WQ0002648_Monitoring - 12-2022_20230121

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * December
Report Information
WQ0002648
Seagrove Ulah Metropolitan
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Dec 2022 NDMR,NDAR 1.99MB
Signed.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Itchilton'l [e-mail]
Larry T. Chilton
Reviewer: Gerald, Wanda
1 /21 /2023
This will be filled in automatically

Is the project number correct?* WQ0002648
Is the monitoring report accepted?* - Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 1/24/2023

FORM:
NDMR 03-12
NON -DISCHARGE MONITORING REPORT (NDMR)
Page,
of
t'
Permit No.:
W00002648
Facility Name:
Seagrove -Utah Metropolitan
county:
Randolph
Month:
December
Year:
2022
PPI:
001
Flow Measuring Point: 0 Influent ❑ Effluent ❑ No flow generated
Parameter MonitoringPoint:
❑ Influent
© Effluent
❑ Groundwater Lowering g
❑Surface
Water
Parameter Code
-►
50050
00310
00940
50060
31616 00610
00625
00620
00600
00400
00666
70300
00530
d
r Ad
"'
tow
�ci
0
O
U.
1
3rsa
A
0
�
aa
z
z
z
o
�yv_
yO
24-hr
hrs
GPD
mg/L
m /L
mg/L
#/100 mL mg/L
m /L
m !L
/L
su
t
CL
m 2
p
m /L
/L
1
06:30
8
27,100
1.7
m
2
06:00
8
24,000
,
1.8
6.8
3
04:00
8
17,400
2
6,4
4
04:00
_ 6
19,000
2
7.5
11:00
8
16,000
1 A
7.65
6
04:00
7
31,300
25.2
1.9
>600 3.68
12.5
25.3
37.8
7
6.1
5.48
98
7
12:00
6
20,300
1.6
8
04:00
8
32,200
17
7.1
9
06:00
8
197300
1.5
7
10
08:00
8
17,700
1
11
06:00
8
12,200
1.4
12
06:30
8
_
27,800
1.6
13
06:00
8
24,200
1.9
ERR==
14
06:00
8
52,800
15
06:30
8
98,300
1.6
16
06:00
8
28,200
14
6.9
17
12:00
6
13,500
1_
6.6
18
04:30
6
14,000
1.5
6.3
19
06:30
8
22,100
2
6
20
06:30
8
32,000
1.9
7.3
21
06:30
8
22,100
2
7.2
22
06:30
8
75,600
1.8
7
7
23
06:00
8
22,200
1.9
.
24
01:00
6
8,800
1.3
7
25
00:00
8
10,650
1.7
6.8
26
10,650
6.8
27
06:00
8
14,000
1.6
28
06:00
8
17,400
1.7
6.7
29
06:00
8
15,300
1.8
7.4
301
06:00
8
12,100
1.9
7.4
31
04:00
8
11,300
2 2
7.5
Daily Maximum:
Average:
` 24,823
98,300
25.20
1.69
1.003.68
12.50
25.30
37.80
7
5.48 _
98.00
Daily Minimum:
8,800
25.2O-F7
25.20
2.20
0.00 3.68
12.50
25.30
37.80
7.60
5.48
98.00
Sampling
Type:
Recorder
Grab
Grab
1.00
Grab
0.00 3.68
Grab Grab
12.50
25.30
37:80
6.00
5.48
98.00
Monthly Avg.
Limit:
30,000
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Daily
Limit:
Sample Frequency:
Continuous
Monthly
3'X Year
5 X Week
Monthly Monthly
Monthly
Monthly
Monthly . 5 X Week
Monthly
3 X Year
Monthly

