WQ0036210_Monitoring - 08-2020_20200924

NON -DISCHARGE MONITORING REPORT (NDMR) Page 3 of of
FORM: NDMR 03-12
Permit No.: WQ0036210 Facility P
PPI: Flow Measuring Point:
Parameter Code —►
50050
o
U~
0
c
O
G 2
0
Q
LL
24-hr
hrs
GPD
1
2
3
lil:i
4
4
�.
5
6
' 0 d
7
8
9
10
11
C
12
1' Cc
13
14
15
16
17
18
19
20
21
'
22
23
24
25
26
IOjL
27
Z'
28
29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

- - i_!_ - -4—
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? L�ICompliant 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
nnfinn(M taken. Attach additional sheets if necessary.
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 PNo
Phone Number: 919-815-7603 Permit Expiration: 1 /31 /2023
i ature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
car*, 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 he 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)
W
Permit No.: WQ0036210 Faculty Name:
Did irrigation occur
at this facility?
AYES 9NO
12 Month Floating Total
Page _- _ of 14
..
Did irrigation occur
at this facility?
AYES 9NO
Weather Freeboard
m �+ 0
G 0 d v
a, a too
c E ..
°F In ft ft
12 Month Floating Total
Page _- _ of 14
s eep hristian CampCounty: Moore 1111111j, a I©
Field Name,7 Zone 2-A,B
Area (ac
ate (in): w-mrarnwinin.
mill
.: .. .: ..

-FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Page __;L_ of 4
QCompliant ❑Non-Compllar
[Compliant ❑Non-Compliar
Compliant ❑Non-Compliar
Were all setbacks listed in your permit maintained for every application to each permitted site? �°
Compliant ❑Non-Complfar
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? [Compliant ❑Non-Compllar
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-17
❑Yes EINo
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
l
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 properly 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 violatlor
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center