NCG060328_Renewal COC Request_20200422 10:05:25 AM

Certificate of Coverage
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
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 LLC
is hereby authorized to discharge stormwater from a site located at:
Suiza Dairy Group, LLC (dba Dairy Fresh, LLC)
2221 Patterson Ave
Winston Salem
Forsyth County
to receiving waters designated as Peters Creek, class C waters in the Yadkin River Basin, in accordance with
the effluent limitations, monitoring requirements, and other conditions set forth in N.C. General Permit No.
NCG060000, issued on 10/29/2018.
This Certificate of Coverage shall become effective on 11/1/2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
for William E. (Toby) Vinson, Jr., P.E., CPM
Interim Director, Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NORTH C W Q-rA
EnHmnmertm! dafny
Permit COC
NCG060328
Number *
Enter the Certificate of Coverage (COC) nun ber, not the General Pen-rit nurrber (e.g., N00030222 is the OOC, not
NCG030000) M-ST BEGIN WTTH CARTAL "NCG'
Name of Person
Michael Merideth
Obtaining COC*
First and Last Name
Phone Number*
8603261440
Email *
[e-mail]
The COC w ill be e-nailed to this contact.
Additional Email
(Optional) Enter an additional enailaddress towhom tosend the COC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
M aste r Ge ne ral
NCG060000
Permit No.
COC No.
NCG060328
Permittee
Suiza Dairy Group LLC DBA Dairy Fresh
LLC
Facility Name
Suiza Dairy Group, LLC (dba Dairy Fresh,
LLC)
Address
2221 Patterson Ave
City
Winston Salem
County
Forsyth
Waterbody
Peters Creek
Classification
C
River Basin
Yadkin
RENEWAL STATUS
Active
Issuance Date*
10/29/2018
Effective Date
11/01/2018
1 hereby request a copy of the Certificate of Coverage (COC) entered above. I understand that the COC e-mailed as a
result of this request will serve as the Permittee's record of renewed coverage under the General Permit, and that this
record must be maintained with the Permittee's NPDES Stormwater Permit records.
Signature

Date * 04/22/2020