WQ0002648_Monitoring - 08-2024_20240922

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * August
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:* 2024
Upload Document*
8-Aug 2024 NDMR,NDAR Signed.pdf 2.94MB
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
9/22/2024
This will be filled in automatically

Is the project number correct?* W00002648
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 9/23/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page I of 5--
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan
County: Randolph
Month: August 7Year:
2024
PPI: 00,FIOW
Measuring Point: ElInfluent ❑Effluent ❑ No flow generated
Parameter Monitoring Point: ❑Influent [� Effluent ❑ Groundwater Lowering ❑Surface Water
Parameter Code -►
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
>
C)
E
Q m
U ►-
O
a'
E m
I=
Q
LL
o
m
CD
L
U
I- a)L
U
'70= E
LL O
U
°
E
Q
H ._
Y Z
;
Z
~ �=
Z
=
°?:
7c
H N
L
a
'a w
(D
i v
0
~ N N
vo
w
m c v
CD
~ N fn
3
�
24-hr
hrs
GPD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg1L
mg/L
su
mg1L
mg/L
mg/L
1
06:00
8
40,300
1.21
7.2
2
06:00
8
50,250
1.37
7.13
3
50,250
4
04:00
8
36,400
1.62
7.24
5
06:00
8
34,900
1.53
1
7.17
6
06:00
8
42,700
1.44
7.2
7
06:00
8
101,800
1.6
7.14
8
06:00
8
162,100
0.86
6.97
9
06:00
8
85,800
0.71
7.02
10
11:00
9.5
40,550
1
7.14
11
40,550
12
06:00
8
56,100
37.4
1.34
260
19.4
20.5
2.85
23.4
7.11
4.42
26.6
13
06:00
8
49,300
1 Al
7.16
14
06:00
8
54,200
1.19
7.07
151
06:00
8
49,900
1.38
7.19
16
06:00
8
55,550
1.26
7.14
17
55,550
18
04:15
8
38,000
1.09
7.01
19
06:00
8
64,600
1.18
7.08
20
06:00
8
50,300
1.29
7.12
211
06:00
8
40,500
1.37
7.2
22
06:00
8
40,600
1.26
7.14
23
06:00
8
44,500
1.19
7.1
24
44,500
25
05:00
8
37,800
1.09
7.04
26
06:00
8
52,600
1.17
7.06
271
06:00
8
54,800
1.31
7.11
28
06:00
8
48,000
1.28
7.07
29
06:00
8
52,600
1.35
7,1
30
06:00
8
53,750
1.14
7.05
31
53,750
Average:
54,274
37.40
1.26
260.00
19.40
20.50
2.85
23.40
4.42
26.60
Daily Maximum:
162,100
37.40
1.62
260.00
19.40
20.50
2.85
23.40
7.24
4.42
26.60
Daily Minimum:
34,900
37.40
0.71
260.00
19.40
1 20.50
2.85
23.40
6.97
4.42
26.60
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: 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: August
Year: 2024
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:Grass
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
[J 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?
M YES ❑ No
Field Irrigated?
O YES ❑ NO
Field Irrigated?
❑� YES ❑ NO
o
„L,
3:
m
'
m
E
Fa)
c
m
N
0.
m
rn
'�°
In
t d
am
�'U
ta0
"_-
mio
m
?'o,
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d d
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rn
> c
a
J
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� c
E a
= J
da
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v
m
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~
rn
�,o
❑ J
E Tb�
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= 0
my
a
� Q
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rn
:o
J
E Tm
_
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�'v
fx9 2
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ma
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E
1- '�
rn
c
v
0 p
J
E Trn
c
Ewa
m 2
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
73
0
6'1"
2
PC
73
0
59"
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
3
0.1
4
PC
70
0
5'9"
5
PC
72
0
5'5"
6
1 R
1 72
0.2
5'0"
7,500
15
0.13
0.13
7,500
15
0.14
0.14
6,816
13.6
1 0.12
0.12
11,592
23
0.13
0.13
7
R
73
1.2
6'4"
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
8
R
73
3
5'2"
9
R
71
0.2
4'5"
10
PC
86
0
37'
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
11
121
PC
70
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
1 26.9
0.15
0.15
13
PC
68
0.1
6'5"
14
C
64
0
5'11"
15
PC
65
0
65"
16
PC
65
0
5'1"
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
17
181
PC
1 72
0.2
68"
19
PC
66
0
63"
20
PC
65
0
5'0"
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
21
C
58
0
6'4"
22
C
55
0
5111"
23
C
56
0
5'6"
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
24
25
PC
57
0
5'10"
26
C
56
0
5'5"
27
C
65
0
60"
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
28
C
67
0
6'4"
29
C
70
0
5'11"
30
C
71
0
5'6"
7,500
15
0.13
0.1311
7,500
1 15
0.14
0.14
6,816
13.6
0.12
0.12
11,592
23
0.13
0.13
31
Monthly Loading:
71,250
1.25
71,250
1.31
64,753
1.14
110,123
1.19
12 Month Floating Total (in):
10.74
11.26
9.78
10.25

