WQ0002648_Monitoring - 03-2024_20240408

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0002648
Name of Facility:* Seagrove Ulah Metropolitan
Month: * March Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 3-March 2024 NDMR,NDAR Signed.pdf 3.06MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Larry T. Chilton
Signature:
�t-tJ ���il�iar
Date of submittal: 4/8/2024
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0002648
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 4/11/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page 1 of -5'
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan
County: Randolph
Month: March
Year: 2024
PPI: 001
Flow Measuring Point: 0 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code - 0
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
E
0
O
o
u
C_6
h
W
EEy
qYtuec
°m
z
M
c
q
zO
L
d
o a
mo
o my� iU
Nv
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#1100 mL
mg/L
mg1L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
06:00
8
60,100
1,43
7.12
2
60,100
3
05:00
8
14,800
0.62
7.04
4
06:00
8
27,200
0.99
7
5
06:00
8
23,600
47.9
46.5
1.22
<2
43.7
57.3
<1
57.3
6.99
14.3
270
29.6
_
6
06:00
8
38,500
1.41
6.97
7
06:00
8
40,400
1 1.48
6.93
8
06:00
8
1 45,600
1.56
7.2
9
10
04:00
8
22,100
1.63
7.07
11
06:00
8
33,600
1.67
7.19
12
06:00
8
34,000
1.45
1 7.21
13
06:00
8
29,700
1.59
7.18
14
06:00
8
26,100
1 1.64
7.1
151
06:00
8
29,700
1.61
7.06
16
05:00
4
12,800
1.07
7
17
04:00
8
15,700
1.98
7.04
18
06:00
8
25,900
1.84
1 7.09
19
06:00
8
29,600
1.62
7.01
20
06:00
8
25,600
1.47
7.06
211
06:00
8
23,900
1.86
7.17
22
06:00
8
33,150
1.69
7.04
23
06:00
8
33,150
24
04:00
8
23,300
1.88
1
6.82
25
06:00
8
1 34,700
1.91
7
26
06:00
8
31,500
1.54
7.09
271
06:00
8
137,400
1
1.67
7.04
28
06:00
8
64,700
1.32
6.95
29
06:00
8
31,900
1.74
7.02
30
04:00
6
31,400
1.49
6.86
31
11:00
1 8
25,200
1.87
6.89
Average:
35,513
47.90
46.50
1.54
1.00
43.70
57.30
0.00
57.30
14.30
270.00
29.60
Daily Maximum:
137,400
47.90
46.50
1.98
2.00
43.70
57.30
1.00
57.30
7.21
14,30
270.00
29.60
Daily Minimum:
12,800
47.90
46.50
0.62
2.00
43.70
57.30
1.00
57.30
6.82
14.30
270.00
29.60
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:1
30,000
Daily Limit:
Sample Frequency:1
Continuous I
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 ;_ of
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: March
Year: 2024
Did irrigation occur
Field Name:
1
Field Name:
2
Field Name:
3
Field Name:
4
Area (acres):
2.1
Area (acres):
2
Area (acres):
2.1
Area (acres):
3.4
at this facility?
Cover Crop:Grass
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
Cover Crop:
p�
Grass
t ] YES ❑ 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?
n YES ❑ No
Field Irrigated?
U1 YES ❑ NO
Field Irrigated?
El YES ❑ No
Field Irrigated?
