NCS000133_Fact sheet binder_20240104

DEQ / DEMLR
FACT SHEET FOR NPDES INDUSTRIAL INDIVIDUAL
STORMWATER PERMIT DEVELOPMENT
Basic Information for Permit Issuance and Renewals:
Permit Writer/Date Brianna Young 1/4/2024
Permit Number NCS000133
Owner/Facility Name Jowat Corporation/Jowat Corporation
SIC(NAICS)Code/Category 2891 (325520)/Adhesives and sealants (Adhesives
manufacturing)
Basin Name/Sub-basin number Yadkin Pee-Dee/03-07-09
Receiving Stream/HUC UT to Uwharrie River/030401030402
Stream Classification/Stream Segment WS-111/ 13-2-(0.5
Is the stream impaired on 303 d list]? No
Any TMDLs? No
Any threatened and/or endangered species? No
Any compliance concerns? See Section 2 below
Any permit mods since lastpermit? See Section 1 below
New expiration date 1/31/2029
Comments on Draft Permit? See Section 6 below
Section 1. Facility Activities and Process:
Jowat Corporation operates an adhesive manufacturing operation with ASTs for raw materials. These
raw materials are conveyed in a closed piping system to the commercial mixers and the material is
heated to form a liquid. Once the mixing process is completed the product is then transferred to a storage
tank by a closed piping system. The product is then cooled and pelletized. Once pelletized the product
will go as a finished product into a bulk bag or a bin at which time all the finished product is packaged
for shipment.
Per information from Tamera Eplin(WSRO; via email 10/19/2023), the consultant for Jowat
Corporation stated that additional property acquired by Jowat Corporation (submitted updated permit
application received January 2023) was previously owned by Novamelt and previously had a no-
exposure certification.
Outfall SW001:
Drainage area consists of the maintenance building and a parking lot. Potential pollutants include TSS
and O&G.
Outfall SWO02:
Drainage area consists of portions of the manufacturing building, administration building, an 800 gallon
HTF system, two (2)transformers, loading/unloading activities, and a parking lot. Potential pollutants
include TSS and O&G.
Outfall SWO03:
Drainage area consists of the Henkel building, PUR building, warehouse building, part of the
manufacturing building, two (2) 5,000 gallon wastewater tanks (emptied by pumping to a tanker truck),
five (5) solid ethylene vinyl acetate (EVA) copolymer granules storage silos, one (1) limestone storage
Page 1 of 6

silo, two (2)transformers, miscellaneous drum storage, equipment storage, a stormwater retention pond,
and wooded area.
Why Industrial Sites with Stormwater are Subject to a Permit: Federal NPDES regulations define
stormwater discharge associated with industrial activity in 40 CFR §122.26 (b)(14) as: "the discharge
from any conveyance that is used for collecting and conveying storm water and that is directly related to
manufacturing,processing or raw materials storage areas at an industrial plant. The term does not
include discharges from facilities or activities excluded from the NPDES program under this part 122.
For the categories of industries identified in this section, the term includes, but is not limited to, storm
water [sic] discharges from industrial plant yards; immediate access roads and rail lines used or traveled
by carriers of raw materials, manufactured products, waste material, or byproducts used or created by
the facility; material handling sites; refuse sites; sites used for the application or disposal of process
waste waters (as defined at part 401 of this chapter); sites used for the storage and maintenance of
material handling equipment; sites used for residual treatment, storage, or disposal; shipping and
receiving areas; manufacturing buildings; storage areas (including tank farms) for raw materials, and
intermediate and final products; and areas where industrial activity has taken place in the past and
significant materials remain and are exposed to storm water. For the purposes of this paragraph, material
handling activities include storage, loading and unloading, transportation, or conveyance of any raw
material, intermediate product, final product, byproduct or waste product. The term excludes areas
located on plant lands separate from the plant's industrial activities, such as office buildings and
accompanying parking lots as long as the drainage from the excluded areas is not mixed with storm
water [sic] drained from the above described areas."
Section 2. Monitoring Information and Compliance History:
• June 2021 to June 2023,benchmarks exceeded for:
o SW002: TSS Ix
o SW003: TSS 2x
o Per information provided 10/27/2023, monitoring was not completed 2017-2020 based on
understanding of No Exposure Certification
o No monitoring data provided for pH, total rainfall, O&G, and new motor oil usage
o No visual monitoring data provided
• Per the November 2022 inspection report: Analytical monitoring has been conducted but at the
inlet to the pond with high results for copper. The site drains to a 2-acre pond that does not
appear to discharge. If the pond were to discharge, the facility owns at least 20 acres of woods
where the flow would sheet flow and eventually infiltrate into the ground. Documentation of"No
Flow"needs to be taken by the permittee and submitted.
• Per the May 2017 inspection report, there are no stormwater exposures from industrial activities
and only new pallets are stored outside
Section 3. Proposed Monitoring for Stormwater Discharges:
The Division considered potential pollutants from past and present industrial activities and data was
submitted for June 2021 to June 2023. Quantitative sampling included TSS.
Page 2 of 6

Parameters are based on potential pollutants in the drainage area, sampling results, and in some cases,
dependent upon future activities (e.g., ash removal through the drainage area). Below is a table of the
proposed monitoring for each outfall at the Jowat Corporation facility site.
Outfall SWO01
Quarterly monitoring
Total Suspended Solids BASIS: Potential pollutant from drainage area and BMP effectiveness
(TSS) indicator.
Quarterly monitoring
PH BASIS: Pollutant indicator
Quarterly monitoring
Total Rainfall BASIS: Discharge potential indicator
Quarterly monitoring
Non-Polar Oil &Grease BASIS: Potential pollutant from lubricants; Method 1664 SGT-HEM
targets petroleum-based O&G
Quarterly monitoring
Monthly Oil Usage BASIS: Potential pollutant from drainage area
Outfalls SWO02 and SWO03
Quarterly monitoring
Total Suspended Solids BASIS: Potential pollutant from drainage area and BMP effectiveness
(TSS) indicator.
Quarterly monitoring
PH BASIS: Pollutant indicator
Quarterly monitoring
Total Rainfall BASIS: Discharge potential indicator
Quarterly monitoring
Non-Polar Oil &Grease BASIS: Potential pollutant from lubricants; Method 1664 SGT-HEM
targets petroleum-based O&G
Quarterly monitoring
Monthly Oil Usage BASIS: Potential pollutant from drainage area
Quarterly monitoring
COD BASIS: Discharge potential indicator
Stormwater Benchmarks and Tiered Response: Rather than limits,North Carolina NPDES
Stormwater permits contain benchmark concentrations. Stormwater benchmarks are numerical action
Page 3 of 6

levels for stormwater monitoring. Benchmarks are not effluent limits, and benchmark exceedances are
not permit violations. Benchmarks provide facilities a tool for assessing the significance of pollutants in
stormwater discharges and the effectiveness of best management practices (BMPs). Benchmark
concentrations are intended as guidelines for the facility's development and implementation of the
Stormwater Pollution Prevention Plan(SWPPP).
Benchmark exceedances require the permittee to increase monitoring, increase management actions,
increase record keeping, and/or install stormwater BMPs in a tiered program. The permit establishes a
tiered approach to specify actions the permittee must take in response to analytical results above
benchmark concentrations. The tiered structure of the permit provides the permittee and DEMLR wide
flexibility to address issues that may arise with one or more parameters and/or outfalls.
Metals benchmarks are calculated to mimic acute water quality standards and with the guidance of
DWR. NC DWR follows established federal procedures for calculating acute standards when developing
the benchmarks. Just like the acute standards, metals benchmarks normally reflect one half of the
calculated Final Acute Value (the "1/2 FAV"). In most cases, translation into total recoverable values is
based on an assumed hardness of 25 mg/L and a total suspended solids (TSS) concentration of 10 mg/L.
Acute standards protect aquatic life from negative impacts of short-term exposure to higher levels of
chemicals where the discharge enters a waterbody. The Stormwater Permitting Program applies this
approach because of the ephemeral nature of rainfall events.
The Division may evaluate results to determine if a smaller suite of parameters for some outfalls is
adequate to characterize potential pollution or BMP effectiveness. For example, one or more metals or
other parameters may serve as an adequate tracer for the presence of ash pollution during disturbance or
ash removal in specific drainage areas at this site. For parameters that do not have a stormwater
benchmark, the Division may develop a benchmark value if appropriate toxicity data become available
or if rising trends in concentrations suggest a persistent source.
A summary of the benchmarks in the draft permit, and their basis, is below:
Parameter Benchmark Basis
Total Suspended 100 mg/L National Urban Runoff Program(NURP) Study, 1983
Solids TSS
H 6 s.u. —9 s.u. NC Water Quality Standard(Range)
Non-Polar Oil & Review of other state's daily maximum benchmark
Grease 15 mg/L concentration for this more targeted O&G;NC WQS that
EPA Method 1664 does not allow oil sheen in waters
SGT-HEM
COD 120 mg/L BPJ; Generally found at levels 4x BOD5 in domestic
wastewaters
Stormwater Pollution Prevention Plan: The proposed permit conditions reflect the EPA and NC's
pollution prevention approach to stormwater permitting. The Division's maintains that implementation
of Best Management Practices (BMPs) and traditional stormwater management practices that control the
source of pollutants meets the definition of Best Available Technology (BAT) and Best Conventional
Pollutant Control Technology(BCT). The permit conditions are not numeric effluent limitations but are
designed to be flexible requirements for implementing site-specific plans to minimize and control
pollutants in stormwater discharges associated with the industrial activity. Title 40 Code of Federal
Regulations (CFR) §122.44(k)(2) authorizes the use of BMPs in lieu of numeric effluent limitations in
Page 4 of 6

NPDES permits when the agency finds numeric effluent limitations to be infeasible. The agency may
also impose BMP requirements which are "reasonably necessary" to carry out the purposes of the Act
under the authority of 40 CFR 122.44(k)(3). The conditions proposed in this draft permit are included
under the authority of both of these regulatory provisions. In essence, the pollution prevention and BMP
requirements operate as limitations on effluent discharges that reflect the application of BAT/BCT.
Flexibility in Tier Responses: Tier Two actions provide an opportunity for the permittee to propose an
alternative monitoring plan for approval by the Region:
• Alternatively, in lieu of steps 2 and 3, the permittee may, after two consecutive exceedances,
exercise the option of contacting the DEMLR Regional Engineer as provided below in Tier
Three. The Regional Engineer may direct the response actions on the part of the permittee as
provided in Tier Three, including reduced or additional sampling parameters or frequency.
• If pursuing the alternative above after two consecutive exceedances, the permittee may propose
an alternative monitoring plan for approval by the Regional Engineer.
The permit therefore allows the permittee to petition the Regional Office for monitoring changes sooner
than Tier Three (upon any four benchmark exceedances) and gives guidance on one option to take. For
example, the permittee may request that mercury only be monitored semi-annually under the tiers, or
that only parameters over the benchmark be monitored more frequently. In this way, changes to the
monitoring scheme for any outfall could be handled outside of a permit modification.
Other Proposed Requirements:
• It is standard for Stormwater Pollution Prevention Plan(SWPPP)requirements to include an
annual certification that stormwater outfalls have been evaluated for the presence of non-
stormwater discharges, and if any are identified, how those discharges are permitted or otherwise
authorized.
• Requirement to submit a request for permit modification if the facility identifies or creates any
new outfalls, removes outfalls, or alters any drainage area that changes potential pollutants.
• The Division expects the permittee to apply best professional judgment and consider the safety
of its personnel in fulfilling sampling obligations under the permit.
• Federal regulations require electronic submittal of all discharge monitoring reports (DMRs). If a
state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the EPA.
• Quarterly QualitativeNisual Monitoring to assure regular observation of outfalls throughout
year.
Section 4. Changes from previous permit to draft:
• Regulatory citations have been added
• Monitoring increased from semi-annually to quarterly for all parameters (qualitative and
quantitative)
• "No discharge" clarifications made
• Feasibility study requirement removed per updated stormwater program requirements
• eDMR requirement added
• Boilerplate language moved into body of the permit; boilerplate no longer attached
• Outfall-specific monitoring been implemented to reflect industrial activity and potential
pollutants specific to each discharge area
Page 5 of 6

• Monitoring for COD added for SWO02 and SWO03 due to the industrial activity occurring and
materials present in the drainage areas
• Benchmarks updated for parameters per guidance from DWR Standards group on stormwater
benchmarks
Section 5. Changes from draft to final:
• None
Section 6. Discussions with the Facility and Regional Office:
• Initial contact with facility: 10/20/2023
• Initial contact with Regional Office: 10/20/2023
• Draft sent to CO peer review: N/A
• Draft sent to Regional Office: 11/8/2023
• Final permit sent for supervisor signature: N/A
Section 7. Comments received on draft permit:
• Kevin Woods (Aeris Environmental on behalf of permittee; via email 11/20/2023): Thank you
for the opportunity to review the draft stormwater permit. We did not identify any needed
corrections or concerns during our reviews.
Page 6 of 6

Winston-Salem Journal
Advertising Affidavit Account Number
4018963
Date
November 12,2023
NC DEPT OF ENVIRONMENT&NATURAL
RESOURCES
NC DIVISION OF ENERGY,MINERAL&LAND
RESOURCES-
512 N SALISBURY STREET
RALEIGH,NC 27604
PO Number Order Category Description
0000853281 Legal Notices NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION INTENT
fl�iflCARO�NAENWA��dEMAl�AN4( �1 Publisher of the
Winston-Salem Journal
COMMISSI�I INiENi i01SSUE
Before the undersigned, a Notary Public duly commissioned,
NPUESSIORMWAI�UISCNARGEPERW�S qualified, and authorized by law to administer oaths,
personally appeared the Publisher's Representative who by
The Nod Caroline Emimnmada Management Compression proposes to being duly sworn deposes and says:that he/she is authorized
issue NPDES stormier discharge permit(s)to the persons)lifted be. to make this affidavit and sworn statement;that the notice or
low.Public
nardicomment orahjetNonto de draft Of01pbeacciseditin Written other legal advertisement, a copy of which is attached hereto,
comments regarding the proposed permit will be accepted udil30 days
after the publish date of this notice and considered in the Ilddetermina was published in the Winston-Salem Journal on the following
thin regarding parmD issuance and permit prmisom.The I)irectir of the dates:
NC Division of Energy,Mineral,and land Resources(DEMIR)may hold a
public he Dj should there be a significant degree of pudic interest 11112/2023
New mail comments and/or information requests to DEMLR at 1512
Mail Service Center,Raleigh,NC 27al61t
lowest Corporation(69 Las Lane,Archdale,NC 27201 has requested
renewal of pemifNCSW0133 for the Jawat Corporation facility in Ran- and that the said newspaper in which such notice, paper
dolph County.This fadrdy discharges to an unnamed tributary to the document, or legal advertisement was published,was at the
11whaOhiRverintheYadimP&Dee giver Basin. time of each and every such publication, a newspaper
Interested persons may visit OEMLR 9512 N.Salisbury Street,Nigh, meeting all the requirements and qualifications of Section
NC27644toreuiewidDumationonBle.Additional information onNPDES 1-597 of the General Statutes of North Carolina.
permit and this notice may be round an our weoste:btlpsJ/deq,nc.gav/
about/divisions/energy-mineral-aad-land-
�1
resourceslstarmwater/stordwater-program/stermwaterpublianatices - (signature ofperson making affidavit)
mby contacting Itrianna Young atbiannayoungiftntgovor919-707- w
3647.
WSI:Novemberl2 2023 �S�(1� MTd'and subscribed be ore a the 12 day o N vembey 0 3.
(NotaryPublic)
State of Virginia
County of Hanover - -
My commission expires:
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

Young, Brianna A
From: Kevin Woods <[e-mail]>
Sent: Monday, November 20, 2023 2:40 PM
To: Young, Brianna A
Cc: Lamberg, Martin; [e-mail]
Subject: [External] RE: Draft stormwater permit for Jowat Corporation (NCS000133)
Attachments: Draft NPDES Permit NCS000133.pdf
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button located on your Outlook menu bar on the Home tab.
Hello Briana,
Thank you for the opportunity to review the draft stormwater permit. We did not identify any needed corrections or
concerns during our reviews.
Kevin
••#i*#* E I Kevin S.Woods, PE
0 ENVIRONMENTAL Phone:[phone]
• *' www.aerisenviro.com
This electronically transmitted message contains information that is privileged and confidential and subject to legal restrictions and
penalties regarding its unauthorized disclosure or other use. You are prohibited from copying, distributing,or otherwise using this information
if you are not the intended recipient. If you have received this electronic message in error please notify us immediately by phone or return
email and delete this email and all the attachments from your system. Thank you.
From:Young, Brianna A<[e-mail]>
Sent:Wednesday, November 8, 2023 10:13 AM
To: Lamberg, Martin <[e-mail]>
Cc: Kevin Woods<[e-mail]>
Subject: Draft stormwater permit for Jowat Corporation (NCS000133)
Good morning,
Please find attached a copy of the draft stormwater permit for Jowat Corporation (NCS000133).A hard copy of this draft
will be placed in the mail to Martin Lamberg. Please provide any comments by December 12, 2023.
Thank you,
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
1

