NCS000334_Renewal Application_20233001

jjorrcsChemiub Inc.
January 25, 2023
JAN '3 0 2023
R"gram
Brianna Young
North Carolina Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: JCI Jones Chemicals, Inc., Charlotte, NC
Stonnwater Permit Renewal
NPDES Permit Number: NCS-000334
Dear Ms. Young,
Enclosed please find the following documents that are being submitted for the renewal of the
NPDES Individual Stormwater Discharge Permit for our facility located in Charlotte, North
Carolina (NPDES Permit Number NCS000334):
• Form I NPDES — General Information
• Form 2F NPDES — Stormwater Discharges Associated with Industrial Activity
• Supplemental Information Required for Renewal of Individual NPDES Stormwater Permit
• Site Map
• Summary of Analytical Monitoring Results
• Summary of Visual Monitoring Results
• Summary of Best Management Practices
• Narrative Describing Significant Changes
• Stormwater Pollution Prevention Plan Development and Implementation Certification
In accordance with Part 111, Section B.1 of our current permit, this renewal application package is
being submitted at least 180 days prior to the permit's expiration date of July 31, 2023.
Please contact me at [phone] if you have any questions or require additional information.
Very truly yours,
JCI Jones Chemicals, Inc.
Timothy J. Gal ey
Executive Vice President
TJG:tg
Cc Mike Croke, JCI Charlotte, NC
Caledonia Branch • 100 Sunny Sol Blvd. • Caledonia, NY 14423 • telephone: [phone] • facsimile: 585.538.2316 • 800.255.3789
Branch Locadons • Warwick, NY • Barberton, OH • Riverview, MI • Merrimack, NH • Charlotte, NC • Jacksonville, FL
• Beech Grove, IN • Milford, VA • Tacoma, WA • Torrance, CA • Corporate Office Sarnwta, FL
www.icichemicals.com

l �i_JV =J
JAN 3 0 2M
EPA Identification Number
NPDESPemld Number
Facilily Name
I1 ._:Foam APproverl(I$05119,,
NCDO02462414
NCS000334
JCI JONES CHEMICALS, INC.
OMB No. 204OMP
U.S. Environmental Protection Agency
LNPDE
�Ep�
rI1
Application for NPDES Permit to Discharge Wastewater
00000000
GENERAL INFORMATION
SECTION
I
Applicants Not Required to Submit form 1
1.1
Is the facility a new or existing publicly owned
1.1.2
Is the facility a new or existing treatment works
1.1.1
treatment works?
treating domestic sewage?
If yes, STOP. Do NOT complete ❑r No
If yes, STOP. Do NOT ❑� No
Farm 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,
€
operation or a concentrated aquatic animal
commercial, mining, or silvicultural facility that is
a
production facility?
currently discharging process wastewater?
o❑
Yes 4 Complete Form 1 �r No
❑ Yes 4 Complete Form �✓ No
a
and Form 2B.
1 and Form 2C,
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?
c
❑ Yes 4 Complete Form 1 [D No
❑ Yes 4 Complete Form Qr No
s
and Form 2D.
1 and Form 2E.
N
a
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?
�r Yes 4 Complete Form 1 0 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
SECTION
2. NAME,
MAILING ADDRESS, AND LOCATION (40 CFR 122.21(f)(2))
2.1
r— Name
JCI JONES CHEMICALS, INC.
`o
2.2
..EPA Identification Number
9
NCDO02462414
v
A
2.3
Facility Contact
Name (first and last)
Title
Phone number
a
,p
MICHAELCROKE
BRANCH MANAGER
[phone]
a
rn
Email address
c
:q
[e-mail]
4
2.4
facility Mailing Address
WE
Street or P.O. box
1500 TARHEEL ROAD
City or town
State
ZIP code
CHARLOTTE
I NORTH CAROLINA
28208
EPA Fom13510-1 (revised 3.19) Pago 1

