WQ0015491_Monitoring - 09-2023_20231204

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
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*
Sept2023.pdf 1.34MB
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
12/4/2023
This will be filled in automatically

Is the project number correct?* W00015491
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 12/6/2023

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page t of :
Permit No.: W00015491
Did irrigation occur
Facility Name: Caraway Speedway
Field Name: 1 Field Name: 2
County: Randolph Month:
Field Name: 3 Field Name:
Year:
L�✓`
4
at this facility?
Area (acres):
0.49
Area (acres):
0.49
Area (acres):
0.49
Area (acres):
0.49
Cover Crop:
Forest
Cover Crop:
Forest
Cover Crop:
Forest
Cover Crop:
Forest
LZ�rs 0 NO
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15
Annual Rate (in):
26
Annual Rate (in):
26
Annual Rate (in):
26
Annual Rate (in):
26
Weather
Freeboard
_
Field Irrigated?
[}� ❑ No
Field Irrigated?
E] � ❑ No
Field Irri ated?
9
I__j t_) No
Field Irrigated?
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min
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min
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Monthly Loading:
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page I 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 raintained in accordance with the specified freeboard heights in your permit?
Ek6mpliant
❑ Non -Compliant
❑Rompliant
ElNon-Compliant
1116mpliant
❑ Non -Compliant
L1Compliant
❑ Non -Compliant
QCompliant ❑ 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 dates) 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: <.P- 4
Permittee: P , J4 ti Q­e li , C `��
Certification No.: G
1J�i,�
Signing Official: j� 1��14
r.�, G.
Grade: Phone Number: -3
Signing Official's Title:
Has the ORC changed since the previous NDAR-1? ❑ Yes i3W
Phone Number;_ Permit Ex
r7si
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 [his 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, we, 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,-2—
Permit No.: WQ0015491
Facility Name: Caraway Speedway
County: Randolph
Month: >� y yt
YW
❑ Surtacewater
PPI: 001
Flow Measuring Point: ❑ Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent Effluent ❑ Gmundwater Lowering
Parameter Code —►
50050
00400
50060
00310
00610
00530
31616
00620
00625
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Fa—
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
1
2
3
4
5
6
C u
7
8
9
10
11
12
13
14
CG ;
15
16
1uv
l
tUU
17
18
to
i
19
0rUrl
201
10 t
i
21
22
23
24
25
26
27
�, a
28
29
30
31
Average
Daily Maximum:
0•
Daily Minimum:
0
Sampling Type:
Estimate
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
—
-
---
---
---
---
---
---
Daily Limit:
9,9 gpr' — _ _---
Monthly ,lN. ��(�'^�li U 3 X yr
---
---
---
—
Ramnle 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) Page of
y ' \, Sampling Person(s) Certified Laboratories
Name: �� Name: .�.��C� I� ���
v
Name: Name:
Does all monitoring data ana sampling trequencles meet the requirements in Attachment A of your permit? 0Zo­mp4ant ❑ 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 ResponsibleCharge (ORC) Certification
Perrnittee Certification
ORC.DO �'�4 j "
C .
/�
Permittee:b�C(Q �l I -I 1 l� t& Dt,,_ a
t
Certification No.: 35,j�
nn� J�
Signing Official: A)n-(r c--. rf1 c Jc,-
Grade: Phone Number: 3 .30 S Y 1_(
Signing Official's Title: )
l',
Has the ORC changed since the previous NDMR? ElYes E�If
Phone Number: Permit Expiration:
: y
_ Z
Signature Date
Signature Date
By this signature, I certify that this report is accunale 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 [hose 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