WQ0036210_Monitoring - 02-2021_20210331

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Permit No.: W00036210
Facility Name: Moore's Keep Christian Camp
County: Moore
Month:
Year: n >
PPI:
Flow Measuring Point: ❑ Influent ❑ Effluent
•
No flow generated
Parameter Monitoring Point: ❑ Influent
I♦ Effluent
• Groundwater
Lowering ❑ Surface Water
Parameter Code —►
50050
>,
o
0
ORC Arrival
Time
ORC Time On
Site
o
u.
24-hr
hrs
GPD
1
2
);:.::
3
7
4
.4.-
1 ;j'
'
5
? t; i;
y
6
7
8
1;L:'
S
9
I -4,.
`A
10
't4'L'
11
7:G.
'6
12
7.&:,t
1
13
15
1 04'
T
r
16
'1; L'i.�
' 2 31
'4-6\
OR :0�
14*117
18
%i L'i'
3
20
21
22
7: 4• :
$
23
':6•,.
24
']: v •
if
25
7'o
6
26
7,L'c
`S
27
28
29
130
31
Average:
_
_
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page of
Sampling Person(s)
Name:
Name:
Name:
Name:
Certified Laboratories
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of 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 action(s)
taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Thomas Lewis
Certification No.: 1002746
Grade: SI Phone Number:
Has the ORC changed since the previous NDMR?
a e-CGca-7
919-815-7603
❑ Yes ❑✓ No
3•25-Z/
Permittee: Benchmark Ministries Inc.
Signing Official: Thomas Lewis
Signing Official's Title: President
Phone Number: 919-815-7603 Permit Expiration: 1 /31 /2023
` Z -2.i
Ignature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 at 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

PORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
' Permit No.: WQ0036210
Facility Name: Moore's Keep Christian Camp l
County: Moore
Month:_ re . ,t ar ,,/
Year:i,;t,
Did irrigation occur
at this facility?
❑ YES ®No
Field Name:
Zone 1
Field Name:
Zone 2-A,B
Field Name:
Field Name:
Area (acres):
1.34
Area (acres):
1.69
Area (acres):
Area (acres):
Cover Crop:Forest
Cover Crop:
P�
Forest/Grass
Cover Crop:
P�
Cover Crop:
p:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Day
Weather I
Freeboard
Field Irrigated?
❑ YES N•]'No
Field Irrigated?
❑ YES NO
Field Irrigated?
❑ YES • NO
Field Irrigated?
E YES ❑ NO
Weather Code I
Temperature
Precipitation
Storage
5-Day Upset (if
applicable)
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
I Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
°F
In
ft
ft
gal
min
In
in
gal
min
in
in
gal
min
in
in
gal
min
in
In
1
2
L'L
~i t
:J
1ti...4 a
3
j
. 7 J.,
1::,)
. ,i"
4
./,0
s'S'
5
!-fit
It'
z y'
6
7
8
':
'4,a
Y
1 3
9
r '.-
) 1
D
3'1"
10
4
,i't
0
r
11
;;
`15f
.its
3 3'"
12
1:
3
,S-(:
1/4
of
13
14
15
11
I
••'
2 i"
17
f .-
*-(7
.) 7'
3 z "
18
((l
3,i
,,r
1,"
19
C.
y/
C
;'..e
20
21
22
,'
'I c
,rah,
3 i''
23
j
((
f,
';:`
24
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c'
a s .'
25
A
c
!r `r
0
; /
26
i
if;
'i 4-
a,
14
27
, �ti-
28
29
30
31
Monthly Loading:
-
12 Month Floating Total
(in):

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page off
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?
Were all setbacks listed in your permit maintained for every application to each permitted site?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[Compliant ❑ Non -Compliant
Compliant ❑ Non -Compliant
110t.ompliant ❑ Non -Compliant
[ tompliant ❑ Non -Compliant
[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
action(s) 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 NDAR-1?
• Yes 0 No
Phone Number: 919-815-7603 Permit Exp.: 1/31/23
--%goffSS
3-2-2 I
.-u, ;3-z?-2/
r.�=
ignature
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