EPA Identification Number
NPDES Permit Number
Fed
IForm Approved 03105119
NCDO02462414
NCS000334
1CI JONES CHEMICALS, INC.
OMB No. 2040-M
1 v
2.5
Facility Location -
Street, route number, or other specific identifier
G c
U
1500 TARHEEL ROAD
o
County name
County code (If known)
m
MECKLENBURG
E v
City or town
State
ZIP code
iO
z `n
CHARLOTTE
NORTH CAROLINA
28208
SECTIONr
NAICS CODES
3.1
SIC Code(s)
Description (optional)
2819
rn
a
0
0
U
N
U
=
3.2
NAICSCode(s)
Description (optional)
a
m
424690
U
N
1 Name of 0 erator
4.1
JCI JONES CHEMICALS, INC.
4.2
Is the name you listed in Item 4.1 also the owner?
q`0
E
`o
o❑ Yes ❑ No
=
4.3
Operator Status
0
❑ ❑ ❑ Other
Public —federal Public —state public (specify)
p
❑° Private ❑ Other (specify)
4A
Phone Number of Operator
[phone]
4.5
Operator dress
0
Street or P.O. Sox
q
�
1500 TARHEEL ROAD
City or town
State
ZIP code
0 o
m U
CHARLOTTE
NORTH CAROLINA
28208
a
Email address of operator
U
[e-mail]
SECTION•
• •1
v
acility located on Indian Land?
['57171s
s ❑� No
EPA Form 3510.1 (revised 3.19) Page 2

EPA Identification Number
NPDES Permit Number
Facility Name Form Approved 03/05/19
OMB No. 2040MM
NCDO01412414
NC1000334
JCI JONES CHEMICALS, INC.
SECTION+ EXISTING ENVIRONMENTAL41
`y N,
c R. y R n pe p
0 NPDES (discharges to surface ❑ RCRA hazardous wastes ❑ UIC (underground injection of
Yz . water) fluids)
NCS000334
F, i ❑ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ❑ Other (specify)
r,
SECTION +• +1 CFR
` `.= 7.1 Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
- 0 Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTION+
+1
Describe the nature of your business.
8.1
=..K;
JCI JONES CHEMICALS, INC. IS A MANUFACTURER AND REPACKAGER OF WATER TREATMENT CHEMICALS. THESE
INCLUDE THE MANUFACTURING OF SODIUM HYPOCHLORITE SOLUTION AND SODIUM BISULFITE SOLUTION, AND
THE REPACKAGING OF CHLORINE, SULFUR DIOXIDE, AND SODIUM HYDROXIDE SOLUTION.
N
SECTION'
COOLING
WATER41
Does your facility use cooling water?
9.1
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
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.
THIS FACILITY DOES NOT HAVE A COOLING WATER INTAKE STRUCTURE. THE COOLING WATER SYSTEM AT THIS
FACILITY IS "CLOSED LOOP". EVAPORATION WATER FROM THE COOLING PROCESS IS REPLENISHED BY CITY WATER.
SECTION1
VARIANCE
REQUESTS1 1
.......... y�
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
to be
apply. Consult with your NPDES permitting authority to determine what information needs submitted and
when.)
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
k`k
Section 301(n)) 302(b)(2))
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
.
Section 301(c) and (9))
' '
0 Not applicable
EPA Form 35104 (revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03N5119
NCDO02462414 NCS000334 JCI J0NES CH EMICALS, INC. OMB No. 2040-M
SECTIONe
CERTIFICATION STATEMENT (40 ...
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
❑ w/ attachments
Section 2: Name, Mailing Address, and Location
❑ w/ attachments
0 Section 3: SIC Codes
❑ wl attachments
0 Section 4: Operator Information
❑ w/ attachments
❑ Section 5: Indian Land
❑ w/ attachments
0 Section 6: Existing Environmental Permits
❑ w/ attachments
A
❑✓ Section 7: Map
❑ malopographic Elw/ additional attachments
N
g
❑� Section 8: Nature of Business
❑ w/ attachments
w
❑ Section 9: Cooling Water Intake Structures
❑ w/ attachments
❑ Section 10: Variance Requests
❑ w/ attachments
9
c
El Section 11: Checklist and Certification Statement
❑ w/ attachments
Y
d
11.2
Certification Statement
L
U
I certify under penalty of law that this document and all attachments were prepared undermy 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
TIMOTHY I. GAFFNEY
EXECUTIVE VICE PRESIDENT
Signature
Date signed
04�
OS/25/2023
EPA Form 3510d (revised 3-19) Page 4

EPA Identifcalion Number
NPOES Permit Number
Facility Nam
Form Approved 03105119
NCD002462414
NC5000334
JCI JONES CH EMICALS, INC.
OMB No. 2040-DO04
U.S Environmental Protection Agency
L
ro EPA
Application for NPDES Permit to Discharge Wastewater
STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL
LOCATION•r
Provide information on each of the facilil 's oulfalls in the table below
1.1
Outfall
Receiving Water Name
Latitude
Longitude
Number
001
PAW CREEK
35, 15 59" N
80° 54' 32" W
c
T
U
O
N
O
SECTIONP
• r
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.
Final Compliance Dates
Brief Identification and
Affected Outfalls
Source(s)of Discharge
Required
Projected
Description of Project
piss ouHal numbers)
w
E
m
0
`E
E
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 3510.2E (Revised 3-19) Page i