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Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
2

Young, Brianna A
From: Eplin, Tamera
Sent: Thursday, October 19, 2023 5:17 PM
To: Young, Brianna A
Subject: Comments regarding NCS000133 Jowat Corporation
Today I reviewed available documents and have determined the following:
5/10/2017—Glenn White stated in a report that the facility qualified for no-exposure exclusion.
7/13/2017—NCS000133 permit renewal was issued.
1/8/2019—Brandon Wise stated in a no-exposure related inspection that site conditions were inspected only due to
addition of a new SW control measure installed per request by the City of Trinity.
11/9/2022—Lily Kay performed a routine inspection and stated the permit could be changed to a general permit, but did
not list which general permit might apply. She may have neglected to consider the SIC code,which is not listed as an
applicable SIC code for the general permits.
1/30/2023—Updated renewal documents were submitted by Jowat to include the recent purchase of an adjacent parcel
of property.
10/19/2023—I spoke with Kevin Woods of AERIS Environmental [704-641-7003],who has provided stormwater
environmental services for this facility for several years. He stated that he updated the SWPPP in January 2023
prompting the updated application that was submitted. He mentioned that the property acquired was previously owned
by Novamelt and previously had a no-exposure certification. He stated that he wasn't certain whether a no-exposure
request had been submitted at any point, but he believed the most recent application, the January 2023 updated
renewal application, should take precedence over any previous application.
So recommend proceeding with the renewal application. Please let me know if you need anything else.
Regards,
Tamera Eplin, PE
Regional Engineer
Land Quality Section, Winston-Salem Regional Office
Division of Energy, Mineral, and Land Resources
North Carolina Department of Environmental Quality
[phone] office [phone] direct
[e-mail](New email address)
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105-7407
UE QNORTH CAROLINA
Department of Environmental Quality
1

Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be
disclosed to third parties.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
2

Compliance Inspection Report
Permit:NCS000133 Effective: 08/01/17 Expiration: 07/31/22 Owner: Jowat Corporation
SOC: Effective: Expiration: Facility: Jowat Corporation
County: Randolph 6058 Lois Ln
Region: Winston-Salem
Archdale NC 27263
Contact Person:Martin Lamberg Title: Phone: [phone]
Directions to Facility:
System Classifications: SWNC,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 11/09/2022 Entry Time 01:OOPM Exit Time: 01:50PM
Primary Inspector:Lily C Kay Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, Individual
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page 1 of 3

Permit: NCS000133 Owner-Facility:Jowat Corporation
Inspection Date: 11/09/2022 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The Stormwater Pollution Prevention Plan (SWPPP) and related documentation was complete including employee training
records, inspection records, and the annual certification. Analytical monitoring has been conducted but at the inlet to the
pond with high results for copper. The pond does not appear to discharge. Documentation of"No Flow" needs to be taken
by the permittee and submitted to the Winston-Salem office. Considering these factors, this permit can be changed to a
general permit. If you have questions, contact me at [e-mail] or by phone at(336) 776-9655.
Page 2 of 3

Permit: NCS000133 Owner-Facility:Jowat Corporation
Inspection Date: 11/09/2022 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan? ❑ ❑ ❑
#Does the Plan include a General Location (USGS) map? ❑ ❑ ❑
#Does the Plan include a"Narrative Description of Practices"? ❑ ❑ ❑
#Does the Plan include a detailed site map including outfall locations and drainage areas? ❑ ❑ ❑
#Does the Plan include a list of significant spills occurring during the past 3 years? ❑ ❑ ❑
#Has the facility evaluated feasible alternatives to current practices? ❑ ❑ ❑
#Does the facility provide all necessary secondary containment? ❑ ❑ ❑
#Does the Plan include a BMP summary? ❑ ❑ ❑
#Does the Plan include a Spill Prevention and Response Plan (SPRP)? ❑ ❑ ❑
#Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ❑ ❑ ❑
#Does the facility provide and document Employee Training? 0 ❑ ❑ ❑
#Does the Plan include a list of Responsible Party(s)? 0 ❑ ❑ ❑
# Is the Plan reviewed and updated annually? 0 ❑ ❑ ❑
#Does the Plan include a Stormwater Facility Inspection Program? 0 ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented? 0 ❑ ❑ ❑
Comment: The Stormwater Pollution Prevention Plan (SWPPP) and related documentation was complete
including employee training records, inspection records, and the annual certification.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring? ❑ 0 ❑ ❑
Comment: Qualitative monitoring can not be conducted due to the lack of flow.
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? 0 ❑ ❑ ❑
#Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ 0 ❑
Comment: Analytical monitoring has been conducted but at the inlet to the pond. The pond does not
appear to discharge. Documentation of"No Flow" needs to be taken by the permittee.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
#Were all outfalls observed during the inspection? ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ 0 ❑
#Has the facility evaluated all illicit(non stormwater)discharges? ❑ ❑ 0 ❑
Comment: The 6.2-acre site drains to a 2-acre pond that does not appear to discharge. If the pond were
to discharge, the facility owns at least 20 acres of woods where the flow would sheet flow and
eventually infiltrate into the ground.
Page 3 of 3

Young, Brianna A
From: Kevin Woods <[e-mail]>
Sent: Friday, October 27, 2023 11:00 AM
To: Young, Brianna A
Cc: [e-mail]; Lamberg, Martin
Subject: [External] RE:Jowat Corporation stormwater permit NCS000133
Attachments: Chem Stg and Drainage Area Activity 102723.pdf, Fig2 PropBnd 102723.pdf, Fig3 SPCC
Site Map 102723.pdf; NPDES SW Permit Summary Report 102623.pdf; Storm Water
Monitoring Data 102723.xlsx
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Brianna,
Please see comments/responses, below in blue, and attachments.
Thank you, and please let us know if you have additional questions.
Kevin
.• ;:* E R I F, Kevin S.Woods, PE
# ENVIRONMENTAL Phone:[phone]
+ www.aerisenviro.com
This electronically transmitted message contains information that is privileged and confidential and subject to legal restrictions and
penalties regarding its unauthorized disclosure or other use. You are prohibited from copying, distributing,or otherwise using this information
if you are not the intended recipient. If you have received this electronic message in error please notify us immediately by phone or return
email and delete this email and all the attachments from your system. Thank you.
From:Young, Brianna A<[e-mail]>
Sent: Friday, October 20, 2023 1:02 PM
To: Lamberg, Martin <[e-mail]>
Cc: Kevin Woods<[e-mail]>
Subject:Jowat Corporation stormwater permit NCS000133
Good afternoon,
I am working on renewing the individual stormwater permit for the Jowat Corporation (NCS000133). I need
additional information in order to 1) confirm that the information I have is correct and 2) make sure the permit
adequately serves the needs of the facility. Please provide the following:
Updated site map (the one receivd in January 2023 is unclear); A more legible copy of the site map is
attached. The original copy of the drawing included delineation of the drainage areas, which is
continued. A copy of the SPCC Site Plan is also attached, updated to include building information.
Description of chemicals stored onsite; See attached.
Description of industrial activity in each drainage area; See attached.
An electronic spreadsheet summarizing all of the monitoring data that has been collected since the
effective date of the current permit; See attached.
1

Verification that the information in the renewal application is still complete and correct; and To the best
of my knowledge, the information of the updated renewal application dated January 2023 remains
complete and correct.
An explanation of any operational changes since the renewal application was submitted. No significant
operational changes affecting stormwater concerns have been made since the updated renewal
application dated January 2023 was submitted.
Enter your stormwater permit number into the Stormwater Permit Summary Report and you will see a form that
includes the address of the facility, contact information for the permit, and the regulated stormwater outfall(s)
for the facility. Please review the facility information to make sure it is correct. Information can be updated
using the links provided below, where applicable:
Facility/Company name or ownership: Name/Ownership Change Form Summary Report is correct as
shown.
Owner Affiliation (Legally responsible person; i.e., someone with the company who is designated to
represent the company per signatory requirements or another authorized representative): Permit Contact
Update Request Form Summary Report is correct as shown.
Delegation of Signature Authority (DOSA): Permit Contact Update Request Form Summary Report is
correct as shown.
Billing contact: Permit Contact Update Request Form Update Request form submitted.
Permit contact: Permit Contact Update Request Form Update Request form submitted.
Facility contact: Permit Contact Update Request Form Summary Report is correct as shown.
Facility address only: Email Bethanyy og ulias Summary Report is correct as shown.
Stormwater outfall information: Email Bethany Geor_og ulias Clutfalls (four are noted on the Summary
Report, should be three) should be updated in accordance with the updated renewal application
submitted to your office January 2023. Please advise if a separate email to Ms. Georgoulias is required.
Visit the eDMR Six Steps website and complete Steps 1 and 2 Completed February 2023.
Pay outstanding permit fees: Stormwater ePayment website Facility is not aware of any outstanding
permit fees.
Once I have the above listed information, I can continue my review. You will receive a draft permit for a 30-day
comment period. During this time we will be able to address any comments or concerns you have. During the
same 30-day period, the draft will be sent to a Regional Office staff member for review as well as out to public
notice. Once all comments and concerns are addressed, you may be issued a final permit.
Please contact me if you have any questions.
Thank you,
Brianna Young, MS(she/her)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
2

Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
3

Jowat Corporation
Archdale, North Carolina 10/27/23
The following sections are excerpted from the Storm Water Pollution Prevention Plan (SWPPP)
dated January 2023:
2.1 Spill Exposures
2.1.1 Drum Storage
Oil and other chemical substances are stored in various areas of the facility in containers
constructed of suitable materials. Hydraulic and lubricating oil is present throughout the facility
production areas. Limited drummed oil and chemical products are stored at the facility, and
typically indoors or under cover.
Drums and totes of oil and other chemical substances are typically stored indoors on spill pallets
to contain any leakage. Drums and other containers are kept closed at all times except when in
use. New and used oil drums and totes will also be stored in the Satellite Building located on the
east side of the PUR Building. Formerly used for flammable liquid storages, the building is
adequately curbed to prevent spills from exiting the building walls. Locations of drum storage are
noted on the facility site plan (Figure 3).
There are spill kits and response materials located onsite that can be used to remove spilled oil.
The interior location of drum storages/use, lack of floor drains and limited building openings to
the outdoors will allow building walls to serve as adequate secondary containment for
anticipated spills. Jowat will have spilled and used oil and chemicals removed from the facility
by appropriate contractors for offsite disposal.
2.1.2 Above Ground Storage tanks
Jowat has two above ground storage tanks (AST), both 5,000-gallon wastewater tanks. Tank 1 is
located outdoors on the south side of PUR Building. Tank 2 is located outdoors at the northeast
corner of the manufacturing building. Both wastewater tanks are double-wall design for inherent
Page 1 of 8

Jowat Corporation
Archdale, North Carolina 10/27/23
containment. The wastewater tanks are emptied by pumping to a tanker truck. The
configuration of the paved tanker truck parking area at the PUR Building during transfers from
Tank 1 allows containment of approximately 2,000 gallons (6 in. x 25 ft. x 25 ft.), sufficient to
contain spills occurring during transfer operations. Although there is not a dedicated
containment area for the tanker truck during transfers from Tank 2 at the northeast corner of
the Manufacturing Building, any spill would flow toward and be contained by the storm water
retention basin.
Jowat has six outdoor storage silos located outdoors on the south side of the manufacturing
facility. Five of the silos are used to store solid ethylene vinyl acetate (EVA) copolymer granules.
Silo No.4 is used to store pulverized limestone(calcium carbonate). During the warmest summer
months (internal silo temperatures in excess of 101°F), approximately 45 gpm of water is applied
to the exteriors of each EVA silo for evaporative cooling. The water is collected in an annular
trough and returned for re-use.
A list of above ground storage tanks and containers at the facility is provided in Table 1 - Facility
Tanks and Bulk Liquids Storage.
Table 1 - Facility Tanks and Bulk Liquids Storage
Inspection
Volume Secondary Level Indication/ Type and
Name (Gallons) Contents Containment Overfill Protection Frequency
Various Oils Area,Spill Visual through the top, Vendor certifies
Drums/Totes 15 to 330 and Grease, pallets Manual overfill protection DOT compliance
Additives
Hydraulic/ Area, Visual through the top, Monthly/Annual
Equipment Oil 20 to 800 Various Oils Containment Manual overfill protection Visual Inspections
Pans,Sumps
Used/Waste Oil 55 to 330 Various Oils Area,Spill Visual through the top, Vendor certifies
Drums/Totes Pallets Manual overfill protection DOT compliance
Wastewater Double-wall Visual through the top, Monthly/Annual
Tank 5,000 Wastewater Design Manual overfill protection Visual Inspections
Page 2 of 8

Jowat Corporation
Archdale, North Carolina 10/27/23
Wastewater 5,000 Wastewater Double-wall Visual through the top, Monthly/Annual
Tank Design Manual overfill protection Visual Inspections
2.1.3 Operational Equipment
Oil-filled operational equipment is located throughout the facility, and includes hydraulic units,
lubricating oil reservoirs, heat transfer fluid and oil-filled electrical transformers. The indoor
location of the majority of hydraulic equipment and the presence of catch pans, sumps and
absence of floor drains will allow the building walls to contain most spills. The probability of any
spill from this operational equipment reaching navigable waters is small. This operational
equipment will be included in the routine inspections conducted in accordance with this plan;
and any spills from this equipment will be addressed in accordance with this plan. This
operational equipment is not subject to the 40 CFR 112 requirements for bulk storage containers,
although the equipment will be included in the routine inspections conducted in accordance with
this plan; and any spills from this equipment will be addressed in accordance with this Plan.
For oil-filled operational equipment, the oil spill regulations allow an alternative to providing
secondary containment. The facility may instead implement an inspection and monitoring
program, develop an oil spill contingency plan and provide a written commitment of resources
to control and remove discharged oil. Oil-filled operational equipment is eligible for this
provision if during the past three years, releases from the equipment during any twelve-month
period meet the following criteria: (1) no releases that reach navigable waters of more than 1,000
gallons in a single discharge, or (2) no more than two discharges exceeding 42 gallons that reach
navigable waters. Jowat has not had any releases of oil during the past three years and therefore
has the option to develop an oil spill contingency plan to address secondary containment for the
oil-filled operational equipment. The oil spill contingency plan is detailed in Section 4.4 of this
Plan.
Page 3 of 8

Jowat Corporation
Archdale, North Carolina 10/27/23
2.1.4 Heat Transfer Fluid
The manufacturing process includes melting ethylene vinyl acetate pellets for molten mixing and
extrusion as finished pastilles for shipping as hot melt adhesives. Heat transfer fluid (Mobiltherm
43) is used to provide heat to the process. A gas-fired boiler is used to heat the fluid which is
piped throughout the manufacturing areas. The total quantity of heat transfer fluid in the system
is approximately 800 gallons. The boiler room is designed to contain the full volume of heat
transfer fluid.
2.1.5 Transformers
One oil-filled transformer containing 416 gallons of oil is located on the east side of the Boiler
Building on a concrete pad. A second oil-filled transformer containing 312 gallons of oil is located
south of the manufacturing facility along Lois Lane, also on a concrete pad. A third oil-filled, pole-
mounted transformer containing an unknown quantity of oil (<100 gallons) is located on the
eastern edge of the facility along Evelyn View Drive. A fourth oil-filled transformer containing
227 gallons of oil is located outside the east wall of the former Henkel Building. An evaluation of
soil characteristics, compaction, and possible subsurface conduits in the areas of the
transformers has not been completed. The transformers are owned, operated, and maintained
by the local utility which is ultimately responsible for spill prevention and control from the
transformers.
2.1.6 Loading/Unloading Areas
Tanker trucks load wastewater from the 5,000-gallon wastewater tank outside the east side of
the PUR Building and outside the northeast corner of the Manufacturing Building in the
immediate area of the tanks. Containment for a tanker truck compartment is not necessarily
required, as a catastrophic truck failure is not deemed particularly likely. The likely potential
release during wastewater loading would be a hose break. Based on a maximum pump rate of
35 gallons per minute and an expected time of 30 to 60 seconds to shut down the transfer pump,
containment for a pumped volume of up to 35 gallons would be required in the event of a release.
Page 4 of 8

