WQ0002015_Monitoring - 08-2023_20231003

Monitoring Report Submittal
Permit Number#* WQ0002015
Name of Facility:* OAK HILL FELLOWSHIP CENTER
Month: * August Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR OAKHILL-AUG23.pdf 1.9MB
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: 10/3/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00002015
Is the monitoring report accepted?* Yes NO
Regional Office* Raleigh
Reviewer: _anonymous
Review Date: 10/4/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s) Certified Laboratories
Name: Dale Lee Mathews Name: Meritech
Name: Andy L. Mathews Name:
Dues au monitoring aata and sampling frequencies meet the requirements in Attachment A of your permit? ❑i canpiiarn �Narcangiarn
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 noncompliance and describe the corrective action(s) taken.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Dale Lee Mathews
Permittee: Oak Hill Fellowship Center
Certification No.: 22794
Signing Official: Liza Farrar
Grade: Spray Irrigation Phone Number: [phone]
Signing Officials Title: Facility Manager
Has the ORC changed since the previous NDMR? yes O No
Phone Number: 919-782-2888 Permit Expiration: 7/31 /24
2a
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I carti, under fy, 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

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Paae of

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?
Compliant Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
�i Compliant Nan -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?
Compliant Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
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 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:
Oak Hill Fellowship Center
Certification No.: 22794 Signing Official: Liza Farrar
Grade: Spray Irrigation Phone Number: [phone] Signing Official's Title: Facility Manager
Has the ORC changed since the previous NDAR-1? Yes E] No p.:
Phone Number: 919-782-2888 Permit Ex 7/31/24
L_�
�-7
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 property 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