EPA ldenttkatlon Number NPDES Permit Number Facility Name 1r01m Appmvea wmone
NCO002462414 NCS000334 JCI JONES CHEMICALS, INC. OMB No. 2040-M
SECTION••,
I
Have you attached a site drainage map containing all required information to this application? (See instructions for
3.1
pecscguidance.)
co -a
No
® Yes
SECTIONPOLLUTANT
Provide information on the facility's pollutant sources in the table below.
4.1
Outfall
Impervious Surface Area
Total Surface Area Drained
Number
(within a die radius of the fachtity)
(within a mile radius of the facility)
specify unts
speafyunts
G01
1.5
ACRES
6
ACRES
specify units
specify units
specify units
specify units
'.,
specify ands
specify units
sJIBGry units
specify units
specify units
specify unts
4.2
Provide a narrative description of the facility's significant material in the space below. (See instructions for content
requirements.)
No significant materlals have been treated, stored, or disposed of In a manner to allow exposure to stormwater in the
previous three years. In addhon, no significant on -site spills or leaks have occurred at the facility during the previous
three years that are known to have Impacted off -site areas. All chemical bulk storage tanks are located Indoors, are
9
equipped with secondary containment, and are not exposed to stormwater. Loading and unloading operations
W
conducted at the JCI facility occur at the two bulk load out areas and the railroad spur. Raw materials and finished
i5
products are loaded and unloaded by truck. Split kits are available and will be used to contain and Immediately clean
up any spillage using absorbent materials or other appropriate means. No pesticides, herbicides, soil conditioners, or
—
fertilizers are applied at the facility.
0
a
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)
001
Good housekeeping practices, employee training, site inspection, preventative
N/A
maintenance, stormwater testing, and spill response programs.
EPA Form 3510-21' (Revised 3-19) Page 2

EPA ldenttkatkn Number NPDES Permit Number Facility Name Form Approved 03/05/15
NCDO02462414 NC5000334 JCI JONES CHEMICALS, INC. OMB No. 2040-0004
SECTION•N
STORMWATER 1 41
1 ceAiy under penalty of law that the outtall(s) covered by this application have been tested or evaluated for the
5.1
presence of non-stormwater discharges. Moreover, I certify that the outialls identified as having nonstormwater
discharges are described in either an accompanying NPDES Form 2C, 2D, or 2E application.
Name (print or type first and last name)
Official title
TIMOTHY J. GAFFNEY
EXECUTIVE VICE PRESIDENT
SIgnat ire
Date signed
01/25/2023
ut
o,
5.2
Provide the testinfi information requested in the table below.
Onsite Drainage Points
1e
Outlall
Description of Testing Method Used
Date(s) of Testing
Directly Observed
o
`w
Number
During Test
3
001
VISUAL INSPECTION
11/30/2022
PLANT DRAINAGE AREAS
0
N
L
O
2
SECTIONOR
1
Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
6.1
NONE.
'a
rn
`o
Y
N
J
❑C
U
C
c
N7i
SECTIONDISCHARGE
INFORMATION•1
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 sop licants need to complete each table.
€
7.1
Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of O No 4 See instructions regarding submission of
=
estimated data. actual data.
a
L
Tables A, B, C, and D
H
7.2
Have you completed Table A for each outfall?
❑✓ Yes ❑ No
EPA Form 3510-21F (Revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03N5119
NCDO02462414
NCS000334
JCI JONES CHEMICALS, INC.
OMB No. 2040-0004
7.3
Is the facility subject to an effluent limitation guideline (ELG) or effluent limitations in an NPDES permitfor 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 217-2 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 +SKIP to Item 7.18. r❑ No
T8
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 greaten
€
0
❑ Yes r❑ No + SKIP to Item 7.12.
`s
7.11
Have you provided quantitative data in Table C for those pollutants in Exhibit 2F3 that you expect to be discharged in
m
concentrations of 10 ppb or greater?
A
t
N
❑ Yes ❑ No
7.12
Do you expect acfolein, acrylonitile, 2,4-dinitrophenol, or 2-methyl4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greaten
❑ 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 greaten
❑ 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)?
r❑ Yes ❑ No
7.15
Do you know or have reason to believe any pollutants in Exhibit 2F1 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?
0 Yes ❑ No
EPA Form 3510.21F (Revised 3-19) Page 4

