WQ0036210_Monitoring - 08-2023_20230914

Monitoring Report Submittal
Permit Number#* WQ0036210
Name of Facility:* Moore's Keep Christian Camp
Month: * August Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR August.pdf 2.72MB
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: 9/14/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00036210
Is the monitoring report accepted?* Yes NO
Regional Office* Fayetteville
Reviewer: _anonymous
Review Date: 9/14/2023

FORM: NDMR 03-12 NON -DISCHARGE 1T1 G EPOR'l (UNIK)
Permit No,: WQ0036210 Facility Name: Moores Keep Christian Camp County: worre- Mc�r�th:
PPI: Flow Measuring Point: []Influent ❑Effluent ❑No flow generated Parameter Monitoring Point: L]influent ❑Effluent ❑Groundwater Lowering []Surface Water
Parameter Cade — 50050
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[:24-hr hrs GPD
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Averago:
Daily Maximum:
Daily Minimums:
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) rage - or
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? CZCcmpllant E]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 l 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: 1/3112023
VSignature Date _64/ture 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 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
or
f
aware that there are significant penalties for submitting false Information, Including the possibility of fines and imprisonmentn
knowing violations.
Mail Original and Two Copies to!
Division of Water Resources
information Processing Unit
1617 Mail Service Center

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) r clyu
Permit No.: VVQ0036210
I Facility Name: Moore's Keep Christian Camp
County: Moore
Month:
Field Name:
Zone I
Field Name:
Zone 2-A,B i
Field Name: Field Name:
Did irrigation occur
Area (acres):
1.34
Area (acres):
1.69
Area (acres): Area (acres):
at this facility? Cover Crop:
Forest
cover crop:
Forest/Grass
Cover Crop, Cover crop:
Hourly Rate (in),
Hourly Rate (in)!
Hourly Rate (in):! Hourly Rate (in):
F_jYES [RfNO
Annual Rate (in):
Annual Rate (in):
Annual Rate (In)di Annual Rate (in):
Weather
Freeboard
Field Irrigated?
DYES
EDNO
Field Irrigated?
DYES
D40
Field Irrigated?
i
0YES DNO Field Irrigated?
D YES
DNO
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In if
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in
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m in
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min in In gal Min
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Monthly Loading:
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (DAR-1) Page of
[ecmpliant ❑Non-Compliar
Were adequate measures taken to prevent effluent ponding in or runoff from the silts? I]Eompiiant ❑Non•compliar
Was a suitable vegetative cover maintained n all sites as specified in your permit? compliant E]Non-Compliar
Were all setbacks listed in your permit maintained for every application to each permitted site? [Compliant []Non-Compliar
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? LCompllant ❑Non-comptiar
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 Permittee Certification
ORC: Thomas Lewis f Permittee:
ii Benchmark Ministries Inc.
Certification o.: 1002746 Signing Official: Thomas Lewis
Gracie: SI Phone Number: 919-815-7603 Signing Official's Title: President
a
Has the CRC changers since the previous NDAR-17 []Yes CjNo ? Phone Plumber: 919-815-7603 Permit Exp.: 1/31/23
Signature gate
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
ignature 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 violatior
Division of Water Resources
Information Unit