WQ0015491_Monitoring - 03-2023_20230503

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * March
WQ0015491
Caraway Speedway
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
CCF_000187.pdf 3.31 MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
carawayspeedway1 @gmail.com
Tina Lackey
Reviewer: Wanda.Gerald
5/3/2023
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: 6/9/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ` of of
Permit No.: WQ0015491
Did irrigation occur
Facility Name: Caraway Speedway
Field Name: 1 Field Name: 2
County: Randolph Month: l� YearJ�
Field Name: 3 Field Name: 4
at this facility.?Cover
Area (acres):
0.49
Area (acres):
0.49
Area (acres):
0.49 tiwj
Area (acres):
0.49
Crop:
_ Forest
Cover Crop:
Forest
Cover Crop:
Forest1A
Sa
Cover Crop:
Forest
❑ YES ❑ Na-
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):
15 '
0AYF9[1"�o
Hourly Rate (in):
0.15
Annual Rate (in):
26
Annual Rate (in):
26
Annual Rate (in):Annual
Rate (iny
26
Weather
Freeboard
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES No
Field irrigated?
❑
Field Irrigated?
❑YES ❑0
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 11�_ of1__�
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?
01J mpliant
❑ Non -Compliant
El Compliant
❑ Non -Compliant
El*�Compliant
❑ Non -Compliant
DCompliant
❑ Non -Compliant
fJ 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
ORCD. A H k J, �-� Permittee:� arc-. A
(J� �� _e C J
Certification No.: y�Va Signing Official: D /
Grade: `mil; `i Phone Number: 334� — S6 (� Signing Official! (
Has the ORC changed since the previous NDAR-1? ❑ Yes Bmo-- Phone Number: Permit Exp.:
— � ".)— �2c)2y
70 2 -S�V_, 4 �2 2
3 3
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

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of__�
Permit No.: WQ0015491
Facility Name: Caraway Speedway
County: Randolph
Month: �V� ��J� ,�
Yeaol,, I.'
❑ Surface Water
PPI: 001 Flow
Measuring Point: 0 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent Effluent ❑ Groundwater Lowering
Parameter Code —►
50050
00400
50060
00310
00610
00530
31616
00620
00625
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mg/L
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mg/L
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26
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;
29
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Average•
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Daily Maximum:
Daily Minimum: 0
i, l
Sampling Type: Estimate
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Grab
Grab
Grab
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`:, _.' _.
Monthly Avg. Limit:
—
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Daily Limit: 9,999 gpc _...__
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FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pa3Q_ of
Sampling Person(s)
Name: �0 I"", �-( -br-1-4�.-
Name:
Certified Laboratories
l / t�
Name: (� / �'i14 S 1 C c
Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑Pliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the spate 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
_,�
�f / G Gc
ORC: b n a CAA_ 4 � (t 1c,
Permittee: u CJ! t �
Certification No.: c>,503 Signing Official: `'b-A,( 94
Grade: Phone Number: a3 Signing Official's Title:
Has the ORC changed since the previous NDMR? ❑ Yes ❑'t o� Phone Number: Permit Expiration:
33(r - 30) a (,!
C� 322 Z-3
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