NCG060328_COMPLETE FILE - HISTORICAL_20190114

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
jV Cc,
DOC TYPE
VHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �OI9 DI I
YYYYMMDD

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE.
El HISTORICAL FILE
qLMONITORING REPORTS
DOC DATE
❑ an (� O
YYYYMMDD

January 10, 2019
Suiza Dairy Group LLC.
2221 N Patterson Avenue
Winston Salem. North Carolina 27105
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir or Madam:
RECEDE®
a AN 14 Z019
CEt,M \L FII-ES
C)WR gi~CYIrJ^S
Since two consecutive bi-annUal storm water samplings; as required by our pennit, had exceeded our
benchmark values for COD and TSS for three of the four outfall locations, we had increased our program
management protocols from "Pier It to Tier 1, requiring monthly sampling of the problem outfall locations
for the measures that exceeded benchmarks (P1, P2, W I). The latest water sampling is summarized below
and a copy from the lab included with this letter.
I
COD
M L
Oil & Crease.
M L
PH
Std. Units_
TSS
M L
Benchmark
120
30
6.0-9.0
100
Outfall PI
352
<5
7.2
263
Outfall132
301
<5
TO
249
OutfaI1-P3
341
<5
6.8
280
Outfall WI
122
<5
6.7
294
We are working to identify and mitigate the COD and TSS problems at outfalls with a sweeping and
parking lot maintenance program.
Certificate of Coverage (COC) No.:NCG060328
Sincerely,
Matthew H. Brooks
Senior LI IS Manager
[phone] - -
Matthew_brooks Matthew—[e-mail]

RESEARCh & ANA[YTiCA1 Report of Analysis
I
_ LAb®�tAT®R�ESflNC. 1/3/2019
o
G�Fi kwy ��++
For: Pet Dairy
a�a�
2221 Patterson Avenue":=`G�
Winston Salem, NC 27105
C : o N r
. rq NC a34 �.
Nc a377o
Attn: Adam Slack
Client Sample ID: Road Lower Lot
Lab Sample ID:
60774-01
Site: Pet Dairy
Collection Date:
12/21/2018 11:30
Parameter Method
Result
Units
Rep Limit. Analyst Analysis Date/Time
COD EPA 410.4
352
mg/L
5
HW 12/31/21018
Hydrocarbon O&G EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 12/27/2018
pH SM 4500 H+B-2000
7,20
Std. Units
AB 12/27/2018 0939
Total Suspended Solids (TSS) SM 2540 D-1997
263
mg/L
5
AW 12/27/2018
Client Sample ID: Guard Shack
Lab Sample ID:
60774-02
Site: Pet Dairy
Collection Date:
12/21/2018 11:35
Parameter
Method
Result
Units
Rep'Limit- Analvst Analysis DatelTime
COD
EPA 410.4
301
mg/L
5
HVl/ 12/31/2018
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 12/27/2018
pH
SM 4500 H+13-2000
7.00
Std. Units
AB 12/27/2018 0940
Total Suspended Solids (TSS)
SM 2540 D-1997
249
mg/L
5
AW 12/27/2018
Client Sample ID: Pet Warehouse
Lab Sample ID:
60774-03
Site: Pet Dairy
Collection Date.
12/21/2018 11:40
Parameter Method
Result
Units
Rep Limit Analyst Analysis Date/Time
COD EPA 410.4
375
mg/L
5
HW 12131/2018
Hydrocarbon O&G EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 12/26/2018
I
pH SM 4500 H+13-2000
6.80
Std. Units
AB 12/27/2018 0941
Total Suspended Solids (TSS) SM 2540 D-1997
416
mg/L
5
AW 12/27/2018
1
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone]
Fax: [phone] www.randalabs.com Page 1
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uIESEARaCh & ANA1YTiCAI
Report of Analysis
�Q
LA ORATOR 1 (ESF INC.
1/3/2019
0�0
Client Sample ID: Ice Cream
Lab Sample ID: 60774-04
Site: Pet Dairy
Collection Date: 12/21/2018 11:45
Parameter- Method
Result
Units
Rep Limit Analyst Analysis-DatefTime
COD EPA 410.4
122
mglL
5 HW 12/27/2018
Hydrocarbon O&G EPA 1664 Revision B/Silica Gel
<5
mg1L
5 EE 12/26/2018
pH SM 4500 H+B-2000
6.71
Std. Units AB 12/27/2018 0942
Total Suspended Solids (rSS) SM 2540 D-1997
294
mg1L
5 AW 12/27/2018
NA = not 6nolyzecl
I
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 2
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RESEARCI-I & ANAlyTICAI
- � LAb4RATORi ES, INC.
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AnalyLicai I Process Consuitabons
Phone [phone]
CHAIN OF CUSTODY RECORD
I WATER I WASTEWATER II MISC. I
CM1
JOG NO.
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REMARKS:
SAMPLE TEMPERATURE AT RECEIPT °C
RELINQUISHED BY
DATEITIME
RECF ,

January 2, 2019
Suiza Dairy Group LLC.
2221 Ni Patterson Avenue
Winston Salem, North Carolina 27105
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir or Madam:
Since two consecutive bi-annual storm water samplings, as required by our permit, had exceeded our
benchmark values for COD and TSS for three of the four outfall locations, we had increased our program
management protocols from Tier 11 to `Pier I, requiring monthly sampling of the problem outfall locations
for the measures that exceeded benchmarks (P I, P2, WI). The latest water sampling is summarized below
and a copy from the lab included with this letter.
COD
M L
Oil & Grease
M L
PH
Std. Units
TSS
M L
Benchmark
120
30
6.0-9.0
100
Outfall P 1
76
<5
7.0
26.6
Outfall P2
61
<5
6.9
1 1 1
Outfall 113
398
<5
6.8
263
Outfall W 1
27
<5
6.4
10.2
0
We are working to identify and mitigate the COD and TSS problems at outfalls with a sweeping and
parking lot maintenance program.
Certificate of Coverage (COC) No.:NCG060328
Sincerely,
Matthew hi. Brooks
Senior EFIS Manager
[phone]
Matthew, [e-mail]
RE(-"-I='VF-Q
JAN07CENTRA
2019
PWN

ri
IIESEARCh & ANA1YTiCA[ Report of Analysis
of 0 LA O RAT®R I ES , N , 11 /30/2018
For: Pet Dairy
2221 Patterson Avenue
`�' "� �" eN� ";� *'•
Winston Salem, NC 27105
OZ.
NC u34
E Attn: Adam Slack
�, NC 937701
Client Sample ID: Parking Lot at
Road
Lab Sample ID:
59205-01
Site: Pet Dairy
Collection Date:
11/15/2018 8:15
Parameter
Method
Result
Units,
Rep Limit Analyst Analysis DatelTime
i COD
I
EPA 410.4
76
mg/L
5
HW 11/19/2018
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 11119/2018
PH
SM 4500 H+B 2000
7.05
Std. Units
LP 11/15/2018
Total Suspended Solids (TSS)
SM.2540 D-1997
26.6
mg/L
5
LP 11/2112018
Client Sample ID: Guard House
Lab Sample ID:
-59205-02
Site: Pet Dairy
Collection Date:
11/15/2018 8:20
Parameter
Method
Result
Units
Red Limit Analyst Analysis Date/Time
COD
EPA 410.4
61
mg1L
5
HW 11/19/2018
Hydrocarbon O$G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 11/19/2013
PH
SM 4500 H+8-2000
6,92
Std, Units
LP 1111512.018
Total Suspended Solids (TSS)
I
SM 2540 D-1997
111
mg/L
5
LP 11/21/2018
Client Sample ID: Warehouse
Lab Sample 1D:
•59205-03
Site: Pet Dairy
Collection Date:
11/15/2018 8:25
Parameter
Method
Result
Units
Rep.Limit Analyst Analysis Date/Time
COD
EPA 410.4
398
mg/L
5
HW 11/27/201B
F Hydrocarbon 08G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 11/19/2018
PH
SM 4500 H+B-2000
6.86
Stet. Units
LP 11/1512018
Total Suspended Solids (TSS)
SM 2540 D-1997
263
mg1L
5
LP 11/21/2018
P.b.TBox 473 1p6 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] _ W%�Iw randalabsxom _ Page 1
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RESEARch & ANA1YTiCA1 Report of Analysis
p Y
O� ILA ORATOR$ES, NC, 11/30/2018
�Da
Client Sample ID: Warehouse Lab Sample ID: 59205-03
Site: Pet Dairy Collection Date: 11/15/2018 8:25
Parameter Method Result Units Rep Limit Analyst Analysis Dateffime
Client Sample ID: I/C Shipping
Lab Sample ID:
59205-04
Site: Pet Dairy
Collection Date:
11/15/2018 8:30
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date[Time
COD
EPA 410A
27
mg/L
5
HW 11/19/2018
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 11/19/2018
pH
SM 4500 H+B-2000
6.38
Std. Units
LP 11/15/2018
Total Suspended Solids (TSS)
SM 2540 D-1997
10.2
mg/L
5
LP 11/21/2018
NA = nor analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com _ Page 2
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RESEARCh & ANAlyTiCA1
® LAbORATORIES, INC.
Analytical / Process Consuitctions
Phone [phone]
CHAIN OF CUSTODY RECORD
I WATER! WASTEWATER I MISC.
c��
Joe No.
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Q: �„ • �yc `gym`' -2'' �yy flZ
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PROJECT
CI , STAT
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SA1,lPLE AME {PLEASE IN
P
C NTACT PHONE zI!
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S PLE HUMUER
{LABu5E0HBE
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REMARKS;
TEMPERATURE AT RECEIPT °C
RELINQUISHED BY
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REC�JW-D BY

