WQ0002648_Monitoring - 07-2024_20240820

Monitoring Report Submittal
.....................................................
Permit Number#* WQ0002648
Name of Facility:* Seagrove Ulah Metropolitan
Month: * July Year: * 2024
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Seagrove Ulah 7-2024 NDAR NDMR.pdf 2.95MB
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: 8/20/2024
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: 8/22/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I Of '
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan
County: Randolph
Month: July
Year: 2024
PPI: 001
Flow Measuring Point: [21 Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent M Effluent ❑ Groundwater Lowering ❑ Surface Water
Parameter Code -►
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
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~ co
U c
O
0Nd
)
m
m
L
v
-
LL O
E>
e
o
Q
r ac)
°
Z
a)
Z
ac
y
°m
Z
a)
w
oL
a
0
a
V)
? o
O
1.
'ya
m e oE
a o
V) V3O
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#1100 mL
I mg/L
mg/L
mg/L
I mg/L
su
mg/L
mg/L
I mg/L
1
06:15
8
22,100
1.48
7.22
2
06:00
8
22,900
1.59
7.18
3
06:00
8
19,450
1.81
7.2
4
19,450
5
06:00
8
23,650
1.94
7.24
6
23,650
7
05:00
6
20,000
See Back Page
See Back Page
8
06:00
8
16,000
"
9
06:00
8
20,000
"
10
06:00
8
21,700
"
11
06:00
8
32,600
"
121
06:00
8
46,400
"
13
46,400
"
14
06:00
4
25,000
"
15
06:00
8
27,200
"
16
06:00
8
19,800
"
17
06:00
8
24,000
25.7
64.7
30
43.5
74.1
0.737
75.3
8.06
396
21.1
181
06:00
8
26,000
"
19
06:00
8
43,900
0.88
7.19
20
43,900
21
04:00
8
32,500
1.36
7.14
22
06:00
8
28,600
1.44
7.17
23
06:00
8
32,000
1.51
7.12
241
06:00
8
36,000
1.39
7.1
25
06:00
1 8
40,500
1.64
7.21
26
06:00
8
38,050
1.35
1
7.13
27
38,050
28
04:00
8
27,700
0.97
7.09
29
06:00
8
60,900
1.13
7.14
301
06:00
8
33,600
1 1.28
7.06
31
06:00
8
41,900
1
1.44
1
1 7.11
Average:
30,771
25.70
64.70
0.79
30.00
43.50
74.10
0.74
75.30
8.06
396.00
21.10
Daily Maximum:
60,900
25.70
64.70
1.94
30.00
43.50
74,10
0.74
75.30
7.24
8.06
396.00
21.10
Daily Minimum:
16,000
25.70
64.70
0.88
30.00
43.50
74.10
0.74
75.30
7.06
8.06
396.00
21.10
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
I Monthly
Monthly
Monthly
1 5 X Week
Monthly
3 X Year
Monthly

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page A_ of 5-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: July
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):
3A
at this facility?
Cover Crop:Grass
Cover Crop:
p�
Grass
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
O 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?
O YES ❑ NO
Field Irrigated?
M YES ❑ NO
Field Irrigated?
O YES ❑ No
Field Irrigated?
E YES ❑ NO
>
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J=J
E Tm
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'4 O ro
0
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
73
0
5'5"
2
C
59
0
57'
3
C
64
0
4'11"
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
4
5
PC
75
0
6'5"
6
7
R
76
1.4
5'10"
8
PC
73
0
57'
9
PC
74
0
5'2"
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
10
PC
76
0
6'6"
11
C
70
0
67'
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
121
R
72
1.4
6'6"
13
14
C
73
0
5'6"
15
C
74
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
16
PC
74
0
6'3"
17
PC
74
0
610"
18
PC
73
0.1
58"
19
R
72
0.4
65"
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
20
R
0.5
21
R
72
0.5
59"
221
PC
1 71
0
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
231
R
1 72
0.4
6'6"
24
R
72
0.1
6'1"
25
R
73
0.4
5'10"
26
R
71
0.1
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
27
28
PC
67
0
5'10"
291
R
1 69
1.6
5'6"
PC
71
0
4'11"
7,500
15
1 0.13
0.13
1 7,500
15
0.14
0.14
6,816
13.6
0.12
1 0.12 11
11,592
23
0.13
0.13
130
311PC
1 71
0
1 6'5"
Monthly Loading:
43,750
0.77
43,750
0.81
39,762
67,618
0.7312
Month Floating Total (in):
10.10
10.59
:0!.70
20
V9.65

