NCG060208_COMPLETE FILE - HISTORICAL_20121204

PERMIT NO.
I
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
HISTORICAL FILE
MONITORING REPORTS
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Bill Peterson
Pepsi Bottling Ventures LLC
4141 Parklak Ave
Raleigh, NC 27612
Dear Permittee:
Division of Water Quality
Charles Wakild, P. E.
Director
December 4, 2012
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Pepsi Bottling Ventures -Winston
COC Number NCG060208
Forsyth County
In response to your renewal application for continued coverage under stormwater General Permit NCG060000
the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October
15, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage (COG)
• A copy of General Permit NCG060000
• A copy of the Technical Bulletin for the General Permit
• Two copies of the Discharge Monitoring Report (DMR) Form
• Two copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge
controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself
with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the
permit to update your current SPPP to reflect all new permit requirements.
The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable
storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable,
report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part li of your
permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this
permit and do not count prior exceedances.
The more significant changes in the General Permit since your last COC was issued are noted either in the
Draft Permit Fact Sheet that accompanied the public notice (http://i)ortal.ncdenr.org/web/wq/ws/su/current-
notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are
posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit
http://portal.ncdenr.ors/weblwg/ws/su/npdessw (click on `General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone] FAX- 919-801-6492
Intemel: wwwrn:water�Us!ity.M
An Equal Opporlui ''v I yifirma'ive Action Employ.
NorthCarol ina
,Vvahlrall r

Bill Peterson
DEcw.mber 4, 2012
Page 2 of 2
Some of the changes include:
Part II:
• Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated
to the most current language of our permits. Additional conditions for specific industry sectors have
been added to the SPPP requirements in some cases.
• Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring
that the permittee begin a monthly sampling scheme.
• Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these
more sensitive waters.
• Sections B, C: The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter
Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other
analytical monitoring requirements.
• Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in
separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined
in the "Definitions" section of the permit.
• Sections 6, C. The term "Representative Storm Event" has been replaced by "Measurable Storm
Event." A measurable storm event is defined in the permit.
• Section D: If the permittee fails to respond effectively to problems identified by qualitative
monitoring, DWQ may require the permittee to perform corrective action.
Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit,
including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and
Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms
of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on
the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than
30 days from the date the facility receives the sampling results from the laboratory. Also note that existing
permittees do not need to submit a renewal request prior to expiration unless directed by the Division.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law,
rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit
package, please contact the Division's Stormwater Permitting Unit at [phone].
Sincerely,
/
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston-Salem Regional Office

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060208
STORMWATER
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Pepsi Bottling Ventures LLC
is hereby authorized to discharge stormwater from a facility located at:
Pepsi Bottling Ventures -Winston
3425 Myer Lee Dr
Winston Salem
Forsyth County
to receiving waters designated as Salem Creek (Middle Fork Muddy Creek, Salem Lake), a class
WS-III;CA waterbody in the Yadkin River Basin in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts 1, II, III, and IV of General
Permit No. NCG060000 as attached.
This certificate of coverage shall become effective December 4, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 41h day of December, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Compliance Inspection Report
Permit: NCG060208 Effective: 04/23/10 Expiration. 10/31/12 Owner: Pepsi Bottling Ventures LLC
SOC: Effective: Expiration: Facility: Pepsi Bottling Ventures -Winston
County: Forsyth 3425 Myer Lee Dr
Region: Winston-Salem
Winston Salem NC 27101
Contact Person: Matthew Bucherati Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s)-
Related Permits:
Inspection Date: 05/11/2011 Entry Time: 01:00 PM Exit Time: 03:00 PM
Primary Inspector: Ron Boone �/219 Q e l Phone: [phone]
Secondary Inspector(s): 4A
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing
Stormwater Discharge COC
Facility Status: ❑ Compliant e Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: t

Permit: NCG060208 Owner - Facility: Pepsi Bottling Ventures LLC
Inspection Date: 05111/2011 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Inspection actually conducted by City of WS Stormwater Inspector Bill Baugher. Refer to his attached inspection summary
letter.
Page: 2

Permit: NCGO60208 Owner -Facility: Pepsi Souring Ventures LLC
Inspection Date: 0511112011 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes
No
NA NE
Does the site have a Stormwater Pollution Prevention Plan?
■
D
D D
# Does the Plan include a General Location (USGS) map?
C
D
D
# Does the Plan include a "Narrative Description of Practices"?
■
D
D D
# Does the Plan include a detailed site map including outfall locations and drainage areas?
®
D
D D
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
D
D Q
# Has the facility evaluated feasible alternatives to current practices?
■
D
D D
# Does the facility provide all necessary secondary containment?
n
D
D ■
# Does the Plan include a BMP summary?
■
n
D D
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑
D
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
D
D D
# Does the facility provide and document Employee Training?
■
D
D D
# Does the Plan include a list of Responsible Party(s)?
0
D
D e
# Is the Plan reviewed and updated annually?
❑
D
D ■
# Does the Plan include a Stormwater Facility Inspection Program?
■
n
D D
Has the Stormwater Pollution Prevention Plan been implemented?
■
Q
D D
Comment: Inspection actually conducted by City of WS Stormwater Inspector Bill
Baugher. Refer to his attached inspection summary letter.
Qualitative Monitoring
Yes
No
NA NE
Has the facility conducted its Qualitative Monitoring semi-annually?
D
■
D D
Comment: Missing year 2 period 1 and period 2. Inspection actually conducted by City
of WS Stormwater Inspector Bill Baugher. Refer to his attached inspection summary
letter.
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ■
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ■ D D
Comment: Missing year 2 period 1 and period 2. Inspection actually conducted by City
of WS Stormwater Inspector Bill Baugher. Refer to his attached inspection summary
letter.
Permit and Outfalls Yes No NA NE
# is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ■
# Were all outfalls observed during the inspection? ❑ ❑ ❑ ■
# If the facility has representative outfall status, is it properly documented by the Division? D ❑ ■
Page: 3

Permit: NCG060208 Owner - Facility: Pepsi Bottling Ventures LLC
Inspection Date: 0,511112011 Inspection Type: Compliance Evaluation Reason for Visit: Routine
#t Has the facility evaluated all illicit (non stormwater) discharges?
Comment: Inspection actually conducted by City of WS Stormwater Inspector Bill
Baugher. Refer to his attached inspection summary letter.
Page: 4