October 23. 2018
Suiza Dairy Group LLC.
2221 N Patterson Avenue
Winston Salem. North Carolina 27105
Central Files
Division of Water Quality
1617 Mail Ser:,ice Center
Raleigh, North Carolina 27699-1617
Dear Sir or Madam:
Since two consecutive bi-annual storm water samplings, as required by our permit, had exceeded our
benchmark values for COD and TSS for three of the four outfall locations, we had increased our program
management protocols from Tier it to Tier 1, requiring monthly sampling of the problem outfall locations
for the measures that exceeded benchmarks (PI, P2, W 1). The latest water sampling is summarized below
and a copy from the lab included with this letter.
COD
M L
Oil & Grease
MgL
pH
Std. Units
TSS
Ma L
chmark
70,tfall
120
30
6.0-9.0
100
tfall P 1
244
<5
7.0
167
P2
232
<5
10.1
207
Outfall P3
341
<5
6.8
280
Outfall W1
125
<5
6.4
44
We are working to identify and mitigate the COD and TSS problems at outfalls with a sweeping and
parking lot maintenance program.
Certificate of Coverage (COC) No.:NCG060328
Sincerely,
Matthew H. Brooks
Senior EHS Manager
[phone]
Matthew brooks@dean foods. corn
RECI-WED
NOV 0 9 Z018
CENTRAL i-ILES
DWR SECTION

Pet Dairy
2221 Patterson'Avenue
Winston-Salem, NC 27105
Attention: Adam Slack/AP
Post Dfffw Box 473
Si
Kar mvv1K Nwth Camfim 27284 19 October 2018
RBEARdi & I KCAL':
LAboRmcidEs, iNa
pl{yaitw NQ, 1000
TERMS: NET 30
"PAST DUE INVOICES ACCRUE
INTEREST AT I Y,% INTEREST PER
MONTFI UNTIL PAID
SHOULD COLLECTION BE REQUMED,
CUSTOMER AGREES TO PAY
ALL EXPENSES INCURRED INCLUDING
ATTORNEY.'S FEES"
M
PfwrxK 336/aM2W

RESEARCIi & ANA1yT6CA[ Report of Analysis
LA ORAT®RiES, C.
k10/1712018
��1lreurrr�4
For: Pet Dairy
2221 Patterson Avenue
.�C,�.
,p l
o
Winston Salem, NC 27105f
NC 1134 i cn
=t4 x•
Attn: Adam Slack
NC U37701 : -
T 7A O4` �������•
CC'T
rr,�.
`1 i
"';,"F1Lc8 Aozv- �.
�l�rrllyll���
Client Sample ID: Lot
Lab Sample ID:
57560-01
Site: Pet Dairy
Collection Date:
10/11/2018 7:00
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
COD
EPA 410.4
232
mg1L
5
HW 10117/2018
Hydrocarbon 08G
EPA 1664 Revision B/Silica Gel
<5
mglL
5
EE 10/12/2018
pH
SM 4500 H+B-2000
10.01
Sid, Units
AP 10112/2018 1634
Total Suspended Solids (TSS)
SM 2540 0-1997
207
mglL
5
AW 1011612018
Client Sample ID: Guard Shack
Lab Sample ID:
57560.02
Site: Pet Dairy
Collection Date:
10/11/2018 7:10
Parameter
Method
Result
Units
Rep Limit Analyst Analysis DatelTime
COD
EPA 410.4
244
mg1L
5
HW 10/17/2018
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 10/12/2018
pH
SM 4500 H+B-2000
7.00
Sid. knits
AP 10/12/2018 1636
Total Suspended Solids (TSS)
SM 2540 D-1997
167
mg1L
5
AW 10/16/2018
Client Sample ID: Warehouse
Lab Sample ID:
57560-03
Site: Pet Dairy
Collection Date:
10/11/2018 7:20
Parameter
Method
Result
Units
Rep Limit Analyst Analysis DatelTime
COD
EPA 410A
125
mg1L
5
HW 10/17/2018
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE 10/1212018
pH
SM 4500 11+13-2000
6.45
Sid. Units
AP 10/12/2018 1637
Total Suspended Solids (TSS)
SM 2540 D-1997
44.0
mg/L
5
AW 1011612018
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] vmy.randalabs.com Page i

1
HIESEARCh & ANAIYIriCAI
Report of Analysis
+M1 u LA ORATORi[S� hC,
10i17i2018
Client Sample ID: Warehouse
Lab Sample ID: 57560-03
Site: Pet Dairy
Collection'Date: 10/11/2018 7:20
Parameter Method
Result-
Units
Rep Limit Anal st Analysis DatelTime
Client Sample ID: ice cream
Lab Sample ID: 57560-04
Site: Pei Dairy
Collection Date: 10/11/2018 7:30
Parameter Method
Result
Units
Rep Limik Analyst Analysis DatetTime
COD EPA 410A
341
mg/L
5 HW 10111712018
Hydrocarbon O&G EPA 1664 Revision $!Silica Gel
<5
mg/L
5 EE 1011212018
pH SM 4500 H+8-2000
6.82
Std. Units
Aft 10/12/2018 1638
Total Suspended Solids (fSS) SM 2540 D-1997
280
mg1L
5 AW 10/16/2018
NA =not analyzed
P.O. Box 473 1o6 Short Slreel Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] wvmv.randalabs.com Page 2
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WsE mch & ANA1yTECA1
LAbORAtOREE 5, INC. CHAIN OF CUSTODY RECORD
Analytical / Process ConsulLationS
Phone [phone]A1
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REMARKS;
31
SAMPLE TEMPFRATUR EATpEcElp, °C
RELINQUISHMBY
oATEnIM
RECFW0BY

January 10, 2018
Suiza Dairy Group LI.1C.
2221 N Patterson Avenue
Winston Salem, North Carolina 27105
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir or Madatn:
JAN 19 20jn
DWR SECTION
INFORMATION PROCESSING UN[T
Since two consecutive bi-annual storm water samplings, as required by our permit, had exceeded our
benchmark values for COD and TSS for three of the four outfall locations, we had increased our program
management protocols from Tier 11 to Tier 1, requiring monthly sampling of the problem outfall locations
for the measures that exceeded benchmarks (P1, P2, WI). The latest water samples collected on
12/20/2017 are summarized below and a copy from the lab included with this letter.
COD
Mg/L
Oil & Grease
Mg/L
PH
Std. Units
TSS
Mg/L
Benchmark
120
30
6.0-9.0
100
Outfall P1
562
-
-
540
Outfall P2
413
-
-
241
Outfall P3
-
-
-
-
Outfall W 1
206
-
-
209
We are currently evaluating these results and developing actions to address.
Certificate of Coverage (COC) No.:NCG060328
Sincerely,
�rtr�v
Matthew H. Brooks
Sr. EHS Manager
(804)-624-9395
M atthew_brooksodeanfoods. com

r
RESEARCh & ANA1YTiCA[ Report of Analysis
r
Qp LABORATORIES, INC. 1/9/2018
owlilttlle,,,
•
•'�••.
For: Suiza Dairy Group LLC
•sss
�.�,•
2221 N Patterson Avenue
_
: ��
�`'
Winston-Salem, NC 27105
C : NC 934 = N
Attn: Matt Brooks
w NC #37701
'; z
co
,4.
�`ED AOV %"
Client Sample ID: P1
Lab Sample ID:
44412-01
Site: SUi7a Dairy Group LLC
Collection Date:
12/20/2017 13:15
Parameter Method
Result
Units
Rep Limit Analyst Analysis Date/Time
COD EPA 410.4
562
mg/L
5
JF 12/22/2017
Hydrocarbon O&G EPA 1664 Revision B/Silica
30.0
mg/L
5
AA 12/29/2017
Gel
PH SM 4500 H+B-2000
7.24
Std. Units
AP 12/21/2017 1728
Total Suspended Solids (fSS) SM 2540 D-1997
540
mg/L
5
AA 12/27/2017
Client Sample ID: P2 Lab Sample ID: 44412-02
Site: Suiza Dairy Group LLC Collection Date: 12/20/2017 13:20
Parameter Method Result Units Rep Limit Analyst Analysis DatelTime
COD EPA 410.4 413 mg/L 5 JF 12/22/2017
Hydrocarbon O&G EPA 1664 Revision B/Silica 5.56 mg/L 5 SK 1/3/2018
Gel
PH SM 4500 H+B-2000 7.36 Std. Units AP 12/21/2017 1730
Total Suspended Solids (TSS) SM 2540 D-1997 241 mg/L 5 AA 12/27/2017
Client Sample ID: P3 Lab Sample ID: 44412-03
Site: Suiza Dairy Group LLC Collection Date: 12/20/2017 13:25
Parameter Method Result Units Rep Limit An_ alvst Analysis Datel7ime
COD EPA 410.4 204 mg/L 5 JF 12/22/2017
Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 SK 1/3/2018
Gel
pH SM 4500 H+13-2000 6.35 Std. Units AP 12/21/2017 1732
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] mvw.randalabs.com Page 1
ral co= basic v1d

