WQ0002015_Monitoring - 11-2021_20230108

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * November
Report Information
WQ0002015
OAK HILL FELLOWSHIP CENTER
Year:* 2021
Type* Upload Document*
Revised - NDMR, NDAR-1, NDAR-2, OAKHILL-NOV2021.pdf 1.92MB
NDMLR
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter: * Dale Mathews
Signature:
Date of submittal: 1/8/2023
This will be filled in automatically
Initial Review
Reviewer: Gerald, Wanda

Is the project number correct?* WQ0002015
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 1/30/2023

FORM, 33-12 NON -DISCHARGE MOP AING REPORT (NDMR) Page

FORM: P 03-12
Name: Dale Lee Mathews
Name: Andy L. Mathews
Sampling Person(s)
NON -DISCHARGE MOI
'RING REPORT (NDMR)
Name: Meritech
Name:
Certified Laboratories
Page —
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
❑i Compliant®NarCangiant
If the facility is noncompliant, 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 Permittee: Oak Hill Fellowship Center
Certification No.: 22794 Signing Official: Bart Streb
Grade: Spray Irrigation Phone Number: [phone] Signing Official's Title: Facility Manager
Has the ORC changed since the previous NDMR? Dves Q, No Phqfie Nu ber: [phone] Permit Expiration: 7/31 /24
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9 3 Z-) �,,
Signature Date Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge. 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 hest 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: � 1 10-13 NON -DISCHARGE APPL LION REPORT(NDAR-1) Pane

.FOM: t -1 10-13
NON -DISCHARGE APPL 'ION REPORT (NDAR-1)
Page —
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?
o Compliant ❑ Non -Compliant
R Compliant ❑ Non -Compliant
RCompliant Non -Corn pliant
Compliant � Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Compliant tf--tt
El
Non -Conn pliant
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 dates) of the noncompliance and describe the`corrective action(s)
taken. Attach additional sheets if necessary
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Lee Mathews
Permittee:
Certification No.: 22794 Oak Hill Fellowship Center
Signing Official: Bart Streb
Grade: Spray Irrigation Phone Number: [phone]
Signing Officials Title: Facility Manager
Has t ORC changed since the previous NDAR-1?
Yes nNo Phone e : [phone] Permit Exp.: 7/31124
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 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

Contact: Camp Oak Hill
Client: Dale Mathews
3191 Gela Dr.
Oxford, NC 27565
Meritech Work Order# 11172188
Parameters
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Results
Report Date: 12/1/2021
NPDES#: WQ0004410
Project: WW
Date Sample Rcvd: 11/17/2021
Sample: Wastewater Grab
Analysis Date Reporting Limit
11/17/21
Method Qualifle
BOD, 5 day
16.5 mg/L
11/18/21
2.0 mg/L
SM 5210 B G8
Total Dissolved Solids
1280 mg/L
11/18/21
10.0 mg/L
SM 2540C
Total Suspended Solids
45 mg/L
11/18/21
2.5 mg/L
SM 2540 D
Chloride
543 mg/L
11/17/21
0.1 mg/L
SM 4500 Cl B
Ammonia, Nitrogen
<0.1 mg/L
11/18/21
0.1 mg/L
EPA 350.1
TKN
2.23 mg/L
11/23/21
0.20 mg/L
EPA 351.1
Nitrate/Nitrite, Nitrogen
<10.0 mg/L
11/24/21
10.0 mg/L
EPA 353.2
,trogen, total
<10.0 mg/L
11/24/21
10.0 mg/L
EPA 353.2
asphorus, total
0.877 mg/L
11/29/21
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 col/100 ml
11/17/21
1 col/100 ml
SM 9222 D
G8 Oxygen usage is less than 2 mg/L for all dilutions set. The reported value is an estimated less than value
and is calculated for the dilution using the most amount of sample.
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tarnco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]