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Home My WebLink AboutWQ0036210_Monitoring - 03-2024_20240412Monitoring Report Submittal Permit Number#* WQ0036210 Name of Facility:* Moore's Keep Christian Camp Month: * March Year: * 2024 Report Information Type* Upload Document* NDMR, NDAR-1, NDAR-2, NDMLR March 2024.pdf 3.64MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Confirmation Email Address: * tomlewis@benchmarkministries.org Name of Submitter: * Thomas Lewis Signature: Date of submittal: 4/12/2024 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 (NDAR-1) Page of ■■ Permit No.: WQ0036210 Facility Name: Moore's Keep Christian Camp County: Moore Month: MARC R at this facility? - : o r .. , �'ii.7[.� •• •. -(��I�F I{Tl--�• '��\'1�. � • .. : ,. � � • : , � � •1{:Lr��' I ■ • �� ■ � • M MHI rem -_11=_ ___- MM mmmmm m -_- _- INMIM111=0- ____ 0=11=11M ___- E3 mmm ME- =1_==_ _11=01=11M E33MIMMMMINMINMINM� 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? Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Was a suitable vegetative cover maintained on all sites as specified in your permit? Were all setbacks listed in your permit maintained for every application to each permitted site? Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Compliant ❑ Non -Compliant ( Compliant ❑ Non -Compliant [Compliant ❑ Non -Compliant [�Compiiant ❑ Non -Compliant 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 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 NDAR-1? ❑ Yes 21 No Phone Number: 919-815-7603 Permit Exp.: 4/30/31 l _12 Signature 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 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 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? [_,/� 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 taKen. Hrracn aaotuonai sneers it 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 El No Phone Number: 919-815-7603 Permit Expiration: 4/30/2031 - q-1 - �- 'gnature 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 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. 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 Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617