EPA Identification Number
NPOES Permit Number
Facility Name
Form Approved 03/05119
NCDO02462414
NCS000334
JCI JONES CHEMICALS, INC.
OMB No, 2040*004
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?
ci
❑� Yes ❑ No 4 SKIP to Section B.
0
7.19
List the pollutants below, including TCDD If applicable.
'e
1. Chlorine, Total Residual 4. 7.
2. 5. 8.
t
u
c
3. 6. 9.
SECTIONBIOLOGICAL
T• r
Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
8.1
A
any of your discharges or on a receiving water in relation to your discharge within the last three years?
0
N
❑ Yes ❑ No 4 SKIP to Section 9.
ra
8.2
Identify the tests and their purposes
below.
s
•q
Testis)
Purpose of Test(s)
Submitted to NPDES
Perm Itting Authority?
Date Submitted
0
~
❑ Yes ❑ No
A
u
0
0
El Yes ❑ No
ma
❑ Yes ❑ No
SECTION•
• • 41
Were any of the analyses reported in Section 7 (on Tables A through C) performed by a contract laboratory or
9.1
consulting firm?
❑✓ Yes ❑ No 4 SKIP to Section 10.
9.2
Provide information for each contract laboratory or consulting firm below.
Laboratory Number l
Laboratory Number 2
Laboratory Number 3 '
Name of laboratory/firm
Chem-Bac Laboratories, Inc.
0
0
m
0
Laboratory address
P.O. Box 19198
Charlotte, NC 28219
m
u
E
c
Phone number
v
[phone]
Pollutant(s) analyzed
Total Suspended Solids,
Chlorine Total Residual, Total
Phosphorus, pH
EPA Form 3510.21P (Revised 3-19) Page 5

EPA Identification Number
NPDES Perm@ Number Facilily Name Form Approved 03N5119
NCDO02462414
NCS000334 JCI JONES CHEMICALS, INC. OMB No. 20404)004
SECTION1
CHECKLIST
AND CERTIFICATION STATEMENT (40
In Column 1 below, mark the sections of Form 2F that you have completed and are submitting with your application. Fa
10.1
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
❑ w/ attachments (e.g., responses for additional outtalls)
❑ Section 2
❑ w/ attachments
r❑ Section 3
r❑ w/ site drainage map
0 Section 4
❑ w/ attachments
❑ Section 5
❑ w/ attachments
❑ Section 6
❑ w/ attachments
0
d
❑� Section 7
❑� Table A ❑ wl small business exemption request
3
N
�
❑ Table B ❑ wl analytical results as an attachment
0
❑� Table C ❑ Table D
C
'�
0
❑ Section 8
❑ w/attachments
c
N
❑� Section 9
❑ w/attachments (e.g., responses for additional contact laboratories or firms)
Y
t
Section 10
❑
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 inquiryof the person orpersons 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
TIMOTHY J. GAFFNEY
EXECUTIVE VICE PRESIDENT
S' n' aturg
Date signed
01/25/2023
EPA Form 3510.2E (Revised 3-19) Page 6

EPA ldenlfioatiom Number NPDES Permit Number Facility Name Oudall Number Form Approed 030119
NCDO02462414 NCS000334 JCI JONES CHEMICALS, INC. 001 OMB No. 2040-0004
TABLE A. CONVENTIONAL AND NON CONVENTIONAL PARAMETERS (40 UR122.26(c)(1)(1)(E)(3)),
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.
Pollutant or Parameter
Maximum Daily Discharge
(specify unds)
Average Daily Discharge
ispecdy unRs)
Number of Storm
Events Sampled
Source of
Information
dischargers only; use
codes in instructions)
Grab Sample Taken
During First
30 Minutes
Flow•Weighled
Composite
Grab Sample Taken
During First
30 Minutes
Flow-Wei(newsouncemew
ghted
Composite
1.
Oil and grease
2.
Biochemical oxygen demand (BODs)
3.
Chemical oxygen demand (COD)
4.
Total suspended solids (TSS)
97
41
9
LAB
5.
Total phosphorus
1.19
0.36
9
LAB
6.
Total Kjeldahl nitrogen (TKN)
7.
Total nitrogen (as N)
pH (minimum)
6.21
N/A
9
LAB
8.
pH (maximum)
7.23
N/A
9
LAB
' 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 IdenOScation Number NPDES Permit Number Facility Name. Outrall Number Fan Approved 03135/19
NCDO02462414 NCS000334 JCI JONES CHEMICALS, INC. 001 OMB No. 2040-0004
tr e e e . 1 I
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 fable for each outfall. See the instructions for additional details and requirements.
Pollutant and CAS Number (if available)
Maximum Daily Discharge
:erl units)
Average Daily Discharge
(spe units
NumberofStorn
Events Sampled
Source of
Information
(new sourceMew
dischargers only; use
mdes in instr icns)
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
NONE
r 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 3510-217 (Revised 3.19) Page 9