[]
City of Winston-Salem
Stormwater Division
Surface Water Inspection for Industrial Sites
A. Official Company Name: Pepsi Bottling Ventures LLC
B. Physical Address. 3425 Myer Lee Drive, Winston-Salem, NC 27101
C. Telephone Number: 336-724-4893
D. Mailing Address, If different from above address: Same
E. Primary contact who is authorized to represent company in environmental regulatory issues:
a. Name: Tim Gartley
b. Title: Plant Engineer
c '\Coin act Number(s): 336-724-4893, Cel # 336-813-3106
Email: tim.gartley@pbvllc.c�om f
F. SIC Code number of business: 204221-204225 ' f
G. NC.Stormwater NPDES:Per`mit Number: NCG0060208
a., Facilitx-T e: Faod�and;Kihdr—i-d-
H:� Any=o#her control authority. Permits) (air quality control, wastewater,.hazardous;waste)&
numbe`r(s):�None.. !e
__.I.-T6rief,descr10t on of industrial activities that occur on -site: Pepsi BottlinggV0entur s (PB V) is a
ma;nufacfurer, s" elle and distributor of Pepsi -Cola beverages. t' w
_J Receiving Water(s)`/ MS4: Salem Lake, City of Winston-Salem MS4
�r
1. Best management Practices
A. List the non/structural controls employed by the facility:
1.Stormwater retention pond
2. Oil/Water separator
3.5pill Kit threw out the facility
B. Are the BMPs reasonable & appropriate for the facility: xxxx Yes No
C. Are BMPs installed correctly, maintained, and effective operation condition: xxxx Yes No

M�
Provide a brief description of other controls that manage/prevent/minimize stormwater
runoff (e. g., erosion and sediment controls, inlet protection/control at storm drains, diversion
structures):
1. Spill kits threw out facilities
inlet plugs for storm brains which are stationed at each inlet.
Any evidence of discharge to receiving waters/MS4? (e.g., stormwater runoff, dry weather
discharge, co -mingling of process wastewater): Yes No xx
i. Comments:
Do the stormwater outfalls on -site correspond with those listed on the site map and in
SWPPP? Yes xxxx No N/A
i_ Comments_ Need lat/ long on site map_
P
General.
s+
1 Is there,a�;S1&V P'?.. � iA'' 1 1�, � �, �
�. �
�� � 5r /
� Na � �
r�
2) Does; SWPPP-identify:aspecific position(s) for responsible
$
°
party purposes (e g overall:coordination, development,
implementation`�$�:revisr`ori
,Yes
No
3) Does SWPPFi,designate"Jacility personnel responsible for
implementing SRP?::!;-=-""'
Yes
No
4 Does SWPPP include a certification statement?
Yes
No
Only 2007, 2011
5) Are employee training records regarding stormwater pollution
prevention topics included in SWPPP?
Yes
No
Comments:
Site Map
NOTES
1) Is there a site map?
Y sese
No
2) Drainage patternsloutfalls
iYes
No
3) Identification of potential pollutants likely to be
discharged from each drainage area?
Y► es
No
4) Narrative description and locations of check if present)-

1. Storage practices
XX
2. Unload in/Loading activities
XX
3. Outdoor processes
XX
4. Particulate generating/control processes
XX
5. Waste Disposal
XX
5 Name of receiving waters or MS4's listed?
Yes
No
Not Listed
6) Locations of significant materials exposed to
stormwater?
Yes
No
None exposed to
stormwater
7) Locations and descriptions of major spills occurring within the
3 previous years w/ corrective actions to prevent future spills)?
k s
No
Stormwater Controls
ANI
NOTES
1) Does the SWPPP;describe the non-structuFai`
controls that willtbe�,used�to preven.tireduce �t'
discharge of pplluta ser r in stormwatunoff? r�ri r�
�YesS
s r-No�,
--' P-r'---� r-VI
2 Does the SWP ` .��..:,�:-� � , -',.� � � : <,� } PP;describe the structural.cont`rols that
be e- '' it ''
9N!
will used. to rep' nt/P
p entlreduce discharge;
F._.�..r�csYT
oflutants.in stIf
orrimwater runoff?
Yes
k
3) Does the..SWPPP'-describe other controls that will be
used to prevent/i"educe off-sjte'tracking or blowing of
- ;
sediment,.°dusto °, and edWj-, final, waste products, or
other solid materials and floating debris?
�' Yes,
No
4) Does the SWP, PP'incorporate the 8 baseline controls
(good housekeeping, BMP summary, feasibility study,
PM, SRP procedures, facility inspections, and
comprehensive site evaluations, employee training,
secondary containment, and sediment control?
Yer s
No
5) Does the SWPPP describe the pollutant or activity to
be controlled by BMPs and assessed the need of
implementation through data collected?
Y s-
No
6) Does the SWPPP describe the pollutant or activity
to be controlled by BMPs and assessed the need
of implementation through data collected?
Yes
No
Non-stormwater Discharges
NOTES
1) Certification that the facility has been tested for non-
stormwater discharges from the site?
Yes
No
No Certificates

I
2) Description of testing method, drainage points,
observed results, date, and signature?
Yer s
No
Monitorina
1) Are samples collected within 30 minutes of
measurable weather events occurring 72 hours after
s
No
previous measurable weather event?
2) Were samples collected and preserved in
accordance with 40 CFR 135?
Y: s
No
3) Was prop er chain -of -custody procedures followed?
Yec s
No
4) Was analytical and qualitative monitoring
Missing year 2 period 1
complete.
Yes
No
and 2
5) Any exceede ces,of pollutant parameters in
r
'
Year 3 period 1, TSS
re ards to bencFi�`ma�k values? ,' �, '
Yes.
No;1
1,1.7113ench marki100
=: p
o a o
Hitt tt S 1. 0.1
*IU date.,SWPPP �to reflect permit requirements (i.e. non stormwater certifications, site plans
update).
2. Need to update Site Plan with a Lat/Long for out fall # 001
3. Name of receiving stream in narrative
4. Identify if the receiving water are impaired according to the state 303(d) list.
5. Indicate the impervious percentage for each drainage area.
6. Need to ensure that each year a new certification for non-stormwater discharges is signed in
accordance with requirements found in Part III, standards and conditions, section B Para 5.
7. Update SWPPP on an annual basis that includes an updated list of significant spills or leaks of
pollutants, re -certification of outfall.
The City of Winston-Salem Stormwater Division is requiring that Items # 1-7 he completed on or
before July 14, 2011. Pepsi Bottling ventures LLC shall keep the Stormwater Division updated on
milestones and activities completed in its progression to comply with these required actions. The
Stormwater Division may conduct follow-up inspections in order to ensure completion of mandated
activities.

Educational Resources:
1. NC Stormwater Manual for Industrial Users:
a. http://h2o.enr.state.nc.us/su/storm water.html.
b. http://portal.ncdenr.org/web/wq/ws/su/bmp-manual
Company Representative(s) that participated in inspection name and title(s): Tim Gartley, Plant Engineer
Start of Inspection: 1300 hrs
Completion of Inspection: 1500 hrs
Date of inspection: 5/11/2011
Signature of Stormwater Inspector and title: William D. Baugher, Stormwater Inspector
4 0 31. G I (s, to DOI. *it a � IND.
4. � i

