WQ0036210_Monitoring - 07-2021_20210814

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ003621 1
•• - --• Christian Camp
. Moore
Flow Measuring Point: 0 influent F Effluent No flow generated
Parameter Monitoring
Point: El Influent Ej Effluent Ej Groundwater Lowerjng El Surface Water
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FORM: NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR) W,`:.fl'age ```' of
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [] compliant D 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
4
'Signing Official:•Thomas Lewis
Grade: SI Phone Number: 919-,815-7603
Signing Official's Title: President
Has the ORC changed since the previous NDMR? E] Yes 21 No
Phone Number: 919-815-7603 Permit Expiration: 1/31/2023
w.
r
mature Date
Signature Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge.
I certlfy,.under penalty of law, that this document and all attachments were prepared undef my direction or supervlsidn 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 end beilef,'true,"accurate, and complete. I am .
are that there are significant penalties for submitting false Information, Including the possibility of fines and imprlsonment 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

CORM: NDAR-1 10=13 NON=DISCHARGE'APPLICATION'REPORT (NDAR-1) ' Page " of
l�
Permit No.: WQ0036210 .
FacilityName: Moore's Keep Christian Camp
County:. Moore
Month:.. 74 :,
Year: z' tiltC'
Did Irrigation -occur!.
at this facility?cove�rCro
El YES el_YNo
Field Name
',
Zone 1
Field Name:
Zone 2-A,B
Field Name
Field Name:
_ ,grea(acres)
1 34
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Area( acres )
1.69
Area acres
( )
4
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Coder Cro .
Farest/Grass
Cover Coo
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Cover Crop:
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Annual Rate (in)
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Fleld}}Irngated?
'❑ YES NO :;
Field Irrigated?
'❑YES ��`No
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❑'YES ❑ NO !
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FORM: NDAR-1 10-13 NON-DISCHARGE'APPLIC-ATION REPORT (NDAR-1) Page of
Permit No.: WQ0036210
Facility Name: Moore's Keep Christian Camp
County: Moore
Month: J,
Year: ;;/Ijll+
le
Field Name:
Zone 2AB
Field Name
Field Name:
Did irrigation occur.
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cres
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Area (acres):
at this facility?
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Cover Crop:
Forestibrass
ove��, 'too
Cover Crop:
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Hourly Rate (in):
Hourly Rate
Hourly Rate (In):
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Annual Rate
Annual Rat In):
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Annual Rate in):
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Field Irrigated?
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Field Irrigated?
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