WQ0036210_Monitoring - 10-2023_20231130

Monitoring Report Submittal
Permit Number#* WQ0036210
Name of Facility:* Moore's Keep Christian Camp
Month: * October Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR October.pdf 3.05MB
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: 11/30/2023
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: 12/4/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page
Permit No.: WQQQ36210
Facility Name: Moore'Keep Christian Camp
county: Moore
Month: �CTQ r�
Year: Zo7 3
PPI:
Flow Measuring Point: []Influent []Effluent o Flow generated
Parameter Monitoring Point: Qlnfluent Effluent (]Groundwater Lowering [-]Surface Water
Parameter Code — P.
50050
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Average:
Dally Maximum:
Dally Minimum:
Sampling Type:
Monthly Avg. Limit:
Dally Limit:
Sample Frequency:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _ of
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? �Ccmpllant F711\lon-compllant
If 4k. f­iI;t,, is nlc+ cp Pvnlnin in thp qnAr.a hi-.Inw the reason(s) the facility was not in comoliance, 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 NDMR? Elyes Q, No Phone Number: 919-815-7603 Permit Expiration: 1131/2023
7—
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 Linder my direction or itiparvislon 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 ofmy knowledge and beret, 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) Page _ of
Permit No.: WQ00362110 I
Facility Name: Moore's Keep Christian Camp
County: Moore
Month:
Year:
Field Name:
Zone I
Field Name:
Zone 2-A,B
Field Name:1
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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
CoverCrop:i
Cover Crop:
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in),.
[]YES ©Ko 41
Annual Rate (in),
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
FIYES NO
Field Irrigated?
nYES
Field Irrigated?
OYES FINO
Field Irrigated?
[]YES
nNO
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Monthly Loading:
12 Month Floating Total (in):

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit?
21fompliant
❑Non-Compliar
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
(,compliant
❑Non-Compliar
Was a suitable vegetative cover maintained on all sites as specified in your permit?
QEompliant
❑Non-Compliar
Were ail setbacks listed in your permit maintained for every application to each permitted site?
ZI;ompliant
❑Non-Compliar
Were all freeboatds maintained in accordance with the specified freeboard heights in your permit?
Q&pllant
❑Non-Compilar
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 cot
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification Permittee Certification
dl
ORC: Thomas Lewis
Certification No.: 1002746
Grade: SI Phone Number: 919-815-7603
Has the ORC changed since the previous NDAR-17 ❑Yes QNo
Z�
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge.
Permittee:
Benchmark Ministries Inc,
Signing official: Thomas Lewis
Signing Official's Title: President
Phone Number: 919-815-7603 Permit Exp.: 1/31/23
Date 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 ail 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 ewers that there arc
penalties for submitting false Information, including the possibility of fines and Imprisonment for knowing violatior
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center