WQ0002648_Monitoring - 09-2024_20241029

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
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:* 2024
Upload Document*
Seagrove Sept 2024 NDMR NDAR.pdf 2.97MB
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
v6;t tJ P. 641l-ew
Reviewer: Wanda.Gerald
10/29/2024
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: 10/29/2024

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page _J__ of T
Permit No.: WO0002648
Facility Name: Seagrove -Utah Metropolitan
County: Randolph
Month: September
Year: 2024
PPI: 001
Flow Measuring Point: ❑� Influent ❑ Effluent ❑ No flow generated
Parameter Monitoring Point: E] Influent Effluent ❑Groundwater Lowering ❑ Surface Water
Parameter Code -►
50050
00310
00940
50060
31616
00610
00625
00620
00600
00400
00665
70300
00530
ro
o
Q E
E
O
°' m
U c
O
°
u
LO
y
U
R d
o
E
m
E
EY
c
o y
z
c
aO
E"
z
n
o
a.
ro
E
NO cn
C)
y
o Q vo
'>
u>
24-hr
hrs
GIRD
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
su
mg/L
mg/L
mg/L
1
15:00
5
42,750
0.89
7.07
2
42,750
3
06:00
8
50,700
1.17
7.09
4
06:00
8
44,800
1.26
7.11
5
06:00
8
43,000
1
1.14
7.13
6
06:00
8
39,200
1.3
7.1
7
39,200
8
04:00
8
31,900
1.09
7.07
9
06:00
8
46,900
1.17
7.12
10
06:00
8
38,400
1.28
7.03
11
06:00
8
41,000
1.14
7.08
12
06:00
8
42,500
1.24
7.09
13
06:00
8
40,650
1.16
7.1
14
40,650
151
04:00
8
32,800
1.83
7.12
16
06:00
8
118,500
4.49
7.14
17
06:00
8
72,000
1.06
7.06
18
06:00
8
62,400
1.19
7.11
19
06:00
8
47,900
1.42
7.08
20
06:00
8
41,800
1.18
7.07
211
41,800
22
04:45
8
64,100
0.8
6.87
23
15:30
6
40,000
0.62
6.9
24
12:00
8
74,100
1.37
7.23
25
08:00
9.5
64,233
0.81
7.06
26
64,233
27.5
>1600
35.3
39
1.53
40.5
4.04
25.3
271
64,233
28
03:15
8
36.050
1.83
7.01
29
36,050
30
06:00
8
54,000
1.62
7.04
31
Average:
49,953
27.50
1.35
1.00
35.30
39.00
1.53
40.50
4.04
25.30
Daily Maximum:
118,500
27.50
4.49
0.00
35.30
39.00
1.53
40.50
7.23
4.04
25.30
Daily Minimum:
31,900
27.50
0.62
0.00
35.30
39.00
1.53
40.50
6.87
4.04
25.30
Sampling Type:
Recorder
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Monthly Avg. Limit:
30,000
Daily Limit:
Sample Frequency:1
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 _ 22 of 5-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: September
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
CI 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?
El YES ❑ NO
Field Irrigated?
O YES ❑ No
Field Irrigated?
U YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
a
y
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m
o
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2 J
�:
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
87
2
5'9"
2
3
C
60
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
4
C
57
0
6'2"
5
PC
61
0
510"
6
PC
58
0
5'5"
6,250
12.5
0.11
0.11
6,250
12.5
0.12
0.12
5,680
11A
0.10
0.10
9,660
19.3
0.10
0.10
7
8
PC
61
0
6'1"
91
C
52
0
5'9"
101
C
53
0
5'5"
11
PC
55
0
5'0"
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
12
CL
58
0
6'4"
13
PC
66
0
5110"
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
14
15
CL
68
0
6'0"
16
R
65
2.7
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
17
PC
64
0
5'5"
18
R
61
0.2
4'9"
8,750
17.5
0.15
0.15
8,750
17.5
1 0.16
0.16
7,952
15.9
0.14
0.14
13,524
26.9
0.15
0.15
19
CL
66
0
6'3"
201
PC
1 65
0
5'9"
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
211
R
1
0.05
22
R
65
0.05
6'0"
23
CL
73
0
5'3"
5,000
10
0.09
0.09
5,000
10
0.09
0.09
4,545
9
1 0.08
0.08
7,727
15.4
0.08
0.08
24
CL
77
0.2
5'11"
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
25
R
74
1.2
5'11"
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
26
R
0.5
271
R
1
1.5
28
PC
67
0
4'11"
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
29
30
R
0.4
6'1"
31
E64��
Monthly Loading:
67,500
1.18
67,500
1.24
61,349
1.08
104,323
1.13
12 Month Floating Total (in):
11.09
11.63
10.10
r