(YVATC
ATC ASSOCIATES OF NORTH CAROLINA, P.C.
Engineering Individual Solutions
2725 East Millbrook Road
Suite 121
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
www.atcassociates.com
N.C. Engineering License No. C-1598
RECEIVED
February 23, 2011 N.C. DeoL of ENR
FEB 2 5 2011
Mr. Ron Boone Winston-Saiecr,
Rogipn0l Qf`ice
North Carolina Department of Environment and Natural Resources _.
Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, North Carolina 27107
Re: January 2011 Release Report
Pepsi Winston-Salem
3435 Myer Lee Drive 27101
Winston-Salem, Forsyth County, North Carolina
Dear Mr. Boone:
ATC Associates of North Carolina, P.C. (ATC), on behalf of Pepsi Bottling Ventures, LLC
(Pepsi), is submitting the attached information regarding the recent oil release at the Pepsi facility
located at 33425 Myer Lee Drive in Winston-Salem, North Carolina. During the evening of
January 18, 2011, an estimated 25 to 30 gallons of oil was released from an air compressor
located outside the facility production building. The oil line from the air compressor to the heat
■ exchanger failed. The release was discovered upon employee arrival at the facility the morning
of January 19, 2011. The oil flowed across the pavement and entered the storm drain near the air
compressor. The storm drain flows through a concrete culvert which empties into the onsite
storm water retention pond located at the northeast corner of the property. The retention pond
eventually discharges to Salem Lake. A topographic map is included as Figure I and site plan
depicting the location of the air compressor, storm drain and retention pond is included as Figure
2.
Pepsi notified ATC and asked for assistance in responding to the spill. ATC contacted Mr.
Corey Basinger of North Carolina Department of Environment and Natural Resources
(NCDENR) Division of Water Quality at 2:30 PM on January 19, 2011 to report the release. Mr.
Keith Huff of the City of Winston-Salem was contacted the same day at 2:40 PM and provided
information regarding the release.
The following information describes, on a day to day basis, the mitigation efforts regarding the
release.

Mr. Ron Boone February 23, 2011
NCDENR — Division of Water Quality Page 2
Wednesday January 19, 2011 — ATC and Shamrock (spill response subcontractor) responded
following notice of the compressor oil release. Absorbent pads were applied to the oil on the
pavement and absorbent booms and pads were placed in the retention pond. A 3-inch diameter
flow pipe that maintains the level of the pond was sealed and booms were placed around the
concrete outfall of the pond. It should be noted that the water level of the pond, though above the
3" pipe, was several feet lower than the concrete outfall. Several thousand gallons of water were
sent through the storm drain in order to flush any residual oil from the culvert leading to the
retention pond. A vacuum truck was then used to skim off any accumulated product from the
pond surface. Approximately 900 gallons of product/water was recovered from the retention
pond surface and disposed of offsite (disposal manifests are attached). Towards the end of the
day, the absorbent pads were removed and containerized and the pavement was pressure washed.
New pads and booms were deployed in the pond. At the direction of the city, additional
skimming of the pond was to be conducted the following day. It should be noted that no oil
exited the retention pond as the surface level of the pond was lower than the concrete outfall.
Thursday January 20, 2011 — ATC/Shamrock were onsite with a vacuum truck to further
mitigate product on the pond. An absorbent boom was dragged across the pond in order to
accumulate the oil near shore where the vacuum truck was then used to recover the oil.
Approximately 1,578 gallons of product/water were recovered from the surface of the retention
pond'and disposed of offsite (disposal manifests are attached). The city instructed Pepsi to seal
off the concrete outfall of the pond. Further recovery of product/water with a vacuum truck and
placement of pads and booms was to continue.
Friday January 21, 2011 — ATC and Contaminant Control Inc. (spill response subcontractor)
were onsite with a vacuum truck to further mitigate product on the pond. A steady light wind
caused some accumulation of product along the shore. Absorbent booms and pads were used
along with a vacuum truck to recover the product. Approximately 1,508 gallons of product/water
were recovered from the surface of the retention pond and disposed of offsite (disposal manifests
are attached). Further recovery of product/water with a vacuum truck and placement of pads and
booms was to continue.
Saturday January 22, 2011 — Pepsi instructed CCI to install hard containment booms around
the inlet and outlets of the pond in order to further ensure that any residual product would not be
released from the pond. CCI mobilized to the site and installed the containment booms in the
afternoon. Absorbent pads and booms were placed within the inlet boom and outside of the
outlet booms to further collect product.
Monday January 24, 2011 — CCI was onsite again to change out booms and pads as needed.
Ice on the pond prevented access to some areas of the pond.
Tuesday January 25, 2011 — A thicker accumulation of ice overnight has again prevented
access to the pond. Pepsi personnel did manage to break up some ice and deploy additional
pads.

Mr. Ron Boone February 23, 2011
NCDENR — Division of Water Ouality Page 3
Wednesday January 26 through Friday February 2, 2011 — Pepsi continues to inspect the
pond on a daily basis. The retention pond has minor areas with petroleum sheen which continues
to be mitigated with absorbent booms and pads.
Thursday February 3, 2011 In anticipation of a significant amount of rainfall, Pepsi
petitioned the city to allow opening the 3-inch outlet drain to prevent the retention pond from
overflowing. The city agreed to allow the discharge but instructed Pepsi to collect an effluent
water sample from the manhole located between the pond and the railroad tracks located to the
north of the site. An effluent water sample was collected on February 3, 2011 and submitted to
Compu Chem laboratories in Cary. North Carolina for analysis of oil and grease by Method
1664. The laboratory report showed a non -detectable level of oil and grease in the effluent water
sample. A copy of the laboratory report is attached.
Monday February 7, 2011 — In an effort to further mitigate the oil remaining in the culvert,
Pepsi mobilized a vacuum truck and a sewer jet to the site. The sewer jet was placed in the storm
water catch basin nearest the release location and extended down the culvert towards the
retention pond inlet. The vacuum truck was positioned at the pond inlet and recovered the water
and oil as it exited the culvert. Approximately 1,581 gallons of water and oil were recovered and
disposed of offsite (disposal manifests are attached).
Inspection and further mitigation activities, if needed, will continue to the satisfaction of the City
of Winston-Salem. Pepsi reiterates that no oil was discharged from the retention pond and will
consider this matter closed upon approval of the city and DENR.
If you have any questions or require additional information please contact this office at (949)
871-0999. Thank you for your cooperation concerning this matter.
Sincerely,
ATC Associates of North Carolina, P.C.
Kurt Ness, P.G.
Senior Project Manager
Attachments
CC: Bill Peterson, Pepsi Bottling Ventures, LLC - Corporate
Rick Hemmings, Pepsi Bottling Ventures, LLC — Winston-Salem Plant
Tim Gartley, Pepsi Bottling Ventures, LLC - Winston-Salem Plant
Keith Huff— City of Winston-Salem

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OF WINSTON-SALEM ASSOC] AT ES INC,
WINSTON-SALEM, NORTH CAROLINA Plaiebn, North c.rolina 27604 (919) 871-OQW FAX [phone]
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Mr. Ron Boone February 23, 2011
:`1CDENR — Division of Water uali Page 4
WASTE DISPOSAL MANIFESTS

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TRANSPORTER 1-11.

