NCS000295_MONITORING INFO_20190103

STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
❑FINAL PERMIT
MONITORING REPORTS
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
r� U7
DOI �
DOC DATE
❑ V
YYYYMMDD

JACKSON PAPER
MANUFACTURING
December 28, 2018
NCI)EQ, Division of Water Resources, Information Processing Unit
Attn: Central Filcs/cDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVED
CD
RE: Discharge Monitoring Report
NPDES Permit No. NCS000295 JAN 0 3 2019
.Jackson Paper Manufacturing Compan.-'ENT AL FILES
D1NR SEC?JON
Dear Division of Water Resources:
Please find enclosed Discharge Monitoring Reports for Jackson Paper Manufacturing Company
NPDES Permit No. NCS000295 for reporting period starting October 1, 2018 and ending
December 31, 2018.
1Zesults from samples taken on December 14, 2018 from Outfall 002 and 003 show no henchmark
cxcecdances. There was an insufficient amount of'discharge from Outfall 001 and Outf:Ell 004 to
sample during this rain event.
Subsequently, we look samples fi-om Outfall 001 and Outfall 004 during the next rain event on
December 20, 2018 and have enclosed the discharge monitoring report. rlThcre were no
exceedances at Outfall 004. There were benchmark cxcecdances at Outfall 001 for TSS and COD.
Outfall 001 is located at a catch basin in the middle of the facility's front parking lot. The basin
collects runoff from the employee and visitor parking areas, roof drains from the office building,
and delivery truck loading/unloading docks. Portions of West Main Street, located cast of the
facility, slopes towards the facility so that stormwater from this section of roadway runs tOwards
Outfall 001. In response to the TSS benchmark cxcecdances, we conducted a stormwater
management inspection of the facility on 12/28/18. We have identified possible causes Of the
benchmark value cxcecdances. We believe the exceedanecs are primarily a result of'run-on f-ronh
West Main Street. Also, a patch of grass along the curb at the loading dock was torn up and muddy
due to trucks driving over the curb and into the grass. We will consider our options and select
feasible controls to improve this situation, such as making the curb more visible and filling in the
area with gravel.
I certify that based on information and belief formed from reasonable inquiry, the statements and
information in the document are true, acctn-ate, and complete.
NORTH CAROLINA'S LARGEST RECYCLED PAPER PRODUCER
152 WA' MAIN STRi WD PO Bux 6670 Sven, NC 28779 -FEE. [phone] FAX [phone]

]'lease contact Kiesha Bridges at [phone] Ext. 226 if you have any questions or need any
additional information.
Sincerely,
Carr "fyi dall
Vice -President Operations
Jackson I'aher Manulacturulg C01111MIly
EnclOSLII'C: Storm«fater Discharge Monitoring Report
cc: JPIMC File

Stormoater Discharge Outfall (SDO)
Monitoring Report
Permit Number NCS000295
Facility Name: Jackson Paper Manufacturing Company
Person Collecting Samples. Kiesha Bridges
Certified Laboratory: Pace Analytical Services. LLC Project p 92410854
Samples Collected During Calendar Year: 2018
(']his monitoring report shall be received by the Division no later than 30 days from the date the
facility receives the sampling results from the laboratory.)
Countv: Jackson
Ph ne NO. [phone] Pxt. ??6
(SIGNATURE01,PEILNIH .EORDESTGNFE)
By this signature, I certify that this report is accurate
and cumplete to the best of my knosN [edge.
Oil and Grease
Turhidit}'
TSS
pH
COI)
Benchmark
15
Not Required
50
(6-9)
120
Outfall
Date
Sampled
Result
rn 11
Benchmark
Excecdance
YIN
Result
ma L
Benchmark
Exceedance
}7N
Result
Benchmark
Exceed. nce
YIN
Result
m g/L
Benchmark
Exceedance
YIN
002
12/1412018
12:45 m
ND
No
ND
No
7.1
No
ND
No
�0312/14/2018
1:15 m
ND
No
10.3
No
7A
No
51.9
No
ND: Not defected of or above adjusted reporting limit
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Yes x No
Niensureable
Storm Event?
Yes
D.23

