HISTORICAL MONITORING REPORTS

FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page �L_ of �L
/4
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? OComphant []Non-Cnmpllant
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
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 I]No
Phone Number: 919-815-7603 Permit Expiration: 1/31/2023
o /-
10 !-
Signature Date
Signature Dale
By this signature, I certify that this report is accurate 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 quafiged 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, We, accurate, and complete. I am
aware that there are significant penalties for submit ng false Information, Including the possibility of Ones 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

.i4[ UKM: NUAK-1 1U-1J NON -DISCHARGE APPLICATION REPORT (NDAR-1) Hage_1 or -
PermitNo.: WQDD36210
Facility Name: MOORE'S KEEP CHRISTIAN CAMP
County: Moore
Month: OrLemhjr
Year: Jdi�
Field Name:
ZONE 1
Field Name:
ZONE 2 A,B
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:
1.69
Cover Crop:
Cover Crop:
❑ YES ❑ NO
Hourly Rate (in):
Hourly Rate (in):
FORESTIGRASS
Hourly Rate (In):
Hourly Rate (in):
Annual Rate (In):
Annual Rate (In):
Annual Rate (in):
Annual Rate (In):
Weather
Freeboard
Field Irrigated?
'❑ YES ❑+ No
Field Irrigated?
❑ YES No
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES ❑
❑
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12 Month Floatlnp Tatal Ilnl:
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' fI:UKM: NUAK-1 1U-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) rage �- or 3L-
Did the application rates exceed the limits in Attachment B of your permit? [Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? EKtompliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ❑'Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? [Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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 correct(,
action(s) taken. Attach additional sheets If necessary.
Operator In Responsible Charge (ORC) Certification II Permittee Certification
ORC: THOMAS LEWIS Permlttee:
BENCHMARK MINISTRIES
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-17 ❑ Yes [D No II Phone Number: 919-815-7603 Permit Exp.: 1/31/23
(/ Signature Date �ignature Date
By this signature, I certify that this report Is accurate and complete to the best of my knowledge. I certify, under penally of low, that this document and all attachments were prepared under my direction or supervision in accon
with a system designed to assure that all qualified personnel propedy gathered and evaluated the Information submitted. Based
Inqulry of the person or persons who manage the system, or those persons directly responsible for gathering the information,
Information submitted Is, to the best of my knowledge and belief, We, accurate, and complete. I am aware that there are sign](
penalties for submilling 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 Mall Service Center
Ralainh Nnrlh r:arnllna 77RACIAR17

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_'.-- of a-
y 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-compllant, 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
acllon(s) taken. Attach additional sheets If necessary.
Operator In Responsible Charge (ORC) Certification
Permittes Certification
ORC: Thomas Lewis
Permlttee: 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 RINo
Phone Number: 919-815-7603 Permit Expiration: 1/31/2023
Signature Date
signature Date
By this signature, I certify that this report Is ecwnete and complete to the best of my knowledge.
I cerif y, under penalty of law, that this document and all attachments were prepared under my direction or supervision th
a=rdanw with a system designed to assure that all qualified personnel property gathered and evaluated the Information
submitted. Based an 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, acwmte, and complete. I am
aware that there are significant penalties for submitting false Information, Including the posslbNry 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

t.
% FORM: NDAR-1 10.13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _j_ of
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FORM: NDAR-1 t0-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page a- of
Did the application rates exceed the limits in Attachment B of your permit?
❑�tompliant
❑Non-Gomplant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
I30omplent
❑Non Gompuant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
Itatompibnt
❑Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
OCompliant
❑Non-compilant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
[r�Gompllant
❑Non-compaant
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 II Pormittee Certification
ORC: Thomas Lewis
Certification No.: 1002746
Grade: SI . Phone Number: 919-816-7603
Has the ORO changed since the previous NDAR-1? ❑yes ❑� No
Permlttee: Benchmark Ministries Inc.
Signing Official: Thomas Lewis
Signing Official's Title: President
Phone Number: 919-815-7603 PermitPxp.: 1/31123
2210.
!/.
Signature Date Signature Date
By this signature, I certify that this report Is accurate 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 persona 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 we significant
penalties for submitting false Information. Including the possibility of Mes and Imprisonment for kmovAng 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 J_ ot_Z.
I T oz�
Facility Name: Moore's Keep Christian Camp _���llllllllllle,
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<:,QORM: 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-compllant, 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-compllance and describe the corrective
aclion(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Parmlaas Certification
ORC: Thomas Lewis
Permlftee: 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 ❑+ No
Phone Number: 919-815-7603 Permit Expiration: 1/31/2023
zz
b9— CL
S grialure Date
slg a Date
By this signature, I cortify that this report Is accurrete and complete to the best of my knovAedge.
1 certdy. 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 Nose 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

