WQ0023213_Monitoring - 04-2020_20200527

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0023213 MONTH
FACILITY NAME: Lexin ton Golf Course
April YEAR: 2020
COUNTY: Davidson
Flow Monitorin Point: Effluent: p ■
• •.=1HP - p ■ ■
Code/Name:
_
.....
Daily'SW
(Flow) into
Treatment
System
10011MINNIN
Daily Maximum
lailyMinimurn
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Jeff Walser Grade: WW4/SI Phone: [phone]
ORC Certification Number: WW4-1000476-SI-989973
Certified Laboratories (1): City of Lexington (2):
Person(s) Collectina Samoles: Jeff Walter
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Environment 1
(SIGNATUR40FERATZORIN�RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

NON DISCHARGE WASTEWATER MONITORING REPORT
Page of
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? �Y
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance
with its permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s)
taken. Attach additional sheets if necessary.
"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."
Steve Craver
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Steve Craver
(Permittee-Please print or type)
Citv of Lexin
28 W. Center NC Lexington NC 27292
(Permittee Address)
Parameter Codes:
City of Lexington WWTP ORC
(Position or Title)
Nov. 30 2022
(Phone Number) (Permit Exp. Date)
336-357-5090
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
OOD94 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxyqen
00556 Oil -Grease
70295 TDS
00916 Calcium
31616 Fecal Coliform
WQ09 PAN (Plant Available)
00010 Temperature
00940 Chloride
01051 Lead
00400 pH
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols
00680 TOC
71900 Mercury
00665 Phosphorus, Total
00530 TSSrrSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Land Application Unit at [phone].
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only the units designated in the reportino
facilitv's ; ermit for rec�orting; data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: WQ0023213
MONTH: Al. ill YEAR: 2020
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (incheslfoot)] I [Area Sprayed (acres) x 43,560 (square feellacre)] OR
= Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallonslacre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) I [Time Irrigated (minutes)160 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inches/month) / Number of days in the month (dayslmonth)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: ❑ No: I]
Did Irrigation Occur On This Field:
Yes: ❑ No: l]
Did Irrigation Occur On This Field:
Yes: ❑ No: El
FIELD NUMBER:F
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED acres :
1 18.01
AREA SPRAYED acres :
9.17
COVER CROP:
1 grass
COVER CROP:j
grass
PERMITTED HOURLY RATE (inches):
0.2
PERMITTED HOURLY RATE (inches):
0.15
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE finches):'
PERMITTED YEARLY RATE (inches):
Weather
Code"
Temper-
store at
application
Precipita-
tion
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading_
(°F)
inches
feet
gallons
minutes
inches
Inches
gallons
minutes
Inches
inches
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading
(inches)
0
1 0.00
0
0.00
12 Month Floating Total (inches)
5.02
3.53
Average Weekly Loading (inches)
0
0
" Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC):
Jeff Walser
Phone: [phone]
ORC Certification Number: WW4-1000476-SI989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to: 4�
DENR �w
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU E 6F bPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS $IGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0023213
MONTH: Aril YEAR: 2020
FACILITY NAME: Lexington Golf Course COUNTY:
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (incheslfoot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)]
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Davidson
OR
Maximum Hourly Loading (inches) = Daily Loading (inches) / [Time Irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Auer— Wppkly 1_nadinn linchpsl = nvinnthly Lnadino (incheslmonthl / Number of days In the month (days/month)1 x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: ❑ No: 0
Did Irrigation Occur On This Field:
Yes: ❑ No: El
Did Irrigation Occur On This Field:
Yes: ❑ No: 2
FIELD NUMBER:1
Zone 3
FIELD NUMBER:1 Zone 4
AREA SPRAYED (acres):
17.74
AREA SPRAYED (acres): 19.76
COVER CROP:
9raSS
COVER CROP: 9raSS
PERMITTED HOURLY RATE (inches):
0.5
PERMITTED HOURLY RATE (inches):
0.2
D
A
T
E
WEATHER CONDITIONS
storage
Lagoon
Freeboard
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE Inches :
weather
Code`
Temper-ature
atapplication
Preclpita-
tion
Volume
A plied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loadin
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
inches
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)l
0
1
0.00
0
0.00
12 Month Floating Total (inches)l
6.60
3.41
Average Weekly Loading (inches)l
0
1
1 0
* Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Jeff Walser
ORC Certification Number: WW4-1000476-S1989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Phone: [phone]
(SIGNATUR O ERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0023213 MONTH: April YEAR: 2020
FACILITY NAME: LexinAon Golf Course COUNTY: Davidson
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) I [Time Irrigated (minutes) 160 (minutes/hour)] Monthly Loading (Inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loadina (inches) = !Monthly Loading finches/month) / Number of days in the month (days/month)] x 7 (days/vreek)
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑r
Did Irrigation Occur On This Field:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
FIELD NUMBER:
Zone 5
FIELD NUMBER:
Zone 6
AREA SPRAYED tacret
6.34
AREA SPRAYED (acres :
10.89
COVER CROP:
rass
COVER CROP:
cirass
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):;
0.25
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE finches):
Weather
Oode'
Temper-
atuns at
application
Prscipna-
tion
Volume
Applied
Time
Irr[ ated
Daily
Loading
Maximum
Hourly
Loadin
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
inches
feet
gallons
minutes
inches
inches
gallons
minutes
inches
Inches
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
37