I'LESE ►RCh & ANAlyTiCAI Report of Analysis
1-1
LAORAT®RiES, ONC. 1/9/2018
Client Sample ID: P3 Lab Sample ID: 44412-03
Site: Suiza Dairy Group LLC Collection Date: 12/20/2017 13:25
Parameter Method Result Units Rep Limit Analyst Analysis Date/Time
Total Suspended Solids (TSS) SM 2540 D-1997 43.1 mg1L 5 AA 12127/2017
Client Sample ID: W1 Lab Sample ID: 44412-04
Site: Suiza Dairy Group LLC Collection Date: 12/20/2017 13:30
Parameter Method Result Units Rep Limit Analyst Analysis DatelTime
COD EPA 410.4 206 mg/L 5 JF 12/22/2017
Hydrocarbon O&G EPA 1664 Revision B/Silica 13.1 mg/L 5 SK 1/3/2018
Gel
PH SM 4500 H+B-2000 7.27 Std. Units AP 12/21/2017 1733
Total Suspended Solids (TSS) SM 2540 D-1997 209 mg1L 5 AA 12/27/2017
NA = not onolyzed _
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 2
rah coa basic vtd

IRESEARCh & ANAIyTICAI
LAbORATOR[ESf ANC.
Analytical / Process Consultations
Phone [336) 996-2841
CHAlN OF CUSTODY RECORD
WATER 1 WASTEWATER MISC.
COMPANY ,� Aj YZ-
JOB NO.
Or
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STREETADDRESS_
PROJECT
CITY, STATE, ZIP
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SAMPLER NAME (PLEASE PRINT)
L`�NC:�i �'Ht2�
CONTACT PHONE
m.t+3�a�.aCS �gO cCIS
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SAMPLE NUMBER
{LAB 115E ONLY]
DATE
TIME
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TEMP
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RELINQUISHED BY
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ED BY

Permit: NCGO60328
SOC:
County: Forsyth
Region: Winston-Salem
Compliance Inspection Report
Effective: 12/01/12 Expiration: 10/31/17 Owner: Suiza Dairy Group LLC DBA Dairy Fresh LLC
Effective: Expiration: Facility: Suiza Dairy Group, LLC (dba Dairy Fresh,
LLC)
2221 Patterson Ave
Contact Person: Matthew M Ballard
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 12104/2012
Primary Inspector: Ron Boone
Secondary Inspector(s):
Title:
Entry Time: 09:30 AM
Winston Salem NC 271154009
Phone: [phone]
Certification:
Exit Time: 11:20 AM
Phone:
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing
Stormwater Discharge COC
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
0 Storm Water
(See attachment summary)
Page: 1

Permit: NCG060328 Owner - Facility: Suiza Dairy Group LLC DBA Dairy Fresh LLC
Inspection Date: 12/04/2012 inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Inspection actually conducted by City of Winston Salem Stormwater Inspector, Bill Baugher. Please refer to the attached
inspection summary letter written by Mr. Baugher. Permit became effective in February 2011. Only one analytical
monitoring event conducted since then in 12112. Several benchmarks were exceeded. Discussed with Mr. Baugher.
Decided that no NOV would be sent at this time but agreed that Mr. Baugher would follow up with them and stress the
importance of semi-annual monitoring and that they should strive to get good samples next time, lest they fall into tier 2
monitoring.
Page: 2

Permit: NCG060328 Owner - Facility: Suiza Dairy Group LLC DBA Dairy Fresh LLC
Inspection Date: 12/04/2012 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?
0
n
n
n
# Does the Plan include a General Location (USGS) map?
n
n
n
■
# Does the Plan include a "Narrative Description of Practices"?
■
n
n
n
# Does the Plan include a detailed site reap including outfall locations and drainage areas?
■
n
n
n
# Does the Plan include a list of significant spills occurring during the past 3 years?
n
Cl
❑
■
# Has the facility evaluated feasible alternatives to current practices?
n
n
n
■
# Does the facility provide all necessary secondary containment?
n
n
n
■
# Does the Plan include a BMP summary?
■
n
Cl
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
n
Q
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
0
n
n
n
# Does the facility provide and document Employee Training?
e
n
n
n
# Does the Plan include a list of Responsible Party(s)?
■
n
n
n
# Is the Plan reviewed and updated annually?
n
n
n
■
# Does the Plan include a Stormwater Facility Inspection Program?
■
n
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
n
In
n
o
Comment: Inspection actually conducted by City of Winston Salem Stormwater
Inspector, Bill Baugher. Please refer to the attached inspection summary letter written
by Mr. Baugher,
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? n n n ■
Comment: Inspection actually conducted by City of Winston Salem Stormwater
Inspector, Bill Baugher. Please refer to the attached inspection summary letter written
by Mr. Baugher.
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ■ ❑ Q
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ID 0 ■ 0
Comment: Inspection actually conducted by City of Winston Salem Stormwater
Inspector, Bill Baugher. Please refer to the attached inspection summary letter written
by Mr. Baugher.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? D 0 n ■
Page: 3

Y
Permit: NCG060328 Owner - Facility: Suiza Dairy Group LLC DBA Dairy Fresh LLC
I
Inspection Date: 12/04/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Were all outfalls observed during the inspection? ■ Q 0 D
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment: Inspection actually conducted by City of Winston Salem Stormwater
Inspector, Bill Baugher. Please refer to the attached inspection summary letter written
by Mr. Baugher.
■00D
Page: 4

Z`S e" 12/611/2
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12/4/2012
Stormwater Inspection Report
For Dairy Fresh, LLC
The objective of this SWPPP is three-fold:(1) Identify potential sources
of pollution at Dairy -Fresh, LLC (2) Describe best management practices
(BMPs) (3) Provide other elements such as, but not limited to, a facility
inspection, site compliance evaluation, record keeping review and
reporting program review that will help Dairy Fresh, LLC with the terms
and conditions of their storm water discharge permit.
Report By William Baugher City Of Winston-Salem Stormwater Inspector

M
City of Winston-Salem
Stormwater Division
Surface Water Inspection for Industrial Sites
Part 1— General Information
A. Official Company Name: Dairy Fresh, LLC
B. Physical Address: 2221 Paterson Avenue, Winston-Salem, NC 27105
C. Telephone Number: 800.446.5577
D. Mailing Address, If different from above address: Same
E. Primary contact who is authorized to represent company in environmental regulatory issues:
a. Name: Jeff Hardin
b. Title: EHS Manager
c.{L,� Contact Number(s):
i. Office: 800.446.5577 ext. 9121
ii. Cell: 336.528.9935 � t, ,`` �` 3y ` ! L;j - �.
r -d._ Email: Jeff hardin@'deanfoods.com I
F./SIC Code number of business: 2024,•2026,2038 f
G, .NC•Stormwater NP©ES Permit Number: NCG060328 z �
a.. Facility Type: F`ood�and .Kindred Products
H: Any;other. control -authority Permits)"(air quality coritrol, wastewater; hazardous waste)&
number(s)•'IVone- � l w. � S , � �� , �
Brief description of industrial activities that occur on -site: Milk, Cream, Fluid Milk
Manufacturing, milk and ice cream products, and hard frozen yogurts.
I. Receiving Water(s) / MS4: Peters Creek Watershed
Part 1— Stormwater Controls
Best management Practices
A. List the non/structural controls employed by the facility:
1.Containment Berms, containment area is undercover, unloading of raw material is has a
dedicated connection to the sanitary sewer.
2.Spill Kits throughout the facility.
B. Are the BMPs reasonable & appropriate for the facility: XX Yes No
C. Are BMPs installed correctly, maintained, and effective operation condition: XXX Yes No

ti
2. 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. Use of dry sweep, sorbent booms.
2.Spill kits around potential pollutants areas.
3. Monthly check to ensure no blockage of Stormwater pipes.
4. Monthly facility checks.
Part 2 —Miscellaneous
1. Any evidence of discharge to receiving waters/M54? (e.g., stormwater runoff,'dry weather
discharge, co -mingling of process wastewater): Yes XX No
i. Comments:
2. Do the stormwater outfalls on -site correspond with those listed on the site map and in
SWPPP? XXX Yes No N/A
i. Comments:
.�' ..Part 3 — SWPPP Review(can be completed in office �.
General---
1) Is there a_SWPPP?" . _..'_ ,_
Yes!-.,
-, q NOD
7-
1
1'l�) �7j 1 l
2) Does SWPPP identify a specific position(s) for responsible
party purposes,(e:g. overall coordination, development,
im lemeritation'& revision)
Yes
No
3) Does SWPPP designate facility personnel responsible for
implementing SRP?
Yes
No
4 Does SWPPP include a certification statement?
Yes
No
5) Are employee training records regarding stormwater pollution
prevention topics included in SWPPP?
Yes
No
Comments: Training was conducted and documented records are kept in a corporate database.
Site Map
NOTES
1 Is there a site map?
Yes
No
2 Drainage atterns/outfalls
Yes
No
3) Identification of potential pollutants likely to be discharged
from each drainage area?
Yes
No
4) Narrative description and locations of check if present):