MR

Mr. Ron Boone February 23, 2011
NCDENR — Division of Water Quality Page 5
LABORATORY REPORT

1
02/08/2011 15:55 FAX [phone]
-- ..
COMP211c,
A Divisim, Of'
LibertyAnaly'tical Cirp.
281201
KURT NESS
ATC
2725 E. MILLBROOK RD. f
RALEIGH, NC 27604
Compuchem
Subject:
Report of Data - Project: PEPSI WINSTON-SALEM WorkOrder: 1102009
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Attn.. KURT NESS
Enclosed are the results of analytical work performed in accordance with the referenced
account number. This report covers sample(s) appearing on the listing.
Thank your for selecting Cor ipuChem for your sample analysis. If you should have
i
questions or require additional analytical services, please contact your representative at
1-800-833-5097
on
Since
Compuchem
a division of Liberty Analytic,
Attachment.
Corporation
TOTAL NUMBEP047111
OF PAGES I
501 Madison Avende, Cary, NC 27513 Tel: [phone] Fax: [phone]
[a 0002/001.4 {

02/08/2011 .15:55 FAX [phone] Compuchem Q 0003/0014
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CoinpuChem, a division of Liberty Analytical
Client: ATC Work: 1102009
Project; PEPSI'WINSTON-SALEM f Sdg: 1102009
Lab ID Client ID Matrix Date Sampled Date Received
1102009-01
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RETENTION POND DISC Water 02/03/2011 15:45
02/04/2011 11: 25
` 2/7/2011

02/08/2011 15:55 FAX [phone] Compuchem Z0004/0014
• I
ANALYSES DATA PACKAGE COVER PAGE
Client: ATC
I
-- Project: PEPSI WINSTON-SALEM
Laboratory: COMPUC14EM
SDG: 1 ] 02009
Client Sample Id: Lab Sample Id:
I
tRMIENTION POND DISCHARGE 1102009-01
I certify that this data package is in compliance with the terms and conditions of the contract, both technically and for completeness, for
other than the conditions detailed above. Release of the data contained in this hardcopy data package and in the Electronic Data
Deliverable has been authorized by the Laboratory Manager or the Manager's designee, as verified by the following signature.
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SDG NARRATIVE
■ SDG # 1.102009
The I water sample was received intact properly refrigerated at 4.8°C, with proper documentation, in a
scaled shipping container, on!l-ebruary 4's, 2011. 1'Itc sample was scheduled for the requested analysis of
the Wet Chemistry fraction. IThe sample was analyzed, in accordance with current EPA methods, for the
arialyte requested as per the COC, with the exceptions and/or additions requested by the client.
SAMPLE IDs:
The cover page contained in this package lists the client ID's and the associated CompuChem ntimbers
which are part of this SDG.
SAMPLE PREPARATION QUALITY CONTROL:
The sample preparation procedure verifications (LCS/LCS Dup and Blank) were found to be within
acceptable ranges. The sample was prepared and analyzed within the contract specified holding times.
MATKIX RELATED QUALITY CONTROL:
I
There was no matrix QC associated with this SDG.
1 certify that this Sample Data' Package is in compliance with the terms and conditions of the contract, both
technically and for completeness, for other than the conditions detailed above. Release of the data contained
in this hardcopy Sample Data;Package and in the electronic data deliverable has been authorized by the
Laboratory Manager or the Manager's designee, as verified by the following signature.
usan W. Dass
Senior Chemist
February 7, 2011
IM

02/08/2011 15:55 FAX [phone]�0 Compuchem
METHOD DETECTION AND REPORTING LIMITS
EPA 1664A
Laboratory: CQMPUCHEM SUG: 110200
Client: ATC Project: PE.PSI WINSTQN-SALEM
Matrix: WATER Instrument:
0 0006/0014
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Oil & Grease (IIEM) {
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AN DATA SHEET IIENTION POND DISCIIA
Client: ATC SDG: 1102009, Project: PEPSI WINSTON-SALEM
Lab ID: 1102009-01 % Solid: Matrix: Water Sampled; 02/03/1 1 Received: 02/04/11
CAS NO.
Anslyte
Conc.
(mglL)
N I D L
RL
D.F.
Q
Mcthod
Sequence
Analyzed
ILGREAS
Oil & Greasc (HEM)
3.60
5.00
1
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21-1 I 12:15
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ANALYSIS DATA SHEET Blank
Client: ATC SDG: 1102009 Project: PE -psi WrNs,rON-SALF-M
Lab ID: 1020405-BLK1 Matrix: Water
CAS NO.
Analyte
Conc.
{mg/L)
MDI.
RL
U.F.
Q
Method
Sequence
Analyzed
)ILGREXSE
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3.00
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02/08/20.11 15:55 FAX [phone] Compuchem 0009/00.14
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ANALYSIS DATA SHEET LCS
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Client: ATC SDG: 1102009 Project: PEPSI WINSTON-SALEM
Lab ID: 1020405-BS 1 Matrix: Water
I
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CAS NO.
Analyte
Cone.
(mg/L)
MDL
RL
D.F.
Q
Method
Sequence
Analyzed
)ILGREASF
011 & Gicasc (HEM)
36.3
100
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1
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2/4/1 1 12:15
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4- m CompiiChem
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02/08/2011 15:55 FAX [phone] compuchem [a0010/0014
ANALYSIS DATA SHEET LCS Dup
Client: ATC SDG: 1102009 Project: PEPSI WINSTON-SALEM I
f
Lab ID: 1020405-BSD1 Matrix: Water
Cone.
CAS NO.
Analyte
I(mg'L)
MDL
I RI.
I D.N.
I Q
I Method
Sequence Analyzed
1LGRE-AS
Oil & Grease (HEM)
137,1
100
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1 1
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02/08/20.1..1 .1_5:55 FAX [phone] Compuchem
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1,CS11 LCS DUPLICATE RECOVERY
EPA 1664A
Client-
ATC
SDG. 1102009
Project
PEPSI WINSTON-SALLM
Lab ID:
1020405-BSI
I
Matrix: Water Client 11):
LCS
Batch: 1020405
IM0011/001.4
E SPIKE
I LCS
LCS
QC
ADDED
CONCENTRATION
11/0
Q
LIMITS
ANALYTE I (mg/1.)
(mg(L)
RL-C.
REC.
Oil & Grease (DIEM) 40.00
36.3
90.8
78 - 114
SPIKE LCSD
LCSD
QC LIMITS
ADDED CONCENTRATION
%
%
ANALYTE (moll..) I (moll)
RL-C. #
IUD #
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Oil & Grease (HEM) 40,00
I 37.1
92.8
2.18
18
78 - 114
C ompi Chor'l
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CHAIN OF CUSTODY
Page of____
COgttpkfClleril 501 Madison Ave.
Courier
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a division of Liberty Analytical Corp. Cary, NC 27513
Airbill No,
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Phonc: 919-379-4100 Fax [phone]
Sam lin Cornlctc? Y or N
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prvjcet N&me
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625 & Phenol sam lu checked rar chlofinO Y n N
Sample Order En B :
Samples Received in Good Co ' 'on or N
If no, ex lain;
608 samples checked ror pH betwetn 5.0-9,0? Y o N
ti
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Date/Time:
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S i 1
WORK ORDER Printed: 2/7/2011 6:53:02AM
1102009
COMPUCHEM
Client: ATC Project Manager: Cathy Dover
Project: PEPSI WINSTON-SAI.,EM _ Project Number: PEPSI WINSTOi i-SALEM
SDC: 1.102009 CASE: Status: Reported
Report .To:
Invoice To:
ATC
ATC
KURT NESS
KURT NESS
2725 E. MILLBROOK RD. 9121
2725 E. MII.LBROOK RD. 9121
RALEIGH, NC 27604
RALEIGH, NC 27604
Phone: [phone]
Phone :[phone]
-- Fax: - -- --- —
— ---Fax:— - - ---- - J - ----
Date Due: 02/04/2011 17:00 (0 day TAT)
Received By: Cathy Dover
Date Received: 02/04/201 l 11:25
Logged In By: Cathy Dover
Date Logged In; 02/04/2011 11:41
J & B Flags?: YES TICS?:1v0 Deliverable: Style 3 E-mail Only £DD : 68) LATA EXCEL
Metals ND to? NIDL Spike Level: FULLS ike
LCS/LCSD*O&G 1664A HEM*RESULTS DUE TO E-MAIL BY 5PM TODAY
Analysis Due TAT Expires Received Comments
It02009-01 RETENTION POND DISCHARGE IWater] Sampled 02103/2011
15:45 Eastern
OIL&GREASE HEXANE HEM 1664 02/04/2011 16:00 0 03/03/201 l 15:45 02/041201 1 11:25
-a Page I of 1
0

