WQ0002015_Monitoring - 07-2021_20210830

DWR - NonDischarge Monitoring Report Submittal
NORTH CAROLINA
Ertrlranmrrttat Quaffty
Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month:* July
Report Information
Type*
WQ0002015
Oak Hill Fellowship Center
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Year:* 2021
Upload Document*
Oak Hill Fellowship .pdf
Ft F Cnly
1.83MB
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Dale Mathews
a aepkyee-
Date of submittal: 8/30/2021
This w ill be filled in automatically
Initial Review
Reviewer: Giri, Poonam a

Is the project number correct?* WQ0002015
Is the monitoring report (' Yes C No
accepted? *
Regional Office* Raleigh
Accepted Date: 9/9/2021

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: W00002015 I Facility Name: Oak Hill Fellowship Center
PPI: Flow Measuring Point:
Parameter Code -a. 0
a
m
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
24-hr
09:30
17:00
17:00
20:00
13:30
17:00
09:00
16:45
12:00
14:00
hrs
1
1
1
1
1
1
41"0
4116
2
00400
su
8
7.9
7.9
8
0Influent 0 Effluent
00310
0
mg/L
<2.0
No flow generated
00530
mg/L
110
1FMOO 04.:
County: Granville I Month:
Parameter Monitoring Point:
00615
Z
mg/L
<0.10
00665
mg/L
2.68
July
IYear: 2021
❑ Influent 0Effluent 0 Groundwater Lcwerirg ❑ Surface Water
00010
Temperature
°C
25.3
25.5
24.8
25.8
00940
v
.
U
mg/L
50.4
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit
Daily Limit:
8.00
7.90
Sample Frequency:
0.00
2.00
2.00
110.00
110.00
110.00
0.00
0.10
0.10
ti
2.68
2.68
2.68
25.35
25.80
24.80
50.40
50.40
50.40

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Name: Dale Lee Mathews
Name: Andy L. Mathews
Name: Meritech
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Compliant
Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken.
Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Lee Mathews
Certification No.: 22794
Grade: Spray Irrigation Phone Number:
Has the hanged since the previous NDMR?
)
[phone]
• Yes El No
S.12q \Z'1
Permittee: Oak Hill Fellowship Center
Signing Official: Bart Streb
Signing Official's Title: Facility Manager
Phone N er: [phone] Permit Expiration: 7131124
q ,Zqt Z )
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Signature Date
I certify, under penalty of law, that this docuanent and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons cirectly 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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Permit No.: WQ0002015
Did irrigation occur a
this facility?
T
CO
1
2
3
4
5
6
7
8
9
10
D YES
Weather Code
PC
R
Weather
Temperature
OF
NO
O
0.
ry
a
in
0.5
2.75
Freeboard
0
9.
ft
2.9
2.8
2.9
Facility Name: Oak Hill Fellowship Center
Field Name:
county: Granville I Month: July
Field Name:
Year: 2021
Area (acres):
Cover Crop:
Hourly Rate (in):
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
0 v
E d
g
>
gal
v
E m
min
Y
rn
T c
CO
o
J
in
El NO
3 c
E 3 :5
2=0
J
in
Field Irrigated?
0E '007
7
><
gal
E414
min
YES NO
O1
'O
00
J
in
in
11
12
CL
C
2.7
13
14
15
16
17
PC
2.7
18
19
20
21
R
0.75
0.5
2.8
2.8
22
23
24
25
26
27
28
29
30
31
1.75
2.9
2.8
2.8
Monthly Loading: i, $ 2 4::
12 Month Floating Total (in): f
0
./�
0
0.00

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
Compliant Ei Non -Compliant
Compliant Non -Compliant
El Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the connective action(s)
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Lee Mathews
Certification No.: 22794
Grade: Spray Irrigation Phone Number: [phone]
Has the C changed since the previous NDAR-1? yes LiNO
Permittee:
Oak Hill Fellowship Center
Signing Official: Bart Streb
Signing Official's Title: Facility Manager
Phone er: [phone] Permit Exp.: 7/31/24
Signature
By this signature, I certify that this report is accurrato and complete to the best of my knowledge.
Date
Signature Date
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 all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons
who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge
and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment fa knowing violations.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617