1. Storage practices
XX
2. Unloading/LoadingUnloading/Loading activities
XX
3. Outdoor processes
XX
4. Particulate generating/control processes
XX
5. Waste Disposal
5) Name of receiving waters or MS4's listed?
Yes
No
6 Locations of significant materials exposed to stormwater?
Yes
No
7) Locations and descriptions of major spills occurring within the 3
previous years wl corrective actions to prevent future spills)?
Yes
No
Stormwater Controls
NOTES
1) Does the SWPPP describe the non-structural controls that
will be used to prevent/reduce discharge of pollutants in
stormwater runoff? L .,)v, C
Yes
No
4! t{lt�.� sh' tl,�
2) Does the SWPPP,describe the structural controls that will III'!
�}, f �;
J N 1
13 L' I
. _i � ' �
be used to prevent/reduce discharge of pollutants in,stormwater
{�
--
runoff? 'r 7 z, �� �,. f i C) f t l _ l�
: Yes
N{o
..
3) Does the SWPPP describe other'control's thatfwill b`e u'sed to':
J 4 4
#
prevent/r'educe off-site.;tracking or -blowing -of -sediment; dust, '
.-.- �--
: _ L -
— - L�-
and raw,'final, `or waste products, or other solid materials and
�'�
floating debris?
Yesi.� •
��� No i ,
4) Does the SWPPP 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?
Yes
No
5) Does the SWPPP describe the pollutant or activity to be
controlled by BMPs and assessed the need of implementation
through data collected?
Yes
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

2) Description of testing method, drainage points, observed
results, date, and signature?
Yes
No
Monitoring
1) Are samples collected within 30 minutes of measurable
No Analytical
weather events occurring 72 hours after previous measurable
Yes
No
Sampling was
weather event?
conducted.
No Analytical
2) Were samples collected and preserved in accordance with
Sampling was
40 CFR 136?
Yes
No
conducted.
No Analytical
Sampling was
3 Was proper chain -of -custody procedures followed?
Yes
No
conducted.
No Analytical
Sampling was
4 Was anal ical`and qualitative monitoring complete?
Yes
No
conducted.
5) Any ences_`of regards to�
'�
I
Nc Analytical
Sampling,was
exceed pollutant, parameters in
benchmark Values? I ;; i� r� r �n-r- - <,r y.
Yes
—No,
I conducted.
�-�-Part 4 — Required Actions to be completed by Facility:-;
1. _Updat'e_d SWPPP to reflect permit requirements (i.e. non stormwater certifications, site plans
�upda'e). /on
2.—;,Updated SWPPP an annual basis that also has included an updated list of significant spills and
leaks of poll tarts, re -certification each outfall has been completed.
3. No analytical monitoring required for this permit category.
Educational Resources:
1. NC Stormwater Manual for Industrial Users:
a. http:Hh2o.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): Jeff Hardin, EHS Manager
Start of Inspection: 09:30 am Completion of Inspection: 11:20
Date of inspection: 12/4/2012
Signature of Stormwater Inspector and title: William D. Baugher, Stormwater Inspector

M
RESEARCh
& ANA[YTICAL
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LAbORATORiES INC.
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Analytical/Process Consultations
.. ' NC #34 z! ' 'Iwo
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Dairy Fresh, LLC Hate Sample Collected : 12/1O/12
2221 Patterson Avenue Date Sample Received 12/11/12
Winston-Salem, NC 27105 Date Sample Analyzed 12/11/12
Attn: J. Hardin Date of Report 12/20/12
Analyses Performed by MS -YJ -AP -SA
Lab Sample Number Lab Sample Number
Lab Sample Number
746617 746618
746619
Parameter Strret # Results Results
Results
Oil & Grease (00556) 18.2 mg/L 23.6 mg/L
23.2 mg/L
TSS (00530) 60.0 mg/1 64.0 mg/L
120 mg/1
pH (00400) 6.29 Std. Units 6.44 Std. Units
6.16 Std. Units
COD -HIGH .<00340) 229 mg/1 246 mg/t
260 mg/L
-------•------------------------------- --------------------
Ctients Sample Source OUTFALL #1 OUTFALL #2 OUTFALL #3
Number
Time Collected (Hrs) 1600 1610 1620
P.O. Box 473 • 105 Short Street • Kernersville, North Carolina 27284. 336-996-2641 • Fax [phone]
www.randalabs.com

e.
RESEARCh & ANA1yTICA1
LkORATWES, INC.
AnalyticallProcess Consultations
Dairy Fresh, LLC Date Sample Collected : 12/10/12
2221 Patterson Avenue Date Sample Received : 12/11/12
Winston-Salem, NC 27105 Date Sample Analyzed : 12/11/12
Attn: J. Hardin Date of Report : 12/20/12
Analyses Performed by : MS -'YJ -AP -SA
Lab Sample Number
--------------------
746620
Parameter Storet # Results
oil & Grease (00556) 68.4 mg/l
TSS (00530) 50.0 mg/1
PH (00400) 6.53 Std. Units
COD -HIGH (00340) 532 mg/1
--------------------
Clients Sample Source WHS13-1
- Number
Time Collected (Hrs) 1645
P.O. 3cx 473 - 106 Short Street - Kernersviile, Borth Carolina 27284 - 336-996-2841 - Fax [phone]
www.randalabs.com

RESEAR6 8, AWYWCA
LkORATORiES, INC:
Analytical / Process Consultations
Phone [phone] i
CHAIN OF CUSTODY RECORD
I WATrP 1 VUACTFVVA TRR B McSC I
COMPANY p X y6&s�
JOB N0. N Po'— 12- 0 1
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October 9, 2017
Suiza Dairy Group UC.
2221 N Patterson Avenue
Winston Salem, North Carolina 27105
Central Piles
Division of Water Quality
1617 Mail Service Center
Raleigh, north Carolina 27699-1617
Dear Sir or Madam:
Since two consecutive bi-annual storm water- samplings, as required by our permit, had exceeded our
benchmark values for COD and TSS for three of the four outfall locations, we had increased our program
management protocols from Tier 11 to Tier 1, requiring monthly sampling of the problem outfall locations
for the measures that exceeded benchmarks (P1, P2, WI). The latest water sampling is summarized below
and a copy from the lab included with this letter.
ark
TOutfall
COD
M L
_Oil &Grease =
- 'M¢lL'
pH
Sid.=Unifs -'
TSS
MgT L
120
30
6.0-9.0
100
P1
142
-
-
117
P2
38
-
-
63
Outfa10N-
Outfall W 1
28
-
-
42
We have been able to mitigate the COD and TSS problems at outfalIs P2 and W1, and significantly
reduce outfall PI results, which are now just above benchmark. We are confident that future samples can
yield further improvements.
Certificate of Coverage (COC) No.:NCG060328
Sincerely,
Christopher Lynch
Operations Manager
[phone]
chris—[e-mail]
deanfoods.com
RECEI V b
OCT 16 2017
CENTRAL. FILES
DWR SECTION

RESEARCh & ANA1yTiCA[
LA ®RAT®RBES, INC.
For: Suiza Dairy Group LLC
2221 N Patterson Avenue
Winston-Salem, NC 27105
Attn: Chris Lynch
Report of Analysis
9/ 12/2017
' ial!lrll
I
�cn NC#34 z= N y
NC #37701
'oT�F�EU Ah��y`'•
II+Ir, �„s+r+�•
Client Sample ID: Plant Outfall 1 Lab Sample ID: 39587-01
Site: Suiza Dairy Group LLC Collection Date: 9/6/2017 14'00
[parameter Method Result Units Rep Limit Analyst Analysis Date/Time
COD EPA 410.4 142 mg/L 5 SK 9/8/2017
Total Suspended Solids (TSS) SM 2540 D-1997 117 mg/L 5 AA 9/7/2017
Client Sample ID: Plant Outfall 2 Lab Sample ID: 39587-02
Site: Suiza Dairy Group LLC Collection Date: 9/6/2017 14:00
Parameter Method Result Units Rep Limit Analyst Analysis DatelTime
COD EPA 410.4 38 mg/L 5 SK 9/8/2017
Total Suspended Solids (TSS) SM 2540 D-1997 62.8 mg/L 5 AA 9/7/2017
Client Sample ID: Well house Outfall Lab Sample ID: 39587-03
Site: Suiza Dairy Group LLC Collection Date: 9/6/2017 14:00
Parameter Method Result Units Rep Limit Analyst Analysis Date/Time
COD EPA 410A 28 mg/L 5 SK 9/8/2017
Total Suspended Solids (TSS) SM 2540 0-1997
42.3 mg/L 5 AA 9/8/2017
NA = not anoiyzed
P.D. eox 473 106 Short Sireet Kernersville, [yorih Carolina 27284 Tel: [phone] Fax: [phone] www.randaiabs.com Page 1
:ai caa G:�sic ti❑

.f. .
RESEARCh & ANA1yTICA[
LABORATORIES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER! WASTEWATER I Misc.
C 1�'ANY
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RELINQUISHED BY
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RECEIVED BY

August 4, 2017
Suiza Dairy Group I.LC.
2221 N Patterson Avenue
Winston Salem, North Carolina 27105
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-16 i 7
Dear Sir or Madam:
RECEIVED
AUG 0 9 2017
CENTRAL FILES
DWR SECTION
Since the last two bi-annual stormwater samplings had exceeded our benchmark values for COD and TSS
for three of the four outfall locations, we had increased our program management protocols from Tier
to Tier 1, requiring monthly sampling of the problem outfall locations for the measures that exceeded
benchmarks, in addition to other activities. Stormwater sampling kits have been obtained from our lab and
are awaiting significant rainfall during a time of operating hours and lab availability to receive samples.
During the month of July 2017, we did not have an opportunity to sample stormwater due to lack of
significant rainfall during an available sampling period. We will continue to wait for a rainfall opportunity
and forward results collected should they be obtained during the month of August.
Certificate of Coverage (COC) No.:NCG060328
Sincerely,
Christopher Lynch
Environmental, Health & Safety Manager
[phone]
Chris—[e-mail]

