HomeMy WebLinkAboutWQ0015491_Monitoring - 06-2020_20201106f-C;KNI: NUAt<-1 U6-'1'1 NUN-UI5UHAKUI= AVI-LIUA i IUN KtI UK I (NUAK-1)
�11 .•Speedway.RandolphMonth:�.
Name,Did
Na
irrigation occur
•
Area
, (acrey
Area (acres):
at
• • • •
• -
Cover• •
• -
• i •
• -
.Crop:;
• -
-
HourlyEl
1Hourly
-
1
.R • -ate (in):
®.
®®
1
YES G •
Annual Rate (in): 1
Annu"ate (in):
Annual Kate (in):
Field Irrigated?
<_.
�__,
_
JAW
Monthl ....
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Paged of
Did the application rates exceed the limits in Attachment B of your permit? compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? z Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
0RCJ.)O1� �^ % I� G (..,
Permittee: � c lE< / (iC
Certification No.: ` J
V
Signing Official: �} r --f—
Grade: Phone Number: 33� 3 bo -,Ss i,-(&
Signing Official's Title: m e
Has the ORC changed since tjprevious:Al-l:? ❑ ves 0 No
Phone Number: 3�- 3 _� G1%Permit Exp.: 1 3, 1 ff�
� 5
OW 12--,,?
i
b,
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
1 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
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
Mail Original and Two Copies to:
Division of water (duality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDMR 03-12
NON-DISUHAKUt MUNI I UKINU Ktt'UK I (liVumry
Facility Name: Caraway Speedway County: Randolph Month: Ye, �J '
Permit No.: WQ0015491 tY Y P Y
PPI: 001 Flow Measuring Point: El influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ Influent ❑� Effluent ❑ Groundwater Lowering Surface Water
00610
00530
31616
00620
00625
Parameter Code ►
50050
00400
50060
00310
iu
Q
O
24-hr
C
O
EdIn
O
hrs
LI.
GPD
su
iv m
mg/L
mg/L
(6
E
mglL
'D
cn
a
(n(nLLo
mg/L
i
=F
°
#/100 mL
(D
mglL
l4 r
iv a7
zL
_
mglL
1
2
3
4
5
6
-
7
s
t
9
10
11
i
-
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Average:
Daily Maximum:
Daily Minimum:
#DIV10!
0
0
-
Grab
Grab
Grab
---
Grab
-
Grab
--
Grab
---
sampling Type:
Monthly Avg. Limit:i2l
Daily Limit:
samnla Freauencv:
Estimate
'
9,999 gpc
Monthh,
Grab Grab
--- -
--- _-
,„
3 X Yr
3 X yr
3 X yr ` 3 X yr
3 X'yr
3 X yr
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) rage 4-z_ or '
Sampling Person(s) Certified Laboratories
Name:
Name:
Name:
Name:
s all monitoring data and sampling frequencies meet the requiremen-Es in AETacnmerjj K cal your HUra11ileo.r i-,,p,ia- -I -....-
ie 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 correct
o +inn/c) +nl,on Attnrh nrirfltinnni ChpptS If nP.CPSSarv.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC:CiC Permittee:'R a
Certification No.: Signing Official ) I C �I c �p
Grade: Phone Number: ?/ ,� _/ l� Signing Official's Title: P11j r1L .-�
Has the ORC changed since the previous MR? Ju❑ Yes`JudLV nxt' Phone Number: _ S�tr Permit Expiration:
33t�G i
1
i-
Si na ure Date
Signature
Date 9
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 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