WQ0002015_Monitoring - 09-2024_20241030

Monitoring Report Submittal
Permit Number#* WQ0002015
Name of Facility:* CAMP OAK HILL FELLOWSHIP CENTER
Month: * September Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR OAKHILL-SEPT24.pdf 1.96MB
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: 10/30/2024
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: 11/21/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORINr. RFPnOT lkiMmml

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Certified Laboratories
Name: Dale Lee Mathews
Name: Meritech, Inc.
Name: Andy L. Mathews
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? MCompliant 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.
We have been experiencing issues with the Excel Spreadsheet which has caused the delay in completing monthly reporting. Our files became corrupted and required attention to complete monthly NDMR/NDAR-1.
Operator in Responsible Charge (ORC) Certification
ORC: Dale Lee Mathews
Certification No.: 22794
Grade: Spray Irrigation Phone Number: [phone]
Has the O nged since the previous NDMR? ❑Yes QNo
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 Num [phone] Permit Expiration: 7/31 /24
X B 7WA-W _ k i --� _ Z_
Signature Date
I certify, under penalty of law, that this document and ail attachments were prepared under my direction a supervision in accordance with a system
designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based an 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 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-11

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Did the application rates exceed the limits in Attachment B of your permit?
ElCompliantNat-Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
�i Compliant FI Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
�i Compliant � Non -Compliant
all setbacks listed in your permit maintained for every application to each permitted site?
Compliant NorfCanpliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
0 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 noncompliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: Dale Lee Mathews
Certification No.: 22794
Grade: SI Phone Number: 919-691-1056
Has the ORC changed since the previous NDAR-1?
Yes [A No
Signature Date
By this signature. I certify that this report is accurrale 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: 919-782-288$ Permit Exp.: 7/31 /24
I V ' -ju— 6. ,r
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 tyre 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, inching 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