July 5, 2017
Suiza Dairy Group LLC.
2221 N Patterson Avenue
Winston Salem. North Carolina 27105
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir or Madam:
N cc,.-L)663a k
Since the last two bi-annual stormwater samplings had exceeded our benchmark values for COD and TSS
for three of the four outfall locations, we are increasing our program management protocols from Tier II
to Tier I, requiring monthly sampling of the problem outfall locations for the measures that exceeded
benchmarks, in addition to other activities. Stornnvater sampling kits have been obtained from our lab and
are awaiting significant rainfall.
During the month of June 2017, we did not have an opportunity to sample the stormwater in a way that fit
the conditions of the permit. I will forward you a monthly correspondence; per permit, with either the
sampling data or just a letter if outfall samples could not be obtained.
Lastly, we have concluded that out exterior lots are in need of routine cleaning due to the abundance of
tractor trailer traffic and we are in process of receiving quotations from contract services to clean our
exterior grounds on a regular basis.
Sincerely,
Christopher Lynch
Environmental, Health & Safety tMana-er

Suiza Dairy Group LLC.
2221 N Patterson Avenue
Winston Salem, North Carolina 27105
December 1, 2016
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir or Madam:
rycC-ono as �:
RECEIVED
DEC 0 5 Z016
CENTRAL FILES
DWR SECTION
Due to the lack of significant enough rainfall within our semi-annual sampling period September -
November, and within the timeframe our testing laboratory is open to receive samples, there is no
stormwater outfall data to report for this latest testing period.
Let me also note, that previous outfall samples tested last April (below) that had very poor results for
COD and TSS were investigated and cause detennined the following week after that sampling. Our site
topography is'pitched, and on the high side adjacent to the property is Ivry Ave., which for the month prior
and during the April sampling date had undergone significant road resurfacing anti new blacktop
paving by the city of Winston Salern. All that runoff flowed downhill into and through our lot and into
the two Outfall locations below it. Additionally, the road project contaminated our 2151 Street Warehouse
outfall on the other side of Ivy Ave where our tractor trailer traffic continually crossed that road
throughout each day. The water samples were abnonnally blackish in color.
These findings were reviewed and validated on -site by City of Winston Salem stonnwater inspector,
LaDonta Clark, that following week.
Pasted clata from last April, 2016 caused by road resurfacing and blacktop adjacent to site.
Total Rainfall,
inches
COD
M L
Oil S Crease
M L
pn
Sid, Units
TSS
MQ L
Benchmark
NIA
120
30
6.0-9.0
100
Outfall P 1
0.34
855
<5
6.02
348
Outfall P2
0.34
540
<5
6.31
244
Outfall P3
0.34
67
<5
6.06
78.7
Out fall W 1
0.34
1 528
<5
6.19
244
If there is additional information to request, I may be contacted at the above site address, or by e-mail at
[e-mail], or by telephone at [phone]. Thank you and good day.
Sincerely,
Christopher Lynch
Environmental Health & Safety Manager-

r1 • t
October 28, 2015
Woonem
Christopher Lynch
° �"�°`� Ehvironmental.Health &-Safoy:Mariager'
Dair-
.f. Fresk LLC.
Stio�rlFlasion u;d 2221. N. Patterson Avenue;
Sedimentation ConiiW Progi. Winston Salem;,N'.C:.27195
cily of.WSMZOA�5Wcm
M s� zsi: Dear:Mi) Lynch:
onSi]em: NC 271112:
(aryyUak 311 (336.127.3MO)
�. 3
-336.746.31Y'M-&Siorr'nWatei'=Division>of the`City of Winston=Salein'would like to -thank o'r. you
your°time'and.professional•courtesy regarding=the October 14,,2015-inspection`of
Dairy: Fresh, LLC.:...
i
Call'3.11 d336-727 80D0
[e-mail]
As'.per your request; a copy of=the completed surface water.inspection forrn-has
been<enclo"sed to you. Raft 4.of thi§�report (Required Actions tv be completed by
Facility)'.�contains,Annotatioris #,l-#25:-that,Dairy.," resh,;LLG:..;must'complete.
P:lease provide.documeritation,that verifies Dairy_Fresh,ILQ...:succ_essful
corzipletio of the c.orrecfive measures ta, y January 28,;2016:
The" Storrirwatez=Division reservesthe riglitto-entei and inspect-Dafry Fresh, L`LC.
asoftenias,necessary to"detenrzine:compiiance with.perrriit requirements of
NCG060328...
Thank vou:.far your. cor tihu' e&`siippo`it and"impnta lemetion of:the City; of Wirisfon-
Salem's'Storrriwater Program. i£you have any -questions; please feel free to:contact
me-at,[phone].
Sincerely;
Iadonta Clark- (J'dmAij
Storm -water Inspector
Phone 33d7476964.
Cell: 1 36.416:2403
fax.:�336 748:3'173
Get Cumea'is M Uki WM. Fih; Temr . Nora V di Deli ll A;i t'" W.: D.. sme. C CI -A. cii !"
7 �+6 Soarh meld aSn.Si 7Ned. Now Wu i' Drr.in 1 Mwa�anc�c EicetVC+ard: DmiesT.ylci JG; Saishcasi G}id Ci�r .: lee D. Carrier

P
'Stoffi!*At6f1Er'os om ­ r6I Di-�isi6h
1 1­1 , ­­ , I—. I- ­1 -1 1--", -
IS' uIrCkoo.- Water lnspeotioh for Industrial Sites
rGeneral information
A') Offcial:Cornpany Naive: Raifriy 'Fre-s'h. LLE
B) Physical Address.' 222 EN.- Patterson Menge:
-C)-Telephqhia Ntftfibee- Mkikikk-lidih SPPP
'-D} Mdiling- Address, if diffirenufrom above ;address:
cE),-AuthoT'Ifed contacts'#o.rqpresent,-company.in envir.orirneni�l.regulai6ry,4�i�ssues.:..
p ..' . ­­' .'ct x
pMarykqog�ahiist6phcr,I y#6,
Title: E viro mon 1"' ealth,&SaMy1manager
Cohtac .... b r64!'OffWe:'3 -be'�Ik,(136�.5282402
�'plm G �j 7yt Q 19
Erftail -address -chiis lvnch@.deanfoods.com
se-co"pdar contac
Cbh tk - t 1 1 hit . ifib'e
Emai 1'. address-.,?
F) SIC �CodeNu"M- 6er 6fbti§�iiiess:ASICI - 0
.14CStbiihWit6r,-?,4PDES,,".P,&ftfiit"N*Oei-.':NC-qqOQ328
Penria.Gatep-ory: Food,and Kindred
Tro,Me waste,wa.ierperm-d-,nu'mb.er.
j):.Bn­e-f de§cHptibfi U ixfd6stfiM activ'- At ' 'that occur 'on-s'lf-e':Dairy Fresh LLC processes and distri.bites inil_k
Vltimate,keceivifig.-Waters: MS-4,',systemb Peiers,Creek,
... . .......
Part 1 - Stormwater Controls'
Best Management Wnagemenf Practicesd. List-tWho ' iv ' §ffikt&aI controls a 01�ye&6
I..The.ca�e,,doeg'w.ere;cov6red'and'.'proiecied�tiow,'t-be-e'lemeiits.I

b. Are the.6NIP9,rcasonable &aPpTopfl-at6 for the. facility? ®Yes ONo
Comments
Although'the, I)NIN466, reasonihle aifd.-a-P Oropfiate.for, Dairy Fresh LLC, they needlo
developandimplement-more qfthemi on ,adaily, basis. Due to;seyeral occurrence&of
imp
roper prq�cedures that were found..on site ihe-,day of the'hispection.
�c. Are BMN'., installed correctly,-Jiaintainedand­eMdtive oOerAtirif4:cdnditiqn? ®Yes', ONo
Comments
:2. Provide-a,b iefdes.q.iiptiojj:o , f 'other, controls that manage/prey.e.fit/mirtimize stormwaier runoff
-§t0 rm drains,, diversion strij&ufe
DaIr- ,Fresh: has. several, items to,-mininiize'stormwater-.,-runciff,. such as socks`and3booms.
Part 2 — Miscellaneous.
r "'WS49"( qo-
'inthgling�6f�prd-6-essNV"tewdtcr),: ElYes, ONo
C.inments
'413o,the storrnwaWr. obtfalls-oh-site---c-orTesp . ond Witl .th6s-e.listdd;6nihe,-s'ite.niAp jxfd.in7,SPPP?
®Yes QNo�
nnmqn,is All itetfiAO
iifd'Idfigfitude�:
_04;,.phYkalj6tAtiofi,,i d-lititti&'