EPA lden"ution Number NPDES Permit Number Faclity Name Outtall Number Form Approved 03N5/19
NCDO02462414 NCS000334 JCI JONES CHEMICALS, INC. 001 OMB No. 20400004
TABLE C. TOXIC POLLUTANTS,'1OAND ASBESTOSI 41
List each pollutant shown in Exhibits 2F-2, 217-3, 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.
Pollutant and CAS Number (if avaaahle)
Maximum Daily Discharge
unts
Average Daily Discharge
s 'units
Number of Storm
Events Sampled
Source of
Information
new soumehww
d'Sdwrgem only; use
codes in instructions
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
Grab Sample Taken
During First
30 Minutes
Flow -Weighted
Composite
CHLORINE, TOTAL RESIDUAL
<0.1
<0.1
9
LAB
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, sutichapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2F (Revised 3.19) Page 11

EPA Farts 3510-2F (Revised 3.19) Page 13

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

JCI JONES CHEMICALS, INC. — CHARLOTTE, NC
PERMIT NUMBER: NCS-000334
SUPPLEMENTAL INFORMATION
ITEM 1: SITE MAP
Attached is a current Site Map from the Storm Water Pollution Prevention Plan.

-1 C -L- -J OrIt,S C r% b tY? r CABS
S'Frt- `� L A ni
C. A Adbl9
SC 4 L E 3Ija 4..4o'
Asa... 1j S-qm ou: -Po,c Zr 0 0 r
a mom
F.1
� w �
�r 1e�tM qsw�
I�
OQ1
y�jII
' OT SIJ AC1 '6
L .
1 ;
TAR Ham, ROAD
� � r

IN 'k, -MM a
War �7
"�PPPi—pb.t'7T 0
00
44ir

JCI JONES CHEMICALS, INC. - CHARLOTTE, NC
PERMIT NUMBER: NCS-000334
SUPPLEMENTAL INFORMATION
ITEM 2: SUNRVIARY OF ANALYTICAL MONITORING RESULTS
OUTFALL 001
Date
Total
Chlorine
Sample
Total
Suspended
Total
Total
Collected
Rainfall
Solids
Phosphorus
pH
Residual
(mo/dd/yr)
(inches)
(mg/L)
(mg/L)
(SU)
(mg/L)
12/14/2018
0.5
25
1.19
6.82
<0.01
6/12/2019
0.25
7.3
0.01
6.8
<0.01
12/15/2019
0.5
66
0.52
6.21
<0.01
6/29/2020
0.15
76
0.47
7.04
<0.01
12/16/2020
1
22
0.43
6.84
<0.01
6/7/2021
0.75
24
0.32
6.34
<0.01
12/8/2021
0.75
48
0.31
6.54
<0.01
6/15/2022
0.4
5
0.01
6.53
<0.01
11/30/2022
0.55
97
0.01
7.23
<0.01

JCI JONES CHEMICALS, INC. - CHARLOTTE, NC
PERMIT NUMBER: NCS-000334
SUPPLEMENTAL INFORMATION
ITEM 3: SUMMARY OF VISUAL MONITORING RESULTS
OUTFALL 001
Erosion or
Floating
Suspended
Deposition
Date
Color
Odor
Clarity
Solids
Solids
Foam
Oil Sheen
at Outfall
Other
12/14/2018
Light Brown Tint
None
Fairly Clear
None
Minimal
None
None
None
None
6/12/2019
Light Tan
None
Clear
None
Minimal
None
None
None
None
12/13/2019
Clear
None
Fairly Clear
None
Minimal
None
None
None
None
6/29/2020
Light Tint
None
Fairly Clear
None
Minimal
None
None
None
None
12/16/2020
Clear
None
Very Light Tint
None
None
None
None
None
None
6/7/2021
Clear
None
Slight Tint
None
Minimal
None
None
None
None
12/8/2021
Clear
None
Clear
None
None
None
None
None
None
6/10/2022
Clear
None
Clear
None
Minimal
None
lNone
None
INone
11/30/2022
Slight Tint
None
Clear
INone
lNone
None
None
None
INone