Storm Event Characteristics:
Date: December 14, 2018
Total event -precipitation (inches}: 10.23 - -
Duration of storm event: 1.5 hours
Drainage
Area
Mail Original and one copy to:
IV Division of Water Quality
1,77 Attn: Central Files
77,101 1617 Mail Service Center
1,478 Raleigh, North Carolina 27699-1617
1T,254
I
II
111
Area (acres)
Area isf)
volume (cf)
1.69
73,616
1,411
5.43
236,531
4,534
20,45
990,802
17,074
Estimated -volume of discharge sampled: '..Volume (gal)
Time Since last rain event: 3 days
10,554
33,911,
. 127,711,
" 1 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
aP,.r
violations."� 17-1 IT
(Signature of Perm' ee) (Date

6
(�IaneAnalXiba(
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December 21, 2018
Kiesha Bridges
Jackson Paper Mfg. Co.
152 West Main St.
Sylva, NC 28779
RE: Project: Stormwater 4th Qtr 12114
Pace Project No.: 92410854
Pace Analytical Services, LLC
2.225 Riverside Dr.
Asheville, NC 28804
[phone]
Dear Kiesha Bridges:
Enclosed are the analytical results for sample(s) received by the laboratory on December 14, 2018.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
cc: Kelsha Bridges, Jackson Paper Mfg. Co.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 14

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aceAnalytical
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Project: Stormwater 4th Qtr 12114
Pace Project No.: 9241C854
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
Louisiana/NELAP Certification # LA170028
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
FloridalNELAP Certification #: E87648
Massachusetts Certification #: M-NC030
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
South Carolina Certification #: 99006001
FloridalNELAP Certification #: E87627
Kentucky UST Certification #: 84
VirginiaNELAP Certification #: 460221
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNFLAP Certification #: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

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SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
2226 Riverside dr.
Asheville, NC 28804
[phone]
Project:
Pace Project No.:
Stormwater 41h Qtr 12114
92410854
Analyzes
Lab ID
Sample ID
Method
Analysts
Reported
Laboratory
92410854001
OUTFALL # 2
EPA 1664B
JMS
1
PASI-C
SM 2540D-2011
CEH
1
PASI-A
EPA9040C
SMK
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
92410854002
OUTFALL # 3
EPA 16643
JMS
1
PASI-C
SM 2540D-2011
CEH
1
PASI-A
EPA 9040C
SMK
1
PASI-A
SM 5220D-2011
GC
1
PASI-A
REPORT OF LABORATORY ANALYSIS
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 28804
[phone]
Project: Slormwater 41h Qtr 12114
Pace Project No.: 92410854
Sample: OUTFALL # 2 Lab ID: 92410854001 Collected: 12/14/18 12:45 Received: 12/14/18 15:01 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mg/L 4.8 1 12/20/18 04:52
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
ND mg)L 2.5 1 12/15/18 07:50
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C.
7.1 Std. Units 0.10 1 12/17/18 17:02 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
ND mg/L 25.0 1 12/18118 16:50 12/19/18 16:59
REPORT OF LABORATORY ANALYSIS
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Date: 12/21/2018 06:36 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14

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ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Stormwater 4lh Qtr 12/14 1}
Pace Project No.: 92410854 1 "15 ptr
Sample: OUTFALL # 3 Lab ID: 92410854002 Collected: 12/14/18 42.45 Received: 12/14/18 15:01 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664B
Total Petroleum Hydrocarbons
ND mglL 4,8 1 12/20/18 04:53
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
761al Suspended Solids
10.3 mglL 2.5 1 12/15/18 07:51
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
7.4 Std. Units 0.10 1 12/17/18 17:05 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
51.9 mg/L 25.0 1 12/18/18 16:50 12/19/18 16:59
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date' 12/21/2018 06:35 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

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QUALITY CONTROL DATA
Project: Stormwaler 4th Qtr 12114
Pace Project No.: 92410854
QC Batch: 448699 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664B Analysis Description: 1664 SGT-HEM, TPH
Associated Lab Samples: 92410854001, 92410854002
METHOD BLANK: 2457606 Matrix: Water
Associated Lab Samples: 92410854001, 92410854002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Petroleum Hydrocarbons mg1L ND 4.8 1212011804A2
Pace Analytical Services, LI-C
2225 Riverside Dr.
Asheville, NC 28804
(828)254a 176
LABORATORY CONTROL SAMPLE:
2457607
Spike LCS
1-CS.
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Total Petroleum Hydrocarbons
mg/1-
19.2 18.8
98
64-132
MATRIX SPIKE SAMPLE:
2457608
35436943002 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualiflers
Total Petroleum Hydrocarbons
mg1L
5.OU 20
22.8
96
64-132
Results presented an this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Date: 12/21/2018 06:36 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 14