3) Summa y. ,of gtormwater'Discharge Outfalls
SDOIdenfification,
:Potential PoIhAants;that
Physical -Location
Lafitud'Znd
�.
eduId,be discharged.
�. _
Longitude
-..
.'
Ositfall-l. �
-
Outfaii`2' i
Datfall'3- �
.
0iftfa11 4- (W. arehouse
?
?
?
;location)' {
3 Part 3 — SPPP Review (can be comI_eted in office`
Siie'Ove)-`view.
t
Y-es No ,Notes
is theme a SPPP?
Does SPPP includes certification'.stateii ent by`the'resparisibl"e
r
Needs a;sig nature
,corporate bmceh
Daes the,general map depict•the facility's location_on a USES-
f
Please - epict.the fac_ itity's
quad map (or equiYalettt"map) �Ath-tecbiving waters (of MS4)
receivieg;waters'on
listed?, t
siteinap. Also; listAhat°
Peter's biee is �a TMDL
1.stream"for fecalcoliform.,
Identification`of �m aired waters ar; watershed if a livable • )?
Peters Creek
.
,.p ', ` .., " ,Y,.
NarrativerDescr� tor►°of these Industrial Actnvities.
5torage:Practices
LlnloadiriglLoading Activities;
Outdoor'.Processes.
G Partici late:Generating/Cbntrof-Processes°
Waste I]is osal�
'r
_
Does, site map denote:drainage.items: flaw;direction, ,.boundaries,
Please include a site
%impervious;.and structure's? Alsd tnciudes'SDOs, uidttstnal'
topograpby'tnap=in`the
,activit .,�areas,_and site to a h `?
SPPP for both locations.
A -.list oflffi` or spills tliaihave,.occurred within;the past.ihree,
': ears' withtco..rrective avtions toi cevenfafuwit s"'ills ?
A signed,.annual:certifcahon that the facil.ity'has,been Tested fornon-:
✓
Please:.updste`and sign'.ttie,
§tormwaterdisctiarges:From.t}ie site?'
annual certificatibn that
c.,
-
the:facility l as been.tested
for.;non=stormwater,
discha es` eowthe site.
Comments
NOTE =Please;update'the;City of>WR�nston Sale;:Sformwater Divisicin's contact;
fnf6tiiii tion to:_Dairy=-Fresh; LLC, So Notification List: The contact_ for:spill'not (cation
ys Mr Kettle'Hteff, Sim orwaier-Direetor'(33G)�1417 6962-= Iandline [phone]-= cen
phone quml er. Mt.,Ht ffs=email address is kei#hh]cityofws.or for providing -,written
notif cation.:

S
I
k �
Stormwater Management Strategy
Yes No Notes
Does SPPP incorporate the mine baselime contiols:
Feasibility -Study (technic l &. econoiidc review'to rhininiiae"Whitant exposure)
Secondary; Containment (!able, summary of tames. stored malcrials releascrecords,
BIVIP"Summary (listing of.sitc structuffiV6olfi ri tural practices)
SPRP &" Proceduresddcntircd, responsible personnel w/ signatures & dated)
PM & GH "(inspection"of material handling areas & regular cleaning schedules)
Facility -Inspections (biannual'inspectibns-of facility and all storritwater systems)
E[i11716ree Trairu'ng.(annual basis for. staff -who perform-SRRand PM functions).
Responsible Party`(spt-�ific posifibn{s)=developing, implementing; & ecvising SPPP•
A i ehdnic t'&, Annual •Ll d to (�rinaji�r:spins. nonsw flows: siviPs; samplieg dale;
V.
-✓
✓'
✓
✓
✓'
Does SP.PP conta-n conrlpleted�roiittne,tns coon re ., records
regarding reportable" inhplenientataort of the nine-baseline'controls.
i`e. SPPP%Iin Iernentation)T
Analytical, Monitoring
Yes No. Notes -
Are samples collected wtthin`34"rntn�tes,ofineasural le rain;e ents;
.
✓
No'samplrgg in-ttie last.year
.._.. .
and at;least 72,hvurs,sinceahe last -storm event?
anda half. Most recent•was
... .. ,.
completed less:thau a.
month.a o.
Are..sam 'lin events 60. da s-a_part? (E7iGER1'ION: I'icr 2'&'3°responses)
Is analytical'-riionito'ring corripl4i; (ineluding sctiedWl Yfbf leach
✓
'SDC? (FXCFR'nON. ROS).
I
Any,-exceedences:of;poiluianfparameters�whem:corttparediagainst
the perm tt. benchmarkrval e's`?
I
Has.Facilitytirnplernented:apprbpnate,-selected actions to•reduce'
pollutant concentrations, in,response to:benchmark.exceedcnces,;(if
"applicable)?
• i
& al totrve Monit6 ig
Yes No Notes
Is qualitative,..moniforing,being performed' during measurable storm
1
Not in'the past year and -a
,events,z
half. Most recent was
).
completed; less thin. A
. - ... ! .. .....
month -a o.
I"s qualitative>monitoririg complete; (including schedul4for'each
•SDQ7
Are.momtOrtn ;events,60:da.s°a`aFt?'(FXGEP?`IflN 1ter2&`35responses)'.
`�
Any,observable, excessive amounts -Of pollutari indicatbrs•in
stormwater,discharge at:SDQs?.

Part 4 — Re aired Actions to be completed by Facility.;
1. Piease�up clean debris underneath tractor_frailer,at the receiving:dock:
2- Please.clean up all the ice cream:leftovers,o&and.uhder the'trash-eohn P; ctor.
34 :'Please clean-dv all :the dit+,-And_debris,around the ;gratc.nearthe recei- ing:doc,k..Also,.rep ace
-tl a broken.grate•with:a,new`one:>
4. Immediately; clean -the grate ajijd-the�entire area; of the lower'cooli!f dock;Please, find a'
solutioel-to-eiisure;the broken spats inI.the berm are-sealed:to preventexposure.,Atthe:same
'time, -ensure the .mechanism�works=for`the trailers.
5 Ptease; clean up the',l!gg� near -the lower confer doc and prnvide sortie-typeiof iriiet p"rotecti©.n
around',th s,Aorm draim Provide'the;method-used ,to.:preveiit;4his 1 occurrence.,(See'pic 5)
6: Please clean up all-milk°waste at.the:dump milk dumpster and.deterim�ine' away to'prevent tliis'
occiirrerice. Provide the metbod-used to prevent:this.aceurrenee:
I Pkase,properly dispose :ofL'ihe:excess o -Non=Chlorinated 'Alkaline Cleaner -(SC-205).in'a,way
tl at causes.nio`harm the 1b1S41ysteon. (See p c'7)
S: 'Please.clean the bricks and,deiaris:out,af'the secondary, containment.berm.aCthe. U00,:A-ST._
Also;. please:properly-Aispose of=the-excess diesel -fuel ,
9. Please'etx the lealcing fuel nozzIe,a# "the_ 1,50U-AST _diesel tank. Also,�irepair., or. find_aaottier way
a N- - .
to' hatig:the fu6nozzle up;to prevent futuce.le 64i the 1,500,AST.diesel fank.,
Al. :Immediafely;,cleawup,all:oil-leaks:auil increase- good,�housekeeping for,oihleaks�to at-Ieast three,
toifour=t�mesra week;on a'datly basis:
11 'C�ean,up;the-leaking miilk from he,tractor irailevvwsite where -the�`fpished product�isl4ored:,
_- _..
12. Iastalf'a<dumpster plug into�the'dumpster at the",warehotise facility and:keepthc iid'closed:at
all.tiiries,to'prevent raiii,R ater.ii�iXiiig with_ litter:-
. :, .. - --
13.-CQntinu..e:Analytical,and Qualitative:;samplingnnd send,me thexecordsfor the. next two,' -years::
1.4. PI ease,lip-date:tlie:City bf, Winston Salein,;Stormwater Division's<contact'inforniation t©'Dairy
`Fresh,LLC;Spill'Not�fication liist:.
15.:Pie ase�update-land.sign'tbe; annual certifcaiion;that the.,facility has.been-.tested for non-
st runwater discharges-'fi-om� e�srte:
16::Plea•se include a'she topographyrmap.'for,both=facilities:
1'i .Please depief,the facilely's;receiving�waters.on:�sitemap.•List'that Dairy:Eresh.LLC discharges
to U6,,rMS4;systenn of the City;of Winsf©el Salem ai d ultimately. Peter's Ereek"which �s:'a
3
Tt WL:stream;forlcal coMbrm.

48. All site map needs to have all SDO'sI-.la4eled-with-potenti0 pollutants that could be,dischArged,
physicM'location,,and latitude -and l6ifgit04e.
19.. Please. provide, a secondary contact whom,.we.may'.mll-in case we -cannot reach, the. primary
contact. Pleaseindude their title,,cofitactlnumbers, and email address.
20.. Provide th&.0va.ite water Oermit'niu.nibit fqi-`Daiiy:"Fiish'LLC-aFi,d place this information in,"the
"OPP. Also, please,provide any:other,any other, con fro I :authoriiy, permits,,, that Dairy -Fresh
UC`mk�iy have. Fofexampaii y :�qua]IfWedfit tolj;wiasteWater. and or hazardous Waste-
T'
11. Pkase- provide :a:pbonemuniber, aU the-;phyMcal,Address of 2221 N. Patterson Avenue. Thisr
-shoiLid,beia.riuifibir,'that,!'a.person will .'answer "nine "',-times dtit,of tefi*hen',, if we need to call.:.
Pleas v include -this number-inihe?s"P..
42' Aatelana: "i'
UO s gnia responsible-party:s:ecti6n oftheSPPP..
I
--U -pddti,tke.SPPP tii6i With cuii t4fiff,
14'.Please; provide; employee traiining to.-e.V.er.y..-eEqpl'oyee:who-,Will,be,involved in,,'ihe,,stormwa.icr
pollution preventiow plan;
e i e '25.,Pl&.seSPCCkiong-with th I am current. status. of Dairy Fresh'LLC
Company that participated--in.inspection yf' ChrBtopher. Lynch
-riiie(s):--Vnvironmental Health & Safety Minager-
Start of lnped�fi 'fi:0'A 9-3hf, p -, o ' n '.
'COTiipletidn"of.rinspectioh- Win;
bate, 644/201
,Signaitureo'.f 5tonnwit6rjnspector:

I
M Picture;01,D bris 'aed, in -.With stormwater runoff
'p _
Please cle:iWdOrisWideirdeath ti-actortfifletkt,the*receivifmg dkk,
Plea e cliAhW6,.affibe ice
c.ream..,Ieft_6.vem on.an-d An.d.'eir the trashcompactor.

