NCS000295_Renewal Application_20210830

Permit Coverage
Renewal Application Form
_ National Pollutant Discharge Elimination System NP NC Permit Number
Envirortmenta!
Stormwater Individual Permit S 000zss
Quality
Please provide your permit number in box in the upper right hand corner, complete the information in the space provided
below and return the completed renewal form along with the required supplemental information to the address indicated.
Owner Information
* Address to which permit correspondence will be mailed
Owner / Organization Name:
Jackson Paper Manufacturing Company
Owner Contact:
Carr Tyndall
Mailing Address:
152 West Main Street, Sylva, NC 28779
152 West Main Street, Sylva, NC 28779
Phone Number:
828-586-5534
Fax Number:
E-mail address:
[e-mail]
Facility Information
Facility Name:
Jackson Paper Manufacturing Company
Facility Physical Address:
152 West Main Street
Sylva, NC 28779
Facility Contact:
Kiesha Bridges
Mailing Address:
152 West Main Street
Sylva, NC 28779
Phone Number:
828-586-5534 EXT 226
Fax Number:
E-mail address:
[e-mail]
Permit Information
Permit Contact:
Kiesha Bridges
Mailing Address:
152 West Main Street
Sylva, NC 28779
Phone Number:
828-586-5534 EXT 226
Fax Number:
E-mail address:
[e-mail]
Discharge Information
Receiving Stream:
Scott Creek
Stream Class:
C; Tr
Basin:
Little Tennessee
Sub -Basin:
Number of Outfalls:
4
AUG 3 0 2021
D�NR-LAND QUALITY
STORMWATER PERMITTING
Facility/Activity Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
No chances
CERTIFICATION
I certify that I am familiar with the ipformation contained in the application and that to the best of my knowledge and belief
such informatiorkib true_czAaNet01J6d accurate.
Signature
Date $ &L120'21
Carr Tyndall President / Chief Operating Officer
Print or type name of person signing above Title
DEMLR - Stormwater Program
Please return this completed application form Dept. of Environmental Quality
and requested supplemental information to: 1612 Mail Service Center
Raleigh, North Carolina 27699-1612

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
CT I. A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
CT2 A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data.
CT 3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports. The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
CT 4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
CT 5. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
CT 6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility (Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)

STORM WATER FLOW AND POTENTIALLY EXPOSED MATERIALS MAP FIGURE
ENVIRON Engineers of North Carolina, PC Jackson Paper
152 West Main Street
DRAFTED BY: HDT DATE: 5/1/2017 - Sylvan North Carolina PROJECT: 07-40904B