Jowat Corporation
Archdale, North Carolina 10/27/23
Loading/unloading areas are relatively level and the areas free of storm drains. Spill containment
equipment including sorbent pads, socks or pillows and protective equipment is present in
loading/unloading areas. Administrative controls, including procedures for monitoring and
responding to situations that could potentially result in spills, are used to prevent spills from
occurring during tank loading/unloading operations.
Any spill exiting the immediate areas would be routed toward stormwater drains or northward
along Evelyn View Drive to the firewater retention pond which would provide adequate
secondary containment and prevent discharge from the site.
2.1.7 Dumpsters/Compactors
The facility may periodically use one or more dumpsters for office and general plant waste and
periodic removal for disposal. Dumpsters will be either enclosed or covered when not actively in
use to prevent stormwater intrusion.
2.1.8 Outdoor Material Storages
The facility may periodically store pallets, bulk shipping containers and unused equipment
outdoors. Pallets and unused equipment will be free of potential contaminants prior to
placement outdoors. The exteriors of empty bulk shipping containers will be clean, and the
containers sealed to prevent rainwater intrusion.
2.1.9 Vehicle Maintenance
Vehicle maintenance activities involving more than 55 gallons of new motor oil per month when
averaged over the calendar year are not conducted at the facility. In the event that such activity
does occur, Part II, Section D of the current stormwater permit (ID No. NCS000133 effective
August 1, 2017) will apply.
Page 5 of 8

Jowat Corporation
Archdale, North Carolina 10/27/23
2.1.10 Stormwater Exposures
Outdoor storages exposed to stormwater events are generally limited. Raw materials and
finished products are stored indoors.
2.1.11 Particulate Control
The majority of particulates potentially present in stormwater discharges will be associated with
asphalt/concrete parking lots and traffic routes.
2.2 Outfalls and Potential Pollutants
The facility terrain generally slopes eastward toward the property boundary and nearby
unnamed tributary of the Uwharrie River. Stormwater is routed to and through conveyances,
discharging through one of three outfalls to one of two tributaries of the Uwharrie River. A
stormwater retention pond located at the northeast corner of the facility serves to capture the
majority of stormwater from the site. Floor drains are not present within the facility buildings.
The following table summarizes the drainage area at the facility. The percentage of impervious
surface area was estimated and calculated based on the site map.
Table 2 — Impervious Percentage of Drainage Area
Percent
Outfall Drainage Area Impervious Area Impervious
1 1.0 acres 0.8 acres 80 %
2 3.5 acres 2.3 acres 70%
3 23.5 acres 7.2 acres 30%
Impacts to the site from off-site sources include but may not be limited to Uwharrie Road located
to the west and Lois Lane located to the south of the facility. Each of the drainage areas receives
run-off from roof surfaces.
Page 6 of 8

Jowat Corporation
Archdale, North Carolina 10/27/23
Outfall No. 1 — Outfall No. 1 is located at the southwest corner of the property and receives
stormwater from the property located south of the manufacturing facility across Lois Lane.
Stormwater originates from the gravel parking lot and roof drains. There is limited industrial
activity routinely exposed to stormwater. Impact from off-site is limited to Lois Lane. The
drainage area is characterized as being approximately 80% impervious.
Potential pollutants associated with the outfall include Total Suspended Solids (TSS) and oil and
grease from parking areas. There are no floor drains inside the facility which could discharge
pollutants to the stormwater drainage area.
Outfall No. 2—Outfall No. 2 is located near the southwest corner of the property north of Outfall
No. 1 and is the point source of a vegetated and gravel ditch line that is located west of the
manufacturing facility. Stormwater run-off is received from a drainage area that encompasses a
vegetative area, an unpaved parking lot, a concrete pad, and roof drains. Impact from off-site
sources has been determined to be minimal but could include Uwharrie Road and Lois Lane.
Impervious surfaces represent approximately 70% of the drainage area.
Potential pollutants associated with the outfall include Total Suspended Solids (TSS) and oil and
grease from parking areas. Raw materials and additives are unloaded at the receiving dock at
the west end of the facility. This dock has a covered canopy which prevents stormwater contact.
Spills and leaks from storage areas located within the manufacturing facility do not appear to
pose a hazard to stormwater discharges since the facility does not have any floor drains in the
manufacturing and storage areas inside the facility.
Outfall No. 3—Outfall No. 3 is located northeast of the stormwater retention pond and receives
stormwater from most of the facility. Roof drains are routed to stormwater conveyances. A
double-wall 5,000-gallon wastewater storage tank is present on the south side of the PUR
Building. Miscellaneous equipment storage is present on the concrete pad adjacent to the east
side of the PUR Building. The drainage area is characterized as being approximately 30%
impervious surfaces.
Page 7 of 8

Jowat Corporation
Archdale, North Carolina 10/27/23
Stormwater run-on is received from the adjacent Evelyn View Drive. Industrial activity exposed
to stormwater events is generally limited. Impacts are expected to include Total Suspended
Solids (TSS) and oil and grease from parking areas.
Potential pollutants associated with the outfall include Total Suspended Solids (TSS) and oil and
grease from parking areas. Spills and leaks from storage areas located within the manufacturing
facility do not appear to pose a significant hazard to stormwater discharges since the facility does
not have any floor drains in the manufacturing and storage areas inside the facility.
Page 8 of 8

J-1
.............I/
ELI *
DOPki
............
Outfall 03 —---------
------------— StormvAter Uw rrie R ha r
. 'Pond
..........
...........
Outfall 02
Tridutary of
uwlt�rr`e River
..........
Outfall Coordinates
-V 01 35.901328,-80.011180
02 35.902146,-80.011136
03 35.904067,-80.007795
Outfall 01
...............
DATE:
October 2023
Jowat Corporation SCALE:
Approx. 1: 150
6058 Lois Lane DRAWING NO.
Archdale, North Carolina Figure 2

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t 1
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Henkel
Bldg
i
PUR
Bldg
Admin
Bldg
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Whse
K. HTF Sys : u, Bldg
Manufacturing
f Bldg
11r ��31
LLdb&W •- C -
Maintenance
Bldg 4
Map Source:https://mappingsupport.com/p2/gissurfer.php(2023)
SPCC Site Plan DATE:
• A E R 1 S October 2023
0. • ENVIRONMENTAL SCALE:
1 in. =200 ft
Consulting.Engineered for Results. Jowat Corporation (approx)
1440 Blueberry Lane Archdale, North Carolina DRAWING NO.
Charlotte,NC 28226
www.aerisenviro.com Figure 3

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 10/26/2023.
Permit Number: NCS000133 Permit Status: Expired
Permit Type: Stormwater Discharge, Individual
Facility Name: Jowat Corporation
Facility Addressl: 6058 Lois Ln
Facility Address2:
City,State&Zip: Archdale, NC 27263
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownershka"Form)
Owner Name: Jowat Corporation
Owner Type: Non-Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Martin Lamberg Title:
Addressl: PO Box 1368
Address2:
City,State&Zip: High Point, NC 27261
Work Phone: [phone] Fax:
Email Address: [e-mail]
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Martin Lamberg PO Box 1368, High Point, NC 27261 336-434-9080
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Martin Lamberg VP Manufacturing 6058 Lois Ln,Archdale, NC 27263 336-434-9080 [e-mail]
m
10/26/2023 Page 1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 10/26/2023.
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone Fax Email
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone Fax Email
Outfalls
Outfall #: 001 Outfall Description: Unknown
Outfall Lattitude: 35.902220 Outfall Longitude: -80.011110 Represented by Outfall:
Stormwater: 100 % Industrial: 0
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Uwharrie River 13-2-(0.5) WS-III
Outfall #: 002 Outfall Description: unknown
Outfall Lattitude: 35.902780 Outfall Longitude: -80.010000 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Uwharrie River 13-2-(0.5) WS-III
Outfall #: 003 Outfall Description: unknown
Outfall Lattitude: 35.902780 Outfall Longitude: -80.009440 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Uwharrie River 13-2-(0.5) WS-III
Outfall #: 004 Outfall Description: unknown
Outfall Lattitude: 35.903890 Outfall Longitude: -80.008610 Represented by Outfall:
Stormwater: 100 % Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Uwharrie River 13-2-(0.5) WS-III
10/26/2023 Page 2

Storm Water Monitoring Data Outfalls are visually checked Monthly Documented
Permit#NCS000133
Year Month TSS Result Oufall#1 TSS Result Outfall#2 TSS Result Outfall#3
2023 June 19.5 25.8 67.2
2022 September 12.7 17.9 120 Investigation result was coming from adjoining property Henkel
2022 March 32.8 14.6 22.9
2021 June 18.4 115 919 Investigation result was coming from adjoining property Henkel
Note:Monitoring not completed 2017-2020 based on understanding of No Exposure certification.

Young, Brianna A
From: Smith, Kathy <[e-mail]>
Sent: Thursday, May 12, 2022 12:39 PM
To: Young, Brianna A
Cc: Lamberg, Martin
Subject: RE: [External] RE: NCS000133 permit renewal application
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Good afternoon I apologize if I confused you the exempt status applied to us not having to have our Storm
water analyzed, because we do not discharge into the storm system. I will start on these requested forms
immediately thanks for your help.
Best Regards,
Kathy Smith
Health and Safety Manager
Jowat Corporation
P.O. Box 1368
High Point, NC 27261
p [phone]
c [phone]
e : ksmith jowat.com
Website: www.mowat.com
n in
Jowat
Adhesives
Jowat Corporation
5608 Uwharrie Rd—Archdale, NC 27263 - USA
This e-mail may contain confidential and/or privileged information. If you are not the intended recipient(or have received
this e-mail in error) please notify the sender immediately and destroy this e-mail. Any unauthorized copying, disclosure,
distribution or other use of the material or parts thereof is strictly forbidden
From:Young, Brianna A<[e-mail]>
Sent:Thursday, May 12, 2022 12:24 PM
To: Smith, Kathy<[e-mail]>
i

Cc: Lamberg, Martin <[e-mail]>
Subject: RE: [External] RE: NCS000133 permit renewal application
NOTE: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and
know the content is safe.
Good afternoon Kathy,
Could you please explain what you mean by exempt status?The facility currently has an NPDES permit that expires
7/31/2022, and it looks like you tried to apply for renewal (the package had a renewal application form). However,the
renewal application form submitted was an old form—as of January 1, 2022, we started requiring all permittees to use
the EPA forms.Therefore,the state form that was submitted is outdated and cannot be accepted.
If you wish to keep this permit active,the EPA application forms will need to be filled out and submitted. If you wish to
rescind this permit, please fill out the Rescission Request Form and mail a hard copy to me at 1612 MSC, Raleigh, NC
27699-1612 (as well as email an electronic version).
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From: Smith, Kathy<[e-mail]>
Sent:Thursday, May 12, 2022 7:31 AM
To:Young, Brianna A<[e-mail]>
Cc: Lamberg, Martin <[e-mail]>
Subject: [External] RE: NCS000133 permit renewal application
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Good morning I have been looking over the two forms that you have requested and I have a couple questions
and concerns.
We have a storm water permit that before this went digital with the State, we carried an exempt status, this was
based on our industrial activities and our processes. The renewal that I sent in contains the monthly
inspections and the rain fall data etc. required. I am just trying to do my due diligence in making sure that we
2

comply with the regulations pertaining to our permit although we carried this exempt status. We do not
discharge any machine waste, or waste of any kind into the storm system. Our waste is contracted out to be
removed from our facility from the two storage tanks that we have on site. The site plan was included in the
original renewal permit showing these two storage tanks. Our storm water permit is strictly based on the
amount of rain fall we receive. Form 1 indicates that if we answer No to section 1 this will be complete and we
are not required to do any further action. I apologize for not understanding the reason for the forms that do not
pertain to our processes. Can you please verify that Form 1 and Form 2F are required for our permit, if so I will
have them completed immediately and sent to you. Thanks for all your help and understanding in this renewal
process.
Best Regards,
Kathy Smith
Health and Safety Manager
Jowat Corporation
P.O. Box 1368
High Point, NC 27261
p [phone]
c [phone]
e : ksmith(a)lowat.com
Website: www.mowat.com
n in
-New
Jowat
Adhesives
Jowat Corporation
5608 Uwharrie Rd—Archdale, NC 27263 - USA
This e-mail may contain confidential and/or privileged information. If you are not the intended recipient(or have received
this e-mail in error) please notify the sender immediately and destroy this e-mail. Any unauthorized copying, disclosure,
distribution or other use of the material or parts thereof is strictly forbidden
From:Young, Brianna A<[e-mail]>
Sent: Wednesday, May 11, 2022 12:18 PM
To: Lamberg, Martin <[e-mail]>; Smith, Kathy<[e-mail]>
Subject: NCS000133 permit renewal application
NOTE: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and
know the content is safe.
3

Good afternoon,
The Division of Energy, Mineral, and Land Resources (DEMLR) Stormwater Permitting Program
acknowledges receipt of your renewal application for coverage under NPDES Permit Number NCS000133.
Please note that the incorrect permit application form was submitted.In order to log the application as
received complete, please fill out and mail hard copies of EPA Form 1 and EPA Form 2F to our office.
In the interim, please continue to comply with all conditions and monitoring requirements in your current
NPDES stormwater permit. As long as you have submitted a complete renewal request package and maintain
compliance with those permit conditions, stormwater discharges from this facility are authorized by that permit
until the Division issues a renewal permit or notifies you of an alternative action. Please note that due to the
current backlog and staff shortages, review of this permit renewal is not scheduled until 2024, however this
schedule is subject to change. Please let me know if you have any questions in the interim.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
4

7/31/23, 12:25 PM North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Business Corporation
Legal Name
Jowat Corporation
Information
Sosld: 0078567
Status: Current-Active O
Date Formed: 2/20/1979
Citizenship: Foreign
State of Incorporation: DE
Fiscal Month: December
Annual Report Due Date: April 15th
CurrentgnnuaL Report Status:
Registered Agent: Becker, Achim ,
Addresses
Mailing Principal Office Reg Office
5608 Uwharrie Road 5608 Uwharrie Road 5608 Uwharrie Road
Archdale, NC 27263-4167 Archdale, NC 27263-4167 Archdale, NC 27263-4167
Reg Mailing
5608 Uwharrie Road
Archdale, NC 27263-4167
Off icers
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1/2

7/31/23, 12:25 PM North Carolina Secretary of State Search Results
President Vice President
Klaus Kullmann Alan Turner
PO Box 1368 P.O. Box 1368
High Point NC 27261 High Point NC 27261
Stock
Class: 99 SEE CERT
Shares: 0
Par Value 0
https://www.sosnc.gov/onIine_services/search/Business_Registration_ResuIts 2/2

owa t _
/ Adhesives
PZEC E Z 1!LE—D Jowat Corporation
P.O. Box 1368
JAn�� High Point, NC 27261
!� U USA
DEMLR-Stormwater Prograrti
January 19, 2023
Ms. Brianna Young
DEMLR—Stormwater Program
NC Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: Updated Renewal Documents
Jowat Corporation
Archdale, Randolph County,North Carolina
Permit ID NO. NCS000133
Dear Ms. Young:
The enclosed documents are updates to those previously submitted during April/May 2022 for renewal of our existing
storm water permit.The updates address the recent purchase of an adjacent parcel of property.
Electronic copies of these documents have been emailed to you at briann.Voungoncdenr.gov.
Thank you for your attention to this request. Should you have any questions or require additional information, please
contact me by telephone at 336.434.9080 or by email at [e-mail] may also contact our consultant,
Mr. Kevin Woods of AERIS Environmental, Inc. by telephone at 704.641.7003 or by email at [e-mail].
Sinc rely,
Martin Lamb rg
VP of Manuf cturing
Enclosures:SWPPP Certification, EPA Form 1, EPA Form 2F, Property Boundary Figure
T;`� )!
tl D N V�G�
Phone: [phone]
Fax: [phone]
[e-mail]

