WQ0015491_Monitoring - 05-2020_20201106

GURU NUAK U6-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
raye
Permit No.: W00015491
Facility Name: Caraway Speedway
County: Randolph
Month: (;�,__
Year:
Field Name:
1
Field Name:
2
Field Name:
3
—
Field Name:
4
Did irrigation occur
Area (acres):
0.49
Area (acres):
0.49
Area (acres):
0.49
Area .(acres):
0.49
at this facility?
Cover Crop:
Forest
Cover Crop:
Forest
Cover Crop:
Forest
Cover Crop:
Forest
0.4�
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):
0,15
Hourly Rate (in):
0.15
El YES
Annual Rate (in):
26
Annual Rate (in):
26
Annual Rate (in):
26
Annual Rate (in):
26
Weather
Freeboard
Field Irrigated?
❑ YES NO
Field Irrigated?
❑ YES ❑`
Field Irrigated?
❑ YES -0 NO
Field Irrigated?
❑ YES ❑ No
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Monthly Loading:h�
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12 Month Floating Total (in)
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 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?
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
❑ Co nt
❑ Non -Compliant
[216ompliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
Compliant
❑ Non -Compliant
❑ 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
Permittee
ORC: I (� \CC fT
ffCertificatiion,,
Permittee: IiLDJL l /� 1� C_ C I4
Certification No.: t9 S O � �
Signing Official: j�Q � � ' � C C 14 �
Grade: Phone Number: J�.
Signing Official's Title:&
Has the ORC changed since the pre ' us NDARA? ❑ YeL-o -
Phone Number:'-3 _Y., - 2) uS � �1C Y Permit Exp.: f ,� ( Z Z
r
Signature Date
Signature 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 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
9
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

F,3RM: NDMR 03-12
NON-DISGNAKUt IVIUNI I UKINU KtVUK 1 (Ivulw1m)
Permit No.: WQ0015491 Facility Name: Caraway Speedway County: Randolph Month: Yes
PPI: 001 Flow Measuring Point: influent [IEffluent ❑ No flow generated Parameter Monitoring Point: ElInfluent ❑✓ Effluent ❑ Groundwater towering ❑Surface water
50060
00310
00610
00530
31616
00620
00625
Parametert1odle-0,r
50050
00400
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h-
mg/L
mglL
mg/L
#/100 mL
mg/L
mglL
24-hr
hrs
GPD
su
mg/L
1
2
3
4
5
1
`
6
7
i
8
9
w
10
11
-
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
^ #DIV/0l
Average:
0
Daily Maximum:
Grab
Grab
Grab
Grab
Grab
Grab
Daily Minimum:
0
Estimate
Grab
Grab
Sampling Type:
---
---
- -
Monthly Avg. Limit:
Daily Limit:
9;999 gpd -- —
Monthly ; �„
3 X yr
3 X yr
3 X yr
3 X yr
3 X yr
3 X yr
I
Samnle Freauencv:

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
rage e or —ri
Sampling Person(s)
Name:
Name:
Name: Name:
Certified Laboratories
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 describe the corrective
action(s) taken. Attach additional sheets if necessary. _ _
I— Permittee Certification
A Operator in Responsible Charge (ORC) Certification
I
ORC \ (` Permittee: /'i C t./c-( T I
G Signing Official:
Certification No.: '} '1
Grade: C•' Phone Number: ,L,� ` !� Signing Official's Title: --��
J
Has the ORC changed since the previo DMR? El yes No Phone Number:3U _J — �6YY ^ Permit Expiration:
spiature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
,J 7, a
Signature Date
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 persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 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