Jackson Paper Manufacturing Company
Sylva, NC
NPDES Permit No. NCSOOO295
Summary of Analytical Monitoring Results
Month
Sample Date
Rainfall
(inches)
Outfall 001
Outfall 002
Outfall 003
TSS
(mg/L)
pH
COD
(mg/L)
O&G
(mg/L)
Turbidity
(NTU)
TSS
(mg/L)
pH
COD
(mg/L)
0&G
(mg/L)
Turbidity
(NTU)
TSS
(mg/L)
pH
COD
(mg/L)
O&G
(mg/L)
Turbidity
(NTU)
Apr-17
4/3/2017
0.30
107
8
447
NO
N/A
14
7
36
NO
N/A
5
8
55
NO
N/A
Sep-17
9/6/2017
0.46
27
7
48
NO
N/A
4
7
40
NO
N/A
244
8
267
NO
N/A
Dec-17
12/5/2017
0.48
61
8
NO
NO
N/A
26
7
NO
NO
N/A
NO
8
47
NO
N/A
Mar-18
3/6/2018
0.15
22
7
34
NO
N/A
NO
8
ND
NO
N/A
17
8
58
NO
N/A
May-18
5/16/2018
0.41
32
9
NO
NO
N/A
4
7
NO
NO
N/A
242
7
78
NO
N/A
Sep-18
9/10/2018
0.56
35
8
31
NO
N/A
62
7
63
NO
N/A
5
8
33
ND
N/A
Dec-18
12/14/2018
0.23
NO
7
NO
NO
N/A
10
7
52
NO
N/A
Dec-18
12/20/2018
0.80
181
7
132
NO
N/A
Feb-19
2/28/2019
0.01
125
7
197
NO
N/A
8
7
NO
NO
N/A
14
7
255
NO
N/A
Apr-19
4/26/2019
0.15
351
6.9
357
NO
45
Jun-19
6/7/2019
0.70
7
6
56
NO
7
3
7
NO
NO
3
143
7
97
NO
275
Jul-19
7/22/2019
0.46
17
6
NO
NO
1
Aug-19
8/27/2019
0.37
27
7
NO
NO
27
NO
7
NO
NO
NO
59
7
80
NO
83
Sep-19
Oct-19
10/16/2019
0.06
13
8
NO
NO
33
Nov-19
11/27/2019
0.63
14
6
NO
NO
6
NO
7
NO
NO
ND
208
7
144
NO
262
Dec-19
12/9/2019
0.28
13
7
61
NO
27
Jan-20
1/24/2020
0.38
64
7
25
NO
18
5
7
NO
NO
5
216
7
200
NO
474
Feb-20
2/24/2020
0.80
7
7
103
NO
10
Mar-20
3/23/2020
0.31
37
7
139
NO
65
Apr-20
4/23/2020
0.32
20
7
179
NO
53
May-20
5/20/2020
0.50
36
7
109
NO
83
Jun-20
6/23/2020
0.20
52
7
NO
NO
4
3
7
NO
NO
1
4
7
36
NO
7
Jul-20
7/23/2020
0.20
3
7
NO
NO
9
Aug-20
Sep-20
9/17/2020
0.69
38
7
NO
NO
15
5
7
1 NO
NO
19
44
7
1 74
NO
92
Dec-20
12/4/2020
0.05
264
8
279
NO
136
58
7
NO
NO
8
7
7
NO
NO
28
Mar-21
3/16/2021
0.40
61
7
45
NO
19
26
7
26
NO
18
200
7
163
NO
269
Apr-21
May-21
5/3/2021
0.50
29
8
NO
NO
18
Jun-21
6/11/2021
0.24
11
7
43
NO
16
13
8
108
NO
83
240
7
157
NO
351
Jul-21
Aug-21
8/4/2021
0.45
61
7
1 42
1 NO
9
11
1 7
1 85
NO
1 36
1 480
7
1 249
NO
811
Notes
NO = Non detect
N/A = not tested
* = No opportunities during normal business hours to collect samples during this month.
Cells highlighted grey indicate testing was not completed for this outfall, either because it was not subject to the Tier 2 schedule, or because there were no testing opportunities during normal business hours.

Jackson Paper Manufacturing Company
Sylva, NC
NPDES Permit No. NCSO0O295
Summary of Analytical Monitoring Results
Month
Sample Date
Rainfall
(inches)
Outfall 004
Scott's Creek Pre -Mill
Scott's Creek Post Mill
TSS
(mg/L)
PH
COD
(mg/L)
0&G
(mg/L)
Turbidity
(NTU)
TSS
(mg/L)
PH
COD
(mg/L)
O&G
(mg/L)
Turbidity
(NTU)
TSS
(mg/L)
PH
COD
(mg/L)
O&G
(mg/L)
Turbidity
(NTU)
Apr-17
4/3/2017
0.30
149
8
68
ND
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Sep-17
9/6/2017
0.46
17
7
45
ND
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Dec-17
12/5/2017
0.48
84
7
90
ND
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Mar-18
3/6/2018
0.15
9
7
NO
ND
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
May-18
5/16/2018
0.41
ND
8
NO
ND
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Sep-18
9/10/2018
0.56
99
7
35
1 ND
I N/A
N/A
I N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Dec-18
12/14/2018
0.23
Dec-18
12/20/2018
0.80
490
7
37
NO
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Feb-19
2/28/2019
0.01
28
6
41
ND
N/A
Apr-19
1 4/26/2019
0.15
25
6
ND
ND
3
24
6
ND
NO
4
Jun-19
6/7/2019
0.70
6
ND
ND
4
60
6
29
ND
30
72
6
31
ND
47
Jul-19
7/22/2019
0.46
_8
17
6
ND
ND
2
27
6
63
NO
4
Aug-19
8/27/2019
0.37
6
7
ND
ND
7
21
7
ND
ND
16
23
7
ND
NO
12
Sep-19
Oct-19
10/16/2019
0.06
7
6
NO
ND
7
10
7
ND
ND
8
Nov-19
11/27/2019
0.63
24
6
NO
ND
10
124
6
27
ND
63
146
6
29
ND
89
Dec-19
12/9/2019
0.28
15
6
ND
ND
6
17
6
ND
ND
7
Jan-20
1/24/2020
0.38
34
6
25
ND
16
12
6
ND
ND
2
17
6
ND
NO
7
Feb-20
2/24/2020
0.80
1
7
6
ND
ND
3
7
6
ND
ND
3
Mar-20
3/23/2020
0.31
179
6
ND
ND
35
127
6
ND
ND
45
Apr-20
4/23/2020
0.32
27
6
ND
ND
13
29
6
ND
ND
14
May-20
5/20/2020
0.50
24
7
ND
ND
10
29
7
ND
ND
12
Jun-20
6/23/2020
0.20
74
7
36
ND
8
22
7
ND
ND
3
49
7
ND
ND
4
Jul-20
7/23/2020
0.20
31
7
NO
ND
ND
81
7
NO
ND
6
Aug-20
Sep-20
9/17/2020
0.69
20 1
7 1
ND
ND 1
17
79
7
28
ND 1
56
90 1
7
26
ND
63
Dec-20
12/4/2020
0.05
101
7
119
ND
50
4
7
ND
ND
ND
3
5
ND
NO
1
Mar-21 1
3/16/2021
0.40
26
7
ND
ND
13
185
7
56
ND
53
169
7
80
NO
81
Apr-21
May-21
5/3/2021
0.50
56
8
ND
ND
19
133
8
26
ND
42
Jun-21
6/11/2021
0.24
3
7
ND
ND
4
34
6
ND
ND
23
37
7
ND
ND
27
Jul-21
Aug-21
8/4/2021
0.45
18 1
8 1
ND I
ND 1
8.9
140 1
6 150.8
ND 1
104 1
139 1
7
28
ND
88.3
Notes
NO = Non detect
N/A = not tested
* = No opportunities during normal business hours to collect samples during this month.
Cells highlighted grey indicate testing was not completed for this outfall, either because it was not subject to the Tier 2 schedule, or because there were no testing opportunities during normal business hours.