B YES ❑ NO
>
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v
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rn
roM
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3
OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
39
1.4
6'8"
2
3
CL
49
0
5'1"
4
CL
51
0
4'10"
8,750
17.5
0.15
0.15
8,750
17.5
0.16
0.16
7,952
15.9
0.14
0.14
13,524
26.9
0.15
0.15
5
PC
50
0
6'8"
6
R
54
0.4
6'4"
7
PC
53
0
60"
8
R
49
0.25
578"
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
9
R
0.5
10
C
44
0
518"
11
PC
33
0
515"
12
C
37
0
5'0"
10,000
20
0.18
0.18
10,000
20
0.18
OA8
9,088
18.2
0.16
0.16
15,456
30.8
0.17
0.17
13
C
42
0
68"
14
C
45
0
613"
151
R
56
0.2
5-11"
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
16
C
57
0
67'
17
PC
51
0
6'4"
18
PC
40
0
6'0"
19
C
30
0
68"
20
C
38
0
5'5"
21
C
44
0
57'
7,500
15
0.13
0.13
7,500 1
15
0.14
0.14
6,816
13.6
0.12
0.12
11,592
23
0.13
0.13
22
R
40
0.6
6'8"
23
R
0.2
24
C
33
0
5'9"
25
PC
32
5'6"
26
R
40
0.3
5'2"
7,500
15
0.13
0.13
7,500
15
0.14
0.14
6,816
13.6
0.12
0.12
11,592
23
0.13
0.13
271
R
1 50
1.7
67'
28
CL
46
0
5'2"
29
C
38
0
47'
10,000
20
0.18
0.18
10,000
20
0.18
0.18
9,088
18.18
0.16
0.16
15,456
30.76
0,17
0.17
30
C
47
0
6'8"
31
C
68
0
1 6'5"
Monthly Loading:
51,250
0.90
51,250
0.94
46,576
0.82
79,212
0.86
12 Month Floating Total (in):
9.58
10.13
8.90
9.22

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _3 of
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: March
Year: 2024
Did irrigation
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
occur
Area (acres):
2.2
Area (acres):
2.6
Area (acres):
2.7
Area (acres):
2.4
at this facility?
Cover Crop:
p�
Grass
Cover p�
Grass
Cover p�
Grass
Cover p�
Grass
H YES C71 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?
Ul YES ❑ NO
Field Irrigated?
[11 YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
❑ YES L] NO
a
v
v
r
v
o
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o
a
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a
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Q
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D O
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�, v
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v
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X o co
to = O
J
°F
in
ft
ft
gal
I min
in
in
gal
I min
in
in
gal
min
in
in
gal
min
in
in
1
R
39
1.4
68"
2
3
CL
49
0
5-1"
4
CL
51
0
4'10"
6,356
12.8
0.11
0.11
11,130
22.2
0.16
0.16
13,524
26.9
0.18
0.18
5
PC
50
0
6'8"
6
R
54
0.4
6'4"
7
PC
53
0
6'0"
8
R
49
0.25
578"
2,724
5.5
0.05
0.05
2,724
5.5
0.04
0.04
5,796
11.6
0.08
0.08
9
R
0.5
10
C
44
0
5'8"
11
PC
33
0
5'5"
12
C
37
0
5'0"
7,264
14.6
0.12
0.12
12,720
25.4
0.18
0.18
15,456
30.8
0.21
0.21
13
C
42
0
6'8"
14
C
45
0
6'3"
15
R
56
0.2
5'11"
2,724
5.5
0.05
0.05
2,724
5.5
0.04
0.04
5,796
11.6
0.08
0.08
16
C
57
0
67'
17
PC
51
0
6'4"
18
PC
40
0
610"
19
C
30
0
68"
20
C
38
0
55"
21
C
44
0
5'2"
5,448
11
0.09
0.09
9,540
19
0.14
0.14
11,592
23
0.16
0.16
22
R
40
0.6
6'8"
23
R
0.2
24
C
33
0
519"
25
PC
32
5'6"
261
R
1 40
0.3
5'2"
5,448
11
0.09
0.09
9,540
19
0.14
0.14
11,592
23
0.16
0.16
27
R
1 50
1.7
67'
28
CL
46
0
5'2"
29
C
38
0
47'
7,264
14.62
0.12
0.12
12,720
25.4
0.18
0.18
15,456
30.76
0.21
0.21
30
C
47
0
6'8"
31
C
68
0
6'5"
Monthly Loading:
37,228
0.62
61,098
0.87
79,212
t
0
0.00
12 Month Floating Total (in):
6.88
9.87

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _�_I of y£_
Permit No.: WQ0002648
Facility Name: Seagrove-Ulah Metropolitan Water District WWTP
County: Randolph
Month: March
Year: 2024
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:Grass
Cover Crop:
p�
Grass
Cover Crop:
p�
Grass
Cover Crop:
p�
Grass
] YES ❑ 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?
