WQ0002648_Monitoring - 07-2023_20230821

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month:* July
WQ0002648
Seagrove Ulah 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*
Seagrove Ulah July 2023.pdf 2.96MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Larry T Chilton
Reviewer: Wanda.Gerald
8/21 /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: 9/1/2023

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page ( of _ '5�-
Permit No.: W00002648
Facility Name: Seagrove -Utah Metropolitan
County: Randolph
Month: July
Year: 2023
PPI: 001
Flow Measuring Point: Eltnfluent ❑Effluent ❑No Flow generated
Parameter Monitoring Point: ❑tnfluent RIEffluent ❑Groundwater Lowering ❑Surface water
Parameter Code 0.
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
>
fC
Q E
U
O
C
O
o
O
d
U
O:2N
in 0
f-- RN .dC
�' U
C
-
LL O
O
C
E
Q
t
DC
O
2
'
p Z
H
y
a)
O Q
Z
❑
(n
°
N
O
d
a)
i ?
O0mC~
u1 0
N
O
OON . O
cO v
(n CA
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
04:00
10
69,300
2
7.5
2
04:00
8
23,800
1.3
7.3
3
06:00
8
17,700
1.7
7.3
4
06:00
4
13,700
1.8
7.2
5
06:00
8
20,200
1.9
7.2
6
15:30
4
17,400
2.2
7.4
7
06:00
8
18,900
2.4
7.5
8
04:00
8
31,200
1.1
7.2
9
04:45
8
31,100
1.6
7.2
10
06:00
8
18,800
1.4
7.2
11
06:00
8
18,100
1.5
7.1
12
06:00
8
13,800
1.7
7.2
131
06:00
8
13,900
1.6
7.4
141
07:00
8
36,700
2.2
7
15
10:00
8
22,300
1.8
7.1
16
04:00
8
24,100
2
7.1
17
07:00
8
17,500
2
7.1
18
06:00
8
17,900
1.9
7.2
19
06:00
8
21,300
12.4
82.7
2
<10
75.4
75.8
0.634
76.6
7.4
1.4
385
31.4
20
06:00
8
17,300
1.8
7.4
21
06:00
8
32,600
1.9
7.4
22
04:00
8
2,600
1.9
7.1
_
23
00:00
8
22,100
2
7.1
24
06:00
8
18,100
2
7.1
25
06:00
8
22,300
1.9
7.2
26
06:00
8
16,600
1.9
7.2
27
06:00
8
22,100
1.8
7.1
_
28
06:00
8
33,000
10.8
7.3
29
10:30
8
23,600
2.1
7.1
30
04:00
8
22,600
2
7.1
311
06:00
1 8
22,300
1.9
7.1
Average:
22,674
12.40
82.70
2.13
1.00
75.40
75.80
0.63
76.60
1.40
385.00
31.40
Daily Maximum:
69,300
12.40
82.70
10.80
10.00
75.40
75.80
0.63
76.60
7.50
1.40
385.00
31.40
Daily Minimum:
2,600
12.40
82.70
1.10
10.00
75.40
75.80
0.63
76.60
7.00
1.40
385.00
31.40
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 B off
Sampling Person(s) 11 Certified Laboratories
Name: Russell Welch Name: Cameron Testing Sevices
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? OCompliant ❑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 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 21No Phone Number: 336-873-9055 Permit Expiration: 4/30/2027
a 'Atli
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
z lb
Signature Date
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 �, of _
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: July
Year: 2023
Did irrigation occur
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
this facility?
Area (acres):
2.1
Area (acres):
2
Area (acres):
2.1
Area (acres):
3.4
at
Cover Crop:
P�
Cover p:
Cover p:
CoverCro p:
AYES ❑NO
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Weather
Freeboard
Field Irrigated?
DYES LINO
Field Irrigated?
EYES LINO
Field Irrigated?
EYES ❑NO
Field Irrigated?
EYES []NO
>
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x° 0
�= J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
71
1
5'5"
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
2
CL
70
0
5'9"
3
PC
74
0
5'6"
3,750
7.5
0.07
0.07
3,750
7.5
0.07
0.07
6,408
6.8
0.11
0.11
5,796
11.6
0.06
0.06
4
PC
73
0
6'0"
5
PC
72
0
5'9"
6
PC
72
0
5'6"
7
PC
70
0
5'4"
2,500
5
0.04
0.04
2,500
5
0,05
0.05
2,272
4.5
0.04
0.04
3,864
7.7
0.04
0.04
8
CL
74
0.4
5'10"
9
CL
71
0.6
65"
10
PC
69
0
5'3"
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
11
C
64
0
6'0"
12
PC
68
0
5'10"
13
PC
69
0
5'8"
2,500
5
0.04
0.04
2,500
5
0.05
0.05
2,272
4.5
0.04
0.04
3,864
7.7
0.04
0.04
14
R
74
0.1
6'2"
151
CL
82
0.3
5'10"
16
R
74
0.1
5'5"
17
PC
75
0
57'
18
PC
1 68
0
411"
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
19
R
73
0.3
6'0"
20
PC
69
0
519"
21
PC
71
0
5'6"
3,750
7.5
0.07
0.07
3,750
7.5
0.07
0.07
6,408
6.8
0.11
0.11
5,796
11.6
0.06
0.06
22
CL
70
0
67'
23
PC
76
0
5'10"
241
PC
1 69
0
5'6"
251
PC
1 68
0
5'3"
26
PC
69
0
5'11"
27
PC
72
0
5'8"
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
28
PC
74
0
6'4"
29
CL
84
0
6'0"
30
PC
74
0
610"
311
R
1 67
1.1
5'8"
Monthly Loading:
32,500
0.57
32,500
0.60
35,540
0.62
50,228
0.54
12 Month Floating Total (in):
WIMMIM8.03
8.49
7.48
7.73