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QUALITY CONTROL DATA
Project: Stormwater 41;11 Qtr 12114
Pace Project No.: 92410854
QC Batch: 447795 Analysis Method: SM 2540D-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92410854001,92410854002
METHOD BLANK: 2453569 Matrix: Water
Associated Lab Samples: 92410854001, 92410854002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mglL ND 2.5 12/15/18 07:48
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, INC 26604
(82B)254-7176
LABORATORY CONTROL SAMPLE: 2453570
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mglL 251 232 92 90-110
SAMPLE DUPLICATE: 2453571
92410686001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mglL 6.6 7.6 14 D6
SAMPLE DUPLICATE: 2453572
92410626001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L ND ND
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
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Date: 12/2112018 06:36 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14

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QUALITY CONTROL DATA
Project: Stormwater 4th Qtr 12114
Pace Project No.: 92410854
QC Batch: 447964 Analysis Method: EPA 90400
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92410854001, 92410854002
SAMPLE DUPLICATE: 2454019
92410732001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 8.2 8.3 0 H3
SAMPLE DUPLICATE: 2454020
Parameter
pH at 25 Degrees C
92410894007 Dup
Units Result Result
Std. Units 9.2 9.2
RPD Qualifiers
0 H3
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12121/2018 06:36 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 14

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QUALITY CONTROL DATA
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, 128804
[phone]
Project: Stormwater 41h Otr 12114
Pace Project No.: 92410854
QC. Batch: 448376
Analysis Method: SM
5220D-2011
QC Bach Method: SM 5220D-2011
Analysis Description: 5220D COD
Associated Lab Samples: 92410854001,92410854002
METHOD BLANK: 2456034
Matrix: Water
Associated Lab Samples: 92410854001,92410854002
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Chemical Oxygen Demand rnglL
ND 25.0
12/19/18 16:58
LABORATORY CONTROL SAMALE: 2456035
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Chemical Oxygen Demand mg/L
750 747
100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2456036 2456037
MS MSD
92410047001
Spike Spike MS
MSD MS MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec e/ Rec Limits RPD Qual
Chemical Oxygen Demand mg1L 7370
100 100 786C
7610 481 241 90-110 3 M6
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2456038 2456039
MS MSD
92410845005 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mglL 35.0 100 100 134 139 99 103 90-110 4 R1
Results presented an this page are in the units Ind lcated by the "Units" column except where an alternate unit is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/21/2018 06:36 PM without the written consent of Pace Analytical Services, Ll
Page 9 of 14

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QUALIFIERS
Project: Stormwater 41h Qtr 12114
Pace Project 1 92410854
DEFINITIONS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, i 2BB04
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
Ml - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LC5{D} - Laboratory Control Sample (Duplicate)
Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is Ti accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
H3 Sample was received or analysis requested beyond the recognized method holding time.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
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Date: 12121 /2018 06:36 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Storrnwater 41h Qtr 12114
Pace Project No.: 92410854
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Lab ID Sample ID QC Batch Method QC Batch Analytical Method
92410854001
OUTFALL # 2
EPA 1664B
448699
92410854002
OUTFALL # 3
EPA 1664B
448699
92410854001
OUTFALL # 2
SM 2540D-2011
447795
92410854002
OUTFALL # 3
SM 2540D-2011
447795
92410854001
OUTFALL # 2
EPA 9040C
447964
92410854002
OUTFALL # 3
EPA 9040C
447964
92410854001
OUTFALL # 2
SM 5220D-2011
44837E SM 5220D-2011
92410854002
OUTFALL # 3
SM 5220D-2011
448376 SM 5220D-2011
Date: 12121/2018 06:36 PM
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Analytical
Hatch
448596
448596
Page 11 of 14

