Urbanization and subsequent expansion of wastewater treatment plant (WWTP) capacity has the potential to alter stream metabolic regimes, but the magnitude of this change remains unknown. Indeed, our understanding of downstream WWTP effects on stream metabolism is spatially and temporally limited, and monitoring designs with upstream-downstream comparison sites are rare. Despite this, and despite observed spatiotemporal variability in stream metabolic regimes, regulators typically use snapshot monitoring to assess ecosystem function in receiving streams, potentially leading to biased conclusions about stream health. To address these important practical issues, we assessed the spatiotemporal variability in stream metabolism at nine sites upstream and downstream of four WWTPs in a suburban stream. We used one year (2017-2018) of high-frequency dissolved oxygen (DO) data to model daily gross primary productivity (GPP) and ecosystem respiration (ER). We found that GPP was 1.7-4.0 times higher and ER was 1.2-7.2 times higher downstream of the WWTPs, especially in spring when light was not limited by canopy shading. Critically, we observed that these effects were spatially limited to the kilometer or so just downstream of the plant. These effects were also temporally limited, and metabolic rates upstream of WWTPs were not different from sites downstream of the plant after leaf-out at some sites. Across sites, regardless of their relation to WWTPs, GPP was positively correlated with potential incident light suggesting that light is the dominant control on GPP in this system. Temporal windowing of DO to proposed regulatory monitoring lengths revealed that the violation frequency of water quality criteria depended on both the monitoring interval and start date. We conclude that spatiotemporal variability in metabolism and DO are crucial considerations when developing monitoring programs to assess ecosystem function, and that evidence of WWTP effects may only arise during high light conditions and at limited scales.