NCG060208_DMR Upload Review_20231031

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 10/30/2023 3:46:12 PM(DMR Submittal)
Submit by Brittany.Cook 10/31/2023 9:05:48 AM(DMR Submittal Review)
• The task was assigned to DEMLR SW Admin for DMRs 10/30/2023 3:46:13 PM
• Brittany.Cook assigned the task to Brittany.Cook 10/31/2023 8:46:46 AM

DEQStormwater NPDES Permit Discharge
Monitoring Report (DMR) Upload
DMR Submittal from 10/30/2023
Permit and Facility Information:
.....................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number* Enter COC or Individual Permit Number
NCG060208
Must begin with NCS or NCG
Facility Name:* Pepsi Bottling Ventures-Winston-Salem
Owner/Operator Pepsi Bottling Ventures LLC
Name:*
County:* Forsyth
Note: Facility name and county are used to help the reviewer verify the permit number entered,and to display the
Regional Office address on the submitter's form(not here).These metadata details will be pulled from current BIMS
information after the DMR(s)are filed. If the submittal is accepted,simply note any errors in the reviewer's comments.
Reason for not yet If applicable:
reporting data Previous Responsible Official retired before setting up eDMR accounts for ATC
through eDMR for personnel who will be creating eDMR reports on behalf of Pepsi Bottling Ventures
this permit: LLC.The eReporting Registration Form with original signature from the newly
appointed Responsible Official has been emailed and mailed to the Stormwater
eDMR Administrator for obtaining an eDMR account. Once the eDMR account is set
up,the newly appointed Responsible Official will set up eDMR accounts for ATC
personnel to create future DMRs in the eDMR system.The Responsible Official will
serve as the Submitter for the eDMRs.
Monitoring Period Information:
.....................................................................................................................................................................................................................................................................................................................................................................................................
Monitoring Period What is the YEAR of the sample date(s)?
Year:* 2023
DMR Upload* Click the upload button or drag and drop files here to attach document.
PBV Winston-Salem NCG060208-SW DMR Form
107.76KB
for General Permit NCG060000(signed).pdf
Only PDFs are accepted.
Comments: ATC Associates of North Carolina, P.C. is submitting the attached original signature
DMR form on behalf of Pepsi Bottling Ventures, LLC.
* By checking the box and signing box below, I certify that:
o I have given true,accurate,and complete information on this form;
o I agree that submission of this Discharge Monitoring Report(DMR)Upload form is a"transaction"subject to Chapter 66,
Article 40 of the NC General Statutes(the"Uniform Electronic Transactions Act");
o I agree to conduct this transaction by electronic means pursuant to Chapter 66,Article 40 of the NC General Statutes
(the"Uniform Electronic Transactions Act");
o I understand that an electronic signature on this upload form has the same legal effect and can be enforced in the same
way as a written signature;AND

o I intend to electronically sign and submit this DMR Upload form.
Full Name:* Rick Kleinfelter
Name of person submitting this form
Email Address:* [e-mail]
Phone Number:* 919-871-0999
Signature:
Date:* 10/30/2023

Review
Review Date: 10/31/2023
Confirm Permit No.* Correct the permit ID number if needed.
NCG060208
Confirm DMR Year* 2023
Multiple DMRs will be automatically filed in a subfolder denoting the sampling year entered above.
Can submittal be Yes
accepted?* No(Explain why below)
Do Central Office No
staff need to be Yes
alerted?*
Do Regional Office No
staff need to be Yes
alerted?
Type of Permit* General
Ensures DMR(s)filed correctly.