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C�
1664 HEM & SGT-HEM Extraction & Analysis Worksheet 6 GG Rev. 1
Batch ND.: 1020405
SDG: 1102009
Weight `.
Tolerance
Analyst No.: 247
0a:e.,_2'4r11`}T,rne,12'.15_
�S Ba4anc a Check 0.0020 10.0m
x 0,0002
fBeier.= Check g 000C l t�.:l�95
Balance Check I
2D0
n9 96 4B
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ID
Sample Type
ID
Flask tst Weight
Flask 2nd •
Flask 3rd Flhal
Samplq
Flask 1st
'Flask 2nd
Flask 3i.d Final
' Net HEM
HEM Result
Final SGT-
Net SGi-HAM
54 •HEM
CompuCnein
Flask
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HCDEHR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Bill Peterson
Pepsi Bottling Ventures
4141 Parklake Ave.
Raleigh, NC 27612
Dear Perinittee:
Division of Water Quality
Coleen H. Sullins
Director
April 21, 2010
Dee Freeman
Secretary
RECEIVED
N-C. DODL of ENR
APR 2 6 2010
Regional Otric®
Subject: NPDf S Stormwater Permit Coverage Renewal
Pepsi Bott rn�" Venttures
COC Number NCG060208
Forsyth County
In response to your renewal application for.continued coverage under the Stormwater General Permit the Division of
Water Quality (DWQ) is forwarding herewith the reissued Certificate of Coverage and stormwater General Permit.
This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between' the state of North Carolina and the U.S. Environmental Protection Agency,
dated October 15, 2007 (or as subsequently amended.)
The following information'is included with•your permit package:
• A new Certificate of Coverage
• A copy of the stormwater General Pen -nit
• A copy of a Technical Bulletin for the General Permit
• Five copies of the Discharge Monitoring Report (DMR) Form
• Five copies of the Annual Discharge Monitoring Report Norm (if applicable)
• Five copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater only, and it specifies your obligations with respect to
stormwater discharge controls, management, monitoring, and record keeping. Please review the new permit to
familiarize yourself with all the changes in the reissued permit: The significant changes made are outlined in the
Technical Bulletin, which is attached.
Your coverage underthe General Permit is transferable only through the specific action of DWQ.
Wetlands and 5tomtwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
'hone; 919-807-63001 FAX: 91H07�494 l Customer Service: 1-877-623-6748
Internet: www.nmaterquality.org
NorthCarohna
An Equal Oppodunity 1 AfSrmaliveActian Empbper

This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor does^ , it relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule,
standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact the DWQ Stormwater Permitting Unit at 919-
807-6300. g
Sincerely,
for Coleen H. Sullins
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston-Salem Regional Office

STATE OF NORTH CAROLINA-.
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060208
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Pepsi Bottling Ventures
is hereby authorized to discharge stormwater from a facility located at
Pepsi'Bottling Ventures,
3425 Myer Lee Drive
Winston Sleam
Forsyth County
to receiving waters designated as a UT to Salem Lake, a.class WS-111:CA siream, in the Yadkin Pee -Dee
River c Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I,11; III, IV, V, and V I of the General Permit as attached.
This certificate of coverage shall become effective April 21, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 21, 2010.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

' WinsWrt�Salem
^ � ��' I _ Regional amEe
Steve W. Tedder
NC Division of Water Quality, Winston-Salem Regional Office
585 Waughtown St.
Winston-Salem, NC 27107
Subject: Notice of Violation
And Recommendation to Enforce
Pepsi Bottling Ventures — Winston
COC Number NCG060208 — Expired
Forsyth County
Dear Mr. Tedder:
On Friday, September 25, 2009 I received a certified letter from you department telling
me that our plant is in violation for Permit Noncompliance. It stated that our
Storrnwater Permit had expired August 31, 2007 and had not been; renewed.
I am attaching a copy of our current Stormwater Permit which will expire on October 31,
2012. 1 have called and left a voice mail message with Ms. Rose Pruitt hoping to discuss
this issue.
Please have someone contact me to tell me if this information meets the requirements and
we are in compliance or if there is other action that 1 need to take.
Sincerely,
Rick Hemmings
g
Plant Manager
Pepsi Bottling Ventures
3425 Myer Lee Dr
Winston-Salem, NC 27101
336-724-4830
Pepsi Bottling Ventures LLC
3425 Myer Lee Drive, Winston-Salem, NC 27101 • Tel: [phone] . Fax: [phone]

q zf. V9
V

Permit No, NCG060000
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL
RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO60000
TO DISCHARGE STORMWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission and the Federal Water Pollution Control Act, as amended, this permit
is hereby issued to all owners or operators, hereafter permittees, which are covered by this permit
as evidenced by receipt of a Certificate of Coverage by the Environmental Management
Commission to allow the discharge of stormwater to the surface waters of North Carolina or
separate storm sewer systems conveying stormwater to surface waters in accordance with the
terms and conditions set forth herein.
Coverage under this general permit is applicable to all owners or operators of stormwater point
source discharges associated with activities classified as establishments primarily engaged in
activities classified as Food and Kindred Products [standard industrial classification (SIC) 20],
Tobacco Products (SIC 21), Soaps, Detergents and Cleaning Preparations; Perfumes, Cosmetics
and Other Toilet Preparations (SIC 284), Drugs (SIC 283), and Public Warehousing and Storage
(SIC 4221-4225).
The General Permit shall become effective on November 1, 2007.
The General Permit shall expire at midnight on October 31, 2012.
Signed this day October 17, 2007.
Original signed by Coleen Sullins
Coleen H. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

