WQ0036210_Monitoring - 11-2023_20231208

Monitoring Report Submittal
Permit Number#* WQ0036210
Name of Facility:* Moore's Keep Christian Camp
Month: * November Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR November.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: 12/8/2023
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: 12/8/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT(NDMR) Page of
Permit No.: WQ0036210
Facility Name: Moore's Keep Christian Camp
County: Moore
Month:
Year:2(7Z?J"
PPI:
Flow Measuring Point: [Influent Effluent [No flow generated
Parameter Monitoring Point:. [}Influent []Effluent Groundwater Lowering [Surface water
Parameter Code — r
60050
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Average:
Daily Maximum:
Daily Minimum:
Sampling Type;
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:

FORM: NDIVIR 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? tZcompliant I INon-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-cornpilance and describe the corrective
IaKen' Allacri aQuillul Idi bi jut:!t5 11 1 1UL;tn)bdj Y.
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 n' No Phone Number: 919-815-7603 Permit Expiration; 1131/2023
Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge,
Z2 —/— Z-2 ,
sigju/re/ 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 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. 'I
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-i) Page _ of
permit No.: WQ0036210
Facility Name: Moore's Keep Christian Camp
County: Moore
Month:
Year:
Field Name:
Zone i
Field Name:
Zone 2-A,B
Field Name.,
j
Field Name:
Did irrigation recur
Area (acres):
1,34
Area (acres);
1.69
Area (acres):
i
Area (acres):
at this facility?
Cover Crop:
Forest
Cover. Crop;
Forest/Grass
Cover Crop:.
Cover Crop*
DYES 2<0
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
I
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
DYES *0--
Field irrigated?
DYES
F??o
Field Irrigate
d?
DYES ❑NO
Field Irrigated?
DYES
RNO
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Monthly Loading:
2 Month Floating Total (in):

FORM: NDAR-1 10-13
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page of
QCompliant E]Non-Compliar
Were adequate measures taken to prevent effluent ponding in or runoff from the sites' )—J,,ccompliant Mmon•Compliar
Was a suitable vegetative cover maintained on all sites as specified in your permit? u4ompiiant []Non•Compliar
Were all setbacks listed in your permit maintained for every application to each permitted site? [iCompilant ❑Non-Compliar
Were all freeboafrds maintained in accordance with the specified freeboard heights in your permit? i]compliant EINon-Compliar
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 coi
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification it Permittee Certification
ORC: Thomas Lewis
Certification No.: 1002746
Grade: SI Phone Number: 919-815-7603
Has the ORC changed since the previous NDAR-1? ❑Yes CINo
l L,
Slg ure I Date
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge,
Permlttee:
Benchmark Ministries Inc.
Signing Official: Thomas Lewis
Signing Official's Title: President
Phone Number: 919-815-7603 Permit Exp.: 1/31/23
Signature D2
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
Mail Original and Two Copies to:
Division of water Resources
Information Processing Unit
1617 Mail Service Centeir