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page .`t of 5-
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 maintained in accordance with the specified freeboard heights in your permit?
❑✓ Compliant [:]Non-com pliant
❑� Compliant ❑Non -Compliant
ECompliant []Non -Compliant
[21compliant ❑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: 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? ❑Yes ❑✓ 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.
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 -3 of .5-
Permit No.: W00002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: July
Year: 2023
Did irrigation occur
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
this facility?
Area (acres):
2.2
Area (acres):
2.6
Area (acres):
2.7
Area (acres):
2.4
at
Cover Crop:Cover
Crop:
p:
Cover Crop:
p:
Cover Crop:
p:
❑� YES ❑No
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
38.4
Annual Rate (in):
38A
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Weather
Freeboard
Field Irrigated?
EYES [:]NO
Field Irrigated?
DYES ❑NO
Field Irrigated?
OYES [-]NO
Field Irrigated?
❑YES ENO
❑
o
o
U
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E
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= J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
71
1
5'5"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15A
0.11
0.11
2
CL
70
0
5'9"
3
PC
74
0
5'6"
2,724
5.5
0.05
0.05
4,770
9.6
0.07
0.07
5,796
11.6
0.08
0.08
4
PC
73
0
6'0"
5
PC
72
0
5'9"
6
PC
72
0
5'6"
7
PC
70
0
5'4"
1,816
3.6
0.03
0.03
3,180
6.4
0.05
0.05
3,864
7.7
0.05
0.05
8
CL
74
0.4
5'10"
9
CL
71
0.6
5'5"
10
PC
69
0
53"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
11
C
64
0
6'0"
12
PC
68
0
5'10"
13
PC
69
0
5'8"
1,816
3.6
0.03
0.03
3,180
6.4
0.05
0.05
3,864
7.7
0.05
0.05
14
R
74
0.1
62"
15
CL
82
0.3
510"
161
R
74
0.1
5'5"
17
PC
75
0
5'2"
18
PC
68
0
411"
3,636
7.2
0.06
0,06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
19
R
73
0.3
6'0"
20
PC
69
0
519"
21
PC
71
0
5'6"
2,724
5.5
0.05
0.05
4,770
9.6
0.07
0.07
5,796
11.6
0.08
0.08
221
CL
70
0
6'2"
23
PC
76
0
610"
24
PC
69
0
66"
25
PC
68
0
5'3"
26
PC
1 69
0
1611"
27
PC
72
0
5'8"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
28
PC
74
0
6'4"
29
CL
84
0
6'0"
30
PC
74
0
5'10"
31
R
67
1.1
5'8"
Monthly Loading:
23,624
0.40
�41352
0.59
50,228
0.69
0
0.00
12 Month Floating Total (in):
5.80
8.33
9.73