Document Name:
Document Revised: February 7, 2018
"
Sample Condition Upon Receipt(SCUR)
Page 1 of 2
Document No,:
Issuing Authority:
C£'fil7alJ1�lCc7j�
F-CAR-CS-033-Rev.06
Pace Carolinas Qual'sty office
Laboratory receiving sa pies:
Asheville? Eden[] Greenwood ❑ Huntersville❑ Raleigh❑ Mechanicsville[]
Client Name: f�
Now, -,Project q
Courier: ❑F dx ❑UPS ❑lisps lient
❑ Commercial ❑Pace ❑Other:
Custody Seal Present? ',lyes ❑No Seals Intact? ❑Yes ❑No
Packing Material: ❑Bubble Wrap ❑Bubble Bags Plone ❑ Other
Thermometer-
IR Gun ID: f c7� Type of Ice: lkvet ❑Blue
Cooler eT mp ('C): , s- Correction Factor: Add/Subtract ('Q
Cooler Temp Corrected (('Xarantlne
C): b
USDA Regulated SollN/A, seater sample)
Did samples originate' zone within the United States: CA, NY, or SC (check maps)?
nYes nNo
WO#:92410854
62410654
I II IIIII II II III
Date/Initials Person Examining Contentst—El9
Biological Tissue Frozen?
❑Yes ❑No []N/A
❑None
Temp should be above freezing to 6'C
❑Samples out of tern periterla. Sampleson ice, cooling process
has begun
Did samples originate from a foreign source (intern ationaSly,
inriud'm¢ Hawaii and Puerto RICDI? nyes nND
Comments/Discrepancy:
Chain of Custody Present?
Yes
❑No
N/A
1.
Samples Arrived within Hold Time?
2 Yes
ONO
N/A
2.
Short Hold Time Analysis (472 hr.)?
❑Yes
VINP
ONJA
3.
Rush Turn Around Time Requested?
0 Yes
D
N/A
4.
Sufficient Volume?
Yes
❑No
N/A
S.
CWeCtContainers Used?
-Pace Containers Used?
�es
Yes
ONO
ONO
❑N/A
N/A
6.
Containers intact?
es
[:]No
0 N/A
7.
Dissolved analysis: Samples Field Filtered?
Des
ONO
N/A
B.
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis rvlatrix:
Yes
1
[]No
❑N/A
9.
Headspace in VOA Vials (55-6mm)?
❑Yes
ONO
N/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
Oyes
❑Yes
❑No N/A
ONO N/A
11,
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Reviews
Field Data Required? []Yes []NO
Lot ID of split containers:
Date/Time:
Date: f ,Z 17/V
Date: ;y ,1 ' ✓
Page 12 of 14

fJ'
ftehiafytica!}
Document Name:
Sample Condition Upon Receipt(SCUR)
Document Revised: February 7, 2018
Page 1 of 2
Document No.:
F-CAR-CS-033-Rev.06
Issuing Authority:
Pace Carolinas quality Office
*Check mark top half of box if pH and/or dechlorination is
verified and within the acceptance range for preservation
samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg
**Bottom half of box Is to list number of bottle
Project # WOE : 92410854
PM; CDl Due Date: 12/20/18
CLIENT: 93—Jackson P
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Sample ID
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pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot ff
Note: Whenever there is a discrepancy affecting Hart Carolina compliance samples, a copy of this form will 6e sent to the North Carolina DEHNR Certification Office (Le.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 13 of 14