Jackson Paper Manufacturing Company
Sylva, NC
NPDES Permit No. NCS000295
Summary of Visual Monitoring Results
Month
Sample
Date
Outfal
1001
Outfall
002
o
g
`
u°
ovu
°NL°«
°
° �
>
vv E
Eo
o
10
o
w
o
" °=
—E
o
u
ii °
ov m
w9z
a3
v
v� E
«
°
wo
E
o
o
102
o
w o
o
o
0
u v
o
Apr-17
4/3/17
Light
Brown
None
2
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Sep-17
9/16/17
Clear
None
1
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Dec-17
12/5/17
OR t
Grey
None
2
1
2
No
No
No
No
Clear
None
1
1
2
No
No
No
No
Mar-18
3/6/18
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
May-18
5/16/18
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Sep-18
9/10/18
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Dec-18
12/14/18
Clear
None
1
1
1
No
No
No
No
Dec-18
12/20/18
Dingy
None
3
1
3
No
No
No
No
-
-
Feb-19
2/28/19
Med
Grey
None
3
1
3
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Jun-19
6/7/19
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Aug-19
8/27/19
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Nov-19
11/27/19
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Jan-20
1/24/20
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Jun-20
6/23/20
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Sep-20
9/17/20
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Dec-20
12/4/20
Light
Grey
None
3
1
3
No
No
No
No
Clear
None
1
2
1
No
No
No
No
Mar-21
3/16/21
Light
Grey
None
2
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Jun-21
6/11/21
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Aug-21
8/4/21 1
Clear I
None
1
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No