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page 3 of 5-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: August
Year: 2024
Did irrigation occur
Field Name:
5
Field Name:
6
Field Name:
7
Field Name:
8
facility?
Area (acres):
2.2
Area (acres):
2.6
Area (acres):
2.7
Area (acres):
2.4
at this
Cover Crop:Grass
Cover Crop:
p�
Grass
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
l l 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?
P1 YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES O NO
E
°
°
0)
am(D
d
aE
OE=
p
EE
E
J
.
p Q
>Q
a
_pE
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m
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E°
-6
i
°3
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-
c
0
E
E
K M
=
E �
Oa
a
ma
.2
,
v
pO ox
Eo rnc
E
oT'a0a)
J
OF
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
73
0
6'1"
2
PC
73
0
5'9"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
3
0.1
4
PC
70
0
5'9"
5
PC
72
0
5'5"
6
R
72
0.2
60"
5,448
11
0.09
0.09
9,540
1 19
0.14
0.14
11,592
23
0.16
0.16
7
R
73
1.2
6'4"
2,724
5.5
0.05
0.05
4,770
9.6
0.07
0.07
5,796
11.6
0.08
0.08
8
R
73
3
5'2"
9
R
71
0.2
4'5"
10
PC
86
0
37"
6,356
12.8
0.11
0.11
11,130
22.2
0.16
0.16
13,524
26.9
0.18
0.18
11
12
PC
70
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
13
PC
68
0.1
6'5"
14
C
64
0
511"
15
PC
65
0
5'5"
16
PC
65
0
61"
5,448
11
0.09
0.09
9,540
19
0.14
0.14
11,592
23
0.16
0.16
17
181
PC
72
0.2
5'8"
19
PC
66
0
5'3"
20
PC
65
0
50"
6,356
12.8
0.11
0.11
11,130
22.2
0.16
0.16
13,524
26.9
0.18
0.18
21
C
58
0
6'4"
22
C
55
0
5-11"
23
C
56
0
66"
4,540
9.1
0.08
0.08
7,950
15.9
0.11
0.11
9,660
19.3
0.13
0.13
24
25
PC
57
0
610"
26
C
56
0
55"
27
C
65
0
50"
5,448
11
0.09
0.09
9,540
19
0.14
0.14
11,592
23
0.16
0.16
28
C
67
0
6'4"
29
C
70
0
5'11"
301
C
1 71
0
5'6"
5,448
11
0.09
0.09
1 9,540
1 19
0.14
0.14
11,592
23
0.16
0.16
31
Monthly Loading:
51,760
0.87
90,633
1.28
110,123
0
0.00
12 Month Floating Total (in):
7.91
10.97
3
E12

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page N of _S
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: August
Year: 2024
Did irrigation occur
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
12
at this facility?
Area (acres):
2.3
Area (acres):
2
Area (acres):
2.7
Area (acres):
2
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
Cover Crop:
Grass
E 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?
L7 YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
❑ YES El NO
>.
o
O
U
m
f0
m
r
0
fD
n
N
m
m
y0
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y a-
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y
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E
!- •�
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E =-a
x O p
J
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='Q
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j= •�
=
�, C
my
�°
J=
7 a
E :3 '0
X O m
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�'Q
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_v
J=
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.x O
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
73
0
6'1"
2
PC
73
0
5'9"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
3
0.1
4
PC
70
0
5'9"
5
PC
72
0
5'5"
6
R
72
0.2
5'0"
1 6,132
12
0.10
0.10
5,448
11
0.10
0.10
10,224
20
0.14
0.14
7
R
73
1.2
6'4"
3,066
6.1
0.05
0.05
2,724
5.5
0.05
0.05
5,112
10.2
0.07
0.07
8
R
73
3
57'
9
R
71
0.2
4'5"
10
PC
86
0
1 37'
7,154
14.04
0.11
0.11
6,356
12.8
0.12
0.12
11,928
23.4
0.16
0.16
11
12
PC
70
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
13
PC
68
0.1
6'5"
141
C
64
0
5'11"
15
PC
65
0
5'5"
16
PC
65
0
5'1"
6,132
12
1 0.10
0.10
5,448
11
0.10
0.10
10,224
20
0.14
0.14
17
18
PC
72
0.2
5'8"
19
PC
66
0
5'3"
20
PC
65
0
5'0"
7,154
14.04
0.11
0.11
6,356
12.8
0.12
0.12
11,928
23.4
0.16
0.16
21
C
58
0
6'4"
22
C
55
0
511"
23
C
56
0
1 56"
5,110
10.2
0.08
0.08
4,540
9.1
0.08
0.08
8,520
17
0.12
0.12
24
25
PC
57
0
510"
26
C
56
0
5'5"
27
C
65
0
5'0"
6,132
12
0.10
0.10
5,448
11
0.10
0.10
10,224
20
0.14
0.14
28
C
67
0
6'4"
29
C
70
0
5-11"
30
C
71
0
5'6"
6,132
12
0.10
0.10
5,448
11
0.10
0.10
10,224
20
0.14
0.14
31
Monthly Loading:
58,257
0.93
51,760
0.95
97,130
1.32
0
0.00
12 Month Floating Total (in):
11.52
7.93
11.22