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _- Of S-
Permit No.: W00002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: September
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
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?
l] YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
Field Irrigated?
❑ YES 21 NO
ro>
p
v
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CD
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On,
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3:
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R 1
87
2
69"
2
3
C
60
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
4
C
57
0
6'2"
5
PC
61
0
5'10"
6
PC
58
0
65"
4,540
9.1
0.08
0.08
7,950
15.9
0.11
0.11
9,660
19.3
0.13
0.13
7
8
PC
61
0
6'1"
9
C
52
0
5'9"
10
C
53
0
55"
11
PC
55
0
5'0"
5,448
11
0.09
0.09
9,540
19
0.14
0.14
11.592
23
0.16
0.16
121
CL
58
0
6'4"
13
PC
66
0
5'10"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
14
15
CL
68
0
60"
16
R
65
2.7
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
17
PC
64
0
5'5"
18
R
61
0.2
4'9"
6,356
12.8
0.11
0.11
11,130
22.2
0.16
0.16
13,524
26.9
0.18
0.18
19
CL
66
0
6'3"
20
PC
65
0
1 69"
1 3,636
1 7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
21
R
0.05
221
R
1 65
0.05
6'0"
23
CL
73
0
63"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
24
CL
77
0.2
611"
1,816
3.6
0.03
0.03
3,180
6.4
0.05
0.05
3,864
7.7
0.05
0.05
25
R
74
1.2
5'11"
3,636
7.2
0.06
0.06
6,363
12.7
0.09
0.09
7,727
15.4
0.11
0.11
26
R
0.5
27
R
1.5
281
PC
67
0
4'11"
6,356
12.8
0.11
0.11
11,130
22.2
0.16
0.16
1 13,524
26.9
0.18
0.18
29
30
RL64
0.4
6'1"
31
Monthly Loading:
49,052
0.82
85,875
1.22
104,323
1.42
0
0.00
12 Month Floating Total (in):
8.15
11.33
13.15

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _'�k of ,5-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: September
Year: 2024
Did irrigation occur
Field Name:
9
Field Name:
10
Field Name:
11
Field Name:
12
this facility?
Area (acres):
2.3
Area (acres):
2
Area (acres):
2.7
Area (acres):
2
at
Cover Crop:Grass
Cover Crop:
p�
Grass
Cover Crop:
p:
Grass
Cover Crop:
p:
Grass
Cl 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?
0 YES ❑ NO
Field Irrigated?
O YES ❑ NO
Field Irrigated?
Ll YES ❑ NO
Field Irrigated?
❑ YES O NO
m
❑
v
o
U
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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
R
87
2
5'9"
2
3
C
60
0
410"
7.154
14.04
0.11
0.11
6,356
12.8
0.12
0.12
11,928
23.4
0.16
0.16
4
C
57
0
6'2"
5
PC
61
0
5'10"
6
PC
58
0
5'5"
5,110
10.2
0.08
0.08
4,540
9.1
0.08
0.08
8,520
17
0.12
0.12
7
8
PC
61
0
6'1"
9
C
52
0
5'9"
10
C
53
0
5'5"
111
PC
1 55
0
1 5'0"
1
6,132
1 12
0.10
0.10
5,448
11
0.10
1 0.10
10,224
20
0.14
0.14
12
CL
58
0
64"
13
PC
66
0
5'10"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
14
15
CL
68
0
60"
16
R
65
2.7
5'8"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
171
PC
1 64
0
1 65"
18
R
61
0.2
4'9"
7,154
14.04
0.11
0.11 1
6,356
12.8
0.12
0.12
11,928
23.4
0.16
0.16
19
CL
66
0
63"
20
PC
65
0
519"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
21
R
0.05
22
R
65
0.05
6'0"
231
CL
1 73
0
53"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6,818
13.6
0.09
0.09
24
CL
1 77
0.2
5-11"
2,044
4.1
0.03
0.03
1,816
3.6
0.03
0.03
3,408
6.8
0.05
0.05
25
R
74
1.2
5-11"
4,091
8
0.07
0.07
3,636
7.2
0.07
0.07
6.818
13.6
0.09
0.09
26
R
0.5
27
R
1.5
28
PC
67
0
4'11"
7,154
14.04
0.11
0.11
6,356
12.8
1 0.12
0.12
11,928
23.4
0.16
0.16
29
301
R
64
0.4
6'1"
31
Monthly Loading:
55,203
0.88
49,052
0.90
92,026
1.26
0
0.00
12 Month Floating Total (in):
11.78
8.19
11.60

FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page ,6' OfI;,-
Permit No.: WQ0002648
Facility Name: Seagrove -Utah Metropolitan Water District WWTP
County: Randolph
Month: September
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
C1 YES C1 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?
L,1 YES ❑ No
Field Irrigated?
O YES ❑ No
Field Irrigated?
0 YES ❑ NO
Field Irrigated?
❑ YES ❑ NO
a)
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Ep
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ft
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gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
R
87
2
5'9"
2
3
C
60
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
4
C
57
0
6'2"
5
PC
61
0
5'10"
6
PC
58
0
65"
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
7
8
PC
61
0
61"
9
C
52
0
5'9"
10
C
53
0
5'5"
11
PC
55
0
5'0"
5,448
11
0.09
1 0.09
5,448
11
0.10
0.10
1 12,948
26
0.14
1 0.14
14,316
28.6
0.14
0.14
12
CL
58
0
6'4"
13
PC
66
0
510"
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
14
151
CL
1 68
0
6'0"
16
R
65
2.7
5'8"
1
3,636
7.2
0.06
0.06
3,636
7.2
0.06
1 0.06
8,636
17.2
1 0.09
0.09 1
9,545
19.1
0.09
0.09
17
PC
64
0
5'5"
18
R
61
0.2
4'9"
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
19
CL
66
0
63"
20
PC
65
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
21
R
0.05
22
R
65
0.05
6'0"
23
CL
73
0
513.1
3,636
7.2
0.06
1 0.06
3,636
1 7.2
0.06
0.06
1 8,636
17.2
1 0.09
0.09
9,545
19.1
0.09
0.09
241
CL
77
0.2
511"
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
251
R
74
1.2
5'11"
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
26
R
0.5
27
R
1.5
28
PC
67
0
4'11"
1 6,356
12.8
0.11
0.11
6,356
12.8
0.11
0,11
20,554
30.3
0.22 1
0.22
16,702
33.4
0.16
0.16
29
30
R
64
0.4
6'1"
31
Monthly Loading:
49,052
0.82
49,052
0.86
132,896
1.44
128,849
1.2541
12 Month Floating Total (in):
8.27
8.19
13.36
12.04

FORM: NDAR-1 05-16
NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page -.1, of .;
Did the application rates exceed the limits in Attachment B of your permit?
O Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 2 Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? RI Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? 121 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
action(s) taken. Attach additional sheets if necessary.
lNo irrigation occurred during the rain. The rain was late in the night and early mornig hours of the24th and 25th.
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: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page _41 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? I] 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? M Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? El 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.
irrigation occurred during the rain. The rain was late in the night and early mornig hours of the24th and 25th.
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 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 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 3-
Did the application rates exceed the limits in Attachment B of your permit?
E 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? 2 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.
irrigation occurred during the rain. The rain was late in the night and early mornig hours of the24th and 25th.
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 [] 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 P of 5
Did the application rates exceed the limits in Attachment B of your permit?
R1 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? Ov Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? F11 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.
INo irrigation occurred during the rain. The rain was late in the night and early mornig hours of the24th and 25th.
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 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 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? CI Compliant [21 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.
We are out of compliance on our influent. We are permitted for 30,000gpd.
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 O No Phone Number: 336-873-7738 Permit Expiration: 4/30/2027
/• 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