PaceAnalytrcal"
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain-af-CuslDdy Is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Paget of
Section A Section 6 Section C
Required Client Information; Required Prajed Information: Invoice Information:
Attention:
Repon To:
2193138
c ,t eS
AddrCopy
�t,702A
To:
Company Name:
REGULATORY AGENCY
S IJa ,tlG g 9
Address:
F NPDES F GROUNDWATER i^ DRINKINGWATER
f UST j- RCRA F OTHER
Em o: Purchase
e 0LC!vSa er.
Order No.:
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Stormwaler Discharge Outfall (SDO)
Monitoring Report
Permit Number NCS000295
Facility Name: Jackson Paner Manufacturing Compam•
Person Collecting Samples: Kiesha Bridges
Certified Laboratorc: Pace Analytical Services. LLC Project # 92411690
Samples Collected During Calendar Year: 2018
(This monitoring report shall be received by the Disision no later than 30 days from the dale the
facility receives the sampling results from the laboratory.)
Counh': Jackson
Ph to NO. 828 586 534 Ext. 226
il�C;IATuRF OF PER\ F. Olt DFSIGNEE)
By this signature. I certify that this report is accurate
and complete to the hest of my kno+sledge.
Oil and Grease
Turhiditc
I'SS
pH
COD
Benchmark
1s
Not Required
50
(6-9)
120
Outfall
Dale
Sampled
Result
m,_,L
Benchmark
Exceedance
YIN
Result
m.11.
Benchmark
Eaceedance
YIN
Result
Benchmark
Ezceedanee
YIN
Result
mall
Benchmark
Fsecedancc
TIN
001
12/20/2018
II:15 m
ND
No
IS1.0
Yes
6.5
No
132.0
Yes
004
121'0/2018
11:30am
ND
NO
49.0
No
6.6
No
37.0
No
ND: Not detected at or above adjusted reporting limit
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _Yes x No
Nleasureable
Storm Vvent'
Yes
0.8

Storm Event Characteristics:
Date: December 20, 2018
Total event precipitation,(inch es): 0.80"
Duration of storm event: - 24 hours
Drainage
Area
Mail Original and one copy to:
Iv Division of Water Quality
1.77 Attn: Central Files
77,101 1617 Mail Service Center
5,140 Raleigh, North Carolina 27699-1617
39,448:
l
u
nl
Area (acres)
Area (sf)
volume (Cf)
1.69
73,616
4,908
5.43
236,531
15,769
20.45
990,802
59,387
Estimated volume of discharge sampled: Volume (gal)
Time since last rain event: 3 days
36,710
_ 117,950
444,213
"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 imprisonmentfo kn i vlolations."
Jz Z�
(Signature of Per tee) (Dat )

(�IaoAnalXidal'
ww.pacefab&c=
December 27, 2018
Kiesha Bridges
Jackson Paper Mfg. Co.
152 West Main St.
Sylva, NC 28779
RE: Project: Stormwater 4th Qtr 12120
Pace Project No.: 92411690
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Dear Kiesha Bridges:
Enclosed are the analytical results for sample(s) received by the laboratory on December 20, 2018.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNIINELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Chris Derouen
[e-mail]
[phone]
Project Manager
Enclosures
cc: Keisha Bridges, Jackson Paper Mfg, Co.
PURFQ�
TNl
Oe AS��
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 14

Pace Analytical Services, LLC
laceAnalyticale
2225
Ashevillee,,Riverside 28804C
www..pacdabs.com
[phone]
CERTIFICATIONS
Project: Storrnwater 4th Ctr 12120
Pace Project No.: 92411690
Charlotte Certification IDs
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
South Carolina Certification #: 99006001
Louisiana/NELAP Certification # LA170028
Florida/NELAP Certification #: E87627
North Carolina Drinking Water Certification #: 37706
Kentucky UST Certification #: 84
North Carolina Field Services Certification #: 5342
VirginiaNELAP Certif cation #: 460221
North Carolina Wastewater Certification #: 12
Asheville Certification IDs
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
Massachusetts Certification #: M-NC030
VirginiaNELAP Certification #: 460222
North Carolina Drinking Water Certification #: 37712
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 14

Pace Analytical Services, LLC
aceAnalyfrcal6
27Riverside
Asheville, NC 2R80404
A
wwwpacelsb&cam
[phone]
SAMPLE ANALYTE COUNT
Project: Stormwater 4th Otr 12120
Pace Project No.: 92411690
Analytes
Lab ID Sample ID
Method
Analysts
Reported Laboratory
92411690001 OUTFALL 1
EPA 1664B
JMS
1 PASI-C
SM 2540D-2011
CRV
1 PASI-A
EPA9040C
SMK
1 PAS! -A
SM 5220D-2011
GC
1 PASI-A
92411690002 OUTFALL 4
EPA 1664E
JMS
1 PASI-C
SM 254OD-2011
CRV
1 PASI-A
EPA 9040C
SMK
1 PASI-A
SM 5220D-2011
GC
1 PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 14