f �' � - - f --•� a ' - - - � C .� _ �?"}r!le �- s' 3.�..s•r a I✓.nr�? iS
��,',• . a 3t '� °, r�, y �;' 4 Yt.f.� r�p�t.��r���'S f� �A ����.��F 1+� w�'F�
"•.ft - 1 � f; } .n>-,'S _'4 T ,� �F l� r i .-+' -� �. �i -j�: ,- }�� 'i
; �e L
a.rL �T.lre .s: ar 41
Yr. �+ 1�;}h`+ 1„� �'1'f 3�`.J y c •ry k* t .' a
Ti.k, �""' "Y•' '' , � =r�'ri:� p,S! � i. L J,v 1 c � L «. <t
II
{sh v tY •,:i e-A r-� I T "� -a.E- 1 Z.'r�,� 2
.'y�' � i � r.Y aw ;•r ���' S � t"s � +� w - 't,a l� ..- � •'
.`/`
I _ .
Picture*l', roken stormwater runoffgrate
Please,c! e'an,al! the dirt=and debris;around'the:grate,near>,t} e;receiving dack.;Also,'replace:the�broken
grate.
TIMU
i�
j `ram �. - � � �� �T' �. '�".tjei� .t,,..Y-:' � r-, c ��•
t en
IN
Uf
1k°t� ��.> 51 � �aNr.'• � tf Mfi � .'� .Y� ::�� �.sa f.�.=.
Picture#°4:Werflowing:licjaid *Mte*itWt",$rokea'sp'ots'in berm
Immediatety clean the grate:and the;entire:area of the lover cooler dock.€Please find;a solution,to;ensure
bhe-broke`n 'spots-.in'.the'berm are,seale€l°to;pre!vent ex osuce:;At-th6 same tine, ensure`the:mechanis n
i work' -fors the trailers:

rictureff 3 unproTeci[ea;siorm,arain-,wiTn,noiniet prorecino.n.
Please cledn-:up-the liquid -near the lower cooler Uoc and provide some type -of inlet, protection around:this;
storn!drAW
`Please :clean upall�miik:waste;af the dump:.
io, prevent 4his,occurrence.

r4
Piefure i#7 Exposed;Nan=Chiorinatld,Alkaline,,Cleaner (SC-2 05),on-tbe-.6arrels and on the`ground_
flease�,&00 rly.dispose-of the'Nan C-hlori ated,AlUline Clea er{SC"205) W`a� .ay that causes°�o harm
#.
the :system.
•1 I � I •
d-71C:i l�
i'!
Prctu re #85Secondary c©ntaEnynent for Diesel fail
Please clean'tltebr cks and -debris. out�ofithe.secon �aryicontlainmenC erm-a# tli_e 3,0011-AST: Also, please;
properly_dispose df t_he,;exi;Twl_ iesel.fiiel.
1

-P . icture 49 Exposed 'ieiking-,diesel'fuelnozzI . e.that . -Js=not-i I u its proper place
Plea --fith-WAbig fuel -Q-z'-le;at't6, h I se, Ix. e el . I . . .1 I'll .tank ­ . repair n anot ii�r wgyijq,..ang
theftiel -nozzle 'up:,to-prevetit,ftiture�IOA ks.,
immedlafelyAeanl, up!'A'.
on
nick. ruc'k p"a'rld-n'g;area
lekee6idg,fo;at:least;three tolour times.s"-week
b 4 is...,

Clean up'th' F11 ' " Uri9M
' ilkfr6fn the t-kaetbr-ti-Aflii;
7-.
Tictyt& -12;M' -mi-n-g,du-'m-p'ster--ivliiii'And-'ooen-dumostertid
-- Install wdumpsterplucr into the-dump4er a7. warehouse facilityand keep, the, lid slosedat;aH times.to.
,prevep yyater- mikin with lit

Permit: NCG060328
SOC:
County: Forsyth
Region: Winston-Salem
Compliance Inspection Report
Effective: 12/01/12 Expiration: 10/31/17 Owner: Suiza Dairy Group LLC DBA Dairy Fresh LLC
Effective: Expiration: Facility: Suiza Dairy Group, LLC (dba Dairy Fresh, LLC)
2221 Patterson Ave
Contact Person: Matthew M Ballard Title:
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 1011412015 Entry Time: 09:OOAM
Primary Inspector: Glen White
Secondary Inspector(s):
Winston Salem NC 271154009
Phone: [phone]
Certification: Phone:
Exit Time: 11:00AM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Complianoe Evaluation
Permit Inspection Type: Food/Tobacco/Soaps/Cosmetics/Public Warehousing Stormwater Discharge COC
Facility Status: ❑ Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

permit: NCG060328 Owner - Facility: Suiza Dairy Group LLC DBA Dairy Fresh LLC
Inspection Date: 10114/2015 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Ladonta (Jamal) Clark of the Winston-Salem Stormwater Office performed site inspection and prepared a detailed report
showing descrepancies/findings and suggestive corrective action that must be completed by January 28, 2016. (See Clark
Report).
Page: 2

Permit: NCGO60328 Owner- Facility: Suiza Hairy Group LLC DBA Dairy Fresh LLC
Inspection Date: 10/14/2015 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?
0 ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
❑ ❑ ❑
# Does the Plan include a 'Narrative Description of Practices'?
❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
0 ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
0 ❑ ❑ ❑
# Does the Plan include a BMP summary?
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
0 ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
0 ❑ ❑ ❑
# Does the facility provide and document Employee Training?
0 ❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
0 ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
0 ❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
® ❑ ❑ ❑
Comment: (See detailed report by Ladonta Clark (Jamal) of WS Stormwater)
Qualitative_ Monitoring
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ m ❑ ❑
Comment: Facility is non -compliant on monitoring requirements (See Clark Report).
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ 0 ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ 0 ❑ ❑
Comment: Facility is non -compliant with monitoring requirements (See Clark Report).
Permit and Outfalts 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? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it property documented by the Division? 0 ❑ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? 0 ❑ ❑ ❑
Comment: All outfall observed. Descrepancies doted. (See Clark Report)_
Page: 3

Taylor -Smith, Aana
From: Pickle, Ken
Sent: Thursday, November 21, 2013 1:58 PM
To: Georgoulias, Bethany; Lawyer, Mike; Herbert, Laura C; Stepp, Jonathan; Gantt, Matt; White,
Sue; Taylor -Smith, Aana; Holley, John; Parnell, David; Cole, Brad; Sams, Dan; Lambe, Brian;
Scott, Georgette; Mcclain, Pat; Dumpor, Samir; Vinson, Scott; Edgerton, Thom; Khan, Zahid;
Hood, Donna; Bou-ghazale, Samar; Ventaloro, Julie; Bennett, Bradley; Wade, Larry; Diuguid,
Bill
Cc: Miller, Carol; Hall, Rhonda; Lewis,Linda; Baker, Chris; Johnson, Kelly; Nelson, Christine,
Pusey, Steven; James, Trentt; Cox, David; Hammers, Karl; Pageau, Karyn; Rodgers, Ashley;
Dupree, Joe; Jones, Gabi; Valentine, Thad; Pullinger, Robert C
Subject: RE: Conference Call with Regions about NCG06 - Food/Kindred General SW Permit
All,
During our discussion of NCG06, Aana raised the question about the regulatory status of hatcheries wrt stormwater
permitting.
Here's what I see in the OMB 1987 SIC Manual, and in federal rule at 40 CFR 122.26(b)(14):
• OMB: SIC 0254 Hatcheries, poultry;
• OMB: SIC 0921 Hatcheries, fish;
• OMB: Major Groups 01 through 09 (01xx - 09xx) , including these two SIC codes, could be characterized as
agriculture and forestry businesses. It's a general rule of thumb to think of first -line ag and forestry businesses
as exempt from the NPDES program. Federal rules at 40 CFR 122.26(b)(14) start naming captured SIC codes at
Major Group 10.
• If we were to run across a hatchery that was using animal mortalities to produce feed, or extract oil, or recover
some other byproduct as a secondary activity to the hatchery, I think we would look at the business as primarily
a hatchery, and so, not subject to the NPDES program. Somewhat parallel: We actually have run across a tiny
composting operation (normally captured) at a trout farm (not captured.) In that case we concluded that the
primary commercial activity was the trout farm, and that the composting activity did not require an NPDES
permit, since the predominant site activity was not a captured activity. Also, note that our brothers and sisters in
NPDES wastewater have a General Permit for discharges from fish farms and packing plants, so the facility was
already subject to some level of surface water protection regulation.
We also had a question about milk production that coincidentally serves to show the boundary that I called'first-line' ag
businesses above, although that specific term doesn't come from the rules.
• OMB: SIC 0241 Dairy Farms are not captured by the NPDES rules, and so we don't permit these folks. Intuitively
it's clear that they are an agricultural business.
• OMB: SIC 2021— 2026 Various subsectors of the general description, "milk plants." These facilities receive raw
milk from farmers or co-ops and make various kinds of milk, ice cream, Wendy's Frosty, etc. These folks are
captured by the NPDES program, and would be one of the other types of businesses (not meat, feed mills, or
rendering) that would typically fall under General Permit NCG06, the permit we discussed today.
Ken
Ken Pickle
Environmental Engineer
NCDENR I DEMLR I Stormwater Permitting Program
1612 Mail Service Center, Raleigh, NC 27699-1612
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
Email: ken. pickle()ncdenr.gov

Dean.
F o o d s
10 January 2013
Mr. William Baugher
C/o City of Winston-Salem
Stormwater Division
P.O. Box 2511
Winston-Salem, NC 27102
Mr. Baughner,
Please review the noted Tier 1 action plan in response to the Dairy Fresh Winston-Salem
analytical results received 31 December 2012.
Stormwater outfall inspection conducted 08 January 2013 to determine factors in sampling
values above benchmark.
All actions completed on or before 31 January 2013.
Outfall #1 Sample Benchmark Action
746617
Oil & Grease 18.2 mg/l 30mg/l NIA
TSS 60mg/1 50mg/1 Remove debris and silt build
pH 6.29
COD 229mg/l
up in drainage swale.
6-9 N/A
120mg/1 Major erosion event
in the form of a sinkhole
discovered on Northeast
corner of Dairy Fresh
property. Major repairs
scheduled.

