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Home My WebLink AboutWQ0036210_Monitoring - 12-2021_2022011517 18 18 120 21 22 FORM: NDMR 03=12 • I Sampling Person(s)' Name: j Name: Does all monitoring data and sampling fre�c If the facility Is non-compllant, please explain In the space be NON -DISCHARGE MONITORING REPORT (NDMR) Page of_�> Certified Laboratories Name: Name: uncles meet the requirements in Attachment A of your permit? ❑✓Compliant ONon-Oompliant the reason(s) the feclllty was not in compliance. Provide In your explanation the date(s) of the non-compliance and describe the corrective actlon(s) taken. Attach additlonal sheets if necessary. I Operator in Responslble,Charge (ORC) Certification ; Permlttee Certification oRc: Thomas Lewis Pennittee: Benchmark') Ministries Inc.' rs 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? j[Yes [ZNo Phone Number., 919-815-76403 Permit Explratlorif 1/31/2023 ! • Slgnature Date ✓ Slgnatt re 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 property gathered and evaluated the Information submitted. Based on my Inquiry of the pe* or persons who manage the system, or those persons directly responsible for gathering the Information, the information subs lfted Is. to the best of my knowledge and beilef, true, accurate, and complete. I am aware that there are significant penettles tor�submitting false Information, Including the possibility of fines and imprisonment for I knowing vioiallons. Mail Original and..T.wo Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center, Raleigh, North Carolina 27699.1617 FORM: NDAR-1 10-13 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQDD36210 Facility Name: MOORE'S KEEP CHRISTIAN CAMP" .r.. 4 County: Moore Month: Year: ZUZ Field Name t ZONE 1 Field Name: ZONE 2 A,B Field Name Field Name: Did irrigation occur Area4(aores) & 1 34 Area (acres): 1.69 "Area (acres) r f ` Area (acres): at this facility? CoverCrop FORESTt ' , Cover Crop: 1.69 Cover,Crop Cover•Crop: „ ❑ YES 0 NO 6urly�Rate (in) " Hourly Rate (in): FOREST/GRASS Hou�ly,Rate`(ln) Hourly Rate (in): Annual Rate (m) Annual Rate (in): r Annual Rate (in) .h' Annual Rate (in). Weather Freeboard Field,lrrigated? [IYEsK []Noy'; Field Itigated? ;pYe , ONo Fieldlrrigatetl? ❑YES ❑Noy Fieldlrrigated? .�YEs ❑No .. E! � C '`% � t ;`i 41�� y t t � r 4, s� i�•. 4 't t ,� � fry �'�'�E f � �, r n v w E e► �' :.� '� C �01'yti �i �ii 1r� C 7 C; E„ .�'- y'�, . .: C 7. C m U eo Ek+R a Eon' S E_'� v Ea'o o E� o E5a o E_m °o E�°o a '� m o R. m_ `° to x o ° m A e o �. c W m % o e 1Lee E y iA W pd"q¢ t h �.�1_.�I�.GI= J .~�+`a E J="1J i'�+Q �'�' �-�j'Z AL 7y °F in ft ft fi"gal .. ,":-min , in.=..:° mk.>`. ;; gal min in in gah' s „°,min �n , in,! gal min in in 4 .' 6 S 8 ex i , t�,. , f • � F.._ _d t T 4 r. r r a r;'k, a , '.n d T, .S.. t '. ,.fi.e s ' �,"'�r.'R, ..,. rY , t.�,. s nrr art ww• 10 1 Ler 1231, 13 1.4 +� 16 [obr r 16 18r 19 f S' r7 u frr r t! I i t .1L �. ,'F (. . r�•. ,fc.. ,fi. of .f 20 / ht t y 1 21 �,� 22 •/ p��/ jj 11 a tJ,g —1� " ...., t. . r-'' ...,. Ikt.>A @ r 1 c . , r 1. 4. a f..: r -:1'! it t ..-+,''. i t� f .• E»J 23 24 f 26 p r 261 W, OnE 27 28 ' i �1 x a: 28 _ J Y'i a 30 31 Monthly Loading 12 Month Floating Total (in): FORM; NbAR-1,10-13--. NON -DISCHARGE APPLICATION REPORT (NDAR-1)' Page of [acompliant El Non-Compilant Did the application 1ratesexceed the limits in �Attachment B of your permit? Were adequate measures taken to prevent effluent ponding in or runoff from the sites? j. Ycompiiant C] Non-c6mpliant Was a suitable vegetative cover ve.r maintained ined on all sitesasspecified in your permit? Ercompuak El Non -Compliant Were all setbacks, listed in your permit maintained for every application to each permitted site? ffcRmptiant C1 Non -Compliant re' 6bards maintained accordance with the specified freeboard heights in your permit?' [�C-mpllant ❑ Non -Compliant Were all freeboards ained in accord If the facility -is is noh-comp . flaint, p!ease explain In the space beI4 the reason(s) the facility was not In compliance. Provide In your explanation the date(s) of the non -compliance and describe the corrective 0 ermittee Certification pc�rator In Rosponsibla Charge (ORO) certification P ORC: THOMAS.LEVVIS Permittee: 7 BENCHMARK MINISTRIES Signing Official: THOMAS LEWIS, Certification No.: ... 1002746- Grade: SI. Phono Numbon 919-'615-7603 signing Official's Title! PRESIDENT Has the ORC changed sinco tho'provlous NDAR-1? 0 yes 0No Phone Number: 91.9-815-7603 Permit EXP.: 1/31/23 Signature Date ` Signature Date t By this signature, j certify that this report Is accurrato and cornploto to tho best of my knowladqu. 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 personswho manage the'systann, 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 FORM: NDMLR.08-11 NON-DISCHARGE'MASS LOADING REPORT (NDMLR) Page of . ..' Field Name:! ,y l s. - low Area.(acres): Cover Crop:! N�-�l 1003MIR Mrs Cover Crop.. !Cover C Load Type:!l M.ff Mom SOM li'+ M= ©M�� t/m�� o�� ®■ems �� ■�� Annual ... Limit (lb FORM: NDMLR 08-11 NON -DISCHARGE MASS LOADING REPORT (NDMLR) Page of Did the mass loading rates exceed the limits in Attachment B 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 action(s) taken. Attach additional sheets if necessary. s i r Operator in Responsible Charge (ORC) Certification Permittee Certification 1 { ORC: h�w> S Permittee: `N G aYi i�tL V t ttv j�'('�( C� rU e Certification Number: (�� 2 G Signing Official: 7 f .0M4-5 1—awe; Grade: S ( Phone Number: l� fij (�� (� p ^�j Signing Official's Title: kaS( QC- Nq Has the ORC changed since the previous NDMLR? EJYes I9�o Phone INo.: �jq^ V - 3 Permit Exp.: `l Signature By this signature. I certify that this report is accurraie and complete to the best of my knowledge Date 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 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 Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617