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_a of 3-
Permit No.: WQ0002648
Facility Name: Seagrove-Ulah Metropolitan Water. District WWTP
County: Randolph
Month: December Year: 2022
Did Irrigation occur
at this facility?
© YES ❑ No
Field Name:
1
Field Name:
2
Field Name:
3ffHourly
me: 4
Area (acres):
2.1
Area (acres):
2
Area (acres):
2.1
es):
3.4
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grassop:
Grass
Hourly Rate (in):
'`
Hourly Rate (in):
Hourly Rate (in):
in):
Annual Rate (in):
38.4
AnnualRate (in):
38.4
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Weather
Freeboard
Field Irrigated?
© YES ❑ No
Field Irrigated?
0 YES ❑ No
Field Irrigated?
10 YES ❑ No
Field Irrigated?
@ YES ❑ No
1
t
3
PC
OF
33
CL
in
0
y
N
ft
54'
N C
R R
ft
�o Q
gal
F- . ..
min
R o
p
J
in
x c°
_
J
in
3 a
O R
9Q
gal
E o�
I= C
=
min
R o
G
J
in
E `o
11= g
J
in
a�Q
O O.
�Q
gal
l- 0
C
_
min
v
C
J
in
E ��
x O
�,=J
I in
�_-'
6 C
9Q
gal
d
of
min
�,c
C R
J=J
in
y c
p
in
2
3
PC
CL
27
48
0
0.3
511"
64'
6,250
12.5
0.11
0.11
6,250
12.5
0.12
0.12
5,680
11.4
0.10
0.10
9,660
19.3
0.10
0.10
4
PC
39
0
6'1"
6
CL
47
0
5-10"
6
R
48
0.5
518"
7
CL
57
0
5'5"
8
9
PC
R
56
48
0
0.4
5'3"
6,3..
6,250
12.5
0.11
0.11
6,250
12.5
0.12
0.12
5,680
11.4
0.10
0,10
9,660
19.3
0.10
0.10
10
CL
46
0
5110"
11
CL
43
1 0
516"
12
PC
39
0
5'4"
13
14
CL
R
30
30
0
0.9
5-11"
67'
5,000
10
0.09
0.09
5,000
10
0.09
0.09
4,545
9
0.08
0.08
7,727
15.4
0.08
0.08
16
R
38
0.3
5'5"
16
17
18
C
CL
C
35
48
27
0
0
0
46"
63"
6'0"
2,500
5,000
5
10
0.04
0.09
0.04
0.09
2,500
5,000
5
10
0.05
0.09
0.05
0.09
2,272
4,545
4.5
9
0.04
0.08
0.04
0.08
3,864
7,727
7.7
15.4
0.04
0.08
0.04
0.08
19
PC
25
0
610"
20
CL
28
0
57'
21
22
CL
R
28
38
0
1
5'5"
6'3"
5,000
10
0.09
0.09
5,000
10
0.09
0.09
4,545
9
0.08 _ _
0.08
7,727
15.4
0.08
0.08
23
PC
42
0
5'6"
24
C
9
0
57"
26
26
C
31
0
510"
5,000
10
0.09
0.09
5,000
10
0.09 1
0.09
4,545
9
0.08
0.08
7,727
15.4
0.08
0.08
27
PC
27
0
611"
28
C
26
0
518"
29
C
28
0
5'6"
30
31
PC
R
36
47
0
0.2
54'
6'4
64"
5,000
10.:
0.09
0.09
6,000
10
0.09
0.09
4,545
9
0.08
0.08
7,727
15.4 0.08
0.67
7,59
0.08
Monthly
Loading:
40,000
0:70
40,000 0.74
8.46
36,357 0.64
7.55
61,819
12 Month Floating Total (in):
8.09

