WQ0036210_Monitoring - 12-2023_20240215

Monitoring Report Submittal
Permit Number#* WQ0036210
Name of Facility:* Moore's Keep Christian Camp
Month: * December Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR December.pdf 3.03MB
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: 2/15/2024
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: 4/21/2024

FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDARA) 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:
Did irrigation occur
Area (acres):
1.34
Area (acres):
1.69
Area (acres):
Area (acres):
at this facility? i
Cover Crop:
Forest
Cover. Crop:
Forest/Grass
Cover Crop:,
Cover Crop:
AYES
Hourly Rate (in):
Hourly Rate (In):
Hourly Rate (in):
Hourly Rate (in):
U'NO
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard Field Irrigated?
2
F71YES NO
E
Field Irrigated?
--------- 7-
DYES HNO
Field Irrigated?
OYES ONO
0 E M
Field Irrigated?
CD V V
FlYES [:]NO
4) r
If
4, "a V
J2 0 41
E! 2
E
C
rm
w 0 M
0 X 0
E
-6
0
E 2 OE
E
43
0 gj
E .2
E
cL 'E
>
E
_j
CL
OF i In
L.L_ ft gal min
In In
gal min
In in
gal min
In in
gal min
In In
v � j
c ,
2
i
t��
4
7
0
8
101
ri
12
13
14
171
181
19
10
21
22
23
24
t
25
26.
271
28
29
30
31
J
Monthly Loading:
12 Month Floating

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?
Eg(!!cmplIanl:
E]Won-Compllar
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
['Compliant
F71won-compllar
Was a suitable vegetative cover maintained on all sites as specified in your permit?
EXompliant
Elmon-compliar
Were all setbacks listed in your permit maintained for every application to each permitted site?
&ompliant
FlMon-Compliar
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[Compllant
ONon-Compifar
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 col
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification Permittee Certification
ORC: Thomas Lewis Benchmark Ministries Inc.
Certification No,: 1002746 Signing Official: Thomas Lewis
Grade: Sl Phone Number: 919-815-7603 Signing Official's Title: President
4-3-031
Has the ORC changed since the previous NDAR-1 ? Elves EDNO Phone Number: 919-815-7603 Permit Exp.: �
- /!f :4
if -'Signature Date
By this signature, I certify that this report Is accurrate and complete to the beat of my knowledge.
2 -�-/ ;7 V
- 4z 1
- �' 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 ewers 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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0036210
Facility Name: Moore's Keep Christian Camp
County: Moore
Month: _ Cg—
Year: ,?0Z
PPI:
Flow Measuring Point: Dinfluent []Effluent �Flow generated
Parameter Monitoring Point: Dinfluent nEffluent []Groundwater Lowering nSurEace Water
Parameter Code — 0
60050
ii
7
�
O
C
O
N
E 2
V
W
0
O
24-hr
hrs
GPD
1
2
3
a
5
6
8
9
10
11
m
(�
12
13
14
0
16
16
17
18
19
2a
p7
O
21
22
p
23
24
25
26
27
28
29
30
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) Certified Laboratories
Name: Name:
Name: Name:
I
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [Zcompilant HNon-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
Eai�en, miiacn aouatui iui bi iuuts n I itmat::bsdj Y.
Operator In Responsible Charge (ORC) Certification Permittee Certification
i ORC: Thomas Lewis Permittee: Benchmark Ministries Inc.
Certification No.: 1002746 Signing Official: Thomas Lewis
Grade: S1 Phone Number, 919-815-7603 Signing Official's Title: President
Has the ORC changed since the previous NDIVIR? OYes P71NO Phone Number: 919-815-7603 Permit Expiration:
By this signature, I certify that this report Is accurrate and complete to the best of my knowledge,
Date Z-signature Date
I certify, under penalty of law, that this document and all attachments wars 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