EPA identification Number NPDES Permit Number Facility Name Farm Approved 03/05/19
110007662779 NC5000133 Jowat Corporation OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 18/EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION • •D
1.1 Applicants Not Required to Submit Form 9
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1,1.1 treatment works? 1.1.2 treating domestic sewage?
If yes, STOP. Do NOT complete No If yes,STOP. Do NOT No
Form 1.Complete Form 2A. complete Form 1. Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
E operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
d production facility? currently discharging process wastewater?
o ❑ Yes 4 Complete Form 1 0 No E] Yes 4 Complete Form No
a. and Form 2B. 1 and Form 2C.
z
C 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
d ❑ Yes 4 Complete Form 1 No Yes 4 Complete Form No
w and Form 2D. 1 and Form 2E.
1,2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Farm 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
SECTION
DD' • #
2.1 Facility Name
Jowat Corporation
0 2.2 EPA Identification Number
w
110007662779
2.3 Facility Contact
Name(first and last) Title Phane number
a Martin Lamberg VP of Manufacturing {336j 432-9080
,7
a
c
Email address
[e-mail]
2.4 Facility Mailing Address
E
m Street or P.O.box
z
6058 Lois Lane
City or town State F271263
P code
Archdale NC
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPOES Permit Number Facility Name Form Approved 03105/19
110007662779 NC5000133 Jowat Corporation OMB No.2040.0004
2.5 Facility Location
Street,route number,or other specific identifier
Q U 5608 Uwharrie Road
o County name County code(if known)
Randolph
0
ECity or town State ZIP code
Z R Archdale NC 27263
SECTIONI NAICS CODES1
3.1 SIC Code(s) Description(optional)
2891 Adhesives and Sealants
N
d
O
U
th
U
z 3.2 NAICS Code(s) Description(optional)
c
46 325520 Adhesive Manufacturing
U
4.1 Name of 0 erator
Jowat Corporation
0 4.2 Is the name you listed in Item 4.1 also the owner?
m
c 0 ❑✓ Yes ElNo
`
c 4.3 Operator Status
o ❑ Public—federal ❑ Public—state ❑ Other public(specify)
C ❑✓ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O. fox
E d 5608 Uwharrie Road
w 0
City or town State ZIP code
`0 0 Archdale NC 27263
� U
a Email address of operator
0 w.fowat.com ww
SECTION •i
5.1 Is the facility located on Indian Land?
❑ Yes ❑ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
110007662779 NC5000133 7owat Corporation OMB No.2040-0004
SECTION '• 1
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
o y water) fluids)
h a ElPSD(air emissions) ElNonattainment program(CAA) ElNESHAPs(CAA)
c
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTIO I
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
�
specific requirements.)
M
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTIONt OF
8.1 Describe the nature of your business.
Adhesive manufacturing.We have above ground storage tanks for raw materials.These raw materials are conveyed
4n in a closed piping system to our commercial mixers,the material is heated to form a liquid.Once the mixing process
cis completed the product is then transfered over to a storage tank by a closed piping system.The product is then
3 cooled and pelletized.Once pelletized the product will go as a finished product into a bulk bag or a bin at which time
m all the finished product will be packaged for shipment.
0
w
3
Z
SECTION •• I
9.1 Does your facility use cooling water?
❑✓ Yes ❑ No 4 SKIP to Item 10.1.
a r 9.2 Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
_ NPDES permitting authority to determine what specific information needs to be submitted and when.)
.O Y
V �
Public water supply.
SECTIONI VARIANCE REQUESTSI I
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all chat
y apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
d
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
AV
m Section 301(c)and(g))
0 Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 030119
110007662779 NCS000133 Jowat Corporation OMB No.2040.0004
SECTION1 i
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ wl attachments
❑✓ Section 2:Name, Mailing Address,and Location ❑ wl attachments
❑✓ Section 3:SIC Codes ❑ wl attachments
[I Section 4:Operator Information ❑ wl attachments
❑✓ Section 5: Indian Land ❑ wl attachments
❑✓ Section 6: Existing Environmental Permits ❑ wl attachments
E wl topographic
❑✓ Section 7:Map ❑✓ map Elwl additional attachments
a.
o ❑� Section 8:Nature of Business ❑ w/attachments
❑� Section 9:Cooling Water Intake Structures ❑ wl attachments
❑✓ Section 11):Variance Requests ❑ wi attachments
c
N ❑✓ Section 11:Checklist and Certification Statement El attachments
2
d 11.2 Certification Statement
U
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 property 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 fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Martin Larnberg VP of Manufacturing
n
Signatur Date signed
OZ
EPA Form 3510.1(revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Fadity Name Form Approved 03,05119
110007662779 NC5000133 4owat Corporation OMB No 2040-0004
Form U.S Environmental Protection Agency
2F \8iEPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATIONi
1.1 Provide information on each of the facilit 's outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
01 Tributary of Uwharrie River 35 54' 4.8" N 80" 0' 40.2" W
c
0
02 Tributary of Uwharrie River 35' 54' 7.7" N 80' 0' 40.1" W
0
J
io
03 Tributary of Uwharrie River 35' 54' 14.6" N 80' 0 28.1" W
0
SECTION '• I ,
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ❑✓ No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected OutfalIs Final Compliance Dates
Description of Project (list outfall numbers) Source(s)of Discharge
Required Projected
c
m
E
m
0
a
E
2.3 Flave you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 1

EPA Identification Number NPCES Permit Number Facility Name Form Approved 03105/19
110007662779 NCS000133 Jowat Corporation OMB No.2040-0004
SECTIOND- I
3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
c m specific guidance.)
ih 'm
0 ® Yes ❑ No
SECTION • • r
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Drained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specify units
01 0-$ acres 1.0 acres
specify units specify units
02 2.3 acres 3.5 acres
specify units specify units
03 7.2 acres 23.5 acres
specify units specify units
specify units specify units
specify units specify units
4.2 Provide a narrative description of the facility's signiflcant material in the space below. (See instructions for content
requirements.)
Significant material exposure is limited due to our manufacturing processes including storage of raw materials,waste
a) materials and finished products are performed indoors.Our two waste water tanks have adequate secondary
0
containment.Jowat uses 13MPs to control and remove pollutants.Jowat does not use pesticides,herbicides etc.Jowat
m does not have any floor drains in the manufacturing and storage areas inside the facility.
co
D
tL
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
from
Outfall Control Measures and Treatment Exhibit
Number 2F_1
list
All Spill prevention plan,employee training,and routine inspections.
All Preventive maintenance and housekeeping
03 Retention pond
EPA Form 3510-2F(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
110007662779 NCS000133 lowat Corporation OMB No.2040-0004
SECTION.5.NON !^ 1 I
5.1 1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, l certify that the ouffalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D, or 2E application.
Name(print or type first and last name) Official title
Martin Lamberg VP of Manufacturing
Signature Date signed
N 6Z ( - 26 - � 023
M 5.2 Provide the testing Oformation requested in the table below.
ca
On site Drainage Paints
Outfall
o
Number
r Description of Testing Method Used Date(s)of Testing Directly Observed
During Test
`m
w
ro
Not Applicable
0
I
c
0
z
SECTION •' 1 Cf
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
None
x '
w.
c
�a
c�
iA
SECTIONDISCHARGE INFORMATION1
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o complete. Not all applicants need to complete each table.
E7.1 Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
estimated data. actual data.
Tables A,B,C,and D
N 7.2 Have you completed Table A for each outfall?
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3-19} Page 3

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03/05119
110007662779 NCS000133 Jowat Corporation OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes ❑✓ No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ✓❑ No 4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you quality for a small business exemption under the criteria specified in the Instructions?
❑ Yes-*SKIP to Item 7.18. ✓❑ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes ❑✓ No-* SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
Table C?
❑ Yes ❑ No
0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
ca
❑ Yes No 4 SKIP to Item 7.12.
0
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
L, concentrations of 10 ppb or greater?
y ❑ Yes ❑ No
G 7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7,12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes ❑ No
7.15 Do you know or have reason to believe any pollutants in Exhibit 21F4 are present in the discharge?
❑ Yes ❑✓ No 4 SKIPto Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110007662779 NC5000133 Jowat Corporation OMB No.2040-0004
Used or Manufactured Tonics
7,18 Is any pollutant listed on Exhibits 2F-2 through 2F4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
O
c
❑ Yes 0 No 4 SKIP to Section 8.
0
7A 9 List the pollutants below,including TCDD if applicable.
0 1. 4. 7.
a�
r
2. 5. 8.
U
0 3. 6. 9.
SECTIONBIOLOGICAL TOXICITY . t
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
0
a:
❑ Yes 0 No 4 SKIP to Section 9.
ti 8.2 Identify the tests and their purposes below.
Submitted to NPDES
Test(s) Purpose of Test(s) PermittingAuthority?
Date Submitted
x
0
CU
CU ❑ Yes ElNo
Aj
CID
0 ❑ Yes El No
m0
❑ Yes ❑ No
SECTION •• •
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
❑✓ Yes ❑ No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number t Laboratory Number Laboratory Number 3
Name of laboratory/firm
Pace Analytical
c
a
A
E
0
Laboratory address
1377 South Park Drive
.N
R
Kernersville,NC 27284
c
a
u
o Phone number
v f704)977-0981
Pollutant(s)analyzed TSS,pH
EPA Form 3510-21'(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facilliy Name Form Approved 03MIl9
110007662779 NCS000133 lowat Corporation OMB No,2040-0004
SECTION 10.CHECKLIST AND CERTIFICATION STATEMENT I
10.1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to com Iete all sections or provide attachments.
Column 1 Column 2
❑✓ Section 1 ❑ wl attachments(e.g„responses for additional outfalls)
❑✓ Section 2 ❑ wl attachments
❑✓ Section 3 ❑ wl site drainage map
Z Section 4 ❑ wl attachments
❑✓ Section 5 ❑ wl attachments
.. ❑✓ Section 6 ❑ wl attachments
d ✓❑ Section 7 ❑ Table A ❑ wf small business exemption request
b
"' ❑ Table B ❑ wl analytical results as an attachment
ca
0
w
❑ Table C ✓❑ Table D
s
0 Section 8 ❑ wlattachments
❑✓ Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
s 0 Section 10 ❑
10.2
Certification Statement
l 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Martin Lamberg VP of Manufacturing
Signature Date signed
z � Vzoe
EPA Form 3510-2F(Revised 3.19) Page 6

EPA Idenfificalion Number NPDES Permit Number Facility Name Outfall Number Form Approved 0105119
110007662779 NC5000133 Jowat Corporation 01 OMB No 2040-0004
TABLE A.CONVENTIONAL AND NON • • i
You must provide the results of at least one anal sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and re uirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (near sourcelnew
During First During First dischargers onty,use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease Not Analyzed
2. Biochemical oxygen demand(BOD5) Not Analyzed
3. Chemical oxygen demand(COD) Not Analyzed
4. Total suspended solids JSS) 32.8 mg/L 1
5. Total phosphorus Not Analyzed
6. Total Kjeldahl nitrogen(TKN) Not Analyzed
7. Total nitrogen(as N) Not Analyzed
pH(minimum) 8.08 1
8.
pH(maximum) 8.08 1
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21'(Revised 3-19) Page 7.01

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NCS000133 Jowat Corporation 02 OMB No 2040-0004
TABLE A.CONVENTIONAL AND NON CONVENTIONALi
You must provide the results of at least one anal sis for every pollutant in this table. Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Grab Sample Taken (new source/new
Flaw-Weighted Flow-Weighted Events Sampled
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease Not Analyzed
2. Biochemical oxygen demand(BOD5) Not Analyzed
3. Chemical oxygen demand(COD) Not Analyzed
4. Total suspended solids(TSS) 14.6 mg/L 1
5. Total phosphorus Not Analyzed
6. Total Kjeldahl nitrogen(TKN) Not Analyzed
7. Total nitrogen(as N) Not Analyzed
pH(minimum) 7.96 1
8.
pH(maximum) 7.96 1
' Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I.subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19i Page 7-02

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NCS000133 3owat Corporation 03 OMB No.2040-0004
TABLE A.CONVENTIONAL AND NON • • E
You must provide the results of at least one anal sis for evepollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourceinew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease Not Analyzed
2. Biochemical oxygen demand(BOD5) Not Analyzed
3. Chemical oxygen demand(COD) Not Analyzed
4. Total suspended solids(TSS) 22.9 mg/L
5. Total phosphorus Not Analyzed
6. Total Kjeldahl nitrogen(TKN) Not Analyzed
7. Total nitrogen(as N) Not Analyzed
pH(minimum) 7.74 1
8.
pH(maximum) 7.74 1
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21'(Revised 3-19) Page 7-03

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NC5000133 lowat Corporation All OMB No.2040.0004
TABLE B.CERTAIN CONVENTIONAL AND NON CONVENTIONAL POLLUTANTS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(A))'
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
s ' units s . units Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new source/new
During First Flow-Weighted ed During First FlComp site Events Sampled dischargers only,use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Not Applicable
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21'(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03I05119
110007662779 NCS000133 lowat Corporation All OMB No.2040-0004
TABLE C.TOXIC POLLUTANTS,CERTAIN HAZARDOUS SUBSTANCES,AND ASBESTOS(40 CFR 122.26(c)(1)(i)(E)(4)and 40 CFR 122.21(g)(7)(vi)(B)and(vii))'
List each pollutant shown in Exhibits 2F-2,2F-3,and 2F-4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
s ' units s ' units Number of Storm Information
Pollutant and CAS Number(if available) Grab Sample Taken Grab Sample Taken (new souroelnew
During First Flo Composite
Flow-Weighted Daring First Flow-Weighted Events Sampled dischargers only,use
30 Minutes Composite 30 Minutes Composite codes in instructions)
Not Applicable
m Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 11

EPA Identification Number NPOES Permit Number Facility name outfall Number Form Approved 03105119
110007662779 NCS000133 Jowat Corporation All OMB No 2040-0004
TABLE D.STORM EVENT INFORMATION1
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flow Rate
Duration of Storm Event Beginning of Storm Measured and Total Flow from Rain Event
Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specify units)
(in inches) Event (in gpm or specify units}
03/09/2022
6 Hours 1.8 in. Unknown Unknown Unknown
Provide a description of the method of flow measurement or estimate.
Sample collection is performed by an outside contractor.Their report does not indicate hours since previous event or flow information.
EPA Form 3510-2F(Revised 3-19) Page 13

STORMWATER POLLUTION 1NION."?-LAN
P-L
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources—Stormwater Program
Facility Name: JowatCorporation
Permit Number: NCS000133
Location Address: 6056 Lois Lane
Archdale,NC 27263
County: Randolph
"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."
And
"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 STORMW TER POLLUTION PREVENTION PLAN WITHTMS CERTIFICATION.
1�41Signature Date ( ` Z V — ZOO?3
Martin Lamberg VP of Manufacturing
Print or type narfie of person signing above Title
SPPP Certification 10/13

Ij
Outf 03 r ` .•�
_ — Stormw�ater Uwharrie Riv r "
f "�etentibn i �+
pond
'Joan Q�
`r Tr4tary of Outfall02
UM rrse River
J! La to ;gfaL
O all Coordi 'ates� # +
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Updated January 2023
10.0 CERTIFICATIONS
10.1 SPCC Engineering Certification
Pursuant to 40 CFR 112.3(d) and by means of this SPCC certification, I attest that: (i) I am
familiar with the requirements of the SPCC rule (40 CFR Part 112); (ii) I have visited and
examined the facility; (iii) the Plan has been prepared in accordance with good engineering
practice, including consideration of applicable industry standards, and with the requirements of
the SPCC rule; (iv) procedures for required inspections and testing have been established, and,
(v)the Plan is adequate for the facility.
This certification in no way relieves the owner or operator of the facility of his/her duty to
prepare and fully implement this SPCC Plan in accordance with the requirements of 40 CFR 112.
This Plan is valid only to the extent that the facility owner or operator maintains, tests, and
inspects equipment, containment, and other devices as prescribed in this Plan.
Signature: W, ,� orcL— `�'X%%%%III
� �1A C A R p���
�.�OFES3/p�•.,•q
Name: Kevin S.Woods. PE a Q •q�':•
SE
Company: AERIS Environmental, Inc. �
- NG NQQE �5
Date: ,Zsiiro� �\
Page 36 of 37

EPA identification Number NPOES Permit Number Facility Name Form Approved 03105/19
110007662779 NCS000133 Jowat Corporation OMB No.2040-0004
Form U.S.Environmental Protection Agency
t \=.EPA Application for NPDES Permit to Discharge Wastewater
NPOES GENERAL INFORMATION
SECTION • •D r
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1'1'2 treating domestic sewage?
If yes,STOP. Do NOT complete Q No If yes,STOP.Do NOT No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
E operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
i production facility? currently discharging process wastewater?
Lu ❑ Yes 4 Complete Form 1 No Yes 4 Complete Form No
a and Form 2B. 1 and Form 2C.
0 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
d Yes 3 Complete Form 1 No Yes 4 Complete Form No
a and Form 2D. 1 and Form 2E.
y
1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
SECTION
DD- AND LOCATION
2.1 Facility Name
Jowat Corporation
a 2.2 EPA Identification Number
0 110007662779
-o
R 2.3 Facility Contact
Name(first and last) Title Phone number
'a
Martin Lamberg VP of Manufacturing [phone]
c
Email address
[e-mail]
d 2.4 Facility Mailing Address
tca= Street or P.O. box
z
6058 Lois Lane
City or town State ZIP code
Archdale NC 27263
EPA Form 3510-1(revised 3.19) Pagel

