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Home My WebLink AboutWQ0036210_Monitoring - 06-2020_20200724FORM: NDMR 03 12 NON CIS CHARGE MONITORING REPORT (NDMR) Page J of pe I Q0036210 Facility Name: Moore's Keep Christian Camp County; Moore • EM Daily Maxlmum:'-=- Daily Minimum: Sampling Type:� Avg. Llmlt:� _Monthly FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Z of Z Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? I ompllant UNon-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 actionts) laKen. Aaacn auunronar sr rncra n 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 7No Phone Number: 919-815-7603 Permit Expiration: 1 /31 /2023 ignature Date ignature Date By this signature, I certify that this report Is aocurrate 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 Permit - Moore . Q., .Name:.. r� Did irrigation occur Field Name: TZid Name:�mmor-i�- 01-1. an W at this facility? ® ■ r_1-� rCover DYES nNO HourjyRat, (I,)—.r� .. . , Hourly Rate (In): Annual Annual Rate Iln)- Field Irrigated?, mill o©�'f� ®rr rrrrrrrr rrrrrrrr rrr�� 13 MrEl�f� m ®rrra m rrr rr rrrrrrrrr m rrrr rrr rrrrrrrr me�r�rarr rrrrrrrrr mrrrirrr rrrrrrrrrrr m®r�r�rrr rrrr■■i�rr mrrrsrrr rrrrrrrrrr MFI40CUFM r■r��rr mrrrrrrrrrr rrrr■�� m rrrrr rr rrrrrrrrr m Mrr rr rrrrrrrrr ®rrr rrr rrrrrrrr m rrr rr rrrr�� m rrr ri■r rrrrrrrrr m rrra rrr rrrrrrrr mrrrrrrr rrrrrrrr mrrrrrrr rrrr�� m rrr rr �■rrr■rrrr■�r mrrr� rrr rrrrrr■rrrr ®�rrrrrrr rrr■r�� rrrrrrrr rrrrrrrr rrrrrrrr rrrrrrrr rrrrrrrr rrrrrrrr rrrr�r� �� rrr�� rrrr�rr ��rrrr rr�rr� �� rrrr�� ir�rr �rrrr�r �� rr�■rrrrr rrrrrrrr �r�� ■�� rrr�� r■��r� rrr�rrrr rrrr�■r ��rr rrrrrrrrr ■rrr�rr �� rrrrrrrr rrrrrrrr rrrrrrrr rr�rr� �� rrrr�r� ��r rrr�� rrrrrrrr rrrr�� r rrrr�rrr rrr■r■� ��rr� �rrrrrrr rrrr�� ■ r■rrrr■ir■r rrrrrrrrr r■�rr�� rr��rr rrr�r■� �rrrrrr rrrrrrrr �rrr�� r■�rr . .:. ,rrr f2- "Mont h Floating Total (In rr ■� = FORM: NDAR-1 10 13 .s NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? [Compliant []Non-Compliar Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant []Non-Compllar Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant []Non-Compllar Were all setbacks listed in your permit maintained for every application to each permitted site? OCompllant []Non-Compllar Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑Compliant []Non-Compliar 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 co, action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification ORC: Thomas Lewis Certification No.: 1002746 Grade: SI Phone Number: 919-815-7603 Has the ORC changed since the previous NDAR-1? ❑Yes E)NO Signature Date By this signature. I certify that this report Is accurrate and complete to the best of my knowledge. Permittee Certification Permittee: Benchmark Ministries Inc, Signing Official: Thomas Lewis Signing Official's Title: President Phone Number: 919-815-7603 Permit Exp.: 1/31/23 Signature DE I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in with a system designed to assure that all qualified personnel property gathered and evaluated the information submitted. E inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the inforrr information submitted Is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are penalties for submitting false information, Including the possibility of fines and Imprisonment for knowing vlolatior Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center