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of S
Permit No.: WQ0002648 Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph Month: December Year: 2022
Did irrigation occur Field Name: 5 Field Name: g _
Area (acres): 2,2 - Field Name: 7 Field Name:
at this facility? Area (acres): 2.8 8
Cover Crop: Grass Area (acres): 2.7
Cover Crop: Grass Area (acres): 2,4
© YES Cover Crop: Grass
No Annual Rate in : 38 4 Hourly Rate (in): Cover Crop: Grass
y ( ) -Hourly Rate (in):
( ) Annual Rate (in): 38.4 Hourly Rate (in):
Weather Freeboard Field Irrigated? p YES ❑ No Annual Rate (in): 38.4 Annual Rate (in): 38.4
.+ Field Irrigated? YES ❑ No Field Irrigated? 10 YEs ❑ No
a
c w H a Field Irrigated? ❑ YES p No
a4aR z.Mm g d a o 3�oe d1�,
°oE -a E EE iBE M S E=m -�•x
IL w a I- C c d
a E
CL LP
°F in ft u .�
ft gal min In in gal min in 1 PC 33 0 5'4" in gal min in in
2 PC 27 0 5'1" gal min in in
4,540, 9.1 0.08 0.08 7,950 15.9 0.11 0.11 9,660 19.3 0.13 0.13
3 CL 48 0.3 6'4"
4 PC 39 0 61"
6 CL 47 0 5'10"
6 R 48 0.5 5'8"
7 CL 57 0 5'5"
8 R 56 0 5'3" 4,540 9.1 0.08 0.08 7,950 15.9 0.11 0.11 9,Ei60 19.3 0.13 0.13
9 R 48 0.4 6'3"
10 CL 46 0 5'10"
11 CL 43 0 5'6"
12 PC 39 0 5'4!
13 CL 30 0 5'11" 3,636 7.2 0.06 0.06 6,363 12.7 14 R 30 0.6'2" 0.09 0.09 7,727 15.4 0.11 0.11
9
16 R 38 0.3 515"
16 C 35 0 4'6" 1,816 3.6 0.03 0.03 3,180 6.4 0.05 0.05 3,864 7,7
17 CL 48 0 6'3" 3,636 7.2 0.06 0.06 6,363 12.7 0.09 0.09 7,727 15.4 0.01 0,
11
18 C 27 0 6'0"
19 PC 25 0 51101,
20 CL 28 0 57'
21 CL 28 0 515" 3,636 7.2 0.06 0.06 6,363 12.7 0.09 0.09 7,727 15.4 0.11 0.11
22 R 38 1 6'3"
23 PC 42 0 5'6"
24 C 9 0 57"
25 C 31 0 510" 3,636 7.2 O.Oti
26 0.06 6,363 12.7 0.09 0.09 7,727 15.4 0.11 0.11
27 PC 27 0 5'11"
28 C 26 0 5'8"
29 C 28 0 5 6"
30 36 0 5'4" 3,636 7.2 0.06
R 47 0.2 "
0.06 6,363 12.7 0.09 0.09 7,727 15.4 0.11 0.11
31 R 6'4
Monthly Loading: 29,076 0.49 50,895
12 Month Floating Total (in): 0.72 61,$19 0.84 5.77 8.32 0 0.00
9.72

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit
NO.: WQ0002648
Facility Name:
Seagrove
-Utah Metropolitan
Water District WWTP
Page
Of
DICI
Il'PigatlOtl OCCUY
Field Name:
9 Field Name:
County: Randolph
Month:
December
Year: 2022
at
tI11S facility?
Area .(acres):
2,3
Area (acres):
10
2
Field Name:
11
Field Name:
12
Cover Crop:
Grass
Cover Crop:
Grass
Area (acres):
2.7
Area (acres):
2
©
YES O No
Hourly Rate (in):
Hourly Rate (in):
Cover Crop:
Grass
Cover Crop:
Grass
Annual Rate (in):
38 4
Annual Rate (in):
38.4
Hourly Rate (in):
Hourly Rate (in):
Weather Freeboard
Field Irrigated?
O YES
❑ No
Field Irrigated? OYES
Annual Rate (in):
38.4
Annual Rate (in):
38.4
�,
e � �
a,
❑ No
Field Irrigated?
©YEs
❑ No
Field Irrigated?
❑YEs O No
0
M ci
° ��
a CL o` a,a
E� ..
3 a Q,
as
a, r
A�
E��
o
E ��
�,a
E °' °'� >,c
�-''c
a1
E
e
+. Boa
N 4�o
oe. I.-.
ya
m
��
R
�e=o
3a Em a.0
oa F,� cm
Ems'
Xcm
_ +..
3a
a's
�0
50
°°' m�
ai E
ac mac
F in ft ft
gal min
-
�
1 PC
33 0 5'4"
in
in
gal min in
m
gal min
in
2 PC
3
27 0 5'1"
5,110 10.2
0.08
0.08
4,540 9.1
in
gal min
in in
CL
48 0.3 6'4"
0.08
0.08
8,520 17
0.12
0.12
4 PC
39 0 611;
6 CL
47 0 5'10"
6 R
48 0.5 5'8"
7 CL
57 0 5'5"
3 PC
3 R
56 0 63"
48 0.4 6'3"
5,110 10.2
0.08
0.08
4,540 9.1 0.08
0.08
8,520 17
0 CL
46 0 5'10,,
0.12
0.12
1 CL
43 0 5,6„
2 PC
39 0 5'4"
3 CL
1 R
30 0 511"
30 0.9 6'2"
4,091 8:
0.07
0:07
3,636 7.2 0.07
0.07
6,818 43.6
i R
38 0.3 5151.
0.09
0.09
i C
CL
35 0 46"
48 0 6'3"
4,091 4.1
8
0.03
0.03
1,816 3.6 0.03
0.03
3,408 6.8
e C
27 0 s'n"
,091
0.07
0.07
3,636 7.2 0.07
007
6 818
0.05
0.05
PC
®®_®
IMP
7.2 1 0.07 r 0.07
7•� _1_ 0.07 T 0.07
ME.,
MIN
MOM
0.07
13.6 0.09 0,09
NEW
Ow
®®®®
®®®
i

