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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