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 7 Of5--
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: July
Year: 2024
Did irrigation occur
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
Area (acres):
2.2
Area (acres):
2.6
Area (acres):
2.7
Area (acres):
2.4
at this facility?
Cover Crop:Grass
Cover Crop:
P�
Grass
Cover Crop:
p�
Grass
Cover Crop:
p:
Grass
El 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?
O YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
0 YES ❑ No
Field Irrigated?
❑ YES El No
❑'>�
v
o
Ud
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a
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CD
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❑J
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Jn
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC 1
73
0
5'5"
2
C
59
0
62"
3
C
64
0
4'11"
5,448
11
0.09
0.09
9,540
19
0.14
0.14
11,592
23
0.16
0.16
4
5
PC
75
0
6'5"
6
7
R
76
1.4
5' 10"
8
PC
73
0
57'
9
PC
74
0
57'
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
10
PC
76
0
6'6"
11
C
1 70
0
6'2"
1,816
3.6
0.03
0.03
3,180
6.4
0.05
1 0.05
3,864
7.7
0.05
1 0.05
12
R
72
1.4
6'6"
13
14
C
73
0
5'6"
15
C
74
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
16
PC
74
0
6'3"
171
PC
74
0
6'0"
18
PC
73
0.1
5'8"
19
R
72
0.4
5'5"
2,724
5.5
0.05
0.05
4,770
9.6
0.07
0.07
5,796
11.6
0.08
0.08
20
R
0.5
21
R
72
0.5
5'9"
22
PC
71
0
54"
4,540
9.1
0.08
0.08
7,950
15.9
0.11
0.11
9,660
19.3
0.13
0.13
231
R
1 72
0.4
1 66"
24
R
72
0.1
61"
25
R
73
0.4
510"
26
R
71
0.1
5'5"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
27
28
PC
67
0
510"
291
R
1 69
1.6
5'6"
30
PC
71
0
411"
5,448
11
0.09
1 0.09 1
9.540
19
0.14
0.14
11,592
23
0.16
0.16
311
PC
1 71
0
1 6'5"
Monthly Loading:
31,788
0.53
EJ
55,656
0.79
67,618
0.92
0
0.00
41
12 Month Floating Total (in):
7.47
10.32
11.97
WOOM

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: 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
P1 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?
O YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
❑ YES ❑ No
Field Irrigated?
❑ YES I] 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
PC
73
0
5'5"
2
C
59
0
5'2"
3
C
64
0
4'11"
6,132
12
0.10
0,10
5,448
11
0.10
0.10
10,224
20
0.14
0.14
4
5
PC
75
0
6'5"
6
7
R
76
1.4
510"
8
PC
73
0
57'
9
PC
74
0
57'
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
10
PC
76
0
6'6"
11
C
70
0
67'
2,044
4.1
0.03
0.03
1,816
3.6
0.03
0.03
3,408
6.8
0.05
0.05
12
R
72
1.4
6'6"
13
14
C
73
0
5'6"
151
C
1 74
0
5'1"
5,110
10.2
0.08
0.08
4,540
9.1
0.08
0.08
8,520
17
0.12
0.12
161
PC
1 74
0
6'3"
17
PC
74
0
6'0"
18
PC
73
0.1
5'8"
19
R
72
0.4
5'5"
3,066
6.1
0.05
0.05
2,724
5.5
0.05
0.05
5,112
10.2
0.07
0.07
20
R
0.5
21
R
72
0.5
5'9"
221
PC
1 71
0
5'4"
5,110
10.2
0.08
0.08
4,540
9.1
0.08
0.08
8,520
17
0.12
0.12
23
R
72
0.4
6'6"
24
R
72
0.1
6'1"
25
R
73
0.4
5' 10"
26
R
71
0.1
5'5"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
27
281
PC
67
0
5'10"
29
RL69
1.6
5'6"
30
PC
0
4'1131
PC
0
6'5"
Monthly Loading:
29,644
0.47
26,340
0.49
49,420
0.67
0
0.00
12 Month Floating Total (in):
11.05
7.45
10.55

