.C, 27284
Most Recent MS4 Inspection (Include Date and Entity):
March 2022 (Contracted Inspector Steve Huffsetter, NCSU
Inspector Certification #1111)
Name of MS4lnspector(s) evaluated:
Most Recent MS4 Enforcement Activity (Include Date):
Joe Fogarty P.E.
N/A, the most recent Inspection had the SCM in serviceable
condition but did note that the filter bed would need to be tilled
soon.
Name(s) and Title(s) of Site Representative(s) Present During the Site Visit:
Name
Title
Joe Fogarty P.E.
Stormwater Engineer
Keith Huff CFM, CPESC
Field Operations Director
Observations
Site Documentation
Does the site have an operation and maintenance plan?
Yes, the site has an operation and maintenance plan and construction as -built drawings.
Does the site have records of annual Inspections? Are they performed by a qualified individual?
Yes, annual inspection reports were turned in for this SCM and completed by a qualified individual.
(Contracted Inspector Steve Huffsetter, NCSU Inspector Certification #1111)
Inspector Training/Knowledge
What type of stormwater training does the MS4 inspector receive? How often?
The MS4 inspector (Joe Fogarty P.E.) is a professional engineer and has training in SCM design and review and has taken the NCSU
design and certification classes. Training is updated on an annual basis as PDH's are required for P.E. registration.
Did the MS4 Inspector appear knowledgeable about MS4 requirements for post -construction site runoff controls?
Yes, the inspector is knowledgeable about MS4 requirements and post construction site controls.
NCSooD247_Winston-Salem 2022 MS4 Self -Audit Page 54 of 58

Site Visit Evaluation: Post -Construction Stormwater Control Measure No. 1
Did the MS4 inspector appear knowledgeable about post -construction BMPs (general purpose/function, components, O&M
requirements, etc.)?
Yes, the inspector is knowledgeable regarding all elements of SCMs.
Inspection Procedures
Does the MS4 inspector's process include the use of a checklist or other standardized form? What format?
Yes, the inspector uses the standard inspection checklist (State BMP Manual) for a sand filter.
Does the MS4 inspector's process include taking photos?
Yes, photos are taken with every inspection.
Does the M54 inspector's process Include reviewing the site's operation and maintenance plan and records of annual
Inspections?
Yes, prior Inspections are reviewed before a new inspection is undertaken.
Does the MS4 inspector's process include walking the entire site and inspecting all points of discharge?
Yes
Did the MS4 inspector miss any obvious operation and maintenance deficiencies? If so, explain:
The inspector did not miss any 0&M deficiencies.
Does the MS4 Inspector's process include presenting the inspection findings to the site contact in writing?
Yes, written notification is provided to the contact.
Compliance/Enforcement
What, if any, enforcement actions (verbal warnings, NOV, etc.) did the inspection result in?
This inspection resulted in a notification to the SCM contact to address vegetation growth on the sand filter bed.
If compliance issues were identified, what timeline for correction/follow-up was provided?
The contact was asked to develop a plan of action and provide response within 30 days.
Notes/Comments/Recommendations
Overall, the inspector was knowledgeable about the SCM inspected. The inspector reviewed prior documents and had as-builts with
him for reference during the inspection. The inspector followed an inspection checklist suited to this type of stormwater control
measure. Photos were taken and the SCM contact was advised of deficiencies.
NC5000247_Winston-Salem 2022 MS4 Self -Audit Page 55 of 58

Site Visit Evaluation: Post -Construction Stormwater Control Measure No. 2
Site Name:
Date and Time of Site Visit:
NC School of the Arts (Central Storage Facility)
5/15/2022 (approximately 11:30am)
Site Address:
SCM Type:
65 East Acadia Avenue
Biorentention Cell
Winston-Salem, N.C. 27127
Most Recent MS4 Inspection (Include Date and Entity):
November 2021(Contracted Inspector, Jordan Jones, NCSU
Inspector Certification #3664
Name of MS4 Inspector(s) evaluated:
Most Recent MS4 Enforcement Activity (Include Date):
Joe Fogarty P.E.
N/A, the most recent inspection had the SCM in serviceable
condition per Jordan Jones.
Name(s) and Title(s) of Site Representative(s) Present During the Site Visit:
Name
Title
Joe Fogarty P.E.
Stormwater Engineer
Keith Huff CFM, CPESC
Field Operations Director
Observations
Site Documentation
Does the site have an operation and maintenance plan?
Yes, the site has an operation and maintenance plan and construction as -built drawings.
Does the site have records of annual Inspections? Are they performed by a qualified individual?
Yes, annual inspection reports were turned in for this SCM and completed by a qualified individual.
(Contracted Inspector Jordan Jones, NCSU Inspector Certification #3664)
Inspector Training/Knowledge
What type of stormwater training does the MS4 inspector receive? How often?
The MS4 inspector (Joe Fogarty P.E.) is a professional engineer and has training in SCM design and review and has taken the NCSU
design and certification classes. Training is updated on an annual basis as PDH's are required for P.E. registration.
Did the MS4 Inspector appear knowledgeable about MS4 requirements for post -construction site runoff controls?
Yes, the inspector is knowledgeable about MS4 requirements and post construction site controls.
Did the MS4 inspector appear knowledgeable about post -construction BMPs (general purpose/function, components, O&M
requirements, etc.)?
Yes, the inspector is knowledgeable regarding all elements of SCMs.
Inspection Procedures
Does the MS4 inspector's process include the use of a checklist or other standardized form? What format?
Yes, the inspector uses the standard inspection checklist (State BMP Manual) for a bioretention cell.
Does the MS4 inspector's process include taking photos?
Yes, photos are taken with every inspection.
NC5000247_Winston-Salem 2022 MS4 Self -Audit Page 56 of 58

Site Visit Evaluation: Post -Construction Stormwater Control Measure No. 2
Does the MS4 inspector's process include reviewing the site's operation and maintenance plan and records of annual
Inspections?
Yes, prior inspections are reviewed before a new inspection is undertaken.
Does the MS4 inspector's process Include walking the entire site and Inspecting all points of discharge?
Yes
Did the MS4 inspector miss any obvious operation and maintenance deficiencies? If so, explain:
The inspector did not miss any 0&M deficiencies.
Does the MS4 inspector's process Include presenting the inspection findings to the site contact in writing?
Yes, written notification is provided to the contact.
Compliance/Enforcement
What, if any, enforcement actions (verbal warnings, NOV. etc.) did the inspection result in?
This inspection resulted in a notification to the SCM contact to address vegetation growth on the sand filter bed.
If compliance Issues were identified, what timellne for correction/follow-up was provided?
The contact was asked to develop a plan of action and provide response within 30 days.
Notes/Comments/Recommendations
Overall, the inspector was knowledgeable about the SCM inspected. The inspector reviewed prior documents and had as -bunts with
him for reference during the inspection. The inspector followed an inspection checklist suited to this type of stormwater control
measure. Photos were taken and the SCM contact was advised of deficiencies.
NC5000247_Winston-Salem 2022 MS4 Self -Audit Page 57 of 58