WQ0002648_Monitoring - 03-2020_20200611

FORK NDMR 05-16
NON -DISCHARGE MONITORING REPORT (NDMR) % T m)�/v DL`D Page I_ of --�)_

'FORM NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page X_ of 3
Permit No.: W00002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTF
County: Randolph
Month: March
Year: 2020
PPI: 001
Flow Measuring Point: -1 Influent 0 Effluent ❑ No flow generated
Parameter Monitoring Point: C' Influent L Effluent C Groundwater Lowering ❑ Surface water
Parameter Code
00530
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E a
F fn
C
C•
'L to
'II
+M CCL
N
24-hr
I hrs
mg/L
1
2
3
z•.
4
5
6
7
8
9
10
11
...
12
06:00
8
53:.
'
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Average:
53.00
Daily Maximum:
53.00
Daily Minimum
53.00
Sampling Type
'Composite
Monthly Limit
-
Daily Limit:
Sample Frequencyj
4 X Year

' FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page _72, of 3
Sampling Person(s) Certified Laboratories
Name: rr S C`w..as�Gv Name: �orn�rO.V i
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O 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.
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Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: LARRY T. CHILTON
Permittee: SEAGROVE/ULAH METROPOLITAN WATER DISTRICT
Certification No.: 2WW-10681 SI-28234
Signing Official: MICHAEL T. WALKER
Grade: 2 Phone Number: 336-302-3782
Signing Official's Title: SECRETARY
Has the ORC changed since the previous NDMR? ❑ Yes 0 No
Phone Number: 336-873-9055 Permit Expiration: 9/30/2020
00- j
Signature Date
j 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 Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617