NCG060208_DMR_20200605

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted June 5, 2020
CERTIFICATE OF COVERAGE NO. NCG060 2 0 8
FACILITY NAME Pepsi Bottling Ventures - 3425 Meyer Lee Drive, Winston-Salem, NC
COUNTY Forsyth
PERSON COLLECTING SAMPLES Alan McFadden
LABORATORY Research & Analytical Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? []YES❑■ NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 0.1.72 or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
#01
05/27/20
7.43
6.18
<5
<5
NA
NA
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑✓ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
`See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
o LWL1 Z
o J 0
o� �q
(if es, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
0 A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑■
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, INC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, inclu�ng the possibility of fines and imprisonment for knowing violations."
re of Permittee)
at
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
Date submitted June 5, 2020
CERTIFICATE OF COVERAGE NO. NCG06 0 2 0 8
FACILITY NAME Pepsi Bottling Ventures - 3425 Meyer Lee Drive, Winston-Salem, NC
COUNTY Forsvth
PERSON COLLECTING SAMPLES Alan McFadden
LABORATORY Research & Analytical Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? [—]YES ONO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rninfnll 2 0.1.72 nr n A/n rlicrhnrnv thk narinn
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
500
901
05/27/20
7.43
6.18
<5
<5
NA
NA
Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ❑✓ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 504
6.0-9.0
-
Oniy applies to tacilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑■
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
re of Perm
Additional copies of this form may be downloaded at: http://por-tal.ncdenr.org/web/wg/ws/su/`npdessw#tab-4
S WU-249
Last Revised: October 18, 2012
Page 2 of 2

i --
PYRAM 1 ID
ENVIRONMENTAL & ENGINEERING, P.C.
June 6, 2020
Mr. Gabe Araos
ATC Group Services, LLC
2725 Millbrook Road
Raleigh, NC 27604
RE: Semi -Annual Stormwater Sampling — 1st Half 2020
Pepsi Bottling Ventures, 3425 Myer Lee Drive, Winston-Salem, NC
Pyramid Project # 2020-046
Mr. Araos:
As requested by ATC Group Services, LLC, Pyramid Environmental & Engineering, P.C. has
completed the stormwater sampling and analysis for the referenced site. The location of the site
is shown on the USGS topographic map presented as Figure 1. A site map showing the existing
building and stormwater outfall location is presented as Figure 2.
As shown on the site plan, the site was designed to direct all stormwater run-off to a retention
pond on the west side of the property. Water from the retention pond discharges to an overflow
catch basin (Outfall #01) on the north side of the pond and drains west to Lowery Mill Creek
(Salem Lake), which is approximately 1,000 feet from the site.
Sample Collection and Laboratory Analysis
On May 27, 2020, Alan McFadden of Pyramid successfully collected stormwater samples from
Outfall #01 during a representative rain event. The qualitative monitoring report was completed
for Outfall #01 by Pyramid and is included in Attachment A. The qualitative monitoring report
describes the visual appearance of the stormwater run-off at the time of the sampling event. No
unusual conditions were observed by Pyramid. The total event precipitation included on the
qualitative form is from the Smith Reynolds Airport and was obtained from the North Carolina
Climate Office, Weather and Climate Database.
The stormwater samples were placed on ice and transported to Research and Analytical
Laboratories, Inc. in Kernersville, North Carolina. The samples were analyzed for oil & grease,
chemical oxygen demand (COD), total suspended solids (TSS) and pH.
The laboratory results of the stormwater samples are presented in Table 1, which is included in
Attachment B with a copy of the lab report. As shown in Table 1, the detected concentrations of
oil & grease, COD and TSS in the samples collected from Outfall #01 do not exceed the
benchmark values specified in General Permit NCG060000 and the laboratory pH reading was
within the specified range of 6.0 — 9.0.
P.O. Box 16265 • Greensboro, NC 27416
503 Industrial Ave • Greensboro, NC 27406
Phone [phone] • Fax [phone] • Toll Free [phone]
Email: Info(a)pyramidenvironmental.com
www.pyEa! idenviro=ental.com

Pyramid also completed the semi-annual stormwater discharge monitoring report (DMR) for
Outfall #01 as specified in General Permit NCG060000. The completed monitoring report is
included as Attachment C. A representative of Pepsi Bottling Ventures is required to sign page
two of the monitoring report and send the original and one copy to the address shown on page
two.
The next semi-annual sampling event will be performed between July 1 and December 30, 2020.
The samples will be analyzed for the compounds as specified in the general permit. Please
review this information and call me at 335-3174 if you have any questions.
Sincerely,
Brett S. Hi r bg=ins
Senior Project Manager
Figures & Attachments A, B & C
Pepsi Bottling Ventures — 3425 Myer Lee Drive, Winston-Salem, NC - Stormwater Sampling 06105120
Pyramid Project # 2020-046 2