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Permit No.: WQ0002648
Facility Name:
Seagrove-Ulah Metropolitan Water District WWTP
Page
of L
Did IPI'Ig1tIOC1 OCCUt'
Field Name:
13
Field
County: Randolph
Month:
December
Year:
2022
8t thlS flClllty?
Area (acres):
2.2
Name:
Area (acres):
14
2.1
Field Name:
15
Field Name:
16
Cover Crop:
Grass
Cover Crop:
Grass
Area (acres):
3.4
Area (acres):
3.8
© Yes ❑ No
Hourly Rate (in):
Hourly Rate (in):
Cover Cro .
P'
Grass
Cover Crop:
Grass
Annual Rate (in):
38•4
Annual Rate (in):
38.4
Hourly Rate (inj:
Hourly Rate (in):
Weather Freeboard
Field Irrigated?
0 YES
❑ No
Field Irrigated? 0
Annual Rate (in):
38.4
Annual Rate (in):
38.4
d ` c - 7
0
YES
❑ No
Field Irrigated? :-0 YES
❑ No -
Field Irrigated?
©YES
❑ No
G d c°it ° o` >, B.
3 a
°
ai
E
Te
,c E
qm>a
E°c_mE>aa
c i-
°
?V >'e
a
on
�
�,cm
E
z�E a�
°P in ft ft
gal min
in
1 PC 33 0 5'4"
in
I gal min in
in
gal min in
In
gal min
2 PC 27 0 511.1
3 CL 48 0.3 6'4'
4,540 9.1
0.08
0.08
4,540 9.1 0.08
0.08
10,790 21.6
in
in
4 PC 39 0 6T.
D.12
0.12
1193 0 23.9
0.12
0.12
6 CL 47 0 5'10,,
6 R 48 0.5 5'8,,
7 CL 57 0 5'5"
8 PC 56 0 5'3"
9 R 48 0.4 6'3"
4,540 9.1
0.08
0.08
4,540 9.1 0.08
0.08
10,790 21.6
10 CL 46 0 51101,
0.12
0.12
1 1,930 23.9
0.12
0.12
11 CL 43 0 5'6"
12 PC 39 0 5'4"
13 CL 30 0 5111"
4 R 30 0.9 62"
3,6367.2
0.06'-
0.06
3,636 7.2 0.06
0.06
8,636 17.2
6 R 38 0.3 515"
0.09
0.09
9,545 19.1
0.09
0.09
6 C 35 0 416"
7
7 CL 48 0 6'3"
1,816 3.6
3,636 7.2
0.03
0.03
1,816 3.6 0.03
0.03
4,316 8.6 0.05
C 27 0 6'0"
0.06
0.06
3,636 7.2 0.06
0.06
8,636 17.2 0.09
0.05
4772 9.5
0.05
0.09
9 PC 25 0 5'10"
0.09
9,545 19.1
0.09
0.09
CL 28 0 57'
CL 28 0 5'S"
! R 38 1 6'3"
3,636 7.2 0.06
-
0.06
3,636 7.2 0.06
0.06
8,636 17.2
1 PC 42 0 5'6"
0.09
0.09 -
9,545 19.1
0.09
0.09
C 9 0 5'2"
C 31 0 510"
3,636 7.2 0.06
0.06 "
3.636 7.2 0.06
0.06
8,636
PC 27 0 5'11"
17:2 0.09
0.09
9,545 19.1
0.09
0.09
C 26 0 5'8,,
C 28 0 5.61
PC 36 0 54'
R 47 0.2 6'4'
3,636 7.2 0.06
0.06
3,636 7.2 0.06
0.06
8,636 17.2
Monthly Loading: 2g,076
0.09
0.09
9 545 19.1 0.09
0.09
0.49
12 Month Floating Total (in):
29,076 0.51
69,076 0.75
6.30
5.86
76,357
0.74
8.56
8.54