(�IaceAnalXicalo
wnvwpacelsbacom
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28504
[phone]
Project: Starmwater 4th Qtr 12120
Pace Project No.: 92411690
Sample: OUTFALL 1 Lab ID: 92414690001 Collected: 12/20/18 11:15 Received: 12/20/18 13:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 SGT-HEM, TPH
Analytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mglL
5.0 1 12/22/1804:05
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Total Suspended Solids
181 mg1L
35.7 1 12/21/18 16:38
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.5 Std. Units
0.10 1 12/27/18 11:16 H3
5220D COD
Analytical Method: SM 5220D-2011
Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
132 mglL
25.0 1 12/20/18 19:00 12121/18 22:17
REPORT OF LABORATORY ANALYSIS
This report shaI[ not be reproduced, except in Full,
Date: 12/27/2018 06:32 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 14

lacieAnalyticalo
www.pacdabsaorn
ANALYTICAL RESULTS
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project: Stormwater 4th Qtr 12120
Pace Project No.: 92411690
Sample: OUTFALL 4 Lab ID: 92411690002 Collected: 12120118 11:30 Received: 12120/18 13:30 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
1664 5GT-HEM, TPH
Anatytical Method: EPA 1664E
Total Petroleum Hydrocarbons
ND mglL 5.0 1 12122/18 04:06
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Total Suspended Solids
49.0 mglL 12.5 1 12/21/18 16:38
9040 pH
Analytical Method: EPA 9040C
pH at 25 Degrees C
6.6 Std. Units 0.10 1 12127/18 11:18 H3
5220D COD
Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011
Chemical Oxygen Demand
37.0 mglL 25.0 1 12/20118 19:00 12/21/18 22:18
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/27/201 B 06:32 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 14

laneAnalyfical*
www.pacelab&cam
QUALITY CONTROL DATA
Project: Stormwater 41h Qtr 12120
Pace Project No.: 92411690
QC Balch: 449295 Analysis Method: EPA 1664B
QC Batch Method: EPA 1664E Analysis Description: 1664 SGT-HEM, TPH
Associated Lab Samples: 92411690001, 92411690002
METHOD BLANK: 2460420 Matrix: Water
Associated Lab Samples: 92411690001, 92411690002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Petroleum Hydrocarbons mg1L ND 4.8 12/22/18 03:52
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
LABORATORY CONTROL SAMPLE:
2460421
Spike LCS
LCS
% Rec
Parameter
Units
Conc. Result
% Rec
Limits
Qualifiers
Total Petroleum Hydrocarbons
mg1L
19.2 22.4
117
64-132
MATRIX SPIKE SAMPLE:
2460422
92411073001 Spike
MS
MS
% Rec
Parameter
Units
Result Conc.
Result
% Rec
Limits Qualifiers
Total Petroleum Hydrocarbons
mglL
ND 19.2
21.4
110
64-132
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in lull,
Date: 12/27/2018 06:32 PM without the written can sent of Pace Analytical Services, LLC. Page 6 of 14

•
aceftlytical
www.pacela88.eGm
QUALITY CONTROL DATA
Project: Stormwater 4th Qtr 12120
Pace Project No,: 92411690
QC Batch: 449199 Analysis Method: SM 254OD-2011
QC Batch Method: SM 2540D-2011 Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 92411690001, 92411690002
METHOD BLANK: 2459984
Associated Lab Samples: 02411690001, 92411690002
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
2459985
Parameter
Units
Total Suspended Solids
mglL
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 12/21/18 16:34
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 246 98 90-110
SAMPLE DUPLICATE: 2459986
92411680004
Dup
Parameter
Units
Result
Result
Total Suspended Solids
ni
ND
ND
SAMPLE DUPLICATE: 2459987
92411736001
Dup
Parameter
Units
Result
Result
Total Suspended Solids
mg1L
57.0
66.0
RP❑ Qualifiers
RPD Qualifiers
15 D6
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Dale: 12/27/2018 06:32 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 14

