WQ0002015_Monitoring - 04-2024_20241029

Monitoring Report Submittal
Permit Number#* WQ0002015
Name of Facility:* CAMP OAK HILL FELLOWSHIP CENTER
Month: * April Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR OAKHILL-APRIL24.pdf 1.93MB
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:
ti✓�i�/ �%fjltC//At'�fZ
Date of submittal: 10/29/2024
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: N )3-12 NON -DISCHARGE MON AING REPORT (NDMR)

FORM: NDt -12 NON -DISCHARGE MONI' NG REPORT (NDMR) Page
Sampling Person(s)
Name: Dale Lee Mathews
Name: Andy L. Mathews
Name: Meritech, Inc.
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ElCompliant 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) take
nccw a ucwaaciy.
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
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 O anged since the previous NDMR? ❑ye M, No
Phone Number: [phone] Permit Expiration: 7/31/24
r�
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 parsons 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 ttiere 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: NC 05-16 NON -DISCHARGE APPLIt ON REPORT (NDAR-1) Page
Permit No.: WQ0002015
Did irrigation occur at
this facility?
�i YES No
Facility Name: Camp Oak Hill WWfF
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Year: 2024
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Field Irrigated?
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FORM: N ! 05-16 NON -DISCHARGE APPLi ION REPORT (NDAR-1) Page s
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? RCompliant Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?compliant EINo,Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? RCompliant No, -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? �i compliant No, -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)
La Ken. rivacn additional sheets it 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
Permittee Certification
ORC: Dale Lee Mathews
Permittee:
Oak Hill Fellowship Center
Certification No.: 22794
Signing Official: Liza Farrar
Grade: SI Phone Number: 919-691-1056
Signing Official's Title: Facility Manager
Has the OR hanged since the previous NDAR-1?0 yes ElNo
Phone Num 919-782-2888 Permit Exp.: 7/31/24
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