WQ0015491_Monitoring - 08-2016_20161228 (3)

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) - Page ot�
is.
Permit No.: W00015491
Facility Name:
Caraway Speedway
County: Randolph
Month:
k
Year:d_&/(
Field Name:
1
Field Name:
2
Field Name:
3
Id Name:
4
Did
irrigation occur
Area (acres):
0.49
Area (acres):
0.49
Area (acres):
0.49
Area (acres):
0.49
at til/is facility?
..Cover Crop:
Forest.
Cover Crop:
Forest
Cover Crop:
Forest
Cover Crop:
Forest
❑ Y ❑
Hourly Rate (in)
0.15
Hourly Rate (in):
0.15
Hourly Rate (in):
0.15 -
Hourly Rate (In):
0.15
S No
Annual Rate (in):
26
Annual Rats (in):
26
Annual Rate (in):
26
Annual Rate (in):
26
Weather Freeboard
rrigated?
- vrs - -❑ No
Field Irrigated?
❑ ❑ No
Field Irrigated?
' ves ❑ No
Field Irrigated? _L;*B ❑ No
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O N o
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� ft ftmin
in in
gal min
in in
gal min
in in
gal min
in in
1
r
2
r- 1 l�
3
IIJ
4
5
C
6
G
7
Fie -
8
L 4 /
9
L 2
10
11
121
Z9
13
G
1a
C s L
1s
G 3
16
17
CL X19
18
Y8
19
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20
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21
iu
22
23
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24
25
D
26
z7
9/
28
4-
29
30
31
O
12 Month Floating Total (in):

FORM: NDAR-1 08-11 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Nage2LLar 2
Did the application rates exceed the limits in Attachment B of your permit? ❑'comVismt ❑ man-camwant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? �J Compliant ❑ non-wnwiam
Was a suitable vegetative cover maintained on all sites as specified in your permit? 4 -Plant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? CJ compliant ❑ Nw-compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 1 co Iant ❑ Non ant
If the facility is non-comDliant. 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
iaKen. naacn aumaunar sntwu
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Darren A. Hackett
Permittee, Russell H. Hackett
Certification No.: 25029
Signing Official:
Grade: SI Pho Number: (336) 629 - 5803
Signing Official's Title:
Has the ORC changed since e p vi NDAR-1? ❑ yes
Phone Number: [phone] Permit Exp.: 4/30/17
Signature Date
Signature ate
By this signakrre, I ON* that this report Is aommate and complete to he best of my knoMedge.
I curtly, under pena ty or law, that this document and all atleduments ware KRPamd anew my difeam or supavlelon In acmNence
Y ith a system designed to assure that all quallfled pem mel properly gahered and evaluated the infnrtnetlon submltled. Based on my
Inquiry of he parson or persona who manage the system, a those persona directly responsible for gathering he information. the
-
Infom ation wbmitled Is. b he beat of my knowledge and belief. We, aaarrsle, and cornpIs*_ I am aware ha ter, are significant
penalties for subndtting faire bdcmeticn, induding the possibility of Mes and Impilsonment for knovAg violations.
Mall Original and Two Copies to:
Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617