(�IaceAnalyticalo
www.paceJahs.aom
QUALITY CONTROL DATA
Project: Stormwater 4th Qtr 12120
Pace Project No.: 92411690
QC Batch: 449381 Analysis Method: EPA 9040C
QC Batch Method: EPA 9040C Analysis Description: 9040 pH
Associated Lab Samples: 92411690001, 92411690002
SAMPLE DUPLICATE: 2460745
92411981001 Dup
Parameter Units Result Result RPD Qualifiers
pH at 25 Degrees C Std. Units 5.8 5.7 2 H3
SAMPLE DUPLICATE: 2460763
Parameter
pH at 25 Degrees C
92411800001 Dup
Units Result Result
Std. Units 6.2 6.1
RPD Qualifiers
1 H3
Pace Analytical Services, LLC
2225 Riverside dr.
Asheville, NC 25804
[phone]
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/27/2018 06:32 PM without the written consent of Pace Analytical Services, LLC,
Page 8 of 14

(�IaceAnalyfical"
wwwpacelabsu=n
QUALITY CONTROL DATA
Project: Stormwater 4th Qtr 12/20
Pace Project No.: 92411690
QC Batch: 448931 Analysis Method: SM 5220D-2011
QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD
Associated Lab Samples: 92411690001, 92411690002
METHOD BLANK: 2458946 Matrix: Water
Associated Lab Samples: 92411690001,92411690002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Chemical Oxygen Demand mWL ND 25.0 12/21/18 22:15
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
LABORATORY CONTROL SAMPLE: 2458947
Spike LC5 LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualiflers
Chemical Oxygen Demand mg1L 750 762 102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2458948 2458949
MS MSD
92411168001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mglL 576 100 100 651 669 74 93 90-110 3 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2458950 2458951
MS MSD
92411790001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chemical Oxygen Demand mg/L 848 100 100 944 934 95 86 90-110 1 M1
Results presented on thls page are In the units indicated by the "units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/27/2018 06:32 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 14

s
ace Analytical
www.pacelabs.cam
QUALIFIERS
Project: Stormwater 4th Qtr 12120
Pace Project No.: 92411690
DEFINITIONS
Pace Analytical Services, LLC
2225 Riverside Dr,
Asheville, NC 28804
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit,
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL- Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenyihydrazine decomposes to and cannot he separated from Azobenzene using Method 8270, The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services - Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
W Sample was received or analysis requested beyond the recognized method holding time.
M 1 Matrix spike recovery exceeded QC Limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This repadshall not he reproduced, except in full,
Date: 12/27/2018 06:32 PM without the written consent of Pace Analytical Services, LLC. Page 10 of 14

aceAnalytical.
wwwpacela6sm n
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
2225 Riverside Dr.
Asheville, NC 28804
[phone]
Project:
Pace Project No.:
Stormwater 41h Qtr 12120
92411690
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92411690001
OUTFALLI
EPA1664B
449295
92411690002
OUTFALL 4
EPA 1664B
449295
92411690001
OUTFALL 1
SM 2540D-2011
449199
92411690002
OUTFALL 4
SM 254OD-2011
449109
92411690001
OUTFALL 1
EPA 9040C
449381
92411690002
OUTFALL 4
EPA 9040C
449381
92411690001
OUTFALL 1
SM 5220D-2011
448931
SM 52200-2011
449268
92411690002
OUTFALL 4
SM 5220D-2011
448931
SM 5220D-2011
449268
Date: 12/27/2018 06:32 PM
REPORT OF LABORATORY ANALYSIS
This report shall not he reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 11 of 14

