HomeMy WebLinkAboutWQ0015491_Monitoring - 04-2023_20230529Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * April
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_000188. pdf 3.32 M B
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
5/29/2023
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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of"I
Permit No.: W00015491 Facility Name: Caraway Speedway County: Randolph Month: YeiT i `S
PPI: 001 Flow Measuring Point: 0 Influent ❑ Effluent ❑ No flow generated Parameter Monitoring Point: ❑ influent ❑ Effluent ❑Groundwater Lowering ❑ Surface Water
Parameter Code — 11.
50050
00400
50060
00310
00610
00530
31616
00620
00625
°
O
O
d
O
`p
Q
� c
U
rn
m
c
Q
m
m c v
F Q°
E
m
U. 0
V
'
Z
c
d rn
Y O
o Z
F
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
1
2
ffi
3
4
f
5
6
7
8
9
10
11
12
13
14
lUO.d
15
16
17
UJc�
18
loo c'
19
>
20
(�
21
22
23
24
25
26
27
28
29
30
/�Ju
31
Average.!
"`7- r7,
Daily Maximum:
0
Daily Minimum:
0
,)y
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:"'
—
--
---
---
---
---
---
---
Daily Limit:
9,999 gpc' , — ---
Monthly., !u , 3 X yr
--
Samnle Freauencv:
3 X yr
3 X yr
3 X yr
3 X yr
3 X yr
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Paget � of
Name:
Name:
Sampling Person(s)
dry
Certified Laboratories
Name: - - (� n /I b Cc
Name:
noes all monitoring oata ano sampling Trequencles meet the requirements in Attachment A of your permit? 9-Mriant ❑ 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 necessarv.
Operator in Responsible Charge (ORC) Certification
ORC:d-U f
Certification No.: 'l c-U a S
Grade: Phone Number:
_ 334
Has the ORC changed since the previous NDMR? ❑ Yes Elva
i
/ to I,- �, '1ilL_'e ?_ �
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee Certification
Permittee: --rU ] (�-k_ �/� /_� �iiJC_ (('r
Signing Official:I�G lX� C
Signing Official's Title:
Ov,-cJ
Phone Number: Permit Expiration:
Ce- �� Y [ 3( 7�li�
121
Signature Date
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: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page o�
e
Permit No.: W00015491
Facility Name:
Caraway Speedway
County: Randolph
.,_�._
Field Name:
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Field Irrigated ?
GI 'p 'O
m m
._ d
O. E
CL
gal min
Year�,� Z y
4
0.49
Forest
0.15
26
wEs ❑ NO
°' E >, rn
�, C 7
'i3 E c
m �'a
in in
Month:
3
_
0,49
Forest
0.15
26
LEJ No
A 67:
c �.
t0. N E 8.
o XO�
in in
Did irrigation occur
at this facility?
es El NO
Field Name:
-
1
--
Field Name:
2
Field Name:
Area (acres):
0.49
A :
Area (acres):
0.49
Area (acres):
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
Forest
0.15
26
Cover Crop:
Hourly Rate (in):
Annual Rate in :
( )
Forest
0.15
26
Cover Crop:
Hourly Rate (in):
Annual Rate (in):
(0
p
1
O
U
d
Y
Weather
..�..
,ate_+
m a
Q
E m
Freeboard
O
w
2
O. N
o
a
mQ,
Field Irrigated?
-
E 2 d
� a E
O Q. 1- 'L
>¢
❑yrC ❑ No
?• , C
E E
# O
m_Z�
Field Irrigated?
E T N d
E
Q _
O Q
>¢ ~�
�s ❑ NO
�. C 7 �` C
n E`
7 'D
O N
�O =O
Field Irrigated?
N N
E m
O CL E
oa i=.�
of
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
2
L
3
L
4
5
5
S
6
11Z
�a
7
1 1
f
8
�Ilit
9
10
11
c_
12
p`
4
13
14
15
16
17
18,
19
20
5
�`✓
r
`
��
t,
21
S
22
3
23
j
24
2515
26
7v
27
28
3 0
29
ac.
30
�Z
Zip
31
Monthly
Loading:
12
Month
Floating
Total
(in):
FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
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?
Page 1;� of Z,
LI Compliant ❑ Non -Compliant
Ll Compliant ❑ Non -Compliant
Ll Compliant ❑ Non -Compliant
U' Compliant ❑ 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
ORCtt��.,
014— A H(_(:_�CMI
Permittee ft-- CC
.J�f�
pet 4"
Certification No.: '7� C
Signing Official:
Grade: Is -7 Phone Number: �/ _ _
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? El YeS GIV'
Phone Number: Permit Exp.:
�3t+(2,>-2
''d-012-
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