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page -5 of ,S`
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: August
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
P] 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?
I] YES ❑ NO
Field Irrigated?
H YES ❑ No
Field Irrigated?
M YES ❑ No
Field Irrigated?
❑ YES ❑ No
m
❑
o
0
d
d
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�a
❑
J=
Earn
3- r
E:3M
X 0 �O
J
m-o
E T
3a
p G
� Q
o
a� Y
E�
j= •�
rn
T �
�o
❑ o
J=
E Trn
s- �
Ewa
x 0 0
J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
73
0
6'1"
2
PC
73
0
519"
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
3
0.1
4
PC
70
0
519"
5
PC
72
0
65"
6
R
72
0.2
1 5'0"
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
7
R
73
1.2
6'4"
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
14.34
0.07
0.07
8
R
73
3
57'
9
R
71
0.2
4'5"
101
PC
86
0
37'
6,356
12.8
0.11
0.11
6,356
1 12.8
0.11
0.11
20,554
30.3
0.22
0.22
16,702
33.4
0.16
0.16
11
12
PC
70
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
13
PC
68
0.1
6'5"
14
C
64
0
5'11"
15
PC
65
0
55"
16
PC
65
0
5'1"
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
17
181
PC
1 72
0.2
58"
19
PC
66
0
53"
20
PC
65
0
60"
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
21
C
58
0
6'4"
22
C
55
0
511"
23
C
56
0
5'6"
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
24
251
PC
1 57
0
5' 10"
261
C
1 56
0
5'5"
27
C
65
0
50"
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
28
C
67
0
6'4"
29
C
70
0
5'11"
30
C
71
0
5'6"
5,448
11
0.09
0.09
1 5,448
11
0.10
0.10
12,948
26
0.14
0.14
14,316
28.6
0.14
0.14
31
Monthly Loading:
51,760
0.87
51,760
0.91
139,354
1.51
L 136,003
1.32
12 Month Floating Total (in):
8.03
7.94
12.81
11.67

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?
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?
R1 Compliant ❑ Non -Compliant
O Compliant ❑ Non -Compliant
I] Compliant ❑ Non -Compliant
M Compliant ❑ Non -Compliant
I] 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 p No
Phone Number: 336-873-7738 Permit Exp.: 4/30/27
-Y—Avx
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 q off
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?
R1 Compliant ❑ Non -Compliant
2 Compliant ❑ Non -Compliant
21 Compliant Non -Compliant
I] Compliant ❑ Non -Compliant
l2 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 Responsibfe 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 CI No
Phone Number: 336-873-7738 Permit Exp.: 4/30/27
)L 1,
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 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?
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?
F11 Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
El Compliant ❑ Non -Compliant
171 Compliant ❑ Non -Compliant
171 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
441
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 6--
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?
F] 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?
2 Compliant
❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
0 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
aldlul lk J) 10mul 1. MLLOUf aUUlUul ldl WICCLD II
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
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 i of S
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? L 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.
Out of compliance on flow. Flow is extremely high even on non -rain events.
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 Q No Phone Number: 336-873-7738 Permit Expiration: 4/30/2027
i� cant/ 'kt 1— 7 —i
Signature Date
By this signature, I certify that this report is accurrale and complete to the best of my knowledge.
1A �� y-
' We are out of complia
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