.4 i FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Z -
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Did irrigation occur
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'FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page r-L 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?
26mpllant []Non -Compliant
compliant ❑Non -Compliant
g&mpilant ❑Non{ompliant
E2�ompliant ❑Non-Compllant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑Compliant ZNon-Compliant
If the facility Is non -compliant, please explain In the spars below the reason(s) the facility was not In compliance. Provide In your explanallon the dates) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets If necessary.
Operator In Responsible Charge (ORC) Certification
CRC: Thomas Lewis
Certification No.: 1002746
Grade: SI Phone Number: 919-815-7603
Has the ORC changed since the previous NDAR-1? ❑yes ONO
L
Signature V '
By this signature. I ceNy that this report Is accurate and complete to the best of my knowledge.
Permlttee Certification
Permlttee: Benchmark Ministries Inc.
signing official: Thomas Lewis
signing official's Tide: President
Phone Number. 919-815-7603 PermitExp.: 1/31/23
_
Date f nature Dale
I certify. under penalty of law, that this document and all attachments were prepared undermy direction arsupervislon 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 Nose persons directly responsible for gathering the Iidonnatlon, the
Information submitted Is, to the best of my knowledge and belief, hue, accurate, and complete. I am ewere that there are significant
peneltes for submitting false Informaton, Including the possibility of fines and Imprisonment for knowing violators.
Mall Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699.1617

NON -DISCHARGE MONITORING REPORT (NDMR) Page-2-of 2
!r -9 Sampling Person(s) Certified Laboratories
Name:
N Name:
Name: ��
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Vompliant
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 descgibe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
ORC: T
on1a� Zewf�
Certification No.:
Grade: 'S I Phone Number: q(9 SIS-7&o3
Has the ORC changed since the previous NDMR7 Ores gNo
Permittee Certification
Permittee: aGNG[.l /0 4At,. �-
ai.�iue� l.✓c .
Signing Official:
�h om ✓-$ G�3
Signing Official's Title:
csta�ti,T
Phone Number: Permit Expiration:
419' 8l
5-7(� a3
. yidlyle Da]9.lshedng
�gneture —
Date
By This signature, I certify that this report is accurate and complete to the hest 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 [hat all qualified personnel property gathered and evaluated the information
ubmitted. Based an my inquiry of the person or persons who manage the system, or those persons directly responsible for
the Information, the Information submitted is, to the best of my knowledge and beget, true, a¢urale, and wmpleta. I am
aware that there are significant penalties for submitting false information, including the possibility of goes and Imprisonment for
knowing violations.
Mali Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center'

IF9,p: NDAR-1 08,11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page --I 9
Did irrigation occur
Area (acres):
.
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11 FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page z of L
Did the application rates exceed the limits in Attachment B of your permit? tldt.ompliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ltatompliant []Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 21c mpliant ❑Nan-Complant
Were all setbacks listed in your permit maintained for every application to each permitted site? EICompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? Zccompliant ❑Nan -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
Operator In Responsible Charge (ORC) Certification Pernittee Certification
ORC: I hornuls Letais Permtnee: 23E�vnAP9 Y/(JfIAS-r7Ues &c .
1
Certification No.: ) DD 274 (0 Signing Official: ) k-o n'1 4t, f e�
Grade: SI Phone Number: gJCf- sts_1603 Signing Official's Title: _��GSIDGyJT
Has the ORC changed since the previous NDARA? ❑yes P']No Phone Number: Cj Q _815 -210D3 Permit Exp.: ) -31 , Z &Z3
By this signatum,.l certify that this report is accurate and complete to the best of my knowledge.
f
Date 11 // I Signature Date
I certify, under penally 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 quagfied 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
IMomiatlon submitted Is, to the best of my knowledge and better, two, accurale, 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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMR03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_4 of�7—
S, . 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 ❑Nan -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 dates) of the non-compliance and desk Ibe the corrective
action(s) taken. Attach additional sheets If necessary.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: /11l'7,%{5 GL'L06
Permittee: _91FrVC,_A( 141241-
CertificationNo.: 1002,77ZL(o
Signing Official:
Grade: S 1 Phone Number: Cf I �- i?ji CJ--j�oD
Signing Official's Title: C--,V.
Has the ORC changed since the previous NDMR? ❑Yes NNe
Phone Number: Permit Expiration:
S'i9-ors 7&03 `1� -Z3
�_. 4�e
' nal re Date
ignature _ Date
By this signature, I cartlfy that this report is accurate and complete to the best of my knowledge..
I certify, under penalty of law, that this document and ag 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
aware that them are significant penatiles for submitting false Information, including the possibility of Ones and imprisonment for '
'
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

