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HomeMy WebLinkAboutWQ0002648_Monitoring - 05-2023_20230627Monitoring Report Submittal Permit Number#* Name of Facility:* Month: * May WQ0002648 Seagrove -Utah Metropolitan 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* 5-May 2023 NDMR,NDAR Signed.pdf 2.73MB PDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59). Itchilton128@gmail.com Larry T. Chilton v6;t tJ P. 641l-ew Reviewer: Wanda.Gerald 6/27/2023 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: 6/27/2023 FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page Y of S- Permit No.: WQ0002648 Facility Name: Seagrove -Utah Metropolitan County: Randolph Month: May Year: 2023 PPI: 001 Flow Measuring Point: Influent Parameter Monitoring Point: Effluent Parameter Code 50050 00310 00940 50060 31616 00610 00625 00620 00600 00400 00665 70300 00530 U O C I U O LL m C1 .2 jp d s € O U d u- E Q L :2 d Y « c 2d Z 10 a O ao �vot_o N- N m Q.v oa 7N 24-hr hrs GPD mg/L mg/L mg1L #1100 mL mg/L mg/L mg/L mg1L su mg/L mg/L mg/L 1 06:30 8 30,600 1.5 7.1 2 06:30 8 30,000 1.5 7 3 06:00 8 27,800 1.6 7 4 06:30 8 30,600 1.5 6.9 5 06:00 8 28,200 1.4 6.8 6 05:00 8 20,500 2.2 7.1 7 04:00 8 19,200 2 1 7,1 8 1 06:30 8 27,800 1.9 7.1 9 06:00 8 29,500 1.8 7.1 10 06:00 8 25,800 1.8 7.2 11 06:00 8 25,000 1.8 7.1 12 06:00 8 22,100 1.7 7.2 13 04:00 8 18,700 2.2 7.1 14 04:00 8 19,000 1.9 7.1 15 06:00 8 23,100 1.8 7.2 161 06:00 8 25,100 10.5 1.8 <1 55.1 57.1 2.5 59.7 7.1 8.17 9.78 17 06:00 8 27,400 1.7 7.3 18 06:00 8 27,000 1.7 7.3 19 06:00 8 25,800 1.6 7.1 20 04:00 8 1 19,800 0.8 1 7.3 21 04:00 8 18,200 2 1 7.3 22 06:00 8 18,900 1.9 7.2 23 06:00 8 22,100 1.9 7.2 241 06:00 8 19,300 2 7.3 25 06:00 8 21,900 1.8 7.2 26 04:00 8 32,900 1.8 7.1 27 06:00 4 24,500 1.7 7.2 28 06:00 4 57,900 1.7 7.1 29 06:00 8 24,600 0.9 7.2 30 06:00 8 19,600 1.6 7.2 311 06:00 1 8 20,500 1.7 7.1 Average: 25,271 10.50 1.72 1.00 55.10 57.10 2.50 59.70 8.17 9.78 Daily Maximum: 57,900 10.50 2.20 1.00 55.10 57.10 2.50 59.70 7.30 8.17 9.78 Daily Minimum: 18,200 10.50 0.80 1.00 55.10 57.10 2.50 59.70 6.80 8.17 1 9.78 Sampling Type: Recorder Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Grab Monthly Avg. Limit: 30,000 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page i of S Sampling Person(s) Name: Russell Welch 11 Name: Cameron Testing Services Name: II Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? Certified Laboratories Co,ry.P l� 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: Larry T. Chilton Permittee: Seagrove/Utah Metropolitan Water District Certification No.: 2WW-10681 SI-28234 Signing Official: Michael T. Walker Grade: 2 Phone Number: 2WW-10681 SI-28234 Signing Officials Title: Secretary Has the ORC changed since the previous NDMR? Phone Number: 336-873-9055 Permit Expiration: 4/30/2027 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 penally 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _d of .S Permit No.: WQ0002648 Facility Name: Seagrove -Utah Metropolitan Water District WWTP County: Randolph Month: May Year: 2023 Field Name: 1 Field Name: 2 Field Name: 3 Field Name: 4 Did irrigation occur at Area (acres): 2.1 Area (acres): 2 Area (acres): 2.1 Area (acres): 3.4 this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop: Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Yes Annual Rate (in): 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Weather Freeboard Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? Yes N ° ° U L W a E ° •Q '(j a d ( v°' n am 7 0 om Ln my E.v O n. Q. >a rn ` - E G i o J ' o 2'0 o E J A �3 xo ma E°' 7 d. p n. >a v °;; E p> F .