WQ0036210_Monitoring - 06-2023_20230710

Monitoring Report Submittal
Permit Number#* WQ0036210
Name of Facility:* Moore's Keep Christian Camp
Month: * June Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR June.pdf 2.75MB
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: * Thomas Lewis
Signature:
Date of submittal: 7/10/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0036210
Is the monitoring report accepted?* Yes No
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 7/10/2023

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) rayC vi
Permit No.: VVQ0036210
Facility Name: Moore's Keep Christian Camp
County: Moore
Month: 3 -
Year: Z® y 3
Field Name:
Zone 1
Field fume:
Zone 2-A,8
Field Name:;
Field Name:
Did irrigation occur
Area (acres):
1.34
Area (acres):
1.69
Area (acres):,
Area (acres):
at this facility �
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Cover Crop:
Forest
Cover Crop:
Forest/Grass
CoverCro p: 1
covercro P:
AYES EX0
Hourly Rate (in):
Hourly Rate (In):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Freeboard
Field Irrigated?
DYES
0
Field Irrigated?
DYES
RKO
Field Irrigated?,
YES [:]No
Field irrigated?
❑YES
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FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (ND4R-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
[!rCompllant ❑Non-Compliar
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? (Dcompliant ❑Non-Compliar
Was a suitable vegetative cover maintained on all sites as specified in your permit? aompliant ❑Non-Compliar
Were all setbacks listed in your permit maintained for every application to each permitted site? [Compliant ❑Non-Compilar
Were all freeboaFds maintained in accordance with the specified freeboard heights in your permit? [RCompllant ❑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 tho coi
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification II Permittee Certification
ORC: Thomas Lewis Permittee:
Benchmark Ministries Inc.
Certification No.: 1002746 i 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 [DNo k� Phone Number: 919-315-7603 Permit Exp.: 1/31/23
Si ature Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
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 Inform
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 violation
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center

Permit No.: WQ0036210
Facility Name: Moore's Keep Christian Camp
County: Moore
Month:
Year: 2-OZ
PPI:
Flow Measuring Point: ❑Influent ❑Effluent ❑No now generated
Parameter Monitoring Point: ❑Influent ❑Effluent []Groundwater Lowering ❑Surface Water
Parameter Code —►
50050
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GPD
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7
8
9
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12-
10
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0
13
14
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19
20
21
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1-7
23
24
25
26
(9
27
28
29
30
31
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

`J►W=
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? [✓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
duIV[ I(b) CUMU11, HUdU(I duuRIVI Id bl ltlHtb IIIlC
Operator In Responsible Charge (ORC) Certification
Permfttee 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 NQMR? [Yes ONo
Phone Number: 919-815-7603 Permit Expiration: 1/31/2023
Signature Date
nature 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 property gathered and evaluated the Information
submitted. Based on my Inquiry of the person or persons who menage 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. 1 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 Walter Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617