WQ0015491_Monitoring - 10-2022_20221130

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0015491
Caraway Speedway
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Octnondischarge.pdf 3.22MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
carawayspeedway1 @gmail.com
Darren A Hackett
o nlaadlrr
Reviewer: Gerald, Wanda
11 /30/2022
This will be filled in automatically

Is the project number correct?* WQ0015491
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 12/13/2022

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Paged`, of 14
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant
EJ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites
[2'Compliant
0 Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
0-Compliant
EJ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site
Compliant
0 Non -Compliant
Were all freeboards, maintained in accordance with the specified freeboard heights in your permit?
ffCompliant
El 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
Permittee: k__1
ORC- 6!c_
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Certification No.: Signing Official:
RC_ - '
ope
rator
.atii n
Ciarti 1 0 0-- __Q
Grade: Phone Number: Signing Official's Title: /n
H t 0 C
Has the ORC changed since the prevNDARA? El Yes S-No—' Phone Number: Permit Exp.: 5
—S
_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 propedy 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 -
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Akaleiqh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDIVIR) rays

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR)
Sampling Person(s) Certified Laboratories
A
h
dik I Name:
Name: rci � I
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit?
Page
[:k6mpliant El 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.
If Ope
rato,r in
Responsible
e
sponsi
ble C
harge (ORC) Certification V-1
Perm�ittee Certification
A
7 fit
c
ORC��­
Permittee• r H 17 i
Signing Official:
CertificattonNa.: ?f
Grade: Rhone N'mbar-
Signing Official's Title:
Phone Number: Permit Expiration:
rHas the ORC changed since thyi0us NCR? EYes
7)
L
Signature Date Signature Date
rl, 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 property 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
taleigh, North Carolina 27699-1617