Jackson Paper Manufacturing Company
Sylva, NC
NPDES Permit No. NCSOOO295
Summary of Visual Monitoring Results
Outfall 003
Outfall 004
SO
>
o
o
0
3N
i—°°N
a w
a
p
v`Oi
Sample
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`oC>
> „
_
z °
o
az w
E
N
w o
a s
L E
o
o
o
.`>
_ o N -
.. z o
o
az w
E
N
=m o
m E
Month
Date
o
u
o
2 11
u n
B 11
n 3
1, 1,
g
—
O
w' o
O
o
u
o
=
u �n
o"
�n 3
o
—
O
- v
w o
o
O v
Light
Apr-17
4/3/17
Brown
Earthy
2
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Me
Sep-17
9/16/17
Brown
None
3
1
3
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Lig t
Lig t
Dec-17
12/5/17
Brown
None
1
1
1
No
No
No
No
grey
None
1
1
2
No
No
No
No
Lig t
Mar-18
3/6/18
Brown
None
2
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Med
Ma -18
5/16/18
Grey
None
3
1
3
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Light
Se -18
9/10/18
Brown
None
2
1
2
No
No
No
No
Clear
None
1
2
1
No
No
No
No
Dec-18
12/14/18
-
-
-
-
-
-
-
-
-
Clear
None
1
1
1
No
No
No
No
Dec-18
12/20/18
Clear
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Feb-19
2/28/19
Clear
None
1
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Light
Jun-19
6/7/19
Brown
None
2
1
2
Yes
No
No
No
Clear
None
1
1
1
No
No
No
No
Light
Aug-19
8/27/19
Grey
None
2
1 1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Light
Nov-19
11/27/19
Grey
None
3
1
3
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Light
Jan-20
1/24/20
Brown
None
3
1
3
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Light
Jun-20
6/23/20
Grey
None
2
1
2
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Light
Sep-20
9/17/20
brown
None
1
1
1
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Dec-20
12/4/20
Clear
None
1
1
1
No
No
No
No
Clear
None
2
1
2
No
No
No
No
Med
Mar-21
3/16/21
Brown
None
3
1
3
No
No
No
No
Clear
None
1
1
1
No
No
No
No
Jun-21
6/11/21
Brown
None
2
2
2
No
No
No
Clear
None
1
1
1
No
No
No
No
Aug-21
8/4/21
e
Brown
None
3
2
3
No
No
�.o
No
Clear
None
1
1
1
No
No
No
No

Jackson Paper Manufacturing Company
Sylva, NC
NPDES Permit No. NCS000295
Summary of Best Management Practices (BMPs)
Location
Pollutant of Concern
In -Place BMPs
Annual training to educate employees on the type of materials that should not be placed in the
Oils/greases, solids, BOD,
compactor. Routine inspection of area to prevent litter/solids from entering stormwater runoff and
Trash compactor
COD
to ensure waste is being picked up routinely and no waste is stored/placed just outside of the
compactor.
Oils/greases, BOD, COD,
Routine inspection of area to prevent residual oils/greases or litter from entering the stormwater
Delivery truck loading docks
solids
system. Loading/unloading should remain within the designated area.
Parking Area between Paper
Oils/greases, BOD, COD,
Routine inspection of area to prevent residual oils/greases or litter from entering the stormwater
Machine building and WWl"
solids
system. Loading/unloading should remain within the designated area.
Scrap metal dumpster
Solids
Scrap metal must be in kept in good condition, i.e., free from rust or removed from the site.
Regularly inspect to ensure waste is being picked up routinely.
Filling operations are conducted by an off -site contractor under facility personnel supervision. The
contractor will stick the tank prior to filling to ensure that it can contain the contents to be placed
Kerosene Storage Tank
Kerosene, COD
into the tank. Any overflow is retained in the concrete containment area. Any precipitation in the
area remains until a valve is opened. The valve is maintained in a locked position. Facility personnel
will inspect the contents for a sheen before opening the valve to release precipitation.
Scrap metal storage Areas
Solids
Scrap metal must be in kept in good condition, i.e., free from rust or removed from the site.
Regularly inspect to ensure waste is being picked up routinely.
Dryer Can Bearing storage
Solids
Dryer can bearings must be in kept in good condition, i.e., free from rust or relocated to covered
areas.
Plastic baling area
Solids
Routine inspections of the area to assess the conditions.
Plastic baler hydraulic tank
Hydraulic oil, BOD, COD,
Routine cleaning out of the area beneath the hydraulic tank to prevent the drain from clogging.
oil tank
O&G
Truck entrance/sawdust
Solids
Monitoring the area to ensure drivers keep gates closed.
delivery area
Cardboard storage areas
Solids
Routine inspections of the area to assess the conditions.
Gasoline and Diesel Fuel
Gasoline, BOD, COD
Routine inspections of the area to assess the conditions.
ASTs
Truck dump hydraulic oil
Storage tanks are located within secondary containment structure. Ensuring the BMPs outlined in
storage tank
Hydraulic oil, BOD, COD
the facility's Spill Prevention Control and Countermeasures (SPCC) Plan are adhered to.
Sawdust piles
Solids
Routine inspections of the area to assess the conditions.
Ash pad
Solids, metals
Routine inspections of the area to assess the conditions.
Ash pond and ash pit
Solids, metals
Routine inspections of the area to assess the conditions.
Scrap materials boneyard
Solids
Scrap metal must be in kept in good condition, i.e., free from rust or removed from the site.