Clem
�FW�,Fti Permit Coverage
Renewal Application Form
National Pollutant Discharge Elimination System Certificate of coverage Number
Stormwater General Permit &0 0000 NCGQ6Q208
The following is the information currently in our database for your facility. Please review this information carefully and make all
corrections/ additions as necessary in tie space provided to the right of the current information.
Owner Information
Owner / Organization Name
Owner Contact:
Mailing Address:
Phone Nuimber:
Fax Number:
E-mail address:
Facilitv Information
Facility Name:
Facility Physical Address
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Permit Information
Permit Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
bischarcie information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfatfs
'i�.n',d"yQnes
�;O�i3ox,�3Q6.
LumUel�un, �E �8
�+;psiiLf3g�tlir�. g;;Ver�tu��Vj fl�ton
25 [yele2x, _
T.VZ!N Y K ee,;_f�,
.W
.uii�_'+1651an15a ej�, R.;
,WS�j
YadkiDT,ee.dge River Basin
":.
../th &O
_33
Facility/Activity Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
Mr. Deot of EhH
C ERTI FI CATI Q N wins;cn-Sel,•:
Regional r
i certify that T am familiar with the information contained in the application and that to the best of my knowledge znd_belief
such information i rue, c plete and accurate.
Signature gate
Print or type name of person signing above Title
SW General Permit Coverage Renewal
Please return this completed renewal application form to: Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ri/
n1n

NCDENR
North Carolina Department of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins
Governor Director
September 22, 2009
CERTIFIED MAIL — 7008 3230 0003 2547 1821
RETURN RECEIPT REQUESTED
Andy Jones
Pepsi Bottling Ventures -Winston
PO Box 1308
Lumberton NC 28359
CERTIFIED MAIL — 7008 3230 0003 2547 1838
RETURN RECEIPT REQUESTED
Matthew Bucherati
Pepsi Bottling Ventures -Winston
3425 Myer Lee Dr.
Winston Salem, NC 27101
Subject: NOTICE OF VIOLATION
And Recommendation to Enforce
Pepsi Bottling Ventures -Winston
COC Number NCG060208- EXPIRED
Forsyth County
Dear Mr. Jones:
Resources
Dee Freeman
Secretary
You are receiving this notice because permit coverage for your facility at 34245 Myer Lee Dr, formerly covered under
Stormwater General Permit NCG060000, expired August 31, 2007- Division records indicate that you failed to renew
your permit as required in a letter to you dated January 24, 2007.
Serious compliance issues and violations were noted as follows.
(1) Operating without a permit in violation of North Carolina General Statute 143-215.1.
§ 143-215.1. Control of sources of water pollution; permits required.
(a) Activities for Which Permits Required. —No person shall do any of the following
things or carry out any of the following activities unless that person has received a permit from
the Commission and has complied with all conditions set forth in the permit:
(1) Make any outlets into the waters of the State.
The Division of Water Quality issues a General Permit No.NCG060000 to discharge stormwater under the
National Pollutant Discharge Elimination System. Coverage under this general permit is applicable to all owners
of stormwater point source discharges associated with activities that are classified as establishments primarily
engaged in activities classified as Food and Kindred Products [standard industrial classification (SIC) 20),
Tobacco Products (SIC 21), Soaps, Detergents and Cleaning Preparations; Perfumes, Cosmetics and Other Toilet
Preparations (SIC 284), Drugs (SIC 283), and Public Warehousing and Storage (SIC 4221-4225).
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet, wvvw,ncwaterqua;4.org
An Equal opportuniy 1 Affirmative Action Employer
NorthCarolina
;Vatundy

I have enclosed a copy of the renewal notice dated January 24, 2007 that was sent to you. You must make
application for this permit immediately. Your authorization to discharge stormwater to the surface waters
r!f North Carolina expired August 31 2007.
(2) Violations of the Clean Water Act; Permit Noncompliance.
Any permit noncompliance constitutes a violation of the Clean Water Act and is grounds for enforcement
action... General PermitNCGO800000
Part III, Section B General Conditions (1) General Permit Expiration. The permittee is not
authorized to discharge after the expiration date. In order to receive automatic authorization to discharge
beyond the expiration date, the permittee shall submit forms and fees as are required by the agency
authorized to issue permits no later than 180 days prior to the expiration date. Any permittee that has not
requested renewal at least 180 days prior to expiration, or any permittee that does not have a permit after
the expiration and has not requested renewal at least 180 days prior to expiration, will be subjected to
enforcement procedures as provided in NCGS § 143-2153.6 and 33 USC 1251 et. seq.
Failure to request permit renewal at least 180 days prior to expiration date of August 31, 2007.
This Office requires that violations as stated above be abated immediately. Also please note these violations and
any future violations are subject to civil penalty assessments of up to $25,000.00 per day, per violation.
This Office requests that you respond to this letter, in writing, within 10 days of receipt of this Notice. Your
response should address the following items:
(1) You must immediately begin the renewal application process for General Permit No.
NCG060000 to discharge Stormwater under the National Pollutant Discharge Elimination
System. Send a completed copy of your Renewal Application to this office as well as the
Raleigh office indicated on the enclosed form.
Thank you for your immediate attention to this matter. This office is considering sending a recommendation for
enforcement to the Director of the Division of Water Quality. Your response to this correspondence will be considered in
this process. Should you have any questions regarding this matter, please contact Rose Pruitt at [phone].
Since ely,
teve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments
Cc: Central files
WSRO
RRO- Danny Smith
Keith Huff, Winston Salem Stormwater Division
NPS Compliance and Assistance Unit
Bradley Bennett, Stormwater Permitting Unit

;�of W�l7fgpG Permit Coverage
r Rescission Request Form Certificate of Coverage Number
4 ' National Pollutant Discharge Elimination System N6G06O208
General Permit NCGQ60000
Please fill out and return this form only if you no longer need to maintain your NPDES Stormwater permit.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information.
Facilitv Information
Facility Dame: PeSlsBottling Vefiu resllilnston
Facility Physical Address: 3425RNIyier:ei=,:Eg
Wlrstas%5aleiii, 271
Facility Contact:
Mailing Address:
Phone Number:
Fax Number
Email Address
Permit Information
Permit Contact:
Mailing Address:*
Phone Number
Fax Number:
Email Address
)vial tliew_8ucherat
>3,4�S�Myer 1`D_
Uirinst'on dal r�, IBC �710�
��Dyur��y�BB�
" This is the address to which the permit rescission notice will be mailed
Reason for rescission request (this is required information):
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage jNCG660ZQ8 under NI'DES
Stormwater General Permit hLCGQ60D00 for the subject facility. I am familiar with the information contained in this
request and to the best of my knovdedge and belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Date
Title
Please return this completed rescission request form to: SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