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
110007662779 NCS000133 Jowat Corporation OMB No.2040-0004
N 2.5 Facility Location
Street,route number,or other specific identifier
Q 5608 Uwharrie Road
a�
a County name County code(if known)
c Randolph
do
a
City or town State ZIP code
z m Archdale NC 27263
SECTIONAND NAICS CODES
3.1 SIC Code(s) Description(optional)
2891 Adhesives and Sealants
m
0
0
V
V
z 3.2 NAICS Code(s) Description(optional)
a
c
1a 325520 Adhesive Manufacturing
Sa
4.1 Name of Operator
Jowat Corporation
0 4.2 Is the name you listed in Item 4.1 also the owner?
b
✓❑ Yes ❑ No
L 4.3 Operator Status
CD
❑ Public—federal ❑ Public—state ❑ Other public(specify)
o ❑✓ Private ElOther(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
R
Street or P.O. Box
E w 5608 Uwharrie Road
City or town State ZIP code
`o o Archdale NC 27263
� U
CL Email address of operator
O www.jowat.cam
SECTION • '0
c 5.1 Is the facility located on Indian Land?
c J ❑ Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110007662779 NC5000133 Jowat Corporation OMB No.2040-0004
SECTION '• 1
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
m ❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
oy water) fluids)
.5 •E
t i ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
CL
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTIONLb
i
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
R specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTIONOF i
8.1 Describe the nature of your business.
Adhesive manufacturing.We have above ground storage tanks for raw materials.These raw materials are conveyed
y in a closed piping system to our commercial mixers,the material is heated to form a liquid.Once the mixing process
m is completed the product is then transfered over to a storage tank by a closed piping system.The product is then
C
cooled and pelletized.Once pelletized the product will go as a finished product into a bulk bag or a bin at which time
all the finished product will be packaged for shipment.
O
W
7
fO
Z
SECTION ' COOLING
9.1 Does your facility use cooling water?
Yes ❑ No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
C,w, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
co NPDES permitting authority to determine what specific information needs to be submitted and when.)
� Y
U ;e Public water supply.
c
SECTION
1 ! I i
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
C ❑ Fundamentally different factors(CWA [] Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
a ❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
7 Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number facility Name Form Approved 03/05119
110007662779 NC50DD133 lowat Corporation OMB No.2040-0004
SECTION 11.CHECKLIST 1 1
11.1 in Column 1 below,mark the sections of Fofm 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑� Section 1:Activities Requiring an NPDES Permit ❑ wl attachments
Section 2: Name.Mailing Address,and Location ❑ w1 attachments
0 Section 3:SIC Codes ❑ w1 attachments
0 Section 4: Operator Information ❑ w1 attachments
❑� Section 5:Indian Land ❑ w1 attachments
c
❑✓ Section 6:Existing Environmental Permits ❑ wl attachments
wl topographic
❑� Section 7:Map ❑ ma ❑ w1 additional attachments
o Section S:Nature of Business ❑ wl attachments
M
❑✓ Section 9:Cooling Water Intake Structures ❑ w1 attachments
V
U
❑✓ Section 1 0: Variance Requests ❑ wl attachments
c
❑✓ Section 11:Checklist and Certification Statement ❑ wl attachments
32
in
iu 11.2 Certification Statement
U
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, l am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Martin Lamberg VP of Manufacturing
Signatur Date signed
EPA Form 3510.1(revised 3-191 Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
110007662779 NCS000133 Jowat Corporation OMB No.2040-0004
L
m U.S Environmental Protection Agency
\-/EPA Application for NPDES Permit to Discharge Wastewater
Es STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTION:1. •UTFALL LOCATIONI
1.1 Provide information on each of the facilit 's outfalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
01 Tributary of Uwharrie River 35` 54' 4.8" N 80, 0' 40 2" W
s
0
u 02 Tributary of Uwharrie River 35' S4' 7.7" N 80' 0' 40.1" W
a
J
03 Tributary of Uwharrie River 35` 54' 14.6" N 80' 0 28.1" W
0
SECTION '• Y
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes ❑✓ No 4 SKIP to Section 3,
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Final Compliance Dates
Description of Project (list outfall numbers) Source(s)of Discharge
Required Projected
.r
c
m
E
a�
a
0
L
Q
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3•191 Page 1

EPA Idenfification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110007662779 NCS000133 Jowat Corporation OMB No-2040-0004
SECTION 3.SITE D• , i
3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
= Cc e specific guidance.)
U) 'Co
o ® Yes ❑ No
SECTION 4.POLLUTANT SOURCESr
4.1 Provide information on the facility's pollutant sources in the table below.
Outfal€ Impervious Surface Area Total Surface Area Drained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specfy units
01 0•8 acres 1.0 acres
specify units specify units
02 23 acres IS acres
specify units spedfy units
03 7.2 acres 23.5 acres
spedfy units specify units
specify units specify units
specify units specify units
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
Significant material exposure is limited due to our manufacturing processes including storage of raw materials,waste
materials and finished products are performed indoors.Our two waste water tanks have adequate secondary
0
containment.Jowat uses BMPs to control and remove pollutants.Jowat does not use pesticides,herbicides etc.Jowat
Cn does not have any floor drains in the manufacturing and storage areas inside the facility.
c
4a
0
n-
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce poflutants in
stormwater runoff. See instructions fors specificguidance.)
Stormwater Treatment
Codes
from
Outfail Control Measures and Treatment Exhibit
Number 2F-1
list
Ali Spill prevention plan,employee training,and routine inspections.
All Preventive maintenance and housekeeping
03 Retention pond
EPA Form 3510-2F(Revised 3-19) Page 2

EPA Identification Number NPOES Permit Number Facitify Name Form Approved 03105/19
110007662779 NCS000133 Jowat Corporation OMB No.2040-0004
SECTION •N STORMWATER f I
5.1 1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, 1 certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D,or 2E application.
Name(print or type first and last name) Official title
Martin Lamberg VP of Manufacturing
Signature Date signed
[ � 26 - 2O2 �
R, 5.2 Provide the testing Vformation requested in the table below.
Onsite Drainage Points
H O Number Description of Testing Method Used Date(s)of Testing Directly Observed
a
During Test
d
R
� Not Applicable
E
Q
W
Z
SECTION1.SIGNIFICANT LEAKS OR 1
6.3 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
2
None
`o
X
d
J
G
C]
.0
C7
SECTIONDISCHARGE f' R I
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
o complete. Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
oElYes See instructions regarding submission of ❑ No 4 See instructions regarding submission of
estimated data. actual data.
CD
Tables A,B,C,and D
w 7.2 Have you completed Table A for each outfall?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 3

EPA identification Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
110007662779 NCS000133 Jowat Corporation OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes 0 No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes ✓❑ No 4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑✓ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 217-3 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
Table C?
0 El Yes ❑ No
0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
cc
❑ Yes ❑✓ No 4 SKIP to Item 7.12.
5 7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
L' concentrations of 10 ppb or greater?
y ❑ Yes ❑ No
G 7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes ❑ No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑✓ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110O07662779 NCS000133 Jowat Corporation OMB No.2040-0004
Used or Manufactured Toxics
7.18 is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
0
a ❑ Yes ❑ No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
4
1. 4 7.
a
2. 5. 8.
r
U
a 3. 6. 9.
SECTIONBIOLOGICAL •
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
c ❑ Yes ❑✓ No 4 SKIP to Section 9.
.N
8.2 Identify the tests and their purposes below.
ZTest(s) Purpose of Tests) Submitted to NPDES Date Submitted
x Permitting Authority?
0
~ ❑ Yes ❑ No
U
O
❑ Yes El No
0
iQ
❑ Yes ❑ No
SECTION • •- • i
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
❑✓ Yes ❑ No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm
Pace Analytical
e
0
m
E
a
y Laboratory address
7377 South Park Drive N
?' Kernersville,NC 27284
m
a
u
�v
c Phone number
U [phone]
Pollutant(s)analyzed TSS,pH
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Identification Number NPBES Permit Number Facility Name Form Approved 03/05/19
110007662779 NCS000133 Jowat Corporation OMB No.2040 M04
SECTIO 10.CHECKLIST AND I
10.1 In Column 1 below,marts the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to com lete all sections or provide attachments.
Column 1 Column 2
❑� Section 1 ❑ wl attachments(e.g.,responses for additional outfalls)
❑✓ Section 2 ❑ wl attachments
Section 3 ❑ wl site drainage map
0 Section 4 ❑ wl attachments
Section 5 ❑ wl attachments
c
Section 6 ❑ wl attachments
❑ Section 7 ❑ Table A ❑ wl small business exemption request
m
❑ Table t3 ❑ wl analytical results as an attachment
0
❑ Table C E] Table D
U ❑✓ Section 8 ❑ wlattachments
Section 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
N_
Y
❑� Section 10 ❑
0 10.2
Certification Statement
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 fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Martin Lemberg VP of Manufacturing
Signature Date signed
EPA Form 3510-2F(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NCS000133 Jowat Corporation 01 OMB No 2040-0004
TABLE A.CONVENTIONAL AND NON • • E
You must provide the results of at least one anal sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and re uirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease Not Analyzed
2, Biochemical oxygen demand(BODs) Not Analyzed
3. Chemical oxygen demand(COD) Not Analyzed
4. Total suspended solids(TSS) 32.8 mg/L i
5. Total phosphorus Not Analyzed
6. Total Kjeldahl nitrogen(TKN) Not Analyzed
7. Total nitrogen(as N) Not Analyzed
pH(minimum) 8.08 1
pH(maximum) 8.08 1
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7-01

EPA Identifiration Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NCS000133 Jowat Corporation 02 OMB No.2040-0004
TABLE A.CONVENTIONAL eN CONVENTIONAL •A- r
You must provide the results of at least one anal sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and re uirementS.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Number of Storm Information
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes Composite codes in instructions)
1. Oil and grease Not Analyzed
2, Biochemical oxygen demand(BOD5) Not Analyzed
3. Chemical oxygen demand(COD) Not Analyzed
4. Total suspended solids(TSS) 14.6 mg/L 1
5. Total phosphorus Not Analyzed
6. Total Kjeldahl nitrogen(TKN) Not Analyzed
7. Total nitrogen(as N) Not Analyzed
pH(minimum) 7.96 1
8.
pH(maximum) 7.96 1
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7-02

EPA Iden6ficalion Number NPOES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NCS000133 Jowat Corporation 03 OMB No.2040.0004
TABLE A.CONVENTIONAL AND NON • •
You must provide the results of at least one anal sis for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
(specify units) (specify units) Information
Number of Storm
Pollutant or Parameter Grab Sample Taken Flow-Weighted Grab Sample Taken Flow-Weighted Events Sampled (new sourcelnew
During First During First dischargers only;use
30 Minutes Composite 30 Minutes composite codes in instructions)
1. Oil and grease Not Analyzed
2. Biochemical oxygen demand(BOD5) Not Analyzed
3. Chemical oxygen demand(COD) Not Analyzed
4. Total suspended solids(TSS) 22.9 mg/t 1
5. Total phosphorus Not Analyzed
6. Total Kjeldahl nitrogen(TKN) Not Analyzed
7. Total nitrogen(as N) Not Analyzed All
pH(minimum) 7.74 1
S.
pH(maximum) 7.74 1
' Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-21'(Revised 3-19) Page 7-03

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NCS000133 Jowat Corporation All ::1 OMB No.2040-0004
TABLE +IN CONVENTIONAL AND NON CONVENTIONALPOLLUTANTS +1 1 +
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
units ' units Number of Storm Information
Pollutant and CAS Number(if available) Grab DSamgpFl�ken Flow-Weighted Grab
mDSamuring le Taken Flow-Weighted Events Sampled dischargers sou only,use
30 Minutes Composite 30 Minutes Flmt Composite codes in instructions)
Not Applicable
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03I05119
110007662779 NCS000133 lowat Corporation All OMB No.2040-0004
TABLE • POLLUTANTS, +IN HAZARDOUS SUBSTANCES,AND ASBESTOS (40 and +1 • and
List each pollutant shown in Exhibits 2F-2,2F-3,and 2F4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maximum Daily Discharge Average Daily Discharge Source of
units s ' units Dumber of Storm Information
Pollutant and CAS Dumber(f available) Grab Sample Taken Flo tted Grab Sample Taken (new source/new
Composite During First o During First Flow-Weighted Events Sampled dischargers only,use
30 Minutes 30 Minutes Composite codes in instructions)
Not Applicable
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3.19) Page 11

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03/05/19
110007662779 NCS000133 Jowat Corporation All 4MB No 2040-0004
TABLE r STORM EVENT INFORMATIONt
Provide data for the storm event(s)that resulted in the maximum daily discharges for the Flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Maximum Flow Rate
Duration of Storm Event Beginning of Storm Measured and Total Flow from Rain Event
Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specify units)
(in inches) Event {in gpm or specify units)
03/09/2022
6 Hours 1.8 in. Unknown Unknown Unknown
Provide a description of the method of flow measurement or estimate.
Sample collection is performed by an outside contractor.Their report does not indicate hours since previous event or flow information.
EPA Form 3510-2F(Revised 3-19) Page 13

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
!North Carolina Division of Energy, Mineral, and Land Resources—Stormwater Program
Facility Name: Jowat Corporation
Permit Number: NCS000133
Location Address: 6068 Lois Lane
Archdale,NC 27263
County: Randolph
"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."
And
"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 STORMW TER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
1�4,Signature Date ` v Z 6 —z o " J
Martin Lemberg VP of Manufacturing
Print or type narfie of person signing above Title
SPPP Certification 10/13

Ilp
of
1 Outf 03
x
SIormw ter Uwharrie Riv r f
!detention
Pond '•�
r' Tridutary of Outfall 02'
�� ��� j I I ; � Sr `i !•` � � r
\.` �' Lois Ln LoY•L `` � t � —~ r !
Ou6all Coordinates/ f �_
01::3�,-80:011180 t?
\ < 1 35.902146,-8¢.011136 i ----- —
� -8D.007�,9, �
OF tfall 0 _—
t
DATE:
Approx. •
. 1 a -

Updated January 2023
10.0 CERTIFICATIONS
10.1 SPCC Engineering Certification
Pursuant to 40 CFR 112.3(d) and by means of this SPCC certification, I attest that: (i) I am
familiar with the requirements of the SPCC rule (40 CFR Part 112); (ii) I have visited and
examined the facility; (iii) the Plan has been prepared in accordance with good engineering
practice, including consideration of applicable industry standards, and with the requirements of
the SPCC rule; (iv) procedures for required inspections and testing have been established, and,
(v)the Plan is adequate for the facility.
This certification in no way relieves the owner or operator of the facility of his/her duty to
prepare and fully implement this SPCC Plan in accordance with the requirements of 40 CFR 112.
This Plan is valid only to the extent that the facility owner or operator maintains, tests, and
inspects equipment, containment,and other devices as prescribed in this Plan.
Signature: �rrh.�ti� W ``��q�r►►uurrrr,,,���/
C A ROZ
14,
Name: Kevin S.Woods. PE :a 'q�':•
- V! g�SE
Company: AERIS Environmental Inc.
mtlt91
Z. r
•FNG1N£� ''�
Date:
Page 36 of 37

EPA Identiica�an Number NPDES Penn!Nu»tbe; FacI7:y Name Form Approved 03:1D51.9
110007662779 NCSOo0I33 Jawat Corp. OMB No.U40-WU
Form U.S.Environmental Protection Agency
1 EPQ Application for NPDES Permit to Discharge Wastewater
NP©es GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPOES PERMIT(40 CFR 122.21M and(0(1))
1.i Applicants Not Required to Submit Form i
1 1 1 Is the facility a new or existing publicly owned 1 1 2 Is the facility a new or existing treatment works l
treatment works treating domestic sewage?
If yes,STOP.Do NOT complete No j ; If yes,STOP.Do NOT No
Form 1,Complete Form 2A, 1 complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit form 1
1.2.1 Is the facility a concentrated animal feeding 111 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial.mining,or silwcultural facility that is
N production facility? currently discharging process wastewater?
a ❑ Yes 4 Complete Form 1 E] No ❑ Yes-*Complete Form 0 No
z and Form 2i3. ! 1 and Form 2C.
R 1.2.3 Is the facility a new manufacturing.commercial, ; 1.2.4 I Is the facility a new or existing manufacturing.
ex mining.or silvicultural facility that has not yet i commercial,mining,or siMcultural facility that
commenced to discharge? discharges only nonprocess wastewater?
_+ Yes+ Complete Form 1 No Yes 4 Complete Form [] No
'A and Form ZD. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
l discharge is composed entirely of stormwater
a associated with industrial activity or whose t
discharge is composed of both stormwater and RECEIVED
non-stormwater?
Yes 4 Complete Form 1 0 No r
and Form 2F ' �
unless exempted by
40
12 CFR D NI R-St�rmwabeirprogr�lrn,
122.26(b)(14)[x)or
b 151.
SECTIOND•- AND LOCATION
2.1 Facil'V Marne
Jowat Corp.
0 2.2 EPA Idertti wflon Number
I
J I110007662779
a
2.3 Facility Contact —
Name(first and last) Title Phone number
Martin Larnberg VP of Manufacturing [phone]
d
Email address
[e-mail]
2.4 Facility Mailing Address
CU Street or P.Q.box -- -
6058 Lois Lane
City or tarvn i State ,ZIP code
Archdaie INC 27263
EPA Form 3510-1{reosed 3.M Page'