` _ C v o J > o C Ea 'o E J ` �> 2: dv E2 7 p. O O• >Q N f0 °' - E i= C v $ J -' o rn C E`6 A 'o E J %` �> x° my E D 7 n. O d >a v d ° rn ` - 0)C C v o J -' o M C E ° E J TT. 2= x° °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 PC 54 0 5'6" 2 PC 48 0 5'1" 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 3 PC 44 0 6'2" 4 PC 42 0 51101, 5 PC 46 0 57' 3,750 7.5 0.07 0.07 3,750 7.5 0.07 0.07 3,408 6.8 0.06 0.06 5,796 11.6 0.06 0.06 6 1 C 1 54 0 6'1" 7 PC 53 0 5'10" 8 PC 63 0 57" 9 PC 63 0 5'4" 10 C 57 0 510" 11 PC 52 0 4'9" 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 12 PC 57 0 6'2" 13 PC 61 0 5'9" 14 R 68 0.2 57' 15 PC 58 0 5'4" 16 R 61 0.5 5'0" 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 17 PC 63 0 6'1" 18 PC 57 0 5'10" 19 R 56 0.5 57' 20 CL 54 0 5'3" 21 CL 64 0 510" 5,000 1 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 22 PC 54 0 6T. 231 PC 1 55 0 5'9" 24 PC 52 0 5'5" 25 PC 51 0 1 5'3" 5,000 10 0.09 1 0.09 5,000 10 0.09 0.09 4,545 9 1 0.08 0.08 7,727 15.4 0.08 1 0.08 26 PC 56 0 6'3" 27 R 55 0.6 6'0" 28 R 54 1.2 57' 29 CL 1 60 0 4'10" 30 CL 60 0 47' 311 PC 1 61 0 1 6'3" Monthly Loading: 32,500 0.57 32,500 0.60 29,538 0.52 50,230 0.54 12 Month Floating Total (in): 8.01 8.37 7.47 7.51 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 V Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant V",_ Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant' Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant f Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: 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 NDAR-1? Phone Number: 336-873-9055 Permit Exp.: 4/30/27 A —�Xd7R3 2vX G' c. �L.IyC� Signature Date Signature Date By this signature. I certify that this report is accurrale 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of -S- Permit No.: WQ0002648 Facility Name: Seagrove -Utah Metropolitan Water District WWTP County: Randolph Month: May Year: 2023 Field Name: 5 Field Name: 6 Field Name: 7 Field Name: 8 Did irrigation occur at Area (acres): 2.2 Area (acres): 2.6 Area (acres): 2.7 Area (acres): 2.4 this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop: Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Yes Annual Rate (in): 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Weather Freeboard Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? No m v =a o 2 a M w a o m Ln dv E° -° ° E rn m o rn EV E o x °v E° ° _ rn ''o ° m o rn Ev> X 2 o x oa,va v rn E rn ° m o rn Ev> o J o x E� 'a ° E M ov M o C E E °o J x > o x OF in I't ft gal min in in gal min in in gal min in in gal min in in 1 PC 54 0 5'6" 2 PC 48 0 511" 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 PC 44 0 6'2" 4 PC 42 0 5'10" 5 PC 46 0 57' 2,724 5.5 0.05 0.05 4,770 9.6 0.07 