WQ0002015_Monitoring - 03-2021_20230131

Monitoring Report Submittal
Permit Number#* WQ0002015
Name of Facility:* OAK HILL FELLOWSHIP CENTER
Month: * March Year: * 2021
Report Information
Type* Upload Document*
Revised - NDMR, NDAR-1, NDAR-2, NDMLR COH-MARCH2O21.pdf 1.95MB
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:
4/We- K1fjr71.11A Z
Date of submittal: 1/31/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0002015
Is the monitoring report accepted?* Yes No
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 4/3/2023

FORM: N 03-12 NON -DISCHARGE MOV ING REPORT (NDMR) Page _

FORM: N 03-12 NON -DISCHARGE MOt 21NG REPORT (NDMR) Page _
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? ❑i Compliant RNonrconpliand
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.
SPRAY FIELD UTILIZED DURING MONTH OF MARCH, WASTEWATER SAMPLES COLLECTED ON 3/25/2021
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Lee Mathews
Permittee: Oak Hill Fellowship Center
Certification No.: 22794
Signing Official: Alan Glover
Grade: Spray Irrigation Phone Number: [phone]
Signing Officials Title: Facility Manager
Has the ORC changed since the previous NDMR? Mye ❑, No
Phone ber: [phone] Permit Expiration: 7/31/19
lu
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my krowledge.
I certify, urder 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 mare 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

FORM: r 1 10-13 NON -DISCHARGE APPL 7ION REPORT (NDAR-1) Page _

FCRM: N 1 10-13 NON -DISCHARGE APPL' iION REPORT (NDAR-1) Page _
Did the application rates exceed the limits in Attachment B of your permit? RCompliant M Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? OCompliant El Non -compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑i Compliant Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑i Compliant Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El Compliant Non -Compliant
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)
takf_n Attach nriefiti-I ehoote if --,-
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Lee Mathews
Permittee:
Oak Hill Fellowship Center
Certification No.: 22794
Signing Official: Alan Glover
Grade: Spray Irrigation Phone Number: [phone]
Signing Official's Title: Facility Manager
Has the ORC changed since the previous NDAR-1? Yes a No
Phone Number: [phone] Permit Exp.: 7/31/19
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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 perialty 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 parson 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

eritec , Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Camp Oak Hill
Report Date:
4/9/2021
Client: Dale Mathews
NPDES #:
WQ0002015
3191 Gela Dr.
Oxford, NC 27565
Date Sample Rcvd:
3/25/2021
Meritech Work Order # 03252130 Sample: Effluent Grab
3/25/21
Parameters
Results Analysis Date Reporting Limit
Method
BOD, 5 day
<2.0 mg/L 3/26/21
2.0 mg/L
SM 5210 B
Total Suspended Solids
30 mg/L 3/29/21
2.5 mg/L
SM 2540 D
Total Dissolved Solids
253 mg/L 3/30/21
10.0 mg/L
SM 2540C
Chloride, total
31.3 mg/L 3/29/21
0.1 mg/L
SM 4500 Cl B
Ammonia, Nitrogen
<0.1 mg/L 3/29/21
0.1 mg/L
EPA 350.1
TKN
1.12 mg/L 4/8/21
0.20 mg/L
EPA 351.1
Nitrate, Nitrogen
0.28 mg/L 3/25/21
0.10 mg/L
EPA 353.2
Nitrite, Nitrogen
<0.10 mg/L 3/26/21
0.10 mg/L
EPA 353.2
Phosphorus, total
0.506 mg/L 4/7/21
0.020 mg/L
EPA 200.7
Fecal Coliform
<1 cal/100 ml 3/25/21
1 cal/100 ml
SM 9222 D
I hereby certify that I have reviewed and approve these data. 40coa; Hcunr
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]