Jackson Paper Manufacturing Company
Sylva, NC
NPDES Permit No. NCS000295
Summary of Best Management Practices (BMPs)
General Housekeeping BMPs
Daily pickup and disposal of windblown waste (plastic and cardboard) on days when the site is in operation.
Conduct routine vehicle and equipment inspections for fluid leaks on large vehicles.
Routine visual inspections of all potential pollutant sources.
Promptly contain and clean up solid and liquid pollutant leaks and spills including oils, fuels, and hazardous
chemicals from manufacturing operations on any exposed soil, vegetation, or paved area.
Promptly repair or replace all substantially cracked or otherwise damaged paved secondary containment, high -
intensity parking, and any other drainage areas subject to pollutant material leaks or spills.
Inspect outdoor solid waste containers (trash compactors) to ensure they are maintained in an orderly condition
(i.e., containers are not overfilled)
Do not hose down or pressure wash those areas that contain potential stormwater contaminants. If conducting
washing in exterior areas, ensure the water can be captured and routed to the on -site wastewater treatment area.
Significant materials used on -site are stored in appropriate (covered) containers and are maintained indoors and/or
within secondary containment.
If pressure washing of a parking/loading area is conducted, ensure that no spills or hazardous materials have
occurred.
When possible, building overhead doors are kept closed during rain events.
Stormwater structures (e.g., catch basins, grassy areas) are cleaned and maintained for ensure proper operation.
Routine facility -wide inspections for and removal of waste, garbage, and floatable debris.
Indoor areas are kept clean from spills of oil, chemicals that may be tracked to exterior areas.
Facility areas are cleaned by manual methods only. Water is not used to "hose off' outdoor areas.
Roof top areas are inspected and kept clean.

Jackson Paper Manufacturing Company
Sylva, NC
NPDES Permit No. NCS000295
Summary of Best Management Practices (BMPs)
Preventative Maintenance BMPs
Stormwater diversion and control structures are maintained as needed to ensure proper operation.
Equipment and areas that have the potential for failures or spills have been identified and are inspected.
Immediately clean up spills and leaks (e.g., using absorbents, vacuuming, etc.) to prevent the discharge of
pollutants.
Use drain covers to cover catch basins that are adjacent to the south and east of the wood pile.
Clean out ditch east of the diesel fuel and gasoline ASTs and place a lining over the cover of the inlet to filter large
plastics.
Install a tarp around the eastern portion of the exposed cardboard storage building to prevent loose materials
from escaping the building.
Loading/Unloading operation structures are updated as needed to ensure proper operation.
Built-up sediment is removed from rip rap lining, drainage swales, drainage culverts, and culvert inlets to ensure
proper operation of stormwater structures.
Preventive maintenance performed on equipment (with potential of spills/ leaks) to provide for proper operation
and detection of potential spills/leaks before they occur.
Inspections are conducted for the presence of non-stormwater discharges annually and that all unauthorized
discharges have been eliminated.

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources — Stormwater Program
Facility Name:
Jackson Paper Manufacturing Company
Permit Number:
NCS000295
Location Address:
152 West Main Street
Sylva, NC 28779
County:
Jackson
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permit signatory requirements) and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature
Date g� J
Carr Tyndall ' President / Chief Operating Officer
Print or type name of person signing above Title
SPPP Certification 10/13

JACKSON PAPER
MANUFACTURING
August 26, 2021
Suzanne McCoy
1612 Mail Service Center
Raleigh, NC 27699-1612
Subject: NPDES Stormwater Individual Permit Renewal Application
Jackson Paper Manufacturing Company — Sylva Plant
Permit No. NCS000295
Dear Ms. McCoy:
Jackson Paper Manufacturing Company — Sylva Plant (Jackson Paper) is submitting this renewal
application for coverage under the permit. As per Section B.1. of the permit, the permittee must submit
forms and fees as required by the agency no later than 180 days prior to the expiration date. Permit
NCS000295 expires February 28, 2022. This application includes the NCS Renewal Forms Package
and required supporting documentation. There have been no changes to the facility or activities since
issuance of the permit.
If you have any questions about the included information, please contact me at 828.586.5534, Ext 226
or [e-mail], or Rachel Velthuisen of TRC Environmental Corporation (TRC) at
919.671.0032 or [e-mail].
Sincerely, ,
Kiesha Bridges
Manager of Safety, Environmental & Technical
Attachments
cc: Rachel Velthuisen, TRC
NORTH CAROLINA'S LARGEST RECYCLED PAPER PRODUCER
152 WEST MAIN STREET® PO BOX 667® SYCVA, NC 28779 TEL [phone] FAX [phone]