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of .S
Did the application rates exceed the limits in Attachment B of your permit?
❑� Compliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? OCompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? [ZCompliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? PICompliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? PCompliant ❑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 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? ❑Yes ❑✓ 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.
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 V of ,J-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: July
Year: 2023
Did irrigation
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
12
occur
Area (acres):
2.3
Area (acres):
2
Area (acres):
2.7
Area (acres):
2
at this facility?
Cover Crop:Cover
Crop:
p�
Cover Crop:
p:
Cover Crop:
p:
OYES ❑N0
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Weather
Freeboard
Field Irrigated?
DYES ENO
Field Irrigated?
❑✓ YES ENO
Field Irrigated?
OYES ENO
Field Irrigated?
❑YES 121110
T
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E° v
= o
m y
E m
° a
° a
v
m a�
E°
'°'
rn
> c
v
O
E rn
e c
E° 'v
= O
�:
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
71
1
65"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
2
CL
70
0
5'9"
3
PC
74
0
5'6"
3,066
6.1
0.05
0.05
2,724
5.5
0.05
0.05
5,112
10.2
0.07
0.07
4
PC
73
0
6'0"
5
PC
72
0
59"
6
PC
72
0
5'6"
7
PC
70
0
54"
2,044
4.1
0.03
0.03
1,816
3.6
0.03
0.03
3,408
6.8
0.05
0.05
8
CL
74
0.4
510"
9
CL
71
0.6
5'5"
10
PC
69
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
111
C 1
64
0
1 6'0"
12
PC
68
0
5110"
13
PC
69
0
5'8"
2,044
4.1
0.03
0.03
1,816
3.6
0.03
0.03
3,408
6.8
0.05
0.05
14
R
74
0.1
6'2"
15
CL
82
0.3
5'10"
16
R
74
0.1
65"
171
PC
75
0
5'2"
18
PC
68
0
4'11"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
19
R
73
0.3
6'0"
20
PC
69
0
5'9"
21
PC
71
0
5'6"
3,066
6.1
0.05
0.05
2,724
5.5
0.05
0.05
5,112
10.2
0.07
0.07
22
CL
70
0
67'
23
PC
76
0
610"
24
PC
69
0
5'6"
25
PC
68
0
63"
261
PC
1 69
0
511"
27
PC
72
0
518"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0,09
28
PC
74
0
6'4"
29
CL
84
0
6'0"
30
PC
74
0
610"
31
R
67
1.1
1 5'8"
Monthly Loading:
26,584MM
0.43
623,624
0.44
44,312
0.60
0
0.00
12 Month Floating Total (in):
6.67
6.18
MOW
8.57

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page VL of
Did the application rates exceed the limits in Attachment B of your permit?
❑' Compliant
❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
EACompliant
❑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 -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
ECompliant
❑ Non-com pliant
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? ❑Yes EINo
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 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 5- of 6-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: July
Year: 2023
Did irrigation occur
Field Name:
13
Field Name:
14
Field Name:
15
Field Name:
16
this facility?
Area (acres):
2.2
Area (acres):
2.1
Area (acres):
3.4
Area (acres):
3.8
at
Cover Crop:Cover
Crop:
p:
Cover Crop:
p:
Cover Crop:
p:
DYES LINO
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Annual Rate (in):
38.4
Weather
Freeboard
Field Irrigated?
EYES LINO
Field Irrigated?
EYES ❑NO
Field Irrigated?
EYES []NO
Field Irrigated?
EYES ❑No
>
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°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
71
1
5'5"
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
2
CL
70
0
5'9"
3
PC
74
0
5'6"
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
4
PC
73
0
6'0"
5
PC
72
0
5'9"
6
PC
72
0
5'6"
7
PC
70
0
5'4"
1,816
3.6
0,03
0.03
1,816
3.6
0.03
0.03
4,316
8.6
0.05
0.05
4,772
9.5
0.05
0.05
8
CL
74
0.4
510"
9
CL
71
0.6
5'5"
101
PC
69
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
11
C
64
0
610"
12
PC
68
0
610"
13
PC
69
0
518"
1,816
3.6
0.03
0.03
1,816
3.6
0.03
0.03
4,316
8.6
0.05
0.05
4,772
9.5
0.05
0.05
14
R
74
0.1
6'2"
15
CL
82
0.3
5'10"
161
R
74
0.1
5'5"
17
PC
75
0
57'
18
PC
68
0
4'11"
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
19
R
73
0.3
6'0"
20
PC
69
0
5'9"
21
PC
71
0
5'6"
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
22
CL
70
0
6'2"
23
PC
76
0
5110"
24
PC
69
0
5'6"
251
PC
1 68
0
63"
26
PC
69
0
5'11"
27
PC
72
0
5'8"
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
28
PC
74
0
64"
29
CL
84
0
6'0"
30
PC
74
0
5110"
311
R
1 67
1.1
68"
Monthly Loading:11
23,624
0.40
23,624
0.41
56,124
0.61
62,040
0.60
12 Month Floating Total (in):
5.62
5.86
8.57
8.54

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page s' of 6-
Did the application rates exceed the limits in Attachment B of your permit?
ECompliant ❑Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? Ecompliant ❑Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 121compliant ❑Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? ❑' Compliant ❑Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑✓ 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.
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 Officials Title: Secretary
Has the ORC changed since the previous NDAR-1? ❑yes ONo
Phone Number: 336-873-9055 Permit Exp.: 4/30/27
116 `ze1>
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