WQ0015491_Monitoring - 07-2023_20230903

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* July
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_000194. 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
9/3/2023
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: 9/5/2023

FORM: NDAR-1 08-11
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: W00015491
Facility Name:
Caraway Speedway
county: Randqre
irrigation occur
this facility?
❑ NO
Field Name:
1
—
Field Name:
2
Field Name:Did
Area (acres):
0.49
Area acres
( )
: 0.49at
Area (acres):Cover
Crop:
Forest
Cover Crop:
ForestCover
Crop:es
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):Annual
Rate (in):
26
Annual Rate in .
)
26(
Annual Rate (irt):Weather
Field Irrigated?w
Freeboard
_
Field Irrigated?
Q'YEs ❑ No
Field Irrigated?
❑ Y ❑ NO
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Page i— of
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Field Name:
4
area (acres):
0.49
over Crop:
Forest
1y Rate (in):
0.15
al Rate (in):
26
d Irrigated?I [ ❑ No
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FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page aof
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?
1:-6oli mpant
❑ Non -Compliant
E4'6mpliant
❑ Non -Compliant
El Compliant
❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? LI'Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E;r-mpliant ❑ 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 Chargef (ORC) Certification Permittee Certification
� at TA JC,ORC: � c,', A Permittee: be 'C f� A H C J,, H V 7714 +f
Certification No.: C;? C , 0) 9 -IS T Signing Official: 4 J f,4—, /� 1 I c ` c, ( 1
Grade: Phone Number: Signing Official's Title: 0VJt C1 —`
Has the ORC changed since the previous NDAR-1? ❑ Yes 3-Z Phone Number: Pennit Exp.:
COY Doi'
Signature Date Sig ture
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 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
Raleigh, North Carolina 27699-1617

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Pagel_ of
Permit No.: W00015491
Facility Name: Caraway Speedway
County: Randolph
Month: —� { /�
Yee "-?v _3
❑Surface Water
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: Influent 2 Effluent ❑ Groundwater Lowering
Parameter Code 0
50050
00400
50060
00310
00610
00530
31616
00620
00625
Q E
OW
O
3
O
.
c
!Y U
n
o
E
Q
c
Q._
3(n
to
E
LLL
°o
O
F-
�
o
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
221
23
241
25
26
-7, S L
27
28
29
30
31
Average'F,
2,
Daily Maximum:
0
Daily Minimum:
0
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
Daily Limit:
9,996 gpr' _ -� - --
Monthly 3 X yr
---
---
---
---
---
Samnle Freauencv:1
3 X yr
3 X yr
3 X yr
3 X yr
3 X yr

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Sampling Person(s)
Certified Laboratories
(�
Name: {'( r
V
Name: `QC -�-�L/
l�
�'!�
Name:
Name:
/
Does all monitoring data and sampling rrequencies meet the requirements in Attachment A of your permit? —4�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:
Du�_\ � --V-� j—1
Permittee�Q(-/- !��� ��
Certification No.: �
�Ut� 1
Signing Official:
t
Grade: Phone Number:
—, 33& - 3ua - c�
Signing
9 9
Si Official's Title: D���/
Has the ORC changed since the previous NDMR? ❑ Yes Dme—
Phone Number: Permit Expiration:
J2 J -2-
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