0.07 5,796 11.6 0.08 0.08 6 C 54 0 6'1" 7 PC 53 0 5110" 8 PC 63 0 57" 9 PC 63 0 5'4" 10 C 57 0 5'0" 11 PC 52 0 4'9" 4,540 9.1 0.08 0.08 7,950 15.9 0.11 0.11 9,660 19.3 0.13 0.13 12 PC 57 0 67" 13 PC 61 0 5'9" 14 R 68 0.2 57' 15 PC 58 0 5'4" 16 R 61 0.5 5'0" 4,540 9.1 0.08 0.08 7,950 15.9 0.11 0.11 9,660 19.3 0.13 0.13 17 PC 63 0 6'1" 18 PC 57 0 5'10" 19 R 56 0.5 57' 20 CL 54 0 5'3" 21 CL 64 0 5'0" 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 PC 54 0 61" 23 PC 55 0 5'9" 24 PC 52 0 5'5" 25 PC 51 0 5'3" 3,636 7.2 0.06 0.06 6.363 1207 0.09 0.09 7,727 15.4 0,11 0.11 26 PC 56 0 6'3" 27 R 55 0.6 6'0" 28 R 54 1.2 57' 29 CL 60 0 4'10" 30 CL 60 0 47' 31 PC 61 0 6'3" Monthly Loading: 23,616 0.40 41,346 0.59 50,230 0.69 0 0.00 12 Month Floating Total (in): 5.73 8.24 9.62 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of -� Did the application rates exceed the limits in Attachment B of your permit? Compliant �= Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant --- Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant 4 i Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: 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 Flas the ORC changed since the previous NDAR-1? Phone Number: 336-873-9055 Permit Exp.: 4/30/27 --174 Signature Date Signature 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page °f- of 6- Permit No.: WQ0002648 Facility Name: Seagrove -Utah Metropolitan Water District WWTP County: Randolph Month: May Year: 2023 Field Name: 9 Field Name: 10 Field Name: 11 Field Name: 12 Did irrigation occur at Area (acres): 2.3 Area (acres): 2 Area (acres): 2.7 Area (acres): 2 this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop: Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Yes Annual Rate (in); 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Weather Freeboard Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? No T � m ~ C a o u m 2a G1 I.- m N o C E E ° i V rn.j 0)C.2 o E ­0' E� < x° C a d � i- G � 9 o C E� xa x° d Vo a v N o C 3N E�D x>.Ta = °F in ft ft gal min in in gal min in in gal min in in gal min in in 1 PC 54 0 5'6" 2 PC 48 0 511" 5,110 10.2 0.08 0.08 4,540 9.1 0.08 0.08 8,520 17 0.12 0.12 3 PC 44 0 67' 4 PC 42 0 5110" 5 PC 46 0 57' 3,066 6.1 0.05 0.05 2,724 5.5 0.05 0.05 5,112 10.2 0.07 0.07 6 C 54 0 611" 7 PC 53 0 5'10" 8 PC 63 0 57" 9 PC 63 0 5'4" 10 C 57 0 5.0" 11 PC 52 0 4'9" 5,110 10.2 0.08 0.08 4,540 9.1 0.08 0.08 8,520 17 0.12 0.12 12 PC 57 0 62" 13 PC 61 0 5'9" 14 R 68 0.2 57' 151 PC 1 58 0 5'4" 16 R 61 0.5 5-0" 5,110 10.2 0.08 0.08 4,540 9.1 0.08 0.08 8,520 17 0.12 0.12 17 PC 63 0 6'1" 18 PC 57 0 5110" 19 R 56 0.5 57' 20 CL 54 0 5'3" 21 CL 64 0 5'0" 4,091 8 0.07 0.07 3,636 7.2 0.07 0.07 6,818 13.6 0.09 0.09 22 PC 54 0 6'1" 23 PC 55 0 5'9" 24 PC 52 0 515" 25 PC 51 0 5'3" 4,091 8 0.07 0.07 3,636 7.2 0.07 0.07 6,818 13.6 0.09 0.09 26 PC 56 0 6'3" 27 R 55 0.6 6'0" 28 R 54 1.2 57' 29 CL 60 0 4'10" 30 CL 60 0 47" 311 PC 1 61 1 0 1 6'3" Monthly Loading: 26,578 0.43 23,616 0.43 44,308 0.60 0 0.00 12 Month Floating Total (in): 1 6.60 6.11 8.48 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -Y--- Of _- Did the application rates exceed the limits in Attachment B of your permit? Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: 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? 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. I certify, under penally 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 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 5- of 6- Permit No.: WQ0002648 Facility Name: Seagrove -Utah Metropolitan Water District WWTP County: Randolph Month: May Year: 2023 Field Name: 13 Field Name: 14 Field Name: 15 Field Name: 16 Did irrigation occur at Area (acres): 2.2 Area (acres): 2.1 Area (acres): 3.4 Area (acres): 3.8 this facility? Cover Crop: Cover Crop: Cover Crop: Cover Crop: Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Hourly Rate (in): Yes Annual Rate (in): 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Annual Rate (in): 38.4 Weather Freeboard Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? Yes Field Irrigated? Yes > Q v �j W ` m y a E 2 m •a n „ o in ;, �' cm 2 a o Ev 7 a p Q > Q 2 °' !- E i- rn 5 v o J T> o rn a E 'v 'o EJ x >. xo E2 = n• O O. > Q •v °'07 E m F = 5 v 0 J > o rn c E 'v 30 EJ x T 3 x° Ev 7 p. O 0. > Q v :: rn _ ` E> F- rn E v o J o rn E M 'o EJ x T x Ev 7 a O a > Q v :% rn _ ` E i- rn 5 :6 c J -' o rn E 'o EJ x T 3 i °F in ft ft gal min in in gal min in in gal min In in gal min in in 1 PC 54 0 5'6" 2 PC 48 0 5'1" 4,540 9.1 0.08 0.08 4,540 9.1 0.08 0.08 10,790 21.6 0.12 0.12 11,930 23.9 0.12 0.12 3 PC 44 0 6'2" 4 PC 42 0 5110" 5 PC 46 0 57' 2,724 5.5 0.05 0.05 2.724 5.5 0.05 0.05 6,474 13 0.07 0.07 7,158 14.3 0.07 0.07 6 C 54 0 6-1" 7 PC 53 0 5110" 8 PC 63 0 1 57" 9 PC 63 0 5'4" 10 C 57 0 5'0" 11 PC 52 0 4'9" 4,540 9.1 0.08 0.08 4,540 9.1 0.08 0.08 10,790 21.6 0.12 0,12 11,930 23.9 0.12 0.12 12 PC 57 0 67' 13 PC 61 0 5'9" 14 R 68 0.2 57'15 PC 58 0 5'4" 16 R 61 0.5 5'0" 4,540 9.1 0.08 0.08 4,540 9.1 0.08 0.08 10,790 21.6 0.12 0.12 11,930 23.9 0.12 0.12 17 PC 63 0 6'1" 18 PC 57 0 5'10" 19 R 56 0.5 57' 20 CL 54 0 5'3" 21 CL 64 0 5'0" 3,636 7.2 0.06 0.06 3,636 7.2 0.06 0.06 8,636 17.2 0,09 0.09 9,545 19.1 0.09 0.09 22 PC 54 0 6'1" 23 PC 55 0 5'9" 24 PC 52 0 5'5" 25 PC 51 0 5'3" 3,636 7.2 0.06 0.06 3,636 7.2 0.06 0.06 8,636 17.2 0.09 0.09 9,545 19.1 0.09 0.09 26 PC 1 56 0 6'3" 27 R 55 0.6 60" 28 R 54 1.2 5'7" 29 CL 60 0 4'10" 30 CL 60 0 47' 31 PC 61 0 6'3" Monthly Loading: 23,616 0.40 23,616 0.41 56,116 0.61 62,038 0.60 12 Month Floating Total (in): 5.55 5.80 8.47 8.45 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page .Y of S­ Did the application rates exceed the limits in Attachment B of your permit? Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Compliant ✓ Was a suitable vegetative cover maintained on all sites as specified in your permit? Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? Compliant t� Were all freeboards maintained in accordance with the specified freeboard heights in your permit? 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: 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 NDAR-1? Phone Number: 336-873-9055 Permit Exp.: 4/30/27 J �� l0 cif it �ir[i i;� ✓..i 1. (�('.-r K.:�• � � � -� 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 Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617