I ■ Complete items 1, 2, and 3: Also complete
i item 4 if.Restricted Delivery is desired.
■ Print yotr name and address on the reverse
so that we can return the card to you.
j ■ Attach this,card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
i Mr. Andy Jones
I
Pepsi Bottling Ventures
I PO Box 1308 i
Lumberton,.NC 28359
l
I
I
A.
B. Received by (Printed
❑ Agent
V ❑ Addre❑ Add e
C.-DI ifte of 061
D. Is delivery address different from item W ❑ Yes
If YES, enter delivery address below: ❑ No
3Service Type
Certified Mail ❑ Express Mall
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4, Restricted Delivery? (Extra Fee) ❑ Yes
Doll M
U.S. Postal Service;", � �
CERTIFIED MAILr,� RECEIPT U.S. Pasta! ServiceT�,, MCO
verage Provided} C ERT F 1E D M A I Lr ., R E C E I,yNvryiMon)►ationvisitt oe.(DOmeStIG MAII Only; No insurance Coverag
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(Endorsement Required)
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Total Postage & Fees
m
free,
F tti or PO
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Mr. Andy Jones
Pepsi Bottling Ventures
PO Box 1308
Lumberton, NC 28359
Ems- NEOW It ' a'
"'lf %0'
a
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certified Fee
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im
to t Mr. Matthew Bucherati
j © 1*i;e Pepsi Bottling Ventures -------•---
or s � ori 3425 Myer Lee Drive
OR Winston-Salem, NC 27101 k
i ■ Complete items 1, 2, and 3. Also complete
gnature
I item 4 if Restricted Delivery is desired.
'
Agent
x
0 Print your name and address on the reverse
❑ Addressee
so that we can return the card to you.
1 ■ Attach this card to the back of the mailpiece
g, eived by (Printed Name)
C. Date of Delivery
I or on the front if space permits.
1. Article Addressed to:
D. Is delivery address different from item 1? C3s
1
If YES, enter delivery address below: ❑ No
3
Mr. Matthew Bucherati
I
1
Pepsi Bottling Ventures
i
3425 Myer Lee Drive
3,
TypeWinston-Salem,
NC 27101adMail
❑ Express Mail
EEgr,iisfiered
❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7008 3230 0003 2547 1838✓
D\)
PS Form 3811, February 2004 - Domestic Return Receipt ,(i2i 102595-02-M-1540

h�ur AP.
Permit Coverage
.
°' Renewal Application Form_
= rG� National Pollutant Discharge Elimination System Certificate of Coverage Number
Stormwater
General Permit 1dC 0000 NCG06Qz4$
The following is the information currently in our database for your facility. Please review this information carefully and make all
corrections) additions as necessary in the space provided to the right of the current information.
OwnQr Information
Owner / Organization Name:
1�epsiBisttlirigyentures
Owner Contact:
Ant�y �Jori�_'s
Mailing Address:
PO Box^130�
ml _ on,�NG 2835�
Phone Number:
_
919-861!-80581'Eait?
Fax Number:
E-mail address:
Facility Information
Facility Name:
PepsiBotling;Ve_ntur;Winstorl
Facility Physical Address:
3425 Myei lee51
1lV(nstoria5alem, NC �7103; _ _
Facility Contact:
Mailing Address:
Phone Number:
Fax number:
E-mail address:
Permit Information
Permit Contact:
Nla'heW uuc- h let
Mailing Address:
34SMyer ee Dr,
Ih! n`sra Salem NG -271011
Phone Number:
336 7{ 4 48001 is
Fax Number:
_3367z4:88~
E-mail address:
Discharge Information
Receiving Stream:
Stream Class:
WS1IIfiA
Basin:
River Basin
Sub -Basin:
Number of Outfalls:
Facility/Activity Changes
Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information is true, complete and accurate.
Signature
Print or type name of person signing above
Date
Title
Please return this completed renewal application form to: SW General Permit Coverage RenewalStormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

O�OF W A T�q btichad F. Easley, Governor
7William G. Ross Jr., Secretary
co r North Carolina Department of Environment and Natural Resources
Q Alan W. Klimek, P.E. Director
Di Aston of Water Quality
January 24, 2007
� �dy,;rJorieS
Pepsi B6ttlihO Ventures7Winstort
l'0: Boz1.3p8
' t�jperG7n; lV�, �8359
Subject: NPDES Stormwater Permit Coverage Renewal
PepsiBdltlin9 Ventptres;�Wl lston
COC Number NCGg50208
orsyt3l County
Dear Permittee:
Yaur facility is currently covered for stormwater discharge under General Permit , ,CG0§0000. This permit expires on
August 31, 2007- The Division staff is currently in the process of renewing this permit. When a draft version is
available for notice and public comment, it will be posted on our website at http://h2o.enr.slate.ic.us/su/. Once
the permit is reissued, your facility would be eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit. Enclosed you will find a Permit Coverage Renewal Application Form. The
application must be'completed and returned by March 2 2007 in order to assure continued coverage under the
general permit. Letters confirming our receipt of the completed application will not be sent.
Failure to request renewal within the time period specified may result in a civil assessment of at least $250.00,
Larger penalties may be assessed depending on the delinquency of the request. Discharge of stormwater from your
facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143.215.1 and
could result in assessments of civil penalties of up to $25,000 per day.
Please note that "no exposure exclusion" is now available to ail operators of industrial facilities in any of the
categories of "storm water discharges associated with industrial activity," (except construction activities). If you feel
your facility can certify a condition of "no exposure", i.e. the facility industrial materials and operations are not
exposed to stormwater, you can apply for the no exposure exclusion. For additional information contact the Central
Office Stormwater Staff member listed below or check the Stormwater Permitting Unit Web Site at
http://h2o.enr-state.nc.us/suINO—Ex—Address.htm.
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. flailing instructions can be found on the bottom of the form, You will be notified when
the rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact �,Isha=bu of the Central Office
Stormwater Permitting Unit at [phone], ext.7�.
Sincerely,
Bradley Bennett
Supervisor, Stormwater & General Permit Unit
Cc: Central Files
1iVins'ton=5alem Regional Office
SWPU Files
JDX
Norr � �.� as
-Naturally
Wetlands and Stormwatet Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
hiemet: h2o.enr.slate.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportun&j/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Compliance Inspection Report
Permit: NCGO60208 Effective: 09/01/02 Expiration: 08/31/07 Owner: Pepsi Bottling Ventures
SOC: Effective: Expiration: Facility: Pepsi Bottling Ventures -Winston
County: Forsyth 3425 Myer twee Or
Region: Winston-Salem
Winston Salem NC 27101
Contact Person: Matthew Bucherati Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s)-
Related Permits:
Inspection Date: 09/09/2009 Entry Time: 01:00 PM Exit Time: 01:05 PM
Primary Inspector: Rose Pruitt Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing
Stormwater Discharge COC
Facility Status: 0 Compliant ■ Not Compliant
Question Areas:
N Other
(See attachment summary)
Page: 1

Permit: NCGO60208 Owner- Facility: Pepsi Battling Ventures
Inspection Date: 09/09/2009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Facility has paid but not renewed permit that expired 8/31/2007. send renewal app with NOV
Other
Comment: permit expired 2007
Yps No NA NE
Page: 2

Map of 3425 Myer Gse Dr Winston Salem, NC by MapQuest http://www.mapquest.com/maps?cit}rWinston-!-+Salem&state=NC&a...
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AI 3425 Myer Lee Dr Edit
VA Winston
Salem, ANC 27101-6209
0
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3 of 1 8/26/2009 2:58 PM