EPA Identification Number NPDES Permit Number I Faoti y NarnQ Form Approved 03105119
110007662779 NC50D0133 Jowat Corp. CMB No.20404M4
m m 2.5 FadUty Loegan
Street,route number,or other specific identifier
Q U 5608 Uwharrie Rd
zCounty name County code(if known)
Randolph
J
cc City or town State ZIP code
a Archdale NC 27263
SECTIONO I
3.1
2891 Adhesives and Sealants
0
C.�
t�
z 3.2
N1ClCS lidos) ";Descdptian(Wom;)
cc 325520 Adhesive Manufacturing
2
y
4.1 tdlit8 - -
Jowat Corp.
4.2 Is the name you listed in Item 4.1 also the owner?
❑ Yes ❑ No
4.3 OperaWftbm
1125 ❑ Public—federal ❑ Public—state ❑Other public(specify}
o ❑Private ❑Other(specify)
4.4 Phttae Ntttttlfw of OperaW
[phone]
4.5 QpamtprAddfm
W
Street or P.O.Box
5608 Uwharrie Rd.
City or town State ZIP code
V: Archdale NC 27263
Email address of operator
O. www.jawat.com
SECTIONt t
5.1 Is the facility located on Indian Land?
❑Yes ONo
EPA Form 3510-1(revised 3-19) Page 2

EPA iden±:tca:on Nurnoer I NPDES Perm Nu-ner — —F_�';r.s-: Form Approved 03105 I 9
110007662779 NCS000133 Jowat Corp. OMB No 204"W4
SECTION • I
6.1 ` Existing Environmental Permits(check all that apply and print or type the correWnding permit numberfor each)
❑✓ NPDES(discharges to surface Q RCRA(hazardous wastes) ❑ UIC(underground injection of
f oa
water) fluids)
m d 0 PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
c
x [Eff�Oraean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑Other(specify)
i UJI
7.1 Have you attached a topographic map containing all required information to this applicaticn?{See instructions for
specific requirements.)
❑ Yes ❑ No ❑CAFQ—Not Applicable(See requirements in Form 28.)
SECTIONOF 1
8A Describe the nature of your business.
1 Adhesive manufacturing.we have above ground storage tanks for raw materials.These raw materials are conveyed
in a closed piping sytem to our commerical mixers,the material Is heated to form a liquid.Once the mixing process is
N
m
completed the product is then transfered over to a storage tank by a closed piping system.The product is then
y cooled and pelietized,once pelletized the product will go as a finished product into a bulk bag or a bin at which time
the finsihed product will be packaged for shipment.
0
is
SECTIONs• 1
I9.1 Does your facility use cooling water?
0 Yes ❑ No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
a, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
cY NPDES permitting authority to determine what specific information needs to be submitted and when.)
On site chillers using public water system
rJ
SECTION
1 VARIANCE REQUESTS1 I
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
40
Cr ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Secbon
m Section 301(n)) 302(b)(2))
= ❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑r Not applicable
EPA Form 3510-1(revised 3•19l Page 3

EFA12e d: ^r� — — .�uES _ t.altj FoTnApomved03�r1519
110007652779 N�rSOOOI33 „owarCnfn OMS Nc.2040-OW4
SECTIONi i
11.1 In Column 1 below,mark the sections of Form 1 that you have comp#eted and are submitting with your application.
For each section.specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 IColumn 2
0 Section 1:Activities Requiring an NPOES Permit ❑ wi attachments
❑✓ section 2:Name,Mailing Address,and Location ; ❑ w/attachments
Section 3:SIC Codes ❑ wl attachments
0 Section 4, Operator Information ❑ w/attachments
I
I f
Section 5:Indian Land ❑ wl attachments
❑ Section 6:Existing Environmental Permits ❑ wl attachments
d
w
Q Section 7:Map !topographic❑ Elma wl additional attachments
o [�] Section 8:Nature of Business ❑ wl attachments
R
❑ Section 9:Cooling Water Intake Structures I ❑ wl attachments
0 Section io:Variance Requests ❑ wl attachments
1y, ❑ Section 11:Checklist and Certification Statement ❑ w1 attachments
Y
43 11.2 Certification Statement
c�
I cerffy under penalty of law that this document and aU attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel property 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 fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title _
Martin Lamberg VP of Manufacturing
---� 5tgnature bate signed
5-12-2022
EPA Form 3510.1 lrevsed 3-19) Page 4

J
J'
I 1
� h
r
Storinwatir
T,ikutary of
Uwl�arrie Rive
of :„
Outfall
------------
Note: Property boundary definition obtained from the Randolph County,NC website at http://gis.randolphcountync.gov/randolphjs/
Property Boundary DATE'
December 2020
» � A E R 15 --- - -- -
» Jowat Corporation pppSCA`1::
•s 150
E N V I In 0 N M E N T A 1 6058 Lois Lane
DRAWING
Archdale, North Carolina ure No.

5,000-gailon
Y wastewater tan
Misc Drum
Storage
" Adj-, �.
a
f
ao0-gaifo
:; 5,000-gallon
wastewater tan
t t c
V
4
Map Source: https:/fmapfilni,35upport.com/132/gissurfer.php(2020)
•',@•. : p E R I m
SPCC Side Plan Deceber 2020
. M
r` . ENVIRONMENTAt SCALE:
1 in. =200 ft
consulting.Engineered for Results. JQwat Corporation (approx)
1440 Blueberry Lane
Charlotte,NC29226 Archdale, North Carolina DRAINING NO.
www.aensenviro.com Figure 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
110007662779 NeWIJ133 Jowat Corp. OMB No.2040-0004
Form U.S Environmental Protection Agency
2F :.EPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATIONi
1.1 Provide information on each of the facili s outfalls in the table below
Outfall Receiving WaterName `� Latitude' Longitude
Number
1 Tributary of Uwharrie River 35° 9013 28' 5 a 80° 0111' 80"
a -
2 Tributary of Uwharrie River 35° 9021' 46" 5 80° 0111' 36"
J 3 Uwharrie River
35' 9040' 67" 80° 0077 95"
°
SECTION
'O .i
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes 0 No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
` a Finaf�Co�pliance Dattis
Bnef ldentiftcaaon and Affected Outttalts Scurce(s)of Dischae
Descxjpfon cf Project (list cuttalCnumbers)
m
a=
m
rL
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Farm 3510.2F(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
110007662779 NC000133 Jowat Corp. OMB No.2040-0004
0 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
:R specific guidance.)
-o ® Yes ❑ No
SECTIONPOLLUTANT SOURCESI CFR 122.26(c)(1)(i)(13))
4.1 Provide information on the facility's pollutant sources in the table below.
Outfall Impervious Surface Area Total Surface Area Drained
Number (within a mile radius of the facirdy) - (within a tulle,radius of the facility)
specify units specify units
1 0.8 acres 80% 1.0 acres
specify units specify units
2 2.0 acres 60% 3.4 acres
specify units specify units
3 6.4 acres 35% 18 acres
specify units specify units
specify units specify units
specify units specify units
4.2 Provide a narrative description of the facility's significant material in the space below.(See instructions for content
requirements.)
Significant material exposure is limited do to our manufacturing processes including storage of raw materials,waste
materials and finished products are performed indoors.Our two waste water tanks contains adequate secondary
containment.The waste water tanks are emptied by pumping to a tanker truck.Jowat uses BMPs to control and
remove pollutants.Jowat does not use pesticides,herbicides etc.Jowat does not have any floor drains in the
manufacturing and storage areas inside the facility.
0
o.
4.3 Provide the location and a description of existing structural and non-structural control measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwate.Treafinertt
Cod
es
outfau
m
Control Measures and Treabtter>t Exhibit
Number
1 spill prevention plan,monthly inspections,water analysis bi yearly,preventive maintenance
2 spill prevention plan,monthly inspections,water analysis bi-yearly,preventive maintenance
3 spill prevention plan,monthly inspections,water analysis bi yearly,preventive maintenance,
retention pond
EPA Form 3510-2F(Revised 3-19) Page 2

EPA Wentersgdon Number NPDES Permit NuTb— Faof:ty Name Form Apttmved 03105+19
1 1000766 2 77 9 NC000133 Jowat Corp. OUBMo.2040-0004
SECTION 5.NON STORMWATER • I CFR 122.26(c)(1)(i)(C))
5.1 l certify under penalty of law that the outfalf(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, 1 certify that the outfells identified as having non•stormwater
discharges are described in either an accompanying NPOE5 Form 2C.2D,or 2E application.
Name(print or type first and last name) Official title
Martin Lamberg VP of Manufacturing
Signature Date signed
5-13-2022
v, I
of 5.2 j Provide the testing information requested in the table below.
4utfall Onsite Drainage Points 1
0 Number Description of Testing Method Used Date(s)of Testing Directly Observed
- _. -- during Test
R
1 collected by an outside contractor 03/09/2022
in
c2 collected by an outside contractor 03/09/2022
j 3 collected by an outside contractor I 03/09/2022 i yes
` I
I
SECTIONOR I CFR 122.26(c)(I)(i)(D)�
6.1 1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
We have not had any leaks or spills,all storm water drainage is strictly rain fall
ca
Q I 40
a
ro
m
m 1
n
ca
SECTIONDISCHARGE INFORMATIONI
See the instructions to determine the pollutants and parameters you are required to monitor and,in turn,the tables you must
a cam lete.Not all applicants need to complete each table.
7.1 Is this a new source or new discharge?
o ❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
estimated data. actual data. -
a' Tables A,9,C,and D
N 7.2 Have you completed Table A for each outfall? T
a Yes ❑ No
i
EPA Fort 3510-2F i#tewsed 3-19i Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119
110007662779 NC000133 Jowat Corp. OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes ❑ No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F-2 are present in the discharge?
❑ Yes [21 No 4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. ❑✓ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes ❑✓ No 4 SKIP to Item 7.10.
m; 7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
Table C?
c ❑ Yes ❑ No
c�
7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
❑ Yes 0 No 4 SKIP to Item 7.12.
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
as concentrations of 10 ppb or greater?
�o
_ ❑ Yes ❑ No
ca ,
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methy]4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes ❑✓ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes ❑✓ No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F-4 are present in the discharge?
❑ Yes ❑ No 4 SKIP to Item 7.17,
7.16 Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
© Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Farm Approved 03f05119
110007662779 NC000133 Jowat Corp. OMB No.2040-0004
Used or Martufacturad 70 CS.
s .
7.18 Is any pollutant listed on Exhibits 2F-2 through 2F-a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
❑ Yes ❑ No 4 SKIP to Section 8.
7.19 List the pollutants below,including TCDD if applicable.
1. 4. 7.
m
LM' 2. 5. 8.
s;
3. 6. 9.
SECTION 8. BIOLOGICAL TOXICITY TESTING DATA(40 CFR 122.21(g)(11))
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your discharge within the last three years?
. .o
e ❑ Yes ❑✓ No+SKIP to Section 9.
8.2 Identify the tests and their purposes below.
S�ubmtttd NPD,ES
Tests) Puretatitjs� Date Submtr�ed
Authod .
❑ Yes ❑ No
o'
❑ Yes ❑ No
A -.
❑ Yes ❑ No
SECTION • •- • 40
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
❑✓ Yes ❑ No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
t-aboratory Nuii<ber l L ab4ratcry Number 2 ; Laboratory Number_3.
Name of laboratory/firm Pace Analytical
0 ::
Laboratory address
p):... 1377 South Park Drive
Kernersville,NC 27284
c
4
c�
- Phone number
- (704}977-0981
Pollutant(s)analyzed Suspended Solids,PH
EPA Form 3510-2F(Revised 3-19) Page 6

EPA ldentncca`en Numoer NPDES Perm! Faahty Name I Form Approved 03,05119
110007662779 NC000133 Jowat Corp. OMB No.2040-M
SECTION 10.CHECKLIST 1 CERTIFICATION STATEMENT(40 and
10.1 In Column 1 below,marts the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all a plicants are required to complete all sections or provide attachments.
Column 1 Column 2
Section i w/attachments(e.g.,responses for additional outfalls)
i Section 2 ❑ wt attachments
j ❑ Section 3 0 wl site drainage map
❑r Section 4 ❑ w/attachments
I Section 5 ❑ wi attachments
❑ Section 6 ❑ wi attachments -----
E ❑ Section 7 0 Table A ❑ wl small business exemption request
W
in
c ❑ Table B ❑ wl analytical results as an attachment
❑ Table C ❑ Table❑
V
❑ wfattachments
Section 8 ❑
C
m i ❑ Section 9 ❑ wiattachments(e.g.,responses for additional Contact laboratories or firms)
Y
t f Section 10 ❑
U
10.2 I Certification Statement
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 property 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
i complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Martin Lamberg VP of Manufacturing
1 Sipature fate S�red
5-13-2022
EPA Form 3510.2F(Revised 3-19, Page 6

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NC000133 Jowat Corp. 1 OMB No.2040-0004
TABLEA. CONVENTIONAL AND •N CONVENTIONAL PARAMETERS(40 CFR 122.26(c)(1)(i)(E)(3))1
You must provide the results of at least one ana is for every pollutant in this table.Complete one table for each outfall.See instructions for additional details and requirements,
' Maximum Daily Discharge°r Average.Daily Discharge Source of
tE r (sp.�uRlts) Jt o (specify itntt5}
Nuniber,of Storm Information
li I�utartt or Para star rab Sample Taken; " ` Grab Sample:Taken
31 F.16W.-Mightsd Events Sampled , (hewsourcelnew
pu�ng 1First CdnipiRaite Dudng:First �:4mPosite, disdaYgers only.use
30�Minutes 30 Minutes `:.i s'j,,,,. codes In lnstntctions}
1, Oil and grease
2. Biochemical oxygen demand(BODs) NSA
3. Chemical oxygen demand(COD) NSA
4-' Total suspended solids(TSS) 32.8 mg/L 1
5; Total phosphorus NSA
$; Total Kjeldahl nitrogen(TKN) NSA
Total nitrogen(as N) NSA
N/A
pH(minimum)
pH(maximum) 8.08 1
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7

EPA identification Number NPOES Permit Number Facility Name Outfall Number Form Approved 03l05119
110007662779 NC000133 lowat Corp. 2 OMB No.2040-0004
TABLE A.
• • 1 NON CONVENTIONALPARAMETERS 40
You must provide the results of at least one anal sis for every pollutant in this table.Complets one table for each outfall.See instructions for additional details and requirements.
Maximum Dal;ly:Discharge'. Average Doily;Discharge p Source of
L,�g ,` (speedy units} (specify ulllts) If�um1181'of StOlfi ' Iin formation
i�olluta'nt or;10`- M" tet GFab Sarn'pie Taken='', Grab Sample Taken new saurcelnew
€ , rr Flow*Wdightid Flow Weighted Events:$ampled
During First aQ During Flrst chargers only;use
30 Mfriutes 1fdpeaite 3011Rfttutes Cotnposfte codes in instructions)
Oil and grease 0 1
Biochemical oxygen demand(BOD5)
N/A
I.,' Chemical oxygen demand(COD) N/A
Total suspended solids TSS 14.6 mg/I 1
p ( )
6;?� Total phosphorus N/A
Total Kjeldahl nitrogen(TKN) N/A
Total nitrogen(as N) N/A
pH(minimum) N/A
�? pH(maximum) 7.96 1
I Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 7

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 N0000133 Jowat Corp. 3 OMB No.2040-0OD4
TABLE A.CONVENTIONAL AND NON CONVENTIONAL PARAMETERS(40 CFR 122.26(c)(1)(i)(E)(3))`
You must provide the results of at least one anall sis for every potllutant in this table.Com fete one table for each outfa11.See instructions for additional details and requirements.
Maxrtnum'Dai, Discha e ly rg Average Dairy Discharge Source of
(specify units)., {spe«ty unds) Information
Pallltfnt or Pgramet�r Grab Sampte Taken Grab Sarnple Tafcen. . . NUmber of Storm (new sourcelnew
ElbilwWet�hted Flow:Weighted iEvents'Sah[pled
Dt�ditg First D..udrrg First dischargers only,use
30 Minutes,
Cts ComP oslte
30 Minutes.. codes irtinstrticttons)
� .
„17' Oil and grease o i
2` Biochemical oxygen demand(BOD5) N/A
Chemical oxygen demand(COD) N/A
4 +: Total suspended solids(TSS) 22.9 mg/L 1
5 Total phosphorus N/A
6.` Total Kjeldahl nitrogen(TKN) N/A
"7. Total nitrogen(as N) N/A
pH(minimum) N/A
>;[ ; 7.74
pH(maximum)
1
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3.19) Page 7

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
110007662779 NC000133 Jowat Corp. OMB No.2040-0004
TABLE + • • 1 NON CONVENTIONAL •• +I 1
List each pollutant that is limited in an effluent limitation guideline(ELG)that the facility is subject to or any pollutant listed in the facility's NPDES permit for its process wastewater(if the
facility is operating under an existing NPDES permit).Complete one table for each outfall.See the instructions for additional details and requirements.
Mikimuni]Daity Discharge Ave606 Gaily Discharge gam of
ni
vnrt$ 7N s watts
Number of Storm ft�fbrntai(ion
'po[[tttttnt and CAS Number(if availabi+a) Gtb Sample Taken : l;h ttb Sampla.;;aikian (neet ourcelnew
Flow-Weighted Events'.Sampled
,t. i boring'First g �d K Quring Flr st: dCfiarger3 otdy use
3b'lNiifiutes . +'bnlpO6itA " 30 Nflt�tites Composite' oodes'in inghitdtons)
'Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03105119
110007662779 NCOOO133 Jowat Corp. OMB No.2040-0004
TABLE • POLLUTANTS, '1•US SUBSTANCES, • I ASBESTOS(40 1
List each pollutant shown in Exhibits 2F-2,217-3,and 21F4 that you know or have reason to believe is present.Complete one table for each outfall.See the instructions for additional
details and requirements.
Maidmum'°Daily 1Qischatge Average Daily Disdl)aiSe Source of
units:` units Nuer of Storm 1*Mbition
Number
Polldtant and:DI1S Number(144Wtabte) Grab Samp[e Taken , Grab Samp[®Taken (ne+ry scumbew
Durtng First !
Flaw4111eighted tJurtng Firs! EtawAfetghted Events Sampled disdiargers only;
Composite Compostt•
*Minutes 3O Minutiae codes In fnstructiens)
Sampling shall be conducted according to sufficiently sensitive test procedures(i.e.,methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03105/19
110007662779 NC000133 Jowat Corp. 1 OMB No.2040-0004
TABLE D.STORM EVENT INFORMATIONI
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall during Maximum Flow Rate
Duration of Storm Event In inches) Beginning of Storm Measured and Total Flow from Rain Event
Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain (in gpm or specify units)During Rain Event (in gallons or specify units)
Event
03/09/2022
5hrs. 1.8 N/A N/A N/A
Provide a description of the method of flow measurement or estimate.
Our collection is performed by an outside contractor,flow rate,total flow rate is undetermined by their report.
EPA Form 3510-21'(Revised 3-19) Page'3

EPA Identification Number NPDES Permit Number Facility name Outfall Number Form Approved 03105119
110007662779 NC000133 Jowat Corp. 2 OMB No.2040-0004
TABLE
D.STORM EVENT INFORMATIONf
Provide data for the storm event(s)that resulted in the maximum daily discharges for the flow-weighted composite sample.
TotaF RaiMaU Au
Number of liour <Betwen
Maximum Flow late Total;Flow from Rain Event
Duration ofStortn Event Ong Etegt"nntng of 5tomtEessuned and
Date 71,
During Raln lvent Ed Of Previl�uea$urable Rain mor un (in gallons or specifyunits)
M ep t
03/09/2022
6hrs. 1.8 N/A N/A N/A
Provide a description of the method of flow measurement or estimate.
Our collection is performed by an outside contractor,flow rate,total flow rate is undetermined by their report.
EPA Form 3510-2F(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility name Outfell Number Form Approved 03105M 9
110007662779 NC000133 Jowat Corp. 3 OMB No.2040-0004
STORMTABLE D. ■' t GFR 122.26(c)(1)(i)(E)(6))
Provide data for the storm events)that resulted in the maximum daily discharges for the flow-weighted composite sample.
Number of Hours Between
Total Rainfall During Number
Flow Rate
Duration of Storm Event Beginning of Storm Measured and Total Flow from Rain Event
Date of Storm Event (in hours) Storm Event End of Previous Measurable Rain During Rain Event (in gallons or specify units)
(in inches) Event (in gpm or specify units)
03/09/2022
6hrs. 1.8 N/A N/A N/A
Provide a description of the method of flow measurement or estimate.
Our collection is performed by an outside contractor,flow rate,total flow rate is undetermined by their report.
EPA Form 3510-21'(Revised 3-19) Page 13

�9
&Vvharrje River
Pond
{
Ile
. ! r
_ f
-I—TFibjutary of
L
J ,
U1 i .t + :(
011136
03 i
35.90406 .0 0r
.
Note. Property boundary definition obtained from the Randolph County. NC wehsite at hilp//gis.randolphcountync.gov/randolphjs/
Property Boundary DATE:
• r 's December 2020
A
.0 rsERIS lowat Corporation SCA
LE:
150
r!' • FNVIRDNMENIAI t;D58 Lois Lane
DRAWING NO.
Archdale, North Carolina Figure 2

rr ri
r _ -
-rw 5,000-gallon
wastewater tan
Misc Drum
Storage -'
s
- .:TF 5,�ssetli
IV
5,000-gallon
' # ► wastewater tan
! g i
N
Ak
AM
r
M.
Map Source: tittps://mappingsupport.com/p2/pls5urter.php(2020)
��e • SPCC Site Play December DATE:zo2o
,•, . AERIS _ _
• ENVIRONMENTAL SCALE:
1 in = 200 ft
Consulting.Engineered for Results. lowat Corporation {approx)
1440 Blueberry Lane
Charlotte,NC 28226 Archdale, North Carolina DRAWING NO.
www.aernsenvuoxom Figure 3

Permit pocatio AIPDES Permit Number
National Poictp
Plu aunt UsOcharge EiOn„Fc�rrrn
R&ENR snation System
5tormwater Individual Permit
A CS 000133
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.
Ownor Information Address to which permit correspondence rill be mailed
Owner I!Organization dame: Jowat Corp.
Owner Contact: Martin Lam Be"rg
Mailing Address: 6058 Lois Lane Archdale, NC 27263
Phone Number: 336-434-9080 Fax Number:
E-mail address: mlamberg!alowat.com.. .
Facility Information
Facility Name: JowaL Corp.
Facility Physical Address: 6058 Lois Lane Archdale, NC 27263 RECEIVED
Faality Contact: Martin Lam erg --
Mailing Address: 6058 Lois Lane Archdale NC 27263
Phone Number: 336-434-9080 Fax Number: ------ - --
E-mail address DEMLR-Stormwator Pmgmm
Permit Information
Permit Contact: Martin Lamberg,/Kathy Smith
Mailing Address: 6058 Lois Lane Archdale NC 27263
Phone dumber: RQ_336-433-9069 ------ - - -
Fax Number:
E-mail address: �amrg c�lowat.cc�m �csmitTi o lawa .com
Discharge Information
Recemng Stream: Uwharrie River
Stream Class: _
Basin: Yadkin-Pee Dee River
Sub-Basin: �-
Number of Ocrtfalls 3
Facitity�c>tiv4y Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
No Changes
CERTIFICATION --
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information is true, complete and accurate.
Signatures 2� Date 05-03-2022
Martin Lamberg VP of Manufacturing
Print or type name of person signing above Title
SW Individual Permit Coverage Renewal
Please return this completed application form
5tormwater Permitting Program
and requested supplemental information to: 1612 Mail Service Center
Raleigh, North Carolina 2 7699-16 1 2

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
l%vo copies ofeach of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Storm%%ater Pollution Prevention Plan)
Initials
ML 1 ,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.
ML
3. A summan of Analytical Monitoring results during the tern of the existing permit
(ifyour 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.
ML ; A summan 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.
ML 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 ofany BMP's is planned. please include
information on these BMP's.
ML ; A short narrative describing any significant chan;_es 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 ra%k materials used by the facility.
ML 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 k%ithhold renewal submittal
waitino on lab results)

e^
R
.•. :. to"-(���.�R
02 I f
ou
J � r
.. r 446
Uhotary of
Ifa/ r.I
M r r
s r
r r• :r r�
Ir
Note: Property boundary definition obtained from the Randolph County,NC website at http://gis.randolphcountync.gov/randolphjs/
Property Boundary - _- DATE:
. • �* December 2020
.� • i : A E R I S Jowat Corporation SCALE:
• Approx. 1 150
' use FNVIRONMENIAI 6q $ Lois lane
•. DRAWING NO. �
Archdale, North Carolina Figure 2

+ �4' � .
�• wastewater an
y :
Fu!'tSC DIU1tt
s atorage
s
" f HTF 5•,s-to; n
o -
s -
5 D04-hai&an
.'rya
DATE-
- 00: .. AERIS SPCC Site Plan
• �. . SCALE.
EnR,nee,ec Tot Re5L't3 ,o at Corporation
Archdaie, North Carolina DRAWING NO.
l�, ..

STOR;1WATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS000133 SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 30 days from
the date the facility receives the sampling results from the laborn(ory.)
FACILITY NAME: Jowat Corp. COUNTY Randolph
PERSON COLLECTING SAMPLE(S) Pace Analytical PHONE NO.(336 )434-9080
CERTIFIED LABORATORY(S) #37738 Lab 4
I.alt#
SIGNATURE OF PERM117FE OR DESIGNEE
REQUIRED ON PAGE.2.
Part A:Specific Monitoring Requirements
Outfall Date 50050
No. Sample Total Total SS PH
Collected Flow if a Rainfall
mo/dd/ r MG inches
1 06/22/2021 .5 18.4 7.83
2 06/22/2021 .5 1156 7.83
3 06/22/2021 .5 919 7.83
1 12101/2021 0 0 0 no significant
2 12/01/2021 0 0 0 rain fall to
3 12101/2021 0 0 0 record
1 03/09/2022 1 1.8 1 32.8 1 8.08
2 03/09/2022 1 1 1.8 1 14.6 7.96
3 03109/2022 1 1 1.8 1 22.9 7.74
Dees this facility perform Vehicle Maintenance Activities using more than 55 gallons of nc►v motirr oil per month?Dyes ono
(ifyes.complete fart B)
Part B:Vehicle Maintenance Activity MonitoringRe uirentents
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (if appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
appl.
mo/dd/ r MG inches me m unit al/mo
Forst SWI-247,Iasi revised 6 12 1115
Page I of

0101 1A EN f( 11 VtAC LRIS ITS: Hail Original anti line ropy to:
I)isicinn of Limp Mineral and I.anei R'.",tv
(late Otir22�21 :1t(n (cnti:d I•ile,
I atal Event Precipitation(inciloq! 0.5 161'?? 1,0 Ccrcice( rnti•r
livent Duradml Ihouro, 4hrs tonlh tl applicahle tier pernut•) RaIrIL'h.Nnrlh l'coohoa
id rtt•)rc il:am n: .un'm c�col u.ts�.utgilcd I
Date 03109122
fotal fvcnt Prccipitatimt(inchr�): 1.A
I'Acut Duration(Iloursi: B hrs pooh I applicablc scr penult.)
"I eerlify,undet•penalty of law.that this docunu4ll and all n(tachmeut%were prepared under my direction or supervision in necordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based list my inquir% of the person
or lx rsom who manage the%vstem.or those persons directh responsible for galliering the information.the information%uhmittcd is.to the
I►e%t of my knowledge and telief,true-accurate.and complete. 1 ant aware that(here are significant penalties for submitting false information.
including the possibility of fine•%anti inlprieonment for knowing violation%."
�0 05-03-2022
(Signature of Permillcel ;Date)
I
E
i
I
1,,rm SWI -2:17.Iwo

JOWAT CORPORATION—ARCHDALE,NORTH CAROLINA
Log Sheet for Semi-Annual Storrinwater Inspections
Date/limeof Person(s) I Weather h4ainterianci, l Maintenance
Inspection Conducting Stormwater Systems Inspected Conditions Results/Comments Required? complete?
Inspection
L-
3..P7.3-j-?J E5 M-11._1 (Y I.�.Lsl )Z. ...........
IF
�A f
Z1 .?.I
f
JQ f 6-
lov-lt fier."wrl"I will I the li:11owirigarl-.1%In 1 Plitt or prevent Wil-i the on-.1tv %Vst—ns and will 1n,4)('(.!
10 el,%(Jw that "Y%tellIs are mewita rwd sna i ondit ion to nitnimuro,mii rtwawi 111"pettloll,will of tilt till"I.Lijil tilt!Vle IIT-At halt of the v(i,vr jjIioi-i.,fv I
(lilt ill! -'etolle hill of fill,vein(lily I)1-t vritill-ri.with at lvask(it)(My"sepaixtill"IN,i;v.w-ttion clatio, m fl livo forvfi ruou, oquer-Ity 91,1111 JtIrllJ, V),
I I hi!storm dr.-m ouff,i kil the I'lolil v w III III., -rted".)I lilt,-ji'll vatld!11!11-.of q'i mon
? Uthiq citinLI:he ppfilyl ter of the property will bc (ted for%Igf1%.vf 4!10,0041 wel,
i itu�k slar.q;e Idol-,'.tot oils.hllultl malt'rt,1a..1rC 4u•1•. Il!hnl;grad unloadulY ptunp•.,`;alvl•>,ldplltr•!!.urge,,,ctr,unal;c drvl:e••..et< when•i:tdun•r uuhl 6•ad h-• ,pdk c+r IeaFs
4 thu I).ltdoof k 11.14-r"Ind l'of-fol oweh vj III be,lnStAtRed to pr,ve ll 1(-A st);;I%III ont rnpdcUtig ter It 1wal.-I?if 101
,J im.010A goods will b.:-,toted the-I'll.Ifi:V Y)I"Alo.)(Ifuliv, 14jil of—t1j)(V I will t.:--,Im.,I I I I(it 1,11-it h:;I(I,r I!
anrf not tv 'I
ri M,rH•r.ai Hanclhntl tgloprueni 1 ort.htt+.pallet talk:.ant(a?t•rl ntab•na!h,uldhnl•e'qurpnvrt vR•ete failure•lould ,-ad tci sp114:cu teat.,that iould,..,rr,url unu•.itu)n at
Roof t-itlijuA, f j" hoff. jiltirt, le,iil J(., of .Uriat I.wi.v`r Via f.)ljf dra-r,,
p pmj,_ir-d i,qui , w,t w
the pt?itntetei aiourid tilt, m.nndettunrgl building will be iiii,pl.-ted .(.i OvIt-it any old"of ilidool equipille'll AlIpproji• jf1kil
upl•r,thcns.and other jxw'1111,11 failurin
[liev,wip-,tior-,and any activities n000rined r. I iv%ult of the in•,pectqvr!wil!ho off.tirliolit.-Cl tositill 1111s bg olefet aric tria-i-itaint-ld n Appomdiw I)of tiik•
SM11111 Al!-.Xoids jrk-to Ill-11liflPtilifled 101 It It-.I%t live f'.,)VP,:l.l I

JOWAT CORPORATION—ARMALE,NORTH CAROLINA
Log Sheet for Semi-Annual Stormwater Inspections
Date/Time of Person(s) Weather Maintenance Maintenance
Inspection Conducting Stormwater Systems Inspected Conditions Results/Comments Required? Complete?
Inspection
f (ts L-3 �PQ2AF
�� a t-3 t! 2 tea iz _— -- 0 - --
Jowat personnel will semi-annually inspect the following areas to limit or prevent erosion associated with the on site stormwater systems and will inspect outdoor equipment,piping,etc.
to ensure that these systems are maintained in a condition to minimize stormwater pollution. Inspections will occur once during the first half of the year(January -June)and once during
the second half of the year(July-December),with at least 60 days separating the inspection dates(unless performed more frequently than semi-annually):
I. the storm drains and uutfall at the facility will be inspected for integrity and signs of erosion.
2. Other drainage areas around the perimeter of the property will be inspected for signs of erosion associated with stormwater discharge.
3. Bulk storage tanks for oils,liquid materials,and fuels: Filling and unloading pumps,valves,piping,flanges,drainage devices.etc,where failure could lead to spills or leaks
that could cause contamination of surface water.
4 1 he outdoor chillers and transformers will be inspected to prevent leaks and/or spills from impacting stormwater runoff.
S. Receiving and shipping ducks: Finished goods will be stored inside the facility. Miscellaneous 55 gallon drums(full or ernpty)will be stored in designated holding areas.
and not on or near any dock areas.
6. Material Handling Equipment: Forklifts,pallet jacks,and other material handling equipment where failure could lead to spills or leaks that could cause contamination of
surface water.
7 Roof exhausts:Fans,exhaust piping,and equipment where failure could lead to contamination of surface water via roof drains.
8. The perimeter around the manufacturing building will be inspected to detect any leaks and/or spills associated with indoor equipment,shipping and receiving operations,
and other potential equipment failures
These inspections and any subsequent maintenance activities performed as d result of the inspection will be ducumented using this log sheet and maintained in Appendix D of the SWPPP
All records are to be maintained for at least five(5)years.

Jowate
Best Management Practices at Jowat Corp. consist of several
plans.
All water waste is disposed of thru an outside contractor and taken
offsite.
We have in place an Oil Contingency Plan that is monitored thru
our monthly documented inspections.
Preventive Maintenance is a regular inspection consisting of
testing of our equipment and operational systems.
Good Housekeeping is maintained and documented on a daily
schedule.
SPCC inspections are conducted monthly and documented.
Storm water outfalls are inspected monthly and documented.
Material Storage Practices are maintained thru our SAP system.
Spill clean-up kits located thru out our facility.
At present we have had no significant changes in our day to day
operations.

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources-Storm water Permitting
Facility Name: JowatCow.
Permit Number: NCS000133
Location Address: 6058 Lois Lane Archdale,NC 2 2263
County: Randolph
"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."
And
"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.
Sgnature ��'�1�L6i Date 05-03-2022
Maxim 1 asnherg VP of Manufacturing
Print or type name of person signing above Title
SPPP Certification 10f13

Annual SWPPP Update
The following aspects of this SWPPP will be reviewed and updated on an annual basis as required by
Condition II.A.8 of the current stormwater Permit(NCS000133 dated August 1,2017):
1. The list of significant spills or leaks of pollutants for the past three years of Section 4.5 should be
updated,or a notation made that no spills have occurred.
Yes Z No Spills in past 12 months?
0 Yes -7:1 No If yes,has Section 4.5 been updated?
2. The stormwater outfalls have been evaluated for the presence of non-stormwater discharges as
described in Section 2.3;and the non-stormwater discharge of certification of Appendix B has been
re-signed and dated(required annually)?
E Yes n No
3. The technical and economic feasibility of changing the methods of operation and/or storage
practices to eliminate or reduce exposure of materials and processes to rainfall and run-on flows
has been evaluated?
Z Yes ❑ No
4. The effectiveness of the Best Management Practices described in Section 3.1 has been evaluated.
® Yes �! No
5. Annual employee training as described in Section 8.0 has been completed, with employee
signatures used to document receipt of training?
Yes n No
Name' Martin tamberg Signature:
Date: 05-03-2022

Permit Coverage
� A L, Renewal Application Form NPDES Permit Number
NCDENR National Pollutant Discharge Elimination System NCS 000133
Stormwater Individual Permit
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: Jowat Corp.
Owner Contact: Martin Lamberg
Mailing Address: 6058 Lois Lane Archdale,NC 27263
Phone Number: 336-434-9080 _
Fax Number:
E-mail address: mlamberg(o)iowat.com —
Facility Information
Facility Name: Jowat Corp.
Facility Physical Address: 6058 Lois Lane Archdale,NC 27263
Facility Contact: Martin Lamberg
Mailing Address: 6058 Lois Lane Archdale NC 27263
Phone Number: 336-434-9080
Fax Number:
E-mail address:
Permit Information
Permit Contact: _Martin Lamberg/Kathy Smith — _—
Mailing Address: 6058 Lois Lane Archdale NC 27263
Phone Number: 336-434-9n80 336-434-9069
Fax Number:
E-mail address: [e-mail] ksmith lowa .com
Discharge Information
Receiving Stream: Uwharrie River
Stream Gass:
Basin: Yadkin-Pee Dee River
Sub-Basin:
Number of Outfalls: 3
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 Changes
CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the-best.of my knowledge and belief
such information is true, complete and accurate.
Signature . wku" - Date 05-03-2022
Martin Lamberg VP of Manufacturing
------..-__--._-----
Print or type name of person signing above Title
SW Individual Permit Coverage Renewal
Please return this completed application farm
and requested supplemental information to: 1612Stor Mail l S Permitting Program
612 M Service Center
Raleigh, North Carolina 27699-1612

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies ofeach ofthe tbilowing shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
ML I. A current Site Map tom 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 he clearly noted.
ML
?. A su►nmar. 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.
ML ; A summar\ 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.
ML 4. A summary of the Best Management Practices utilized at the permitted facility.
Summar,. should consist of short narrative description of each BMP's in place at
the facility. Ifthe implementation of'any BMP's is planned, please include
information on these BMP's.
ML 5. A short narrative describing am 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 ra\% materials used by the facility.
ML 6. Certification ofthe development and implementation of Stormwater Pollution
Prevention Plan for the permitted facility (Sign and return attached for►n).
If the final year analytical monitoring of the existing permit tern has not been completed
prior to tiling the renewal submittal, then the last years monitoring results should be submitted
within +0 days of receipt of the laboratory reports. (i.e,do not withhold renewal submittal
\%siting on lab results)

4�
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Wkutary of
at
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Note: Property boundary definition obtained from the Randolph County.NC website at http://gis.randolphcountyiw pov/randolphjs/
Property Boundary DATE:
• • •� December 2020
• AERIS
• , . lowat Corporation �
p ENVIRONMLNIAI 6058 Lois Lane _ Approz, 1: 150
•• Archdale, North Carolina DRAWING NO.
Figure 2

4.
wastewater tarl
- -t
s A T �F
liolk
fiTFsv-Ai m
1 ems- `` • �-
5 SPCC Site Plan DATE:AERI
,
. ..........................
« . SCALE.
,<�:.rK ��g:.ee• +a,r �c5 Jowat Corporation �� [r
Archdale, North Carolina DRAWING No.
j,t.

S"FORMWATER DISCHARGE OUTFALL(SDO)
MONITORING REPORT
Permit Number NCS 000133 SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report shall be received by the Division no later than 311 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Jowat Corp. COUNTY Randolph
PERSON COLLECTING SAMPLE(S) Pace Analytical I'IIONE NO.(336 )434-9080
CERTIFIED LABORATORY(S) #37738 Lab#
Lab 14
SIGNATURE OF PERN11T1'EE OR DESIGNEh:
Part A; Specific Monitoring Requirements REQUIRED ONPAGE.2.
Outfall Date 50050
No. Sample Total Total SS PH
Collected Flow if a Rainfall
mo/dd/ r MG inches
1 06/22/2021 .5 18.4 7.83
2 06/22/2021 .5 1156 7.83
3 06/22/2021 .5 919 7.83
1 12/01/2021 0 0 0 no significant
2 12/01/2021 0 0 0 rain fall to
3 12/01/2021 0 0 0 record
1 03/09/2022 1.8 1 32.8 8.08
2 1 03/09/2022 1 1 1.8 14.6 7.96
3 03/09/2022 1.8 22.9 7.74
Does this facility perlbrm Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?0ycs Ono
(ifycs.Complete Part 13)
Part B: Vehicle Maintenance Activity Monitoring, Iiet uirements
Outfall Date 50050 00556 00530 00400
No. Sample Total Flow Total Oil&Grease Non-polar Total pH New Motor
Collected (if applicable) Rainfall (Ef appl.) O&G/TPH Suspended Oil Usage
(Method 1664 Solids
SGT-HEM),if
UPI.
mo/d r MG inches Mgt] m /t unit al/mo
Form SWI -247,lull revived(r /''A/
Paste I of_'

i
I OK�1 I'A EV f( If•li AC*I ERISTICS: Mail Original and one enpy to:
Di%kium ul'I \iinrr:tl and land R;:m a
Date 06i22121 :>tut (cnual 1 ilr+
toter)k:vent Precipitation(inches). 0.5 1617 Mail Scry icc( rm cr
faent Duration(hour.): 4hrs tmnh i1 applieahle Scc permit.) Ralcitth.North(',ir,Ain;i 27699-1617
more than 4111c,burnt e%ent%%.it Sample(l)
Date 03/09/22
-total Event Precipitation(inches): 1.8
h;%enl Duration(hours): 8 hrs luny rl;tpplit�hlc .cc ltrnnit.l
"I certif%.under l)c*nalty of lal�.that this document and all attachments were prepared under my direction or supervision in accordance with a
system des
igned to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquir} of 1he person
or persons who manage The system.or those persons directly responsible for gathering the information,the information suhmitted is,to the
hest of my knowledge and Ileiief,true,accurate.and complete. I am aware that there are significant penalties for suhmitlinU false information.
including the of lines and imprisonment for knowing violations."
�>r 05-03-2022
(Signature of Permitter) Ma(c)
I
1
I,,rm SWI -247.Lr.r

JOWAT CORPORATION—ARCHDALE,NORTH CAROUNA
Log Sheet for Semi-Annual Stormwater Inspections ---
I Date/limeol Person," WeatherMalritemince Maintermixe
Conducting StornmaterSystenisinspecled ; Result s/Comments
Inspection I Conditions Required? Complete?
Inspection
2A YS !i/.......
n-1-1..........
.................. .......................
...........
............
z 1
_ ...>� _1� 3 n�,n �LL___...__.r... e7r,
jow.,I t personnel will-vit-ii,xiiii jimne,I the lollowilig arva%io I and or orevent efw irin;I%),)(ixod%viri the on,, will tmicw(i outdow eqiiji)mv:ti 111;H111t.
ell. to eirl%ure that thW.p s"WIIVSWI'manta 11.1d Uri a cord-tion to miriltviiz,, .tor nwvatei po lulic(i livpettitiiis will 01AIII WM'dW14'#!r the 11W NO of the 0.1ntlary- lure[ "u"wII I,
rit if nil till',eton i h.0f of the year duly 1.with at lea",60(1.,V.:m-pal.ving'111'In"poction dare,,hjnlOa ve-fornwi:mj)w Infemilly)
I I he;loan(11.1;v" l'-d of4tt'l 1.It 911, .)(Il,ly will ben%lif-c"vil!'"intell"ity and (it cro"Irt'.
ottief(tiatnaev-aw.r. ,iounki:it,-jwnmotvi of the f)rcjpi-r!v will be w-.1iccted tot Vjtft,(;t MOM011
Bulk%tolage l,ttlk%for oik.11(jual arc hit-K I iffing afid urikmkjtny pump, dalvv .p-pair" alal.mgl-of-vit e% ell. ivilt-I,-'-ftitin.1(311141 1,md W, .I
lNit(nuk!cauw i olilam,lat nn of sorla,.;,water
the wit(lipol(11111el;"rid Wl1I be Inspc-fled it.,-worve-nl ifs.*,,an(l/(,r .wil%ifollk I'llp,101119 Aw'11W.111'r Itill(It
)tor mving and-.11,piftnt" i 1111"lled good"will bc shared irv,idi.,the facdvV Me.cl-li,mixite,')5 gallon rinim-, lull"I witply)wolf it,- ld it linkfirill IrV...,
.)till wit on Or '111";(1:19A W.W.
Molml.11 Kindlifle,I k1ulpfinwit I esrkhfts,pallet jacio.s. Ind other limleflal handling equipillowt wile'v t'llitire c.Iulll i"d 4);P41,(,it leaks trial I nill(I I.jjj%e I'eilj irittv.1l.of,(.f
'Allf.14j.WXV,
Root eximu%j" I 4ns, 1)piall,and(­lui;)m(­t wfwrs-1,.lut.-could le,w.to ^.wla.v%pmi,r wa ivot
S, the poollmelm Iround till, it 1,11 lulal.tut ing Luildillp will Uw Ifl%pv:teti t(l dele(I any I"Ji., J'.�m 1-il--d wilt' indoor vq ap:l ivni ,liti)png .,,ill I.-,-fling
.1')[]()Tho,tx.ih tit,11 t'j)(plyllel"fjmoc-,
the!w and iny Attra-miew tit iiiiienance activitte% wrlitirritod as I mull of the trispeclinn will be docijmt�nlecl wing this K)ly sheet .Inc l7I&fIt,)p1,qJ in Ajorjen(b.1) )1 the
3WP1IP All are l(I ly rnaeflLuneii fur it 1,.-,I%t fiv(,t!)J V(ijj

JOWAT CORPORATION—ARCHDAW,NORTH CAROUNA
Log Sheet for Semi-Annual Stormwater Inspections
Person(s)Date/Time of Conducting Stormwater Systems Inspected weather Results/Comments Maintenance Maintenance
Inspection Conditions Required? Complete?
Inspection
r(s 1-30 a
2n4kf _
2 s P (-3 bati _ r r no
Jowat personnel will semi-annually inspect the following areas to limit or prevent erosion associated with the on site stormwater systems and will inspect outdoor equipment.,piping,etc.
to ensure that these systems are maintained in a condition to minimize stormwater pollution. Inspections will occur once during the first half of the year(January -June)and once during
the second half of the year(July-Oecember),with at least 60 days separating the inspection dates(unless performed more frequently than semi-annually):
1. The storm drams and outf ill at the facility will be inspected for integrity and signs of erosion.
2. tither drainage areas around the perimeter of the property will be inspected for signs of erosion associated with stormwater discharge.
3. Bulk storage tanks for oils,liquid materials,and fuels: Filling and unloading pumps,valves,piping,flanges,drainage devices,etc where failure could lead to spills or leaks
that could cause contamination of surface water.
4 The outdoor chillers and transformers will be inspected to prevent leaks and/or spills from impacting stormwater runoff.
S. Receiving and shipping docks: Finished goods will be stored inside the facility. Miscellaneous 55 gallon drums(full or empty)will be stored in designated holding areas,
and not on or near any dock areas.
6. Material Handling Equipment: Forklifts,pallet jacks,and other material handling equipment where failure could lead to spills or leaks that could cause contamination of
surface water
7 Roof exhausts:Fans,exhaust piping,and equipment where failure could lead to contamination of surface water via roof drains.
8. The perimeter around the manufacturing building will be inspected to detect any leaks and/or spills associated with indoor equipment,shipping and receiving operations,
and other potential equipment failures.
These inspections and any subsequent maintenance activities performed as d result of the inspection will be documented using this log sheet and maintained m Appendix O of the SWPPI,
Ali records are to be maintained for at least five(5)years.

Jowats
Best Management Practices at Jowat Corp. consist of several
plans.
All water waste is disposed of thru an outside contractor and taken
offsite.
We have in place an Oil Contingency Plan that is monitored thru
our monthly documented inspections.
Preventive Maintenance is a regular inspection consisting of
testing of our equipment and operational systems.
Good Housekeeping is maintained and documented on a daily
schedule.
SPCC inspections are conducted monthly and documented.
Storm water outfalls are inspected monthly and documented.
Material Storage Practices are maintained thru our SAP system_
Spill clean-up kits located thru out our facility.
At present we have had no significant changes in our day to day
operations.

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources-Stormwater Permitting
Facility Name: jowat Corv.
Permit Number: NCS0001133
Location Address: 6038 1 ots Lane Archdale.NC 2-263
County: Randolph
"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 property 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."
And
"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.
5 ghature L.�Cyi2� Date 05-03-2022
Martin Lamhcrg VP of Manufacturing
Print or type name of person signing above Title
SPPP Certification 10/13

Annual SWPPP Update
The following aspects of this SWPPP will be reviewed and updated on an annual basis as required by
Condition II.A.8 of the current stormwater Permit JNC5000133 dated August 1,2017):
1. The list of significant spills or leaks of pollutants for the past three years of Section 4.5 should be
updated,or a notation made that no spills have occurred.
El Yes Z No Spills in past 12 months?
11 Yes No If yes,has Section 4.5 been updated?
2. The stormwater outfalls have been evaluated for the presence of non-stormwater discharges as
described in Section 2.3;and the non-stormwater discharge of certification of Appendix B has been
re-signed and dated(required annually)?
CK Yes ❑ No
3. The technical and economic feasibility of changing the methods of operation and/or storage
practices to eliminate or reduce exposure of materials and processes to rainfall and run-on flows
has been evaluated?
X Yes E; No
4. The effectiveness of the Best Management Practices described in Section 3.1 has been evaluated.
LZ Yes 7 No
S. Annual employee training as described in Section 8.0 has been completed, with employee
signatures used to document receipt of training?
7 Yes O No
Name: Martin Lambere Signature:
Date: 05-03-2022