HomeMy WebLinkAboutWQ0015491_Monitoring - 08-2020_20201106rUKIVI: NufiK-I Uu-I i NUN-U1b1L;HAKUt=AVVLII+AIIUN Ktt-UKI (NUAK-1)
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Permit No.: W00015491
Facility Name: Caraway Speedway
County: Randolph
Month:
Year:-2-
Field Name:
1
Field Name:
2
Field Name:
3
NId 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
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
❑ YES ❑ NW-
Annual Rate (in):
26
Annual Rate (in):
26
Annual Rate (in):
26
Annual Rate (in):
26
Weather
Freeboard
Field Irrigated?
❑ YES ❑.D1 K
Field Irrigated?
❑ YES P'960'
Field Irrigated?
❑ YES ❑. IC-'
Field Irrigated?
❑ YES Dqk7"',
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Monthly Loading:6iimi
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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?
ompliant
❑ Non -Compliant
ompliant
❑ Non -Compliant
ompliant
❑ Non -Compliant
Complit
El 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 Certification
ORC:� l ({—!� '�
f
Permittee: , I 1 s� GIGitt
Certification No.:� 5 �j
i
Signing Official: —D(k,( f LI 4 c<
Grade: !/ Phone Number: _�
Signing Official's Title: fG ^": 10
Has the ORC changed since the prev' us NDAR-1? ❑yes es
Phone Number: (,, - � � _ S j7(1,y Permit Exp.: C.y / 3� ) 2 Z
Z
1,
1n
- ?�
Signature ate
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
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
FmRM: NDMR 03-12
NON-UISC;HAKUt MUNI I UKINU mr-rUK I k1vvlvin)
Facility Name: Caraway Speedway
Permit NoLW00015491 y
PPI:01 Flow Measuring Point: (] Influent ❑Effluent ❑ No flow generated
county: Randolph Month: �L Yea 2 v �✓
Parameter Monitoring Point: ❑ influent ❑✓ Effluent ❑ Groundwater Lowering ❑ Surface Water
00620
00625
Parameter Code ► ' 50050
00400
50060
00310
00610
00530
31616
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1 010
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mg/L
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mg/L
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Q
mg/L
N
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~ 7 N
rn
mg/L
R
LL V
#/100 mL
mg/L
mg/L
2
3 9L),
4
5
6
7
8 Do I
9
10o� i
11
12
13
14
15
16
17
18
19
20
21
22 c1 t) v
23
24 `-'I U f
25
26
27
28
29 W (.0
30
31 U
Average:
Daily Maximum: 0
Daily Minimum: 0
Sampling Type: Estimate
-,
Grab
Grab
-�
j
Grab
--
Grab
Grab
Grab
G
Grab
Grab
r ---
Monthly Avg. Limit: ---
Daily Limit: 9,999 gpc' --- - - - _ I 3X---
r__...,. C..,.,nnnrv• Monthly :.. .. yr
---
---
--
3Xyr
3Xyr
3Xyr
3Xyr
3Xyr
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
rayc,,;� ut _/_
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? n 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
1 Permittee: (� �� C % ! t �- c' 1-7 P r -"
ORC: C (� t
Signing Official:
Certification No.: � S � z
Phone Number: C..t "- �'? cl- 5 � U 3 Signing Official's Title: Yh-Q
Grade:
Has the ORC changed since the previous NDMR? ❑ Yes �� Phone Number: �' 4 _ 3v Z " S /V YPermit Expiration: t l l cJ/ 2 Z
Z_ 4
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 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