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 15 rof j-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: July
Year: 2024
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:Grass
Cover Crop:
P�
Grass
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
U 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?
121 YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
❑ YES 0 NO
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O 0
J
7 �' C
E 5 0
K o 0
c
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
73
0
5'5"
2
C
59
0
1 5'2"
3
C
64
0
4'11"
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
4
5
PC
75
0
6'5"
6
7
R
76
1.4
5'10"
8
PC
73
0
57'
9
PC
74
0
57'
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
10
PC
76
0
6'6"
111
C
1 70
0
1 6'2"
1
1,816
1 3.6
0.03
0.03
1,816
3.6
0.03
0.03
4.316
8.6
1 0.05
0.05
4,772
9.5
0.05
0.05
12
R
72
1.4
6'6"
13
14
C
73
0
66"
15
C
74
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
16
PC
74
0
6'3"
171
PC
1 74
0
1 6'0"
18
PC
73
0.1
1 5'8"
19
R
72
0.4
5'5"
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
20
R
0.5
21
R
72
0.5
69"
22
PC
71
0
5'4"
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
23
R
1 72
0.4
6'6"
24
R
72
0.1
1 6-1"
25
R
73
0.4
5'10"
26
R
71
0.1
5'5"
1 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
27
28
PC
67
0
5'10"
291
R
69
1.6
66"
30
PC
71
0
4'11"
311
PC
1 71
0
65"
Monthly Loading:
L26,j340jk0.44
IM
26,340
0.46
62,590FkO7.6
69,196
0.67
12 Month Floating Total (in):
7.59
7.48
1.95
11.00

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page �,_ of
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?
121 Compliant ❑ Non -Compliant
M Compliant ❑ Non -Compliant
M Compliant ❑ Non -Compliant
M Compliant ❑ Non -Compliant
M 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 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 I_�] No
Phone Number: 336-873-7738 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 ii"_ of 4­
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?
F] Compliant ❑ Non -Compliant
P] Compliant ❑ Non -Compliant
❑� Compliant ❑ Non -Compliant
0 Compliant ❑ Non -Compliant
121 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 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 O No
Phone Number: 336-873-7738 Permit Exp.: 4/30/27
14
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 3 of _5 ­
Did the application rates exceed the limits in Attachment B of your permit?
0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 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? 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.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Larry T. Chilton
Permittee:
Seagrove Ulah Metropolitan
Certification No.: WW 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 0 No
Phone Number: 336-873-7738 Permit Exp.: 4/30/27
?0C.K3L/
.
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 ;2- 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?
0 Compliant ❑ Non -Compliant
R Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
R] Compliant ❑ Non -Compliant
121 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 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 El No
Phone Number: 336-873-7738 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: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page B of _-
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 Ej 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 necessarv.
We are out of compliance on our Influent. We are permitted for 30,000gpd. Aug 7-18 there are no chlorine or ph readings to record. Due to regulations from DEQ, I have to have an annual calibration verification
performed by an independent party on the two meters. We use our contract laboratory, Cameron Testing. I took the meters the day I did the annual P.T. test. I had to leave the meters at the lab due to the
technition not having time for the verification due to being short staffed that day. It took them several days to work it in. We do dot have spare meters. The WWTF functioned properly and the effluent was not
negatively impacted as a result of a few days without a ph or C12 meter.
Operator in Responsible Charge (ORC) Certification Permittee Certification
ORC: Larry T. Chilton Permittee: Seagrove Ulah Metropolitan
Certification No.: WW 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 L7 No Phone Number: 336-873-7738 Permit Expiration: 4/30/2027
lie,_s" lfCt� We are out of complia
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