WQ0036210_Monitoring - 08-2021_20210908

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Page _-_of
County: Moore
Month:
Year:
Field Name:
Zone 2-0
Area (acres):
Did irrigation occur
at this facility?
Cover Crop:
Forest/Grass
p:
Cover Crop:
Hourly Rate (in):
-Hourly Ratq,(In):
YES VNO
V,
Annual Rate (in):
Annual Rate. (in):,
Weather
Freeboard
Field Irrigated?
YES 5/NO
rr
Fie dl igated!
[I YES 0 No
CL
tm
CL
Ln
In
min
In
In
gal
min
In
in
n
gal
6
CS
SEP
(-tiff
10
12
13
14
16
17
19
To-
21
22
CIA
24
26
26
27
28
29
31
Monthly
Loading-
12 Month Floating Total (in):

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? : Compllant._..... ❑Non Compllant ,
l - - Clant ❑ Non -Compliant
Were adequate me'asuires.taken to prevent effluent ponding in or runoff from the -sites'? , OIompl
Was a suitable vegetative .cover maintained}`on all sites as Specified irr your ,permit? p'compuantY Q Non -compliant
Were all setbacks -listed in your permit maintained for every application to.'each'permitted site?, Compllant [� Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? YCompliant ❑'Non Compllant
nio..e avnhln in the cnaca hPlow the reason(s) the facility was notan compliance. Provide in your explanation the date(s) of the non compliance and describe the corrective•
I
Operator in Responsible Charge (ORC).Certification
Permittee Certification '
ORC:.: Thomas Lewis, =
Pdrmittee:
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, No
Phone Number: 919-815-7603 Permit Ex _.: 1/31/23 ,
41
-.. - ignature Date -......
Signature 'Date
� .-- -
I that this report is accurrate and complete to the best of my knowledge. -
`I ceitify,'under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance -
By this signature certify
- - - - - -
-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 dlr . y 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 Impdsonmeiit far knowing .violations. '
Mail Original andTwo-Copies to:
Division -of Water Resources
Inform ation-P,rocessing.Unit
1617 Mail Service Center
Raleigh; North ,Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT, (NDMR) j Page of
Q11 . e
•• - --• .
Moore
•:
Flo as,uring Point: influent Effluent [] No flow generated
Parameter Monitoring Point: [1 influent Effluent 6roundwater Lowering Ej surface Water
Paramerer ..
=
•

FORM: NDMR-03=12 NON -DISCHARGE MONITORING'REPORT (NDMR) Page - 'of
i
Does all monitoring data and sampling frequencies _meet the requirements i6 Attachment A of your permit? 2 compliant El -Non -Compliant
Y p p P R O O Y p Y p on the date(s) of the non-compliance: and describe -the corrective
If the facility is -non -compliant, -,please 'lease explain in the space. below the reason(s) action sf taken Attach. addit onlal sheets if necessary.iyour ex lanatj -
Operator in Responsible Charge (ORC) Certification p Permlttee Certification
ORC: Thomas Lewis_., .. - ;.. Permittee: Benchmark Ministries Inc.
Certification No.:.-.._ A002746
_...._ 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 0 No _.. Phone Number: 919-815-71603 Permit. Expiration:-,.. 1/31/2023
_._.. Signature Date. _-. Signature _... Date
By this signature, I certify that this report Is accurrale and complete to the best of my knowledge.: I certify, under penalty of law, that lhlsifocument and all attachments were prepared re -dun -der 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
l knowing violations. ,
Mail Original and Two -Copies to: _
Division -of Water -Resources _....... _ .
Information Processing Unit .
1617 Mail Service Center,
Raleigh,- North. Carolina.27699-1617