Building is running ahead of the country here: 16.7 units permitted per thousand households against 11.0. Across 281,596 households that means roll-off demand from builders alongside the residential hauling.
Winston-Salem has 281,596 households across a population of 689,766. Junk removal demand tracks households more closely than anything else: people move, renovate, downsize and clear out, and every one of those is a job for someone with a truck and a crew.
Where these figures come from
Every number in these paragraphs is a Census figure for the Winston-Salem metro, compared with the national figure from the same table.