Outfall 92
746618
Oil & Grease
TSS
Sample Benchmark
23.6 mg/l 30mg/1
64mg/l 50mg/l
pH -
6.44
6-9
COD
246mg/l
120mg/l
Outfall93
Sample
Benchmark
746619
Oil & Grease
23.2 mg/1
30mg/1
TSS
120mg/1
50mg/l
pH
6.16
6-9
COD
260mg/1
120mg/l
n
Outfall 91 Whse
Sample
Benchmark
746620
Oil & Grease
68.4mg/I
30mg/l
TSS
50mg/l 50mg/l
Action
NIA
Grate covering drain
clogged with leaves/sand
Clean drain grate.
NIA
Major collection point
for parking lot run-off.
All drainage swales cleaned
of organic debris.
Action
N/A
Roof drains cleaned of mold
and organic growth.
NIA
Roof drains cleaned of mold
and organic growth.
Action
Spill kit staged to
better provide absorbent
material for any truck/trailer
leaks in the parking lot.
N/A

pH 6.53 6-9 NIA
COD 532mg/l 120mg/l Drainage swale and roof
Drains cleaned of silt and
Debris.
Follow-up water analysis to determine the effectiveness of the corrective actions scheduled for
March 2013.
v/r
Jeffrey Hardin
EHS Manager
Dairy Fresh LLC
Winston-Salem, NC
336 528 9935

LWIWA
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Michael Merideth
Division of Water Quality
Charles Wakild, P. E.
Director
Suiza Dairy Group LLC DBA Dairy Fresh LLC
2221 Patterson Ave
Winston Salem, NC 27115-4009
Dear Permittee:
December 4, 2012
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Suiza Dairy Group, LLC (dba Dairy Fresh, LLC)
COC Number NCG060328
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 (COC)
• 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 II 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://portal.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.org/web/wcl/ws/su/npdessw (click on 'General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N, Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.ncwa:-.-guality.org
An t`yual dpportunit., 4 -`."r aive l,slon Employer
One
North Carolina
iWzxal!y

Michael Merideth
Decernber 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 B, 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. NCG060328
STORM WATER
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,
Suiza Dairy Group LLC DBA Dairy Fresh LLC
is hereby authorized to discharge stormwater from a facility located at:
Suiza Dairy Group, LLC (dba Dairy Fresh, LLC)
2221 Patterson Ave
Winston Salem
Forsyth County
to receiving waters designated as Peters Creek, a class C waterbody in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, 11, 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

North
Beverly Eaves Perdue
Governor
yil
NCDENR
Carolina Department of Environment and Natural
Division of Water Quality
Coleen H. Sullins
Director
February 18, 2011
Mr. Matthew M. Ballard
5uiza Diary Group, LLC DBA Dairy Fresh
2221 Patterson Ave
Winston-Salem, North Carolina 27105
Dear Mr. Ballard:
RECEIVED
N.C. Dect o. c
FEB 2 4 2011
Resources Winston'
Salerr
Regional Or is
Subject: General Permit No. NCG060000
Suiza Dairy Group, LLC DBA Dairy Fresh
COC NCG060328
Forsyth County
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on January 31, 2011, 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 October 15, 2007 (or as subsequently amended).
Please take notice tha': this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality 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 Water Quality 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 questions concerning this permit, please contact Cory Larsen at [phone]
or corlarsen�ncdenr.gov.
Sincerely, ^
for Coleen H. Sullins
cc: Winston-Salem Regional Office, Ron Boone
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwaler Branch One
1617 Mail Service Center, Raleigh, North Carolina 2M99.1617 North Caro 1 i fia
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] t FAX: [phone] Cuslorner Service: 1-877.623.6748 Naturally
Internet: www.nCwaterqualiry.org ff�� ;J

ti
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060328
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,
SUIZA DAIRY GROUP, LLC DBA DAIRY FRESH
is hereby authorized to discharge stormwater from a facility located at
Suiza Dairy Group, LLC DBA Dairy Fresh
2221 Patterson Ave
Winston-Salem, NC
l o .01 :purity
to receiving waters designated as Peters Creek, a class C waterbody 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, IV, V. and VI of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective February 18, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 18, 201 1.
for Coleen I -I. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

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Larsen, Co
From: Boone, Ron
Sent: Wednesday, February 16, 2011 12:48 PM
To: Basinger, Corey; Larsen, Cory
Subject: RE: Dairy Fresh NGG060328
Oh yeah, I've been waiting for this one... issue it please!
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be­t7"
disclosed to third parties.
From: Basinger, Corey
Sent: Friday, February 11, 2011 11:19 AM
To: Boone, Ron
Cc: Larsen, Cory
Subject: FW: Dairy Fresh NCG060328
Ron,
Please review and comment back to Cory Larsen.
Thanks.
CB
Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
Corey. Basi ner ncdenr. ov
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Larsen, Cory
Sent: Friday, February 11, 2011 10:22 AM
To: Basinger, Corey
Subject: Dairy Fresh NCG060328
Corey,
Any comments on this facility in Winston-Salem or can I go ahead and issue? Thanks.
Cory

Cory Larsen
Environmental Engineer
NCDENR I DWQ I Stormwater. Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
2

Division of Water Quality / Surface Water
Protection Section
NCDENRNational Pollutant Discharge Elinunation System
F nnwoNMErrt wHo N-VA— RE�Es
NCG060000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
IMonth
pa
mu
101
1,11
Cenificate ofCaverage
fl .3
Check # Amount
t� 99 1c�o.
Permit Assi ed to
r
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 20 Food and Kindred Products
SIC 21 Tobacco Products
SIC 283 Drugs
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet
Preparations
SIC 422 Public Warehousing and Storage (except 4226)
r For questions, please contact the D WQ Regional Office for your area. See page 4.
1
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
Matthew M Ballard
2221 Patterson Ave
Winston Salem
336 723-0311 Ext 9121
21 Location of facility producing discharge:
StateNC
ZIP Code 27105
Fax: [phone]
Facility Name Suiza Dairy Group, LLC DBA Dairy Fresh
Facility Contact Matthew Ballard
Street Address 2221 Patterson Ave
City Winston Salem StateNC ZIP Code 27105
County Forsyth
Telephone No. 336 723-0311 Ext 9121 Fax: [phone]
Email Matthew [e-mail]_
r
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers,
and distance and direction from a roadway intersection). Take Patterson Ave exit from US 52 and turn
south on Patterson Ave facility is located at the comer of Patterson ave and Glenn Ave
(A copy of a county map or USGS quad sheet with the facility clearly located trust be submitted with this application.) rk;—
4) Latitude36.117008Longitude-80.241883(deg, min, sec)5) This NPDES Permit Application applies to which of the following:❑ New or Proposed Facility Da#e operation is to beginX Existing

Sf ��
NCG060000 N.O.I. d'4A;1't"-
6) Standard Industrial Classifrc
Provide the 4-dig' Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this fa ility.
SIC code: _514 _ ; �a.yr�i3 ,RCQ.�" Qtii� OL n .
7) Provide a brie narrative description of the types of industrial activities and products manufactured y
at this facility: acility proc� e�sses and packages milk, flavored milk, ice cream, and tea y
0 Cm S+-t 05' 14 t
8) Discharge points 1 Receiving waters: P' Pf+�*�.,1
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream; river, lake, etc.) that the facility stormwater
discharges end up in? Peters Creek •�
Receiving water classification: Class�C
Is this a 303(d) listed stream? _NO Has a TMDt_ been approved for this watershed? —NO'/
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Oil Stored in oil house with spill containment located near by or in the plant on spill
containment pallets. Alarm and automatically closing door installed in receiving bay to limit and contain spill risk for
incoming raw milk.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented?January 2006
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month)
of hazardous waste?
X No ❑ Yes � AA t,, h4A,,,,4 ^ Y�ey r6*-zt_V fL4 c�, c, 1 ,, # I-}� e.J

,. ,
- s —.
. •.. .� .
',� ..
_ � ` • � � .e
�} • •
• .\ i �_

NCG060000 N.0.1.
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c.. please provide the following information:
Type(s) of waste:Used Acetone
How is material stored: 55g grounded metal drum
Where is material stored: Oil house on site
t ^ How many disposal shipments per year.l 55g drum
Name of transport 1 disposal vendor.Shamrock
Vendor address:6106 Corporate Park Drive, Browns Summit, NC 27214
15) Certification:
North Carolina General Statute 143-215.6E (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or
other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes
a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers
with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained
under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may
include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this
permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as
an individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing:
Title: n -a-AL-rr ��ur1Z
(Signature of Applicant)
+1z441zott
(Date Signed)
This Notice of intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR