NCS000133_MONITORING INFO_20170612

-_- STORMWATER-DIVISION-CODING-SHEET ---�
PERMIT NO.
[\j CS 00o
DOC TYPE
❑ FINAL PERMIT
k7 MONITORING INFO
❑ APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ (A
YYYYM M D D

r �m
. ow
Adhesives
Division of Water Quality
Water Quality Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Date: June 5, 2017
Re: Stormwater Permit No. NCS000133
Jowat Corporation
6058 Lois Lane
Archdale, NC 27263
Randolph County
Enclosed are results from our latest stormwater sampling.
Please let me know if you have any questions.
Si norely,
Martin La fferg
Vice President of Manufacturing
Jowat Corporation
P.O. Box 1368
High Point, NC 27261
USA
RECEIVED
CENTRAL FILES
DWR SECTION
�11@ 9!od19D
JUN.t 2 20N
Phone: (800) 322-GLUE (4583)
[phone]
Fax: [phone]
[e-mail]

RESEARCh & ANA[yT1CA1
aaa4stl ue �+���,
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QQ LZORATORIES� INC,
Nci134 =r
Q a Analytical/Process Consultations
%� 0,, 's
June 1, 2017
Jowat Corporation
PO Box 1368
High Point, North Carolina 27261
Attention: Mary Peeler
Chemical Analysis for Stormw•ater Sampling identified as Jowat Corporation - Outfalls 001 - 004
1.
Project Number: N/A
NPDES #NCG080000
Parameter
Quantitatinn
Limit
(me/Ll
Outfall
(lot
Ime/L}
f)utfall
002
(me/ll
Tolal Suspended Solids ('TSS)
5.00
116
38.1
pH (SU)
N/A
7.i4
6.80
Outfall
004
21.6
8,09
Sample slumber 35124-01 1 35124-02 35124-03
sample Date U5/2s117 05/23/17 05/23/17
Samnte Time 1335 1330 1340
Rainfall 5.12 in.
Event Durafion -- - 15 hrs. 20 min.
Results of Visual Monitoring of Stormwater Outfali Identified as Outfalls 001 - 004
at Jowat Corporation
IL Project Number: N/A NPl)rS NNCGO80000
Stormwater Monitoring Monitoring
Discharge Monitoring Location Location
Charteristics Fre(iucncv Type OutfaI1001 Outfa1I002
Color
Odor
Clarity
Floating Solids
Suspended Solids
Foam
Oil Sheen
Other obvious
on idicators of
stormwater pollution
Semi -Annual
Visual
Dirty
Diny
Scmi-Annual
Visual
Notsc
Norte
Semi -Annual
Visual
Turbid
SI "turbid
Scmi-Annual
visual
None
Nine
Semi -Annual
Visaal
Yes
YcS
Semi-annual
Visual
None
None
Scmi-Annual
Visual
Nome
None
Monitoring
Location
Ou1fall004
Dirty
Nooc
Clear
Nuns
Yes
Nurse
None
Sediment in hollom ! Sedimcnr in holtnm I Sedintcnir in hottont 11
< - less than or Below rjuartliurtion (.unit (ROI.I
mgfl. - rnilligram. per Liter @ parrs per million (ppnr)

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. N=8
FACILITY NAME JowatCorporativa
FACILITY Address PO Box 13.68 High Point, NC 27261
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) R B A Leboretorim Inc Lob p 34
Lab 9
Part A: Specific Monitoring Requirements - Aoalytltal Monitoring
SAMPLES COLLECTED DURING CALENDAR YEAR: 2017
(all samples collected during a calendar year. shall be reported no later
than January 31 of the following year)
COUNTY _ Randolph
PHONE NO, (336)434-905D
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature,) certify that this tt port is accurate and
complete to the best ofmy knowledge.
owdl
No.
Awe
Sample
Collected
50050
0#545
00(60
Total
Flow
Total
SaWeaded
SOU&
PM
and
MG
unit
001
W23117
- ' 0.256
116
7.14
002
OSlL3l17
0.074
38.1
6.80
004
OSl23I17
0.363
21.fi
1 8.09
Part B: Visual Monitoring Requirements
Date
Fl—dng
Suspended
Stele
Color
Odor
Clarity
Foam
OilShegn
Other
t9atfall
CoUeded
Na
ma✓d r
Solids
Sulu$
001
05/23117
Dirty
None
Turbid
None
Yes
None
None
anent in
bamom
diment
Sebottoin
002
05/23/17
Dirty
Norte
SITurbid
None
Yes
None
None
m
004
05/23/17
Dirty
None
Clear
Nacre
Yes
N—
Norte
Sediment in
bottom
STORM EVENT CHARACCERISTICS:
Date
Total Event Precipitation (inebes)r S.12
Eveul Duration (boars): 15 hr. 20 min.
(if more than One storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
(i f mots: than acre storm event was sampled)
Date
Total Event PrecWtation (Inehes):
Event Duration (hours):
Mail Original and one copy to:
Aun: Central Files
DEHNR
Division of Environmental Mitt.
P.O. Box 29535
Raleigh, NC 27626-0535
(if more than One storm event was sampled)
Date
Total Event Praipita6o (lmbes):
Event Duration (bours):
Form MR-I8
Page I aft

Footnotes:
"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 inquirey of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submifud I% to the beat
of my knowledge and belief, true, accurate, and complete. I am aware [hat there are significant penalties for submitting false information,
Including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (date)
Form MR- 18
Page 2 of 2

Stormwater Discharge Calculations
JOWAT CORPORATION
2017 Calendar Year
Rationale for Discharge Calculations
The rational formula is used for the basis of the calculations. The rational formula has been developed
to calculate the rate of run-off from a rain event of a given intensity over a given area. The formula is
written:
.Q=CiA
where: Q is the rate of run-off flow in cubic feet per second (CFS)
i is the rain intensity in inches per hour
A is the land area contributing run-off to the discharge point
and: C is a run-off coefficient which ranges from 0 for a completely pervious surface to 1.0
for a completely impervious surface.
The rational formula results from the fact that, for a completely impervious surface, a rainfall of one
inch over a period of one hour on an area of one acre will result in a run-off discharge of one CFS. The
run-off coefficient (C) can be thought of as a correction factor based on the percentage of the total
rainfall which will run off from a given area due to how pervious or impervious the surface of that area
is. Since the discharge permit for this facility requires an estimate of the total discharge from the storm
event during which samples are collected, we will use a modified form of the rational formula to
calculate the total discharge as follows:
Q, = CRA (0.027)
where: Qt is the total discharge in Million Gallons
C is the run-off coefficient as defined above
R is the total amount of rainfall in inches
A is the surface area contributing flow to the sample location
and: The constant 0.027 in the modified equation corrects the units to Million Gallons (MG)
based on the following
1 acre-ft. = 43,560 ft
1 acre -inch = 43560/12 = 3630 fi3
i ft = 7.48 gallons
Thus 1 acre -inch = 3630 (7.48 gallf� / 106 gal/MG)
1 acre -inch = 0.027 MG
page I of 2

Discharge Calculations
The total rainfall for the May 23, 2017 storm during which samples were collected at this facility was
5.12 inches. We will use generally accepted estimates of the run-off coefficient of C= 0.95 for
impervious areas and C= 0.40 for pervious areas.
Slormwater Discharge Outfall 001
Pervious Area = 1.32 Acres*
Qt = CRA (0.027)
Qt = (0.40)(0.19)(5.12)(0.027)
Qt = 0.0105 MG
Qu,w = 0.0105 + 0.246 = 0.256 MG
Stormwater Discharze Outfall 002
Pervious Area = 0.15 Acres*
Q, = CRA (0.027)
Qt = (0.40)(5.12)(0.15)(0.027)
Qt = 0.008 MG
Qtaw = 0.008 + 0.066 = 0.074 MG
Slormwater Discharge Ou all 004
Pervious Area = 2.3 Acres*
Qt = CRA (0.027)
Qt = (0.40)(5.12)(2.3)(0.027)
Qt = 0.127 MG
Qt,w = 0. 127 + 0.236 = 0.363 MG
Impervious Area = 1.87 Acres*
Q, = CRA (0.027)
Q, _ (0.95)(5.12)(1.87)(0.027)
Qt = 0.246 MG
Impervious Area = 0.50 Acres*
Qt = CRA (0.027)
Q, _ (0.95)(5.12)(0.50)(0.027)
Q, = 0.066 MG
Impervious Area = 1.8 Acres*
Qt = CRA (0.027)
Q, _ (0.95)(5.12)(1.8)(0.027)
Qt = 0.236 MG
*Drainage areas taken from site drainage map prepared by Espe Houston & Associates
page 2 of 2

RESEARCh & ANA1yTECA[
LABORATORIES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER! WASTEWATER I MISC.
COMPANY /�
:
_1 - L u
JOB NO
o
z
`¢ �' y0' Jc C� 1 2 he
U ,
'i ¢ U ¢'v ,v ✓`
n N ti .� �" 5 REQUESTED ANALYSIS
SIR�Ee ADDD/RE 5
PROJECT
CrSTA E. 41P
f1 ".
SAWI LER NAME IPLEP.S� ^PRINT)
�[? Cie- [�ywD,1 V) rw
CONTACT PHONE
SAMPLER SIGNATURE
SAMPLE NUM9ER
{LAB USE 9NLT)
pASE
7UlE
TEM
Y
u
�„
"A
,
SAMPLE LOCATIONll0.
354a ,
5
i 35
�
s ;>
Ft LINOUISHE
DATER
RECEIVED BY
I REMARKS: _
SAhiPLETEMPERAT A7RECEIPT �"C
RELLNOUIStp BY
DATERIME
RECEIVED EtY

Division of Water Quality
Water Quality Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Date: December 20, 2016
Re: Stormwater Permit No. NCS000133
Jowat Corporation
6058 Lois Lane
Archdale, NC 27263
Randolph County
RECE/ VEp
DEC 2 9 2016
CENTR4L Fj
DWR SECT/dN
Enclosed are results from our latest stormwater sampling, which were due on
November 30, 2016. Due to the insignificant rainfall this season, we were unable
to obtain sufficient samples untl December 4, 2016.
Please let me know if you Five any questions.
Sinc,krely,
Martin Lambejg
Vice Preside of Manufacturing
ow ffis"�
Adhesives
Jowat Corporation
P.O. Box 1368
High Point, NC 27261
USA
Phone: (800) 322-GLUE (4583)
[phone]
Fax: [phone]
[e-mail]

RESEARCh & ANA1yTICA[
QQQ LABORATORIES, INC.
Q Analytical/Process Consultations
December 15, 2016
Jowat Corporation
PO Boa 1368
High Point, North Carolina 27261
Attention: Mary Peeler
Chemical Analysis for Stormwater Sampling identified as Jowat Corporation - Outfalls 001 - 004
1.
Project Number: NIA
NPDES #lNCG080000
Parameter
Quantitation
Limit
(m99A
Outfall
001
tma/W
Outfall
002
Im9al
Outfall
003
(mQlL1
Outfall
004
smell)
Total Suspended Solids (TSS)
5.00
64.0
89.0
<5
86.9
pH (SU)
N/A
1 6.06
5.34
4.88
4.97
Sample ]Number 28149-01 28149-02 28149-03 1 28149-04
Sample Date 12/04/16• 12/04/16 12/04/16 12/04/16
Sample Time 1630 1630 1630 1 1630
Rainfall 0.52 in.
Event Duration 11 hrs.
Results of Visual Monitoring of Stormwater Outfall Identified as Outfalls 001 - 004
at Jowat Corporation
11. Project Number: N/A NPDES ##NCG080000
Stormwater: .:' Monitoring Monitoring . Monitoring Monitoring
Discharge Monitoring Location Location Location Location
Charteristies Frequency Type Outfall 001 Outfah 002 Outfall 003 Outfall 004
Color
Semi -Annual
Visual
Dirty
Dirty
Dirty
Dirty
Odor
Semi -Annual
Visual
None
None
None
None
Clarity
Semi -Annual
Visual
Not Clear
Semi -Clear
Clear
Not Clear
Floating Solids
Semi -Annual
Visual
Yes
Yes
Yes
Yes
Suspended Solids
Semi -Annual
Visual
Yes
Yes
None
Yes
Foam
Semi -Annual
Visual
None
None
None
None
Oil Sheen
Semi -Annual
Visual
None
None
None
None
Other obvious
on idicators of
Sediment in bottom
Sediment in bottom
Grass in Water
Sedimentr in bottom
mg/l. = milligrams per Liter = parts per million (ppm) BQL — Below Quantitation Limits
c = less than or Below Quantitation Limit (BQL) SU = Standard Units

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCGO80000
FACILITY NAME Jowat Corporation
FACILITY Address PO Box 1368 High Point, NC 27261
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) R & A Laboratories, Inc. Lab # 34
I.ab 4
Part A: Specific Monitoring Requirements - Analytical Monitoring
SAMPLES COLLECTFD DURING CALENDAR YEAR:
(all samples coilected during a calendar year, shall be reported no later
than January 31 of the following year)
COUNTY Randolph
PHONE NO. [phone]
(SIGNATURE OF PF.RMITTF.E OR DESIGNEE)
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
Outfall
No.
Date
Sample
Collected
50050
00545
00400
Total
Flow
Total
Suspended
Solids
pH
mo/d4r
MG
m9/7
unit
001
12/04/16
0.026
64.0
6.06
002
12/04/16
0.0075
89.0
5.34
003
12/04/16
0.0110
<5
4.88
004
12/04/16
0.0369
86.9
4.97
Part B: Visual Monitoring Requirements
Date
Floating
Suspended
Sample
Color
Odor
Clarity
Foam
Oil Sheen
Other
Dutfall
Collected
Solids
Solids
No.
moldor
001
12/04/16
Dirty
None
Not Clear
Yes
Yes
No
No
Sediment in
bottom
002
12/04/16
Dirty
None
Semi -Clear
Yes
Yes
No
No
Sediment in
bottom
003
12/04/16
Dirty
None
Clear
Yes
No
No
No
Grass in water
004
12/04/16
Dirty
None
Not Clear
Yes
Yes
No
No
Sediment in
bottom
STORM EVENT CHARACTERISTICS:
Date 12/4/2016
Total Event Precipitation (inches): 0.52
Event Duration (hours): I 1
(if more than one storrn event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Contra] Files
DEI-INR
Division of Environmental MQt.
P.O. Box 29535
Raleigh, NC 27626-0535
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
2016
Form MR-18
Page 1 of 2

Footnotes:
"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 inquirey of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Form MR-18
Page 2 of 2

Stormwater Discharge Calculations
JOWAT CORPORATION
2016 Calendar Year
Rationale for Discharge Calculations
The rational formula is used for the basis of the calculations. The rational formula has been developed
to calculate the rate of run-off from a rain event of a given intensity over a given area. The formula is
written:
Q=CiA
where: Q is the rate of run-off flow in cubic feet per second (CFS)
i is the rain intensity in inches per hour
A is the land area contributing run-off to the discharge point
and: C is a run-off coefficient which ranges from 0 for a completely pervious surface to 1.0
for a completely impervious surface.
The rational formula results from the fact that, for a completely impervious surface, a rainfall of one
inch over a period of one hour on an area of one acre will result in a run-off discharge of one CFS. The
run-off coefficient (C) can be thought of as a correction factor based on the percentage of the total
rainfall which will run off from a given area due to how pervious or impervious the surface of that area
is. Since the discharge permit for this facility requires an estimate of the total discharge from the storm
event during which samples are collected, we will use a modified form of the rational formula to
calculate the total discharge as follows:
Qt = CRA (0.027)
where: Qt is the total discharge in Million Gallons
C is the run-off coefficient as defined above
R is the total amount of rainfall in inches
A is the surface area contributing flow to the sample location
and: The constant 0.027 in the modified equation corrects the units to Million Gallons (MG)
based on the following
1 acre-ft. = 43,560 fl3
1 acre -inch = 43560/12 = 3630 ft
1 W = 7.48 gallons
Thus 1 acre -inch = 3630 (7.48 gald / 106 gal/MG)
1 acre -inch = 0.027 MG
page 1 of 2

Discharge Calculations
The total rainfall for the December 04, 2016 storm during which samples were collected at this facility
was 0.52 inches. We will use generally accepted estimates of the run-off coefficient of C= 0.95 for
impervious areas and C= 0.40 for pervious areas.
Stormwater Discharge Outfall 001
Pervious Area = 1.32 Acres* Impervious Area = 1.87 Acres*
Qt = CRA (0.027) Qt = CRA (0.027)
Qt = (0.40)(0.19)(0.52)(0.027) Qt = (0.95)(0.52)(1.87)(0.027)
Qt = 0.0011 MG Qt = 0.0249 MG
Qtotal = 0.0011 + 0.0249 = 0.026 MG
Stormwater Discharge Outfall 002
Pervious Area = 0.15 Acres* Impervious Area = 0.50 Acres*
Qt = CRA (0.027) Qt = CRA (0.027)
Qt = (0.40)(0.52)(0.15)(0.027) Qt = (0.95)(0.52)(0.50)(0.027)
Qt = 0.0008 MG Qt = 0.0067 MG
Qt,,w = 0.0008 + 0.0067 = 0.0075 MG
Stormwater Discharge Outfall 003
Pervious Area = 0.91 Acres* Impervious Area = 0.44 Acres*
Qt = CRA (0.027) Qt = CRA (0,027)
Qt = (0.40)(0.52)(0.91)(0.027) Qt = (0.95)(0.52)(0.44)(0.027)
Qt = 0.0051 MG Qt = 0.0059 MG
Qt,,w = 0.0051 + 0.0059 = 0.0110 MG
Stormwater Discharge Outfall 004
Pervious Area = 2.3 Acres* Impervious Area = 1.8 Acres*
Qt = CRA (0.027) Qt = CRA (0.027)
Qt = (0.40)(0.52)(2.3)(0.027) Qt = (0.95)(0.52)(1.8)(0.027)
Qt = 0.0129 MG Qt = 0.0240 MG
Qtotal = 0.0129 + 0.0240 = 0.0369 MG
*Drainage areas taken from site drainage map prepared by Espe Houston & Associates
page 2 of 2

Date:
Person Evaluating:
Reference: Stormwater Permit No. NCS000133
Jowat Corporation
6058.Lois Lane
Archdale, NC 27263
Randolph County
Jowat
Adhesives
Jowat Corporation
PO Box 1368
High Point, NC 27261
COLOR
ODOR
CLARITY
FLOATING
SUSPENDED
FOAM
OIL
OTHER
SOLIDS
SOLIDS
SHEEN
OBVIOUS
INDICATORS OF
STORMWATER
POLLUTION
#1
UWharrie
;
Road
#2
Behind
i
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I�.L
p
►�
PUR
fA
GuV
#3
Evelyn
i r
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Ut C`/►'
View
e
#4
behind
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RESEARCh & ANA1yTiCAL
LAbORATO&S, INC.
Analytical 1 Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER ! WASTEWATER MISC.
COFJPANY
►i •
• •
•
•• • • •
• • i
•
REQUESTED ANALYSIS
���` r I
,,,� �,L`1 a. r 1
'CONTACT I •
•I
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R EVED BY
REMARKS:
. f
SAMPLE TEMPERATURE AT RECEIPT -J,Q OC

� A
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidonce on filling out this form, please visit: http�/ /12ortal.ncdennorg/web/wQ/wsIsu/npdess C
Permit No.: N/-C/ J/ 1113 I / /� or Certificate of Coverage No.: N/-C/C�/_/ v/ 9•
Facility Name: 3Q'1nJ(71:�` �O� Vtroth�.
County: -RAn�,AoIvA, Phone No. 33 4 - 3 q — 0108 U
Inspector: Y
Date of Inspection: SRECEIVED
Time of Inspection: �,O Cl/�
6
Total Event Precipitation (inches): S CENTRAL FILES
DWR SECTION
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
[9 Yes ❑ No n
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
E
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signawre, IFertify tyfat this report is accurate and complete to the best of my knowledge:
(Signature of Pe
e or Designee)
Pagel of 2
SWU-242, Last madified 10/25/2012

1. Outfall Description:
Outfall No. I Structure (pipe, ditch, etc.)
Receivine Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: _ c-l-MQ - Vh� - `ki-v+
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): VA +✓
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 Q 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
QD 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 C 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. �, Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using b is colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: G� t_AN IM
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): h--�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and S is the surface covered with floating solids:
G) 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 S
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. _ Structure (pipe, ditch, etc.)
Receivine Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Ga ��
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): nLY\ t--
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 <� 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 (:� 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes go::)
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. Outfall ascription:
Outfall No. — Structure [pipe, ditch, etc.]
Receivine Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (re , brown,e, etc.) and tint
(light, medium, dark) as descriptors: CALF ,z 0 T���n,bl
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): rlrl.fh�
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 C12 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
Cl? 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Date: lqh�
Person Evaluating: "Ou
Reference: Stormwater Permit No. NCS000133
Jowat Corporation
6058 Lois Larne
Archdale, NC 27263
Randolph County
DOWRY
�•� • E1ilE5
Jowat Corporation
PO Box 1368
High Point, NC 27261
COLOR
ODOR
CLARITY
FLOATING
SUSPENDED
FOAM
OIL
OTHER
SOLIDS
SOLIDS
SHEEN
OBVIOUS
INDICATORS OF
STORMWATER
POLLUTION-
#1
UWharrie
dta -
�A10-t I�
'Y)
S
u
1�
1
S QO�t✓V�
Road
C�to'�-
Y)M
Y)M.�
I�kbbb
—
BehBehind
#3
Evelyn
p j r
Yl�
S
f \k b
`� 10�tr✓Y�..
Vi ew
$ i/
l�
��-
behind
� j'r
Y)q,
v
� 6Y1
�S
5 ZCUrY1.24--t
PVAC
1
�Q/�
0
i h [go

RESEARCh & ANA1yTICA1
LAbQRATORIES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER 1 WASTEWATER I M15C.
COMPAN,IWO&
0 � ij rj 321
J08 NO.
z
z
'
�~ S?O
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y O O 6,
C? O�
ry� ry° ry'� y� ,v +v ,� *.. v ��° REQUESTED ANALYSIS
ST EETA p S
O
PROJECT
CITY STATEZIP
,
%:� a a, �3i'
PLER NAME {PLEA E PRINK
am:f r1,'
CONTACT zj PHOINE�,
aw-LiplJt
SAMPLER SIGNATURE
SAMPLE NUM R
(LAB USE ONLY)
DATE
TIME
COMI
GRAB
TEMP
'C
RES
ml1
CHLCPoNE
REMOVED
SAWLe
$IXN
SAMPLE LOC TION I I.D.
5"
Io:3a
uVLO,+ S i -e
s t
lo.3Ll
-
RELINQUISHED BY
DATEiCIME
RECEIVED BY
REMARKS:
SAMPLE TEMPERATURE AT RECEIPT °C
R L QUISHED BY
ATEmME
RECEIVED 2�

RESEARCh & ANAtyTICAL
` �,¢� 4 cis`. •i
o� lAbORATORIES, INC.
Analytical/Process Consultations
May 11, 2016
Jowat Corporation
PO Box 1368 _
High Point, North Carolina 27261
Attention: Mary Peeler
Chemical Analysis for Stormwater Sampling identified as Jowat Corporation - Outfalls 001 - 004 D N I MAL FI ti
W!y SECTIOt
I.
Project Number: NIA
NPDES #NCG080000
Parameter
Quaotilation
Limit
(me/Ll
Outfall
601
4mg/[ l
Outfall
002
(mQIL)
Outran
003
m�M-91)
Outfall
004
ilzlzu
Total Suspended Solids (TSS)
5.00
95.0
125
33.4
63.2
PH (SU)
NIA
7 6.25
5.36
5.32
592
Sample Number
18538-01
18538-02
18538-03
18538-04
Sample Date
05/01/16
05/01/16
05/01/16
05/01/16
Sample Time
1030
1032
1035
1038
Rainfall
0.52 in.
� � � ��
Event Duration
4 hrs. 45 min.
Results of Visual Monitoring of Stormwater Outfall Identified as Outfalls 001 - 004 JUN 10 1016
at Jowat Corporation 'ENTRAL FILES
DwR SECTION
11.
Project Number: NIA
NPDES
#NCG080000
Stormwater
"Discharge''Monitoring
Charterktics
Frequency ";;
��
Type
Moniton xng
"Location
Outfa1T001
Montortng
Location,
Outfd.1002
Monrtanng
Laration
Outfall003.
Mors�tonng
: Locatron
Outfa11004
Color
Semi -Annual
Visual
Clear
Clear
Dirty
Ditty
Odor
Semi -Annual
Visual
None
None
None
None
Clarity
Semi -Annual
Visual
Senn -Clear
Semi -Clear
Not Clear
Semi -Clear
Floating Solids
Semi -Annual
Visual
None
None
None
None
Suspended Solids
Semi -Annual
Visual
Yes
None
Yes
Yes
Foam
Semi -Annual
Visual
None
None
None
None
Oil Sheen
Ell
Semi -Annual
Visual
None
None
None
None
Other obvious
on idicators of
stormwatcr pollution
Sediment in bottom
None
Sediment in bottom
Sedimentr in bottom
mglL = milligrams per Liter — parts per million (ppm) BQL = Below Quantitation Limits
< = less than or Below Quantitation Limit (BQL) SU — Standard Units

STORMWATER DISCHARGE OUTFALL (SDO)
"ZI
=' MONITORING REPORT
hC,41GENERAI, PERMIT NO. 000 3� SAMPI.F,S COI,[.F..CTEiD DIJRING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
FACILITY NAME Jowat Corporation than January 31 of the following year)
FACILITY Address PO Box 1368 high Point, NC 27261 COUNTY Randolph _
PERSON COLLECTING SAMPLE(S) PHONE. NO. [phone]
CERTIFIF..D LABORATORY(S) R & A Laboratories, Inc. Lab 9 34
Lab # (SIGNATURE OF PFRM117EF OR DESIGNFF,)
By this signature, I certify that this report '�ccurate and
complete to the best of my knowledge.
,,/�X//
Part A: Specific Monitoring Requirements - Analytical Monitoring 41'01E&
Outfall
No.
Date
Sample
Collected
50050
00545
00400
Total
Flow
Total
Suspended
Solids
pN
molddlyr
MG
mgl!
unit
001
04/15/15
73.3
5.98
002
04/15/15
12.4
5.68
003
04/15/15
15.2
5.81
004
04/15/15
15.8
5.79
Part B: Visual Monitoring Requirements
DWR SECTION
INFORMATION PROCESSING UNIT
Date
Floating
Suspended
Sample
Color
Odor
Clarity
Foam
Oil Sheen
Other
Outfall
Collected
Solids
Solids
No.
molddlyr
Sediment in
001
04/15/15
Dirty
None
Not Clear
Yes
Yes
No
N/A
bottom
002
04/15/15
Clear
None
Semi -Clear
Yes
None
No
N/A
Grass in water
003
04/15/15
Dirty
None
Not Clear
Yes
None
No
N/A
004
04/15/15
Dirty
None
Not Clear
No
None
No
—A
N/A
STORM EVENT CHARACTERISTICS:
Date 4/15/2015
Total Event Precipitation (inches): 0.31
Event Duration (hours): 9
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches);
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Form MR -IS
Page I of 2

Footnotes:
"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 inquirey of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Form MR-I8
Page 2 of 2
T

R ESEARCh & ANA1yTICA[
o°o°o LAORATORIESF INC.
Analytical/Process Consuitations
April 30, 2015
Jowat Corporation
PO Box 1368
High Point, North Carolina 27261
Attention: Mary Peeler -
Chemical Analysis for Stormwater Sampling identified as Jowat Corporation - Outfalls 001 - 004
L Project Number: NIA NPDES #NCG080000
Quantitation Outfall Outfall
Limit.';;: 001,., 002.
Parameter (me/Ll
Total Suspended Solids (TSS) 5.00 73.3 12.4
pH (SU) NIA 5.98 5.58
NC if34
Outfall
Outfall
003
004
15.2
15.8
5.81
5.79
Sample Number 3129-01 1 3129-02 1 3129-03 13129-04
Sample Date 04/15/15 04/15/15 04/15/15 04/15/15
Sample Time 1500 1500 1500 1500
Rainfall — 0.31 in.
Event Duration 9 hr.
Results of Visual Monitoring of Stormwater Outfall Identified as Outfalls 001 - 004
at Jowat Corporation
IL Project Number: N/A
Stormwater., monitoring
Discharge Monitoring: Location
Charteristies Frequency Type Outfall 001
Color
Odor
Floating Solids
Suspended Solids
Foam
Oil Sheen
Other obvious
on idieators of
stormwater pollution
Semi -Annual
Semi -Annual
Semi -Annual
Scmi•Annual
Semi -Annual
Semi -Annual
Semi -Annual
Visual
Visual
Visual
Visual
Visual
Visual
Visual
None
Not Clear
Yes
Yes
None
NIA
NPDES ONCGO80000
Monitoring
Location
Outfall 002
Clear
None
Semi -Clear
Yes
None
None
NIA
Sediment in bottom I Grass in water
Monitoring
Location
Outfall 003
Dirty
None
Not Clear
Yes
None
None
N/A
Monitoring
Location
Outfall 004
None
Not Green
None
None
None
N/A
mg/L = milligrams per Liter - parts per million (ppm)
i
< = less than or Below Quantitation Limit (BQL)
BQL = Below Quantitation Limits
SU = Standard Units

RESEARCk & ANA[yTdCAL
LAbORATORYES, INC.
For: Jowat Corporation
P.O. Box 1368
High Point, NC 27261
Attn: Mary Peeler
Report of Analysis
4/24/2015
Client Sample ID: Jowat Site #1 Lab Sample ID: 3129-01
Site: Jowat Collection Date: 4/15/2015 3:00
.Parameter Method Result Units,. ' RepLLimit `.Analyst..Analysis.Datei ima
- �` x._.
Total Suspended Solids (TSS) SM 2540 D-1997 73.3 mg/L 5 YJ 4/20/2015 1600
pH SM 4500 1-1+13-2000 5.98 Std. Units AP 4/17/2015
Client Sample ID: Jowat Site #2 Lab Sample ID: 3129-02
Site: Jowat Collection Date: 4/15/2015 3:00
Pafrarneter`' Method i. Result.. i Units' Ribpbmit Analyst Analvsis DatelTimeW-
Total Suspended Solids (fSS) SM 2540 D-1997 12.4 mg/L 5 YJ 4/20/2015 1600
pH SM 4500 1-1+13-2000 5.68 Std, Units AP 4/17/2015
Client Sample ID: Jowat Site #3 Lab Sample ID: 3129-03
Site: Jowat Collection Date: 4/15/2015 3:00
Parameter .,. ;' Method' Result Units Rep Limit 'Analyst Analysis DatelTime '
Total Suspended Solids (TSS) SM 2540 D-1997 15.2 mg/L 5 YJ 4/20/2015 1600
pH SM 4500 H+B-2000 5.81 Sid. Units AP 4/17/2015
Client Sample ID: Jowat Site #4 Lab Sample ID: 3129-04
Site: Jowat Collection Date: 4/15/2015 3:00
.Parameter Method ' Result Units Rep Limit Analyst Analysis DatelTime
Total Suspended Solids (fSS) SM 2540 D-1997 15.8 mg/L 5 YJ 4/21/2015
pH SM 4500 11+13-2000 5.79 Std. Units AP 4/17/2015
NA = not analyzed
P.Q. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
ral_caa_oa�--•c_v1 d

RESEARCh & ANA1yTICA[
LAbORATORiES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER ! WASTEWATER I MISC.
COMP Y
CO t)o 0 bl2b LrNi�
JOB NO.
a
_
0
`y`�y
�Q �0., J�� Q~
F F Q• O Q Q Q' `m�
� ry ry� �� �" REQUESTED ANALYSIS
STRE y�ADDRESS
PROJECT
CI
. STATE, ZIP
ck\I t tc, a s
S PLEB NAM (PLEASE PRINT)
CONTACT PHONE
m P-utb. - 33 (c _ 3,LA pq)
SAMPLER JSIGNATURE
P,dAj
SAMPLE HUM ER
(I AB USE ONLY)
DATE
TIME
CO3IP
Gm'C
EMP
RES
II
atosaNe
REMOVEo
SAMPLEaoF
WRIX
SAMPLE LOCATION I LID .
3 Vniiiii.
S t
5S
4 a
REiJ ISHED Y
DATEff E
RECEIVED BY
REMARKS:
SAMPLE TEMPERATURE AT RECEIPT - °C
RELINQUISHED BY
DATEMME
RECE V D BY

Date: Li I � S / 1 g
Person Evaluating:G,
Reference: Stormwater Permit No. NCS000133
Jowat Corporation
6058 Lois Lane
Archdale, NC 27263
Randolph County
owatl�l . ."We
Adhesives
Jowat Corporation
PO Box 1368
High Point, NC 27261
COLOR
ODOR
CLARITY
FLOATING
SUSPENDED
FOAM
OIL
OTHER
SOLIDS
SOLIDS
SHEEN
OBVIOUS
INDICATORS OF
STORMWATER
POLLUTION
# 1+
UWharrie
�� r
�ll>n
L -LS
n
Road
�, ��
i ►� h alr--
#2
Behind
r
-
J�Uh
_,
C.
f
PUR
L�
#3
Evelyn
p j r�
� Uhk
of
-
�-t S
f �l �Y� t
N u
--
View
#4
behind

��� TORMWATER DISCHARGE OUTFALL (SDO)
N&5 MONITORING REPORT
GENERAL PERMIT I SAMPLES COLLF,CTFD DURING CALENDAR YEAR: 2015
(all samples collected during a calendar year, shall be reported no later
FACILITY NAME lowat Corporation than January 31 of the following year)
FACILITY Addres,, PO Box 1368 High Point, NC 27261 COUNTY Randolph
PERSON COLLECTING SAMPLE(S) PHONE NO, [phone]
CERTIFIED LABORATORY(S) R & A Laboratories, Inc. Lab # 34
Lab # (SIGNATURE, OF PFRMITTFE OR DESIGNEE)
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
Part A: Specific Monitoring Requirements - Analytical Monitoring
Ou fall
No.
Date
Sample
Collected
50050
00545
00400
Total
Flow
Total
Suspended
Solids
pH
mold4r
MG
mg/►
unit
001
10/02/15
B L
4.99
002
10/02/15
B L
4.75
003
10/02/15
B L
5.16
004
10/02/15
41.1
5.10
Part B: Visual Monitoring Requirements
Date
Floating
Suspended
Sample
Color
Odor
Clarity
Foam
Oil Sheen
Other
Outfall
Collected
Solids
Solids
No.
moldOr
001
10/02/15
Clear
None
Not Clear
Yes
Yes
None
None
Grass in water
002
10/02/15
Clear
None
Semi Clear
None
None
None
None
----
003
10/02/15
Clear
None
Semi Clear
None
None
None
None
----
Sediment in
004
10/02/15
Dirty
None
Not Clear
Yes
Yes
None
None
bottom
STORM EVENT CHARACTERISTICS:
Date 10/2/2015
Total Event Precipitation (inches): 0.93
Event Duration (hours): 12.5
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Environmental Mgt.
P.O. Box 29535
Raleigh, NC 27626-0535
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Form MR-18
Page 1 of 2

ram` �"'� •
� }
Footnotes:
"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 inquirey of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best
of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
Form M R-18
Page 2 of 2

Division of Watef Quality
Water Quality Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Date: November 19, 2015
Re: Stormwater Permit No. NCS000133
Jowat Corporation
6058 Lois Lane
Archdale, NC 27263
Randolph County
Enclosed are results from our latest stormwater sampling.
Please let me know if you have any questions.
Sincj-ely,
Martin !_a rg
Vice PresidhAt of Manufacturing
JowNO
Adhesives
Jowat Corporation
P.O. Box 1368
High Point, NC 27261
USA
Phone: (800) 322-GLUE (4583)
[phone]
Fax: [phone]
info@jowat,com

�,=�+ueurrryi
RESEARCh & ANA yTICAt ,.•�'•� "� '+
QQ LAbORATORIES, INC. x ;� NC#34 =
Q Q � Analytical/Process Consultations :•���.•°'��c�'t' .�
r+irrrsrnra�O
October 21, 2015
Jowat Corporation
PO Boa 1368
High Point, North Carolina 27261
Attention: Mary Peeler
Chemical Analysis for Stormwater Sampling identified as Jowat Corporation - Outfalls 001 - 004
1.
Project Number: NIA
NPDES #NCG080000
,�� li €
;,i.
.-,. �i
Quaatitatrea=
Lamtt
t-m L ._'-
1� iY� <" fi
Outfall.
(T01-
F _., {mi:/Ll
';ci 11 Ei ... i
Outfall
002
ry-' _I,[ �
OutfaA :
003
Outfatl
004 "
Total Suspended Solids (TSS)
5.00
BQL
BQL
BQL
41.1
PH (SU)
NIA
4.98
4.75
5.16
5.10
Sample Number
10142-01
10142-02
10142-03
10142-04
Sample Date
10/02/15
10/02/15
10/02/15
10/02/15
Sample Time
2230
2230
2230
2230
Rainfall
0.93 in.
Event Dtn on
12.5 brs.
Results of Visual Monitoring of Stormwater Outfall Identified as Outfalls 001 - 004
at Jowat Corporation
II.
Project Number: NIA
NPDES
NNCG080000
Stormwater
Discharge
Charteristies
Frequency
Monitoring
Type
Monitoring
Location
Outfall 001
Monitoring
Location
Outfali 002
Monitoring
Location
Outfall 003
Monitoring
.Location
Outfa11004
Color
Semi -Annual
Visual
Clear
Clear
Clear
Dirty
Odor
Semi -Annual
Visual
None
None
None
None
Clarity
Semi -Annual
Visual
Not Clear
Semi -Clear
Semi -Clear
Not Clear
Floating Solids
Semi -Annual
Visual
Yes
None
None
Yes
Suspended Solids
Semi -Annual
Visual
Yes
None
None
Yes
Foam
Semi -Annual
Visual
None
None
None
None
Oil Sheen
Semi -Annual
Visual
None
None
None
None
Other obvious
on idieators of
Stormwater pollution
Grass in Water
None
None
Sedimentr in bottom
mglL = milligrams per Liter = parts per million (ppm) BQL = Below Quantitation Limits
< = less than or Below Quantitation Limit (BQL) SU — Standard Units

t
RESEARCH & ANAlyTICAL
LAbORATORIESF INC.
For: Jowat Corporation
P.O. Box 1368
High Point, NC 27261
Attn: Mary Peeler
Report of Analysis
10/16/2015
p�surrrrii�i
ANALjr);,;�ii
NC#34 Z?N
r NC #37701
Client Sample ID: Site #1 Lab Sample ID: 10142-01
Site: Jowat Collection Date: 10/2/2015 22:30
Parameter Method Result Units Rep Limit Analyst Analysis Date/Time
pH SM 4500 H+13-2000 4.98 Std. Units AP 10/9/2015
Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 YJ 10/1312015
Client Sample ID: Site #2 Lab Sample ID: 10142-02
Site: Jowat Collection Date: 10/2/2015 22:30
Parameter Method Result Units Rep _Limit Analyst Arialysis Date/Time
pH SM 4500 1-11+13-2000 4.75 Sid. Units AP 10/9/2015
Total Suspended Solids (TSS) SM 2540 13-1997 <5 mg/L 5 YJ 10/13/2015
Client Sample ID: Site #3 Lab Sample ID: 10142-03
Site: Jowat Collection Date: 10/2/2015 22:30
Parameter Method Result Units Rep Limit Analyst Analysis DatelTime
pH SM 4500 H+B-2000 5.16 Sid. Units AP 10/9/2015
Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 YJ 10/13/2015
Client Sample ID: Site #4 Lab Sample ID: 10142-04
Site: Jowat Collection Date: 10/2/2015 22:30
Parameter Method Result Units Rep Limit Analyst Analysis Daterrime
pH SM 4500 H+B-2000 5.10 Sid. Units AP 10/9/2015
Total Suspended Solids (TSS) SM 2540 D-1997 41.1 mg/L 5 YJ 10/13/2015
NA = not analyzed
P.O. Box 473 108 Short Street Kemersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1
ral coa basic Od

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http://12ortal.ncdenr.org/web/wq/ws/su/"npdessw#tab-4
Permit No.: NIL 0001 33 or Certificate of Coverage No.: NCS000133
Facility Name: Jowat Corporation
County: Randolph Phone No. 336.434.9080
Inspector: _(o-C�l V L �U
Date of Inspection:
Time of Inspection: h
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Ves ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval frpm the local DWQ Regional Office.
By this signaturfj I cert#y that thVreport is accurate and complete to the best of my knowledge:
(Signature of Permittee orfesignee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No. _I Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors: _
basic colorp (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): tj W e-,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 .G 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 (2�) 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 � 3 4 S
7. Is there any foam in the stormwater discharge? Yes Go)
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/29/2012

1. Outfall Description:
Outfall No. __ Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the dis harge using
(light, medium, dark) as descriptors: QA t-Co
colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 � 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
Q2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the disf barge using basic cplors (re b
(light, medium, dark) as descriptors: CI Q.Q. V VV I 11
blue, etc.) and tint
3. Odor: Describe any distincWors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):h ......._......
4. Clarity: Choose the number which nest describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 � 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
(12 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
G�) 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yesio7
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

1. Out, escription:
Outfall No. Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using b sic colors
(light, medium, dark) as descriptors: r D'V kN -
blue, etc.) and tint
3. Odor: Describe any distinctodors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): M(-P-P,
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 � 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
sWU-242, Last modified 10/25/2012

RESEARCh & ANAIYACAI
'LAORATWES, INC.
Analytical 1 Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
I WATER I WASTEWATER 1 NIISC. I
COMPANY I\J1 V V , y I a'''r` Y 1 + 0 r� 6 w
JOB NO.
z
0� g0�
? ry O'
�`Z�
Gv �y my°
tim
ryv ry ryryy ,v v *v ��� REQUESTED ANALYSIS
STREET ADDRESS
LD `� L, o is Loon
PROJECT
CITY, MATE, ZIP
�rckvi" t f c, . 3
5
LER NAME (PL
SE PRINT)20��
CONTACT PHONE
(Ylk R?t/tw 33 � -q 3 L-I -qou 1
PSI
ATURE
SAMPLE NU ER
(LAB USE ONLY)
DATE
TIME
C09F
GRAB
EMP
"cI$
1 1
REM�n
(Y N]
MATRIX
(5Qw
SAMPLE ATIDNI IA.
1 o i 2 y
��
qjqC
o:sn
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L
p; Q
I Z
ro: P
3
7
RE I [SHED B
TEMMg
RECEIVED BY
REMARKS:
SAMPLE TEMPERATURE AT RECEIPT J- U °C
RELINQUISHED BY'
DATEMME
RECEIVED Y

Date: i lJl q 15
Person Evaluating-. �Ln l�-..P�� _
t..
Reference: Stormwater Permit No. NCS000133
Jowat Corporation
6058 Lois Lane
Archdale, NC 27263
Randolph County
Jowatim
Adhesives
Jowat Corporation
PO Box1368
High Point, NC 27261
COLOR
ODOR
CLARITY
FLOATING
SUSPENDED
FOAM
OIL
OTHER
SOLIDS
SOLIDS
SHEEN
OBVIOUS
INDICATORS OF
STORMWATER
POLLUTION
91
UWharrie
yti b4-
�QC1Y
n01�1k.
� t�
Road
#2 :..-
Behind
V1 Lo�M
l�l 0 f1-e,
�,,,
NED
PUR
#3
Evelyn
&tt4,r-
h O'Y+-�ti
Y1 h.�
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I��n
0
View
CUM.,
#4
behind
yl C n
yto �`
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PVAC
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GENERAL PERMIT NO. NCG080000 , l
FACILITY NAME Jowat Corporation
STORMWATER DISCHARGE OUTFALL (SDO) hC
5 6
MONITORING REPORT j
0
SAMPLES COLLECTED DURING CALENDAR YEAR: 5�
FACILITY Address PO Box 1368 High Point, NC 27261
PERSON COLLECTING SAMPLE(S)
CERTIFIED LABORATORY(S) R & A Laboratories, Inc. Lab # _14_
Lab #
Part A. Specific Monitoring Requirements - Analytical Monitoring
(all samples collected during a calendar year, shall be reported no later
than January 31 of the following year)
COUNTY Randolph
PHONE NO. [phone]
(SIGNATURE OF PERMITTEE OR DESIGNEE)
By this signature, Icertify that this report is accurate and
complete to the best of my knowledge.
Outfall
No.
Date
Sample
Collected
50050
00545
00400
Total
Flow
Total
Suspended
Solids'
pH
mdd4r
MG
mg4
unit
001
05/15/14
0.080
110
6.72
002
05/15/14
0.0231
18.0
6.12
003
05/15/14
0.0338
<1.0
6.25
004
05/15/14
0.114
14.0
6.00
Part B: Visual Monitoring Requirements
RECEIVE-,
JUN 10 2014
:EN i Rail. FILES
DWQ180G
Date
Floating
Suspended
Sample
Color
Odor
Clarity
Foam
Oil Sheen
Other
OutfaU
Collected
Solids
SoUds
No.
mold r
001
05/15/14
Dirty
None
Not Clear
Yes
None
No
N/A
Dirt floating in
water
002
05/15/14
Semi -Clear
None
Semi -Clear
Yes
None
No
N/A
Grass in water
003
05/15/14
Clear
None
Semi -Clear
Yes
None
No
NIA
Dirt floating in
water
004
05/15/14
Clear
None
Semi -Clear
No
None
No
N/A
STORM EVENT CHARACTERISTICS:
Date 5/15/2014
Total Event Precipitation (inches): 1.60 _
Event Duration (hours): �10 hr 30-min
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one copy to:
Attn: Central Files
DEHNR
Division of Environmental Mgt.
P.Q. Box 29535
Raleigh, NC 27626-0535
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Form MR48
Page 1 of 2

W ��
o
Adhesives
Jowat Corporation
P.O. Box 1368
High Point, NC 27261
USA
Division of Water Quality
Water Quality Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Date: June 3, 2014
Re: Stormwater Permit No. NCSO0O133
Jowat Corporation
6058 Lois Lane
Archdale, NC 27263
Randolph County
Enclosed are results from our latest stormwater sampling. We would like to inform you that
due to current construction on our property, we have accumulated a large dirt pile near one of
our collection sites.
Please let me know if you have any questions.
Sincerely,
Martin Lamberg
Vice President of Manufacturing
Phone: (800) 322-GLUE (4583)
[phone]
Fax: [phone]
info®jowat.com

RESEARCh & ANAyTICAL
LABORATORIES, INC.
Analytical/Process Consultations
21 May 2014
Mary Peeler
Jowat Corporation
P.O. BOX 1368
High Point North Carolina 27261
Dear Ms. Peeler:
Research & Analytical Laboratories, Inc. (RAL) has completed the analyses of the four stormwater
samples collected by your personnel on May 15, 2014. We have prepared a reporting form which
approximates the DMR forms used by the state for some other stormwater permits. It is our
understanding that the state has not issued a standard DMR form for your facility.
The following materials are enclosed:
1. The completed reporting form
2. Our calculations for the total discharge at each outfall from the storm event on
05/15/14.
3. Certified Laboratory data reports for the four samples
4. Copies of the chain of custody documentation for the four samples
The above information should be submitted to the Division of Environmental Management in
accordance with your permit.
If there are any questions or if we may be of further assistance in any way, please advise.
Sincerely,
RESEARCH & ANALYTICAL LABORATORIES, INC
J'4�� Z� YY,-
Sidney L Champion
Executive Vice-President/Director of Laboratory Services
cc: Jim Cheshire
P.O. Box 473 • 106 Short Street • KernersVille, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

...........
R1ES1EARCh&ANA1YTiCA1 X
LAbORATORilESP INC*
Analytical/Process Consultations
May 21, 2014
Jowat Corporation
PO Box 1368
High Point, North Carolina 27261
Attention: Mary Peeler
Chemical Analysis for Stormwater Sampling identified as Jowat Corporation - Outfalls 001-004
L
Project Number: N/A
NPDES#: NCGO90000
M
....Analyzed
...........
2:o
001
785534
05/15/14
0940
110
6.72
05/16 & 05/18/14
002
785535
05/15114
0942
18.0
6.12
05/16 & 05/18/14
003
785536
05/15/14
0945
<1.0
6.25
05/16 & 05/18/14
004
785537
05/15/14
0948
14.0
6.00
05/16 & 05/18/14
Analyst: YJ, AP -
mg(L = milligrams per Liter = parts per million (PPM) < = less than or Below Quantitation Limit (BQL)
SU = Standard Units NIA = Not Available

Stormwater Discharge Calculations
JOWAT CORPORATION
2014 Calendar Year
Rationale for Discha a Calculations
The rational formula is used for the basis of the calculations. The rational formula has been developed
to calculate the rate of run-off from a rain event of a given intensity over a given area. The formula is
written:
Q=CiA
where: Q is the rate of run-off flow in cubic feet per second (CFS)
i is the rain intensity in inches per hour
A is the land area contributing run-off to the discharge point
and: C is a run-off coefficient which ranges from 0 for a completely pervious surface to 1.0
for a completely impervious surface.
The rational formula results from the- fact that, for a completely impervious surface, a rainfall of one
inch over a period of one hour on an area of one acre will result in a run-off discharge of one CFS. The
run-off coefficient (C) can be thought of as a correction factor based on the percentage of the total
rainfall which will run off from a given area due to how pervious or impervious the surface of that area
is. Since the discharge permit for this facility requires an estimate of the total discharge from the storm
event during which samples are collected, we will use a modified form of the rational formula to
calculate the total discharge as follows:
Qt = CRA (0.027)
where: Qt is the total discharge in Million Gallons
C is the run-off coefficient as defined above
R is the total amount of rainfall in inches
A is the surface area contributing flow to the sample location
and: The constant 0.027 in the modified equation corrects the units to Million Gallons (MG)
based on the following
1 acre-ft. = 43,560 fl
1 acre -inch = 43560/12 = 3630 fl
1 ft = 7.48 gallons
Thus 1 acre -inch = 3630 (7.48 gal/fl / 106 g"G)
1 acre -inch = 0.027 MG
page 1 of 2

Discharge Calculations
The total rainfall for the May 15, 2014 storm during which samples were collected at this facility was
1.60 inches. We will use generally accepted estimates of the run-off coefficient of C= 095 for
impervious areas and C= 0.40 for pervious areas.
Stormwater Discharge Qyyall 001
Pervious Area = 1.32 Acres* Impervious Area =1.87 Acres*
Qt = CRA (0.027) Qt = CRA (0.027)
Qt = (0.40)(0.19)(1.6)(0.027) Qt = (0.95)(1.6)(1.87)(0.027)
Qt = 0.0033 MG Qt = 0.0767 MG
Qwtw = 0.0033 + 0.0767 = 0.080 MG
Stormwater Discharge Outfa11002
Pervious Area = 0.15 Acres* Impervious Area = 0.50 Acres*
Qt = CRA (0.027) Qt = CRA (0.027)
Qt = (0.40)(1.6)(0.15)(0.027) Qt = (0.95)(1.6)(0.50)(0.027)
Qt = 0.0026 MG Qt = 0.0205 MG
Qtot,a = 0.0026 + O.0205 = 0.0231 MG
Stormwater Discharge Ou all 003
Pervious Area = 0.91 Acres* Impervious Area = 0.44 Acres*
Qt = CRA (0.027) Qt = CRA (0.027)
Qt = (0.40)(1.6)(0.9.1)(0.027) Qt = (0.95)(1.6)(0.44)(0.027)
Qt = 0.0157 MG Qt = 0.0181 MG
Qtot,i = 0.0157 + 0.0181 = 0.0338 MG
Stormwater Discharge Outfa11004
Pervious Area = 2.3 Acres* Impervious Area = 1.8 Acres*
Qt = CRA (0A27) Qt = CRA (0.027) .
Qt = (0.40)(1.6)(2.3)(0.027) Qt = (0.95)(1.6)(1.8)(0.027)
Qt = 0.0397 MG Qt = 0.0739 MG
Qt,w = 0. 03 97 + 0.073 9. = 0. 114 MG
*Drainage areas taken from site drainage map prepared by Espe Houston & Associates
page 2 of 2

RESEARCh&ANAtyTiCAI
LABORATORIES, INC.
Analytical/Process Consultatlons
May 21, 2014
Jowat Corporation
PO Box 1368
High Point, North Carolina 27261
Attention: Mary Peeler
Chemical Analysis for Stormwater Sampling identified as Jowat Corporation - Outfalls 001 - 004
AN&
f4;4
MCA
z
I. Project Number: N/A NPDES NNCG080000
H P40utfall, Oilmil �'-_4-
iitft
r" mT
­ - '_ i
w7.
­!tz- IniO
JJ4�-r.�,, y­�, -
f _*g
j. x
, - , ,t! ite
Parain (MLilt w
Total Suspended Solids (TSS) 5.00 110 18.0 <1.0 14.0
PH (Sin N/A 6.72 6.12 6.25 6.00
Sample Number. 785534 785535 785536 785537
Sample Date 05/15/14 05/15114 05115/14 05/15/14
Sample Time 0940 0942 0945 0948
Rainfall 1.60 in. ......
Event Duration 10 hr. 30 min.
Results of Visual Monitoring ofStormwater Outfall Identified as Outfulls 001 - 004
at Jowat Corporation
H. Project Number: N/A NPDES #NCG080000
Uo a
W.
AW nag
1:411i �Iap
A
1,iN r�:i 0 hall R
Color Semi -Annual visual Dirty Semi -Clear Clew Clew
Odor Scani-Annual visual None None None None
Clarity Semi -Annual visa Not Clear Semi -Clear Semi Clear • Semi -clew
Floating Solids Semi -Annual Visual Yes Yes Yes None
Suspended Solids Semi -Annual Visual None None None None
Foam Semi -Annual visual None None None None
Oil Sheen Semi -Annual Visual N/A NIA N/A N/A
Other obvious
on J icators of Dirt floating in water Grass in water Dirt floating in water
.9tormwaterpoillution
mgtL = milligrams per Liter - parts per million (ppm) BQL = Below Quantitation Limits
< = less than or Below Quantitation Limit (BQL) SU = Standard Units

Date: 61 f k
Person Evaluating:
Reference: Stormwater Permit No. NCS000133
Jowat Corporation
6058 Lois Lane
Archdale, NC 27263
Randolph County
JowatE
A dheslves
Jowat Corporation
PO Sox1368
High Point, NC 27261
COLOR
ODOR
CLARITY
FLOATING
SUSPENDED
FOAM
OIL
OTHER
SOLIDS
SOLIDS
SHEEN
OBVIOUS
INDICATORS OF
STORMWATER
POLLUTION
#1
UWharrie�Y�
'
Road
i�z
,rf
Behindi�f`uSS�
'
PUR
�,
w
#3
Evelyn
(`yc�v �
,iv
`�
�,
�o
PC
s r
View
.,.J
#4
behind
��� CUNI,
PVAC
l a
Vj
v �u� V
v ,S;k--

RESEARCh & ANAIY CAI
LABORATORIES, INC.
Analytical / Process Consultations
Phone [phone]
CHAIN OF CUSTODY RECORD
WATER! WASTEWATER I misc.
COMPONY
•
• •
• r
it . e • �. •
1
hUNIALog
REIINIUISHED BY
_
1EMME'REC111DIf
—