- FORM: NDAR-1 08.11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) rage I of
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page :L of L
Vd the application rates exceed the limits in Attachment B of your permit? Gacompliant ❑Noo{ompliant
Were adequate measures taken to prevent effluent ponding in or runoff from'the sites? 9Compliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? d6mpliant ❑Non-Compnant
Were all setbacks listed in your permit maintained for every application to each permitted site? dcompliant ❑Non -compliant
Were all freeboards maintained in accordance with -the specified freeboard heights in your permit? IbCompliant ❑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 dale(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: tioryjAS ��u//S Permittee: OEXic,_ /W cC/ zle— /M/vIS�,�L'3
CertiFlcation No.: /ply �7�6 - Signing Official: / /20 w[ �
Grade: Phone Number: f/y_ g��c_ i(op3 - Signing Official's Title:
$r (�C$fp4�—N' -I .
Has the ORC changed since the previous NDAR-17 ❑yes Q�hlo Phone Number: Permit Exp.:
�'!Q- fits-76o3
Sif
gnature Date SignatureDate
By Oda signature, I certify that this report is accurrate and complete to the best of my knowledge. - I certify. under penally of law, that this document and all attachments were prepared under my direction or supervision in accordance
Win 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, two, accurate, and complete.1, am aware that there am 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 Quality
Information Processing Unit
1617 Mail Service Center

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page L of
Sampling Person(s) Certified Laboratories
Name: Name: � A�
Name: dA 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 desc(ibe the corrective
OYIIVIIIi) tOl\G11. 111\CYII ODUIlIVI1Gl i11CGW II
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: ��2ooi?g5 �Gr//\y
Permittee: �E�S4/yj�P{L/d/G5lQlG� 4V�
Certification No.: ' /602716
Signing Official:
Grade: Phone Number: 9(9- to/$- 76,03
Signing Official's Title: 9Yl�wvc� '
S�
Has the ORC changed since the previous NDMR? ❑yes IQNIJD�
Phone Number: Permit Expiration:
fl'?A15 76 0 7 1-3/ - 2 3
Si ture Date
Signatp Date
By this signature. I certify that this report is accurtate 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, [me, accurate. and complete. I am
aware that [here are significant penalties for submitting false information, including the passibility of fines and Imprisonment for
knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center

rORM: NDAR-1 08.11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _J_ of __jj_
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NON -DISCHARGE APPLICATION REPORT (NDAR-1)
r '
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?
'FORM: NDAR-1 08-11
// Page of�
PCompliant ❑Nan -Compliant
Vompliant []Non -Compliant
026mpliant ❑Non -Compliant
ndwmpliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Certification No.: pp�7q6
Grade: Phone Number: Gl�._��S _ ewc, z]
SS ��
Has the ORC changed since the previous NDAR-17 ❑yes V.
By this Signature,.I certify that this report is accurrate and complete to the best of my knowledge.
.i
Permittee Certification
Permittee: f7 ENS¢ /?/If.�/�LV/S �(Gl l:'S f/VG
Signing Official: �Git7MrQ5 �CGv/�
Signing Official's Title: ?i65 / DC, -A, -r
Phone Number:
Date 11 v Signature
Permit Exp.: /.5�-ZoZ?f-
Date
1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accomance
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 aware that there are significant
penalties far submitting false Information. including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center