The URL can be used to link to this page

Home My WebLink AboutWQ0036210_Monitoring - 04-2020_20200603FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of L_ F Permit No.: WQ003621 0 Facility Name: Moore's Keep Christian Camp County: Moore Month: ZEN • 0 2XV ---------------- '®ice■®��A' ®igi■��l1li ®ice■'■ �� Daily MaxiiniurS Daily Limit: FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of__ Sampling Peirson(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit-t ✓�,Amtpliant uryon-Lompllam 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 taKen. NQ9Grl GUURIUr lul WlucW II 1!Vl 0001 y. Operator In Responsible Charge (ORC) Certification Permittee Certification ORC: Thomas Lewis Permittee: Benchmark Ministries Inc. Certification No.: 1002746 Signing Official: Thomas Lewis Grade: SI Phone Number: 919-815-7603 Signing Official's Title: President Has the ORC changed since the previous NDMR? ❑Yes ZNo Phone Number: 919-815-7603 Permit Expiration: 1 /31/2023 3�p a Signature Date ature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of low, 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 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I Of PermitNo.: WQDD36210 Facility Name: MOORE'S KEEP CHRISTIAN CAMP County: Moore Did irrigation occur this facility? • _. • Area (acres): Area (acres): Area (acres): at F1 YES NO _ •' Cover Hourly Rate C,,Y. Hourly Rate (in): Igloo mmml.mmmm ME.Mmmm m MFA'Pa= =_- ---- -__-i-_-- ---- Monthly Loading:, 12 Mint -_---�-- FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ( of it Did the application rates exceed the limits in Attachment B of your permit? Latompliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2rcompliant ❑ 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? ['compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in 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 date(s) of the non-compliance and describe the corrective taken. Httacn aaaluonal sneers a necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: THOMAS LEWIS Permittee: BENCHMARK MINISTRIES Certification No.: 1002746 Signing Official: THOMAS LEWIS Grade: SI Phone Number: 919-815-7603 Signing Official's Title: PRESIDENT Has the ORC changed since the previous NDARA? ❑ Yes 0 No Phone Number: 919-815-7603 Permit Exp.: 1/31/23 WzO 61 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 qualfied 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