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http:/Ymaps2.co.fbrsyth. nc. us/geodata%5 FO 8/pri ntPrev i ew. aspx? Print...
Forsyth County, NC
PIN
6856-20-5097,00
Current Deed Stamps
$7,750
Property Address
3425 Myer Lee Dr
Map Number
648858
Block Lot
3263 003T
Assessment Method
Cost
Additional Lots
004T, 001 U, 002R, 003U, 004U
W1P
No
Tax Jurisdiction
Winston-Salem
Land Value
$1,232,331
Anx
N
Dwelling Value
Taxable Owner Name I
Pepsi Bottling Ventures Llc
Commercial Value
$4,073,666
Taxable Owner Name2
industrial Value
Taxable Owner Address
4141 Parklake Ave, Apt/Unit 600
Misc Imp Value
$371,383
Taxable Owner City St Zip
Raleigh, NC 27612
Total Value
$5,677,400
Taxable Deed Bk-Pg
2077-3107
Acreage
19.34
Taxable Deed Date
7/19/1999
Sq Ft Living Area (Res)
Taxable Deed Stamps
$7,750
Gross Sq Ff (Corn)
174941
Current Owner Name?
Pepsi Bottling Ventures Llc
Year Built (Res)
Current Owner Name2
Year Built (Cam)
1972
Current Owner Address
4141 Parktake Ave, Apt/Unit 600
Census Tract
30
Current Owner City St Zip
Raleigh, NC 27612
Zoning
Li
Current Deed Bk-Pg
2077-3107
Last Qualified Sale Price
$3,875,000
Current Deed Date
7/19/1999
Disclaimer: Forsyth County cannot guarantee the accuracy of this information, and the Map Scale
County hereby disclaims all warranties, including warranties as to the accuracy of this 1 inch = 266 feet
information.
l of 1 8/26/2009 3:02 PM

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
August 23, 2002
MATTHEW BUCHERATI
PEPSI BOTTLING VENTURES -WINSTON
3425 MYER LEE DRIVE
WINSTON SALEM, NC 27101
Subject: NPDES Stormwater Permit Renewal
Pepsi Bottling Ventures -Winston
COC Number NCG060208
Forsyth County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG060000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued Stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
A new Certificate of Coverage
A copy of General Stormwater Permit NCG060000
A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater
and General Permits Unit at [phone], ext. 578
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
eVEN NCDR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800-623-7748

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
Deccmher 27, 2001
MAVI'I-IlsW BUCHERATI
PEPSI COLA 130171-ING CO-WINSI'ON
3425 MYER LEE DR
WINSTON SALEN4, NC 27101
Subject: NPDES Stormwatcr Permit Renewal
I'ITSI COLA 1301-I'L.ING CO-WINSTON
COC Number NCG06020.8
Fnt'Syth County
Dear Pennittee:
YOU[- 1'acility is currently covered for stornlwatcr discharge undcr General Permit NCG060000. This permit expires
on August 31. 2002, The Division slail" iS currenlly in the process of r-cwriting this permit and is scheduled to have
the permit rcissucil by late summer of 2002. Once the permit is reissued, your facility would he cligihlc for
continued coverage under the rcissucil permit.
In order to assure your continued covCra,C undcr the -cneral hermit, you must apply to the Division of Walcr
Quulily (I)WQ) for renewal of your permit coverage. To make this reilcwal proccss cusier, we are inl'ornring you in
advance that your perrnit will be expiring. EtrCh%Cd you Will find a General Permit Coverage Renewal
Application Form. The application must be completed and returned by rNlarch 4. 2002 in order 10 assure conlinued
coyerak'c under the �ICnCal permit.
Failure to request renewal within tills time period may result in a civil kSSCssnIClIt of at least $250.00. Laroer
penalties nlav be assessed depending on the delinquency of the request. Discharge of stormwaler from your facility
withoul coveragc undcr a valid siormwater NPDES permit Would constitute a violation of NCGS 143-215.1 and
could result in assessments of civil penalties of up to S 10.000 p4r day.
PICasC note that recent tedcral IC�,islation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the I I categoricS of "storm Water discharLrCs associated With industrial activily." (except
consu'uction activities). It you I CI your facilile can ecrtily a condition of "no exposure". i.e. the tacilly inchrsuial
nlalerials kill operations are not erposed to stclrrnwatcr. you can apply for the no CxposurC Cxclusion. For additional
infornnrtion contact Lite Central Off ice Stormwnter Staff memhcr listed below or check tine Stormwater & General
Pernlils Unit Wch Sitc at hitpalh2o.ulr.state.nc.us/sulstcarmwatcr.hurll
If the subject slornlwater discharge to waiersof the state has been terminated, please complete the enclosed
Rescission Request Form. klailirl- instructions arC listed on the hottotn ottile form. You Will be notified when the.
rescission process has been completed.
If ynu have 111V questions 1-C-arding the permit renewal procedures please contact Corey Basinger of the
Winston-Salern Re-ional Office at 3 36-771-4600 or Aisha Lau nl 111C Ccntr.11 Office ice Story iwaler Unit at (919)
733-5083, ext. 578
Sinccrcfy-
Bradley Bennett, Supervisor
Sts)r'mwatcr and GCr1Cr.11 Pcr'nlits Unit
cc: Central Files
Winstoll-S,rlcm Rey tonal Ol*lice
N. C. Division of Water duality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
NCDENR
Customer Service
1-800-623-774B

f ..
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
June 9, 1995
Matthew Bucherad
Pepsi Cola Company
1 Pepsi Way
Somers, NY 10589
Subject: General Permit No. NCG060000
Pepsi Cola Company
COC NCGO60208
Forsyth County
Dear Matthew 13ucherati :
In accordance with your application for discharge permit received on April 18, 1995, we are forwarding
herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal
Area Management Act or any other Federal or Local governmental permit that may be required.
If you have any question concerning this permit, please contact MR. BILL MILLS at telephone number
919n33-5083.
Sincerely, Original S^�:rl QV
Caiee i .. c ,i:.s
A. Preston Howard, Jr. P.E.
cc: Winston-Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG060000
CERTIFICATE _OF COVERAGE No. NCGO60208
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
PepsiCo, Inc.
is hereby authorized to discharge stormwater from a facility located at
Pepsi -Cola Company, Inc
3425 Myer Lee Drive
Winston-Salem
Forsyth County
to receiving waters designated as an unnamed tributary to Salem Lake in the Yadkin - Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 111
and IV of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective June 9, 1995
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 9, 1995,
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

WINSTON-SALEM EAST QUADRANGLE
JRCES NORTH CAROLINA MA411
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FACILITY
COUNTYvr5-
NPDES OcC-,O(¢b,209
MAP C 1 g5 �
DSN FLOW N )A
SU13 BASIN 0 3-0'7-D
LAT' l .; D E 3 (, 0 (; 2�
Lr....:..rD l U a�
f� STREAM �� � �•(e�. %a�a.
CIS rrCE CLASS
EXPIRATION DATE
WS't1 CA
r*de"
6g�3l�9'