JCI JONES CHEMICALS, INC. — CHARLOTTE, NC
PERMIT NUMBER: NCS-000334
SUPPLEMENTAL INFORMATION
ITEM 4: SUMMARY OF BEST MANAGEMENT PRACTICES
The following practices and policies are designed to reduce or eliminate the potential for
contamination of storm water at the facility.
1. In addition to safety aspects, good housekeeping practices are an important measure
in preventing pollution. The Corporate housekeeping procedure can be found in our
Safety Training Manual. Employees are trained annually on the procedure, and
routine inspections include visual checks for housekeeping.
2. Maintaining equipment in good working order is essential in preventing pollution.
Our Maintenance Manual is devoted to facility and equipment maintenance.
Pertinent sections include procedures for inspection, maintenance and record keeping
on building, process equipment and tanks. In addition, site inspections include
equipment checks and visual inspections for buildings and tank dikes.
3. Spill prevention and response is possibly the most significant pollution prevention
measure. As such, a large portion of our corporate policies center around the
prevention and mitigation of spills, leaks and releases. Our Contingency Plan is
devoted to incident response procedures. The Contingency Plan is shared with local
emergency response agencies to facilitate rapid and appropriate response measures
and all employees are trained annually on its contents. In addition to the Contingency
Plan, five chapters of our Environmental Manual and two chapters in our Safety
Training Manual are dedicated to spill, leak, and release response. Much of the site
inspection procedure is dedicated to spill and leak detection and corrective action.
Annual safety training of employees is conducted on spill, leak, and release response.
4. All employees receive extensive training related to pollution prevention. In addition
to training on good housekeeping practices, employees receive annual training on the
Contingency Plan. Those employees who have been designated as Emergency
Responders receive a minimum of 8 hours of spill, leak, and release training each
year. Finally, all employees are periodically trained on the procedures and guidelines
for spill, leak and release response. In addition to the above, pertinent employees are
trained annually on the contents of our Spill Pollution Prevention Plan.
5. JCI has a comprehensive site inspection policy in its Environmental Manual that is
dedicated to pollution prevention. Employees perform a daily inspection for leaks
and spills, and keep a log of the inspection. The weekly site inspection is also
designed to detect spills and leaks. In addition, the weekly site inspection covers
equipment and building maintenance checks. Also, the monthly environmental report
recaps the daily and weekly inspections, and encourages review of the Contingency
Plan. In addition to the above, two qualitative storm water inspections are conducted
each year, once between January 1 - June 30 and once during July 1 - December 31.

6. The loading and unloading of bagged and drummed products takes place at the
facility loading dock. Bulk liquid products are transferred either from tank truck or
rail cars. Bulk gasses are likewise transferred from rail cars. All product loading and
unloading areas are covered by the site inspection policy. In addition, drip pans are
used under pumps in order to reduce the potential for contamination.
7. Chemical bulk storage tanks have several pollution prevention measures in place and
operational, including drip pans under pumps, regular inspections, and diking and
berming to contain potentially contaminated stormwater runoff. Also, all chemical
bulk storage tanks are within the main facility building. The chemical bulk storage
tank systems are also covered by the facility Contingency Plan for accidental or
catastrophic spills, leaks, and releases.
8. The Corporate Waste Minimization Policy is contained in our Environmental Manual.
This policy contains many techniques that can reduce or eliminate contamination of
storm water runoff. Examples of such techniques include the use of drip pans, proper
emptying and maintenance of drip pans, inspection and maintenance of all equipment,
proper drum handling procedures, and separation of storm water from other
wastewaters.

JCI JONES CHEMICALS, INC. — CHARLOTTE, NC
PERMIT NUMBER: NCS-000334
SUPPLEMENTAL INFORMATION
ITEM 5: NARRATIVE DESCRIBING SIGNIFICANT CHANGES
There have been no significant changes in industrial activities at this facility. There have
been no additions or deletions of work processes, no changes in material handling
practices, and/or no changes in the raw materials used by the facility.

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Energy, Mineral, and Land Resources — Stormwater Program
Facility Name: JCIJnne.
Permit Number: NW003:
Location Address:
1500 Tmheel Road, ChaftM, NO Camina 38208
County: U.—.—
"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.
Signature IIA4Date Janu.p25.1013
Timothy J. Gaffney E. uM W. P.ddent
Print or type name of person signing above Title
SPPP Certification 10/13