01 YES ❑ No
Field Irrigated?
F] YES ❑ No
Field Irrigated?
Rl YES ❑ No
Field Irrigated?
❑ YES O No
T
o
m
Y
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P .m
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p `�°
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K o
N2 J
OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
39
1.4
6'8"
2
3
CL
49
0
5'1"
4
CL
51
0
4'10"
7,154
14.04
0.11
0.11
6,356
12.8
0.12
0.12
11,928
23.4
0.16
0.16
5
PC
50
0
6181,
6
R
54
0.4
6'4"
7
PC
53
0
6'0"
8
R
49
0.25
5'78"
3,066
6.1
0.05
0.05
2,724
5.5
0.05
0.05
5,112
10.2
0.07
0.07
9
R
0.5
10
C
44
0
5'8"
11
PC
33
0
5'5"
12
C
37
0
5'0"
8,176
16.1
0.13
0.13
7,264
14.6
0.13
0.13
13,632
26.8
0.19
0.19
13
C
42
0
6'8"
14
C
45
0
63"
15
R
56
0.2
5'11"
3,066
6.1
0.05
0.05
2.724
5.5
0.05
0.05
5,112
10.2
0.07
0.07
16
C
57
0
67'
171
PC
51
0
6'4"
18
PC
40
0
6'0"
19
C
30
0
5'8"
20
C
38
0
5'5"
21
C
44
0
57'
6,132
12
0.10
0.10
5,448
11
0.10
0.10
10,224
20
0.14
0.14
22
R
40
0.6
6'8"
23
R
0.2
24
C
33
0
69"
251
PC
1 32
5'6"
26
R
1 40
0.3
57'
6,132
12
0.10
0,10
5,448
11
0.10
0.10
10,224
20
0.14
0.14
27
R
50
1.7
67'
28
CL
46
0
57'
29
C
38
0
47'
8,176
16.08
0,13
0.13
7,264
14.62
0.13
0.13
13,632
26.8
0.19
0.19
30
C
47
0
6'8"
31
C
68
0
6'5"
Monthly Loading:
41,902
0.67
37,228
0.69
69,864
0.95
0
jj
0.00
12 Month Floating Total (in):
10.83
7.38
10.22

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -S- off
Permit No.: W00002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: March
Year: 2024
Did irrigation occur
Field Name:
13
Field Name:
14
Field Name:
15
Field Name:
16
Area (acres):
2.2
Area (acres):
2.1
Area (acres):
3.4
Area (acres):
3.8
at this facility?
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
P1 YES LJ 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?
C] YES ❑ No
Field Irrigated?
O YES ❑ NO
Field Irrigated?
N YES ❑ NO
Field Irrigated?
N YES ❑ NO
o
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OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
39
1.4
6'8"
2
3
CL
49
0
511"
4
CL
51
0
4'10"
6,356
12.8
0.11
0.11
6,356
12.8
0.11
0.11
20,554
30.3
0.22
0.22
16,702
33.4
0.16
0.16
5
PC
50
0
6'8"
6
R
54
0.4
6'4"
7
PC
53
0
6'0"
8
R
49
0.25
578"
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
9
R
0.5
10
C
44
0
5'8"
11
PC
33
0
5'5"
12
C
37
0
510"
7,264
14.6
0.12
0.12
7,264
14.6
0.13
0.13
22,712
34.6
0.25
0.25
19,088
38.2
0.19
0.19
13
C
42
0
6'8"
14
C
45
0
63"
15
R
56
0.2
611"
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
161
C
57
0
1 67'
17
PC
51
0
6'4"
18
PC
40
0
6'0"
19
C
30
0
5'8"
20
C
38
0
5'5"
21
C
44
0
52"
5,448
11
0.09
0.09
5,448
11
0.10
0.10
12,948
26
0.14
0.14
14,316
28.6
0.14
0.14
221
R
40
0.6
1 6'8"
23
R
0.2
24
C
33
0
5'9"
25
PC
32
5'6"
26
R
40
0.3
5'2"
5,448
11
0.09
0,09
5,448
11
0.10
0.10
12,948
26
0.14
0.14
14,316
28.6
0.14
0.14
27
R
50
1.7
67'
281
CL
46
0 1
5'2"
29LCL4
0
4'7"
7,264
14.62
0.12
0.12
7,264
14.62
0.13
0.13
22,712
34.62
0.25
0.25
19,088
38.18
0.19
0.19
30
0
6'8"
31
0 1
6'5"
Monthly
Loading:
37,228
E73
37,228
0.65
104,822
1.14
jffiJL9;7;,826
12 Month Floating Total (in):
7.25
11.45
E95

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _15—_ of S
Did the application rates exceed the limits in Attachment B of your permit?
R) Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? M Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? 0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? O 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 Ulah Metropolitan
Certification No.: WW,SI
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 P) No
Phone Number: 336-873-77388 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 __V_ofJ_
Did the application rates exceed the limits in Attachment B of your permit?
17 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? 0 Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 0 Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? R1 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 Perrnittee Certification
ORC: Larry T. Chilton
Certification No.: WW,SI
Grade: 2 Phone Number: 336-302-3782
Has the ORC changed since the previous NDAR-1? ❑ Yes 121 No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee: Seagrove Ulah Metropolitan
Signing Official: Michael T. Walker
Signing Official's Title: Secretary
Phone Number: 336-873-7738
Permit Exp.: 4/30/27
L J Signature Date
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 :? of 6-
Did the application rates exceed the limits in Attachment B of your permit?
El Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant F1 Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? PI Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? M Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in 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.
IOperator in Responsible Charge (ORC) Certification 11 Permittee Certification
ORC: Larry T. Chilton
Certification No.: WW.SI
Grade: 2 Phone Number: 336-302-3782
Has the ORC changed since the previous NDAR-1? ❑ Yes O No
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
Permittee:
Seagrove Ulah Metropolitan
Signing Official: Michael T. Walker
Signing Official's Title: Secretary
Phone Number: 336-873-7738 Permit Exp.: 4/30/27
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 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 R 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? FA Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? P1 Compliant Cl 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.
IOperator in Responsible Charge (ORC) Certification 11 Permittee Certification I
ORC: Larry T. Chilton
Certification No.: WW,SI
Grade: 2 Phone Number: 336-302-3782
Flas the ORC changed since the previous NDAR-1? ❑ Yes O No
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
Permittee:
Seagrove Ulah Metropolitan
Signing Official: Michael T. Walker
Signing Official's Title: Secretary
Phone Number: 336-873-7738 Permit Exp.: 4/30/27
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 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page / of 5-
Sampling Person(s) Certified Laboratories
Name: Russell Welch Name: Cameron Testing
Name: Name:
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant 2 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
dutlutltb] l-d KCtl. AIIdUl duulllutldl bIMULJ II
We are out of compliance on our influent. We are permitted for 30,000gpd. We have seen an increase of flow into the plant due to a local truck stop closing, (Quick-Check/Hardees). This business had an On -
site waste treatment system therefore we never saw their flow. Now that they have closed, travelers and truckers are using the Interstae Rest Stops more than ever. The flow from the two reststops are part of
system. The hope is that another owner will resume operations at this truck stop which should reduce our flow under our permitted allowance.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Larry T. Chilton
Permittee: Seagrove Ulah Metropolitan
Certification No.: WW, SI
Signing Official: Michael T. Walker
Grade: 2 Phone Number: 336-302-3782
Signing Officials Title: Secretary
Has the ORC changed since the previous NDMR? ❑ Yes 2 No
Phone Number: 336-873-7738 Permit Expiration: 4/30/2027
Z �T
.
We are out of com lia
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