WQ0002015_Monitoring - 03-2022_20230108

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * March
Report Information
WQ0002015
OAK HILL FELLOWSHIP CENTER
Year:* 2022
Type* Upload Document*
Revised - NDMR, NDAR-1, NDAR-2, OAKHILL-MARCH2O22.pdf 2MB
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: R. 03-12 NON -DISCHARGE MOR 4ING REPORT (NDMR)
Penn ,�

FORM: N 33-12 NON -DISCHARGE MOK 41ING REPORT (NDMR) Page It
Sampling Person(s)
Certified Laboratories
Name: Dale Lee Mathews
Name: Meritech
Name: Andy L. Mathews
Name:
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 dates) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary.
Fecal Sample on 3/3/22 contained a high level of chlorine at laboratory; therefore, another sample was collected as a grab on 03/10/22. No spraying on 3/10/22 due to heavy rainfall the previous day.
Operator in Responsible Charge (ORC) Certification
ORC: Dale Lee Mathews
Certification No.: 22794
Grade: Spray Irrigation Phone Number: [phone]
Has the ORC changed since the previous NDMR? r-111__ ram..
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: Oak Hill Fellowship Center
Signing Official: Liza Farrar
Signing Official's Title: Facility Manager
Phone Number: 919-782-2888 Permit Expiration: 7/31 /24
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 infomation, 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
possitrlity 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: P 1 10-13 NON -DISCHARGE APPL 'rION REPORT /NnAp-,i i

FORM: f 110-13
NON -DISCHARGE APPL rION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page _ df
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? EDConpliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? OCormgtant Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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❑Compliant Non -Compliant
and the correctiveaction(s)
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Dale Lee Mathews
Certification No.: 22794
Grade: Spray Irrigation Phone Number:
Has t C changed since the previous NDAR-1?
ZP, mokw
[phone]
Yes D No
Signature
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee:
Oak Hill Fellowship Center
Signing Official: Liza Farrar
Signing Official's Title: Facility Manager
Phone Number: 919-782-2888 Permit Ex
P•: 7/31 /24
122-
Date Signature
Date
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 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, anal compete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
11 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, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Report Date: 3/15/2022
NPDES #: WQ0002015
Date Sample Rcvd: 3/3/2022
Meritech Work Order# 030322125 Sample: Effluent Grab
3/3/22
Parameters
Results
Analysis Date
Reporting Limit
Method Qualife
BOD, 5 day
16.5 mg/L
3/4/22
2.0 mg/L
SM 5210 B
Total Suspended Solids
88 mg/L
3/8/22
IS mg/L
SM 2540 D
Total Dissolved Solids
460 mg/L
3/8/22
10.0 mg/L
SM 2540C
Chloride, total
73.5 mg/L
3/14/22
0.1 mg/L
SM 4500 Cl B
Ammonia, Nitrogen
<0.1 mg/L
3/7/22
0.1 mg/L
EPA 350.1
TKN
0.64 mg/L
3/9/22
0.20 mg/L
EPA 351.1
Nitrate, Nitrogen
<10.0 mg/L
3/4/22
10.0 mg/L
EPA 353.2
trite, Nitrogen
<10.0 mg/L
3/4/22
10.0 mg/L
EPA 353.2
aosphorus, total
0.214 mg/L
3/10/22
0.020 mg/L
EPA 200.7
Fecal Coliform
<2 col/100 ml
3/3/22
2 col/100 ml
SM 9222 D C
C Total residual chlorine was present in sample upon receipt in the laboratory; value not accurate.
,ereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
M-Environmental LaboratonA
Laboratory Certification No.165
Contact: Camp Oak Hill Report Date: 3/22/2022
Client: Dale Mathews NPDES #: WQ0002015
3191 Gela Dr.
Oxford, NC 27565 Date Sample Rcvd: 3/10/2022
Meritech Work Order # 031022149 Sample: Effluent Grab 3/10/22
Parameters Results Analysis Date Reporting Limit Method
Fecal CoIiform <2 col/100 ml 3/10/22 2 col/100 ml SM 9222 D
I hereby certify that 1 have reviewed and approve these data. 'km x1&L Nar gxy �)
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]