SITE: Pepsi Bottling Ventures LOCATION: Winston-Salem, NC
USGS IDENTIFICATION
USGS 7.5
MINUTE MAP;
Winston-Salem East, NC
ORIGINAL DATE:
2016
PHOTOREVISION
N/A
DATE:
PRIMARY HIGHWAY, HARD SURFACE
SECONDARY HIGHWAY, HARD SURFACE
SCAT FS
1/2 0 1
MILES:
7000 0 2000 4000 6000
FEET:
1' = 2000'
NOTES: ►TOPOGRAPHICAL CONTOUR INTERVAL = 10 FEET
► PHOTOREVISIONS DENOTED IN PURPLE
UNIMPROVED ROAD
Fu • *�►�j�
— ATC Group Services LLC NOTES
1' 2,000' •. BSH mrown,c wr um INGRAPM is na
425 Myer Lee Drive 0>o_oab u' 7`°v.,m°
To
PYRAMID Winston- a em f0 z North Car tna
4/18/19 � � a
ENVIRONMENTAL d ENGINEERING, P.C. Topographic Ma � � w,� � na rw sow � ��
p USGSTOPO 1 ACCUNCY
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THE FIGURE 2
SITE MAP
PEPSI—COLA BOTTLING COMPANY
Tc
OF WINSTON—SALEM
ASSOCIATES INC.
WINSTON—SALEM, NORTH CAROLINA
R~,N°""c°°'I^•
27504 (819)971-0YYY FAX [phone]
CAD F►E
TYPE CODE
PREP. 11,
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PROJECT No.
1253352.dw
CY
—20081
45,27087.7005

ATTACHMENT A

£nvironmen tat
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit https://deg.ne.eov/about/divisions/enerev-mineral-land-
resources/energy-mineral-land -permits/stormwater-permits/npdes-industrial-sw#tab-4
Permit No.: N/C/G/ 0 / 6 /0 / 0 / 0 / 0 / or Certificate of Coverage No.: N/C/G/ 0 / 6 /0 / 2 / 0 / 8 /
Facility Name: Pepsi Bottling Ventures - 3425 Myer Lee Drive. Winston-Salem. NC
County:
Inspector:
Date of Inspection:
Time of Inspection: I 1 30
Total Event Precipitation (inches): � , 131
Phone No. [phone]
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. #01 Structure (pipe, ditch, etc.): Overflow inlet structure for retention pond
Receiving Stream:
Lowery Mill Creek (Salem Lake)
Describe the industrial activities that occur within the outfall drainage area: Truck & trailer parking.
raw material and finished product loading and unloading.
Page 1 of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �'W4k
3. Odor: Describe any d' tinct odors that the
chlorine odor, etc.): rqn Ufa Pln Sec U
may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
l O 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
1) 0 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8.
9.
1� 2 3 4 5
Is there any foam in the stormwater discharge? 0 Yes
No.
Is there an oil sheen in the stormwater discharge? QYes
No.
Is there evidence of erosion or deposition at the outfall?
O Yes A No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe NLS d*.w Av,sa,a-� i►��1 � af� ASe-YyeJ
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242. Last modified 07/28/2017

ATTACHMENT B

TABLE 1
Stormwater Analytical Results for Outfall #01
Pepsi Bottling Ventures
3425 Myer Lee Drive, Winston-Salem, NC
PARAMETER
UNITS
Date
Laboratory Results
Benchmark Concentration
per General Permit
NCG060000
Outfall #01
Oil & Grease
mg/L
09/26/18
< 5
30 mg/L
04/05/19
<5
10/30/19
<5
05/27/20
<5
Total Suspended Solids
(TSS)
mg/L
09/26/18
14.7
100 mg/L
04/05/19
10.4
10/30/19
10.4
05/27/20
7.4
Chemical Oxygen Demand
(COD)
mg/L
09/26/18
NA
120 mg/L
04/05/19
23
10/30/19
25
05/27/20
<5
pH
Standard
09/26/18
6.29
6.0 - 9.0
04/05/19
6.40
10/30/19
5.99
05/27/20
6A 8
NA: Not Analyzed for this parameter
Page 1 of 1

RESEARCH 8t ANALYTICAL
LAbORATORIES, INC.
For: Pyramid Environmental
503 Industrial Avenue
Greensboro, NC 27406
Attn: Brett Higgins
Report of Analysis
6/5/2020
0
co NC#34 Z.-
NC #37701
1i1
Client Sample ID: Outfall #01
Lab Sample ID:
82712-01
Site: Pepsi Bottling Ventures - 3425
Myer Lee Dr., Winston-Salem, NC
Collection Date:
5/27/2020
16:20
Parameter
Method
Result
Units
Rep Limit Analyst Analysis DateFrime
—
COD
EPA 410.4
<5
mg/L
5
HW
5/29/2020
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE
6/3/2020
pH
SM 4500 H+B-2011
6.18
Std. Units
AB
5/28/2020 1653
Total Suspended Solids
SM 2450 D-2011
7.43
mg/L
5
AW
5/29/2020
NA = not onolyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.corn Page 1
ral coa bag!c v

RESEARCh & ANA[yTICA1
LABORATORIES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
1 ,.,w rco, ■ - 1
COMPANY Pyramid Environmental
JOB NO.
2020-046
w
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2
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P• �?
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y
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G n` �� �' cx O
°�P�°�`
O O o P
ryry�^ J s` w gREQUESTED ANALYSIS
STREET ADDRESS
503 Industrial Avenue
PROJECTPepsi Bolt Ing Ventures
Myer Lee Dr., W-S
CITY, STATE, ZIP
Greensboro, NC 27406
SAMPLER NAME (PLEASE PRINT)
Alan McFadden
CONTACT PHONE
Brett Higgins 336-335-3174jfkAMX
SAMPLENUMBER cN:oarvE
(LAB USE ONLY) GATE TIME CO GRA9 ECP RCES �k"rM
SAMPLF,p SIGNATURE
7
SAMPLELOCATIONII.D.
27
i6�
X
Outfall #01
1
1
1
Ix
X
X
I
I
I
O&G TSS COD & pH
1
REhIVQUI / yD 4Y
DART /TIME
T
R IVED BY
REMARKS:
— r_
SAMPLE TEMPERATURE AT RECEIPT �0C
RELINQUISHED BY
DATETTIME
RECEIVED BY