2eAnalytical'
Document Name:
Sample Condition Upon Receipt(SCUR)
Document Revised: February 7, 2018
Page 1 of 2
Document No.:
F-CAR-CS-033-Rev.06
Issuing Authority:
Pace Carolinas quality Office
Laboratory receiving sapnples:
Asheville [] Eden[] Greenwood ❑
Huntersvil(e❑ Raleigh❑ Mechanicsville[]
Clie It Name:
PrDjec WO# : 92411694
Courier: ❑F x ❑UP ❑USPS
j II
Client
❑ Commercial ❑Pace ❑other:
92411690 +
Custody Seal Present? Yes D Seals Intact? ElYes
[:]No
Date/initials Person Examining contents:
Packing Material: ❑Bubble Wrap ETBubble Bags ❑None
❑ other Biological Tissue Frozen?
Thermometer: f? -y Type of Ice: [ et
❑IR Gun ID: 21
[]Blue❑None []Yes❑No [K/A
Cooler Temp ('C): ?,n Correction Factor: Add/Subtract('C)
� /"�
Cooler Temp corrected ('C): _��
� Temp should be above freezing to 6'C
[]Samples out of temp criteria. Samples on ice, cooling process
USDA Regulated Soil Q-1q/A, water sample)
has begun
Did samples originate in a quarantine zone %vithin the United States: CA, NY, or SC (check
F lyoq FlNn
maps)? Did samples originate from a foreign source (internationally,
includino Hanaii and Puerto Ricol? nYes ❑No
Comments/Discrepa ncy:
Chain of Custody Present?
es
El No ❑N/A
1.
Samples Arrived within Hold Time?
e<es
[]No El NIA
2.
Short Bold Time Analysis (02 hr.)?
❑Yes
Bh'a []N/A
3.
Rush Turn Around Time Requested?
EJ�es
No ❑N/A
4.
Sufficient Volume?
[Yes
❑No [I N/A
5.
Correct Containers Used?
-Pace Containers Used?
QYes
Qves
❑No ❑N/A
❑No ❑N/A
6.
Containers Intact?
OYcs.
[:]No ENIA
7.
Dissolved analysis: Samples 'Mcl Filtered? ❑Yes
❑No O /A
B.
Sample labels Match COC?
-Includes Date/Time/ID/Analysis
/ Elves
Matrix: r
No N/A
[:]NO
9.
Headspace in VOA Vials (>S•6mm)?
[-]Yes
No
N/A
10.
Trip Biank Present?
Trip Bank Custody Seals Present?
❑Yes
ElYes
❑f!o
[:)No
N/A
N/A
11,
COMMENTS/SAMPLE DISCREPANCY Field Data Required? []Yes [:]No
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time:
/ r
ZL-- Date: yr�
Page 12 of 14

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BP4U-125 mL Plastic Unpreserved {N
MU-250 mL Plastic Unpreserved (N/A)
BP2U.500 mL Plastic Unpreserved (N/A)
BP1U-1 liter Plastic Unpreserved (N/A)
BP4S-125 mL Plastic H2SO4 (pH < 2) (Cl.)
8P3W250 mL plastic MM03 (PH < 2)
SP4Z-125 mL Plastic ZN Acetate & NaOH (>9)
BP4C-125 mL Plastic NaOH (pH > 12) (Cl-)
WGFU-Wide-mouthed Glass jar Unpreserved
AG1U-1 liter Amber Unpreserved (N/A) (CI-)
AGSM-1 liter Amber HCI {pH < 2)
AG3U-250 mL Amber Unpreserved (N/A) (Cl-)
AG1S-1 liter Amber H2504 (pH < 2)
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AG3S-250 mt Amber H2SO4 (pH < 2)
AMA{DG3A)-250 mL Amber NH4C1 (N/A)(CI-)
DG9H-40 mL VOA HCI (NIA)
VG9T-40 mL VOA Na2S203 (N/A)
VG9U-n0 mL VOA Unp (NIA)
DG9P-40 mL VOA H3PO4 (N/Al
VOAX (6 vials per kit)-5035 kit IN/A)
V/GI( (3 vials per kit)-VPH/Gas kit (N/A)
SP5T-125 mL Sterile Plastic (N/A --lab)
SP2T-250 mL Sterile Plastic (N/A — lab)
MA-250 mL Plastic (NH2)2SO4 (9.3-9.7)
AGOU-100 mL Amber Unpreserved vials (N/A)
VSGU-20 mL Scintillation vials (NIA)
DG50-40 ml.Amber Unpreserved vials (NIA)

►?
PaceAnalytical'
CHAIN -OF -CUSTODY 1 Analytical Request Document
The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Page: of 4
Section A Section B Secdon C
Required Client Infornolion: Required Project Information: InvoKe WOrrnalton:
Report TO ALLendon:
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REGULATORY AGENCY
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NPDES I— GROUNDWATER r DRINKING WATER
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Purchase
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RELINQUISHED BY I AFFILIATION
DATE
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ACCEPTED BY I AFFILIATION
DATE
TIME
SAMPLE CONDITIONS
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