2018 was the 50th Anniversary of the ‘new’ Camp Aquehonga. The design of the patch was a throwback to the one used for the 40th Anniversary in 2008. The 2018 version is a bit smaller and states 50 Years of Excellence.
Here is the regular version:

and the staff patch:

Ten Mile River Scout Camps - 3 CSP set - Aquehonga, Keowa & Ranachqua BSA - 1261
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Ten Mile River Scout Camps Camp Aquehonga - GNYC BSA - 1260
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Camp Aquehonga Patch - 2019 Ten mile River Scout Camps - BSA - 1179
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