x'
FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page_I of
Sampling Person s
p ng Certified Laboratories
Name: Chris Cameron W/Cameron Testing Services Name: Cameron Testing Services
Name:
Name:
woes all monnonng ana ana sampling rrequencles meet the requirements in Attachment A of your permit? ($ Compliant [3 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 actions) taken.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Larry T. Chilton
Permittee: Seagrove/Utah 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 ® Na
9 P
Phone Number: 336-873-9055 Permit Expiration: 4/30/2027
J-19 a
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
I oenify, 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 an 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

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 2 of S"
Did the application rates exceed the limits in Attachment S of your permit?
Q Compliant .Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
© Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained -on all sites as specified In your permit?
© Compliant Q Non -Compliant
Were all setbacks listed In your permit maintained for every application to each permitted site?
© Compliant [3 Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? © Compliant o 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.
No irrigation occurred duft rain. Rain was evening and overnight after itri atlon event.
Operator in R g (ORC) p Responsible Charge ORC Certification Pemtittee Certification
ORC: Larry T. Chilton Permittee:
Seagrove/Utah Metropolitan Water District
certification No.: 2WW-10681 S1-28234 signing Official: Michael T. Walker
Grade: 2 Phone Number. 336-302-3782 i Signing Official's Titter . Secretary
Has the ORC changed since the previous NDAR-1? ❑ Yes Q No Phone Number: 336-873-9055 Permit Exp.: 4/30/27
f • —rZ� / �+ a
Signature 1 r�T "GQr
Bate Signature Date
By this signature, i certify that this report is accwrrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and ali 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. ! 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
c

FORM: NDAR-t 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Did the application rates exceed the limits in Attachment B of your permit? la Compliant p Non -Compliant
Were adequate measures taken to prevent effluent ponding Inorrunoff from the sites? © Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified In your permit? ® Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? © Compliant ❑ Non•Comptlant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? o Compliant Q 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($)
cuVIuva1 al�QGW fl ICtiC3JQi Y, -
Noirrigation occurred during rain. Rain was evening and overnight after irrigation event.
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 NDAR-1? a Yes ® No Phone Number: 336-873-9055 Permit Exp.: - 4i30/27
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 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 Resources
information Processing. Unit
1617 Mail Service Center
- Raleigh, North Carolina 27699-1617

Y FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of_.5—
Did the application rates exceed the limits in Attachment B of your permit? ©Compliant t❑ Iran-Complia
nt
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
10 Compliant Q Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? o Compliant El Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? © compliant ❑ Non-Compiant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? © compliant o Non-Comptlant
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)
Y.
No irrigation occurred during rain. Rain was evening and overnight after irrigation event.
Operator in Responsible Charge (ORC) Certification
Perrnittee Certification
ORC: Larry T. Chilton '_
Perntittee:
Seagrove/Ulah Metropolitan Water District
Certification N6.: 2WW-10681 SI-28234-
tt
Signing otficiat: Michael T. Walker
Grade: 2 Phone Number: 336-302-3782
Signing O€fecial's ritte: Secretary
Has the ORC changed since the previous. NDAR-1? 0 Yes © No
Phone Number: 336-873-9055 Permit Exp.: 4f30127
•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 hest 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

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page_-5— of5-
Did the application rates exceed the limits in Attachment S of your permit? © Compliant o Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Q compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? ® Compliant ❑ Non -compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? p Compliant o Non -compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 10 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)
.any.,. ..•wi i auumur �a� anccw n ucwa�ar Y.
No irrigation occurred during rain. Rain was evening and ovemi ht after irri ation event.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Lary T. Chilton Permittee: Seagrove/Utah Metropolitan Water District
Certification No.: 2WW-10681 S1-28234� signing official: Michael T. Walker
Grade: 2 Phone Humber: 336-302-3782 Signing Official's Title: Secretary
Has the ORC changed since the previous NDAR-17 ❑ yes O No Phone Number: 336-873-9055 Permit Exp.: 4/30/27
Signature Date Signature Date
By this signature, i certify that this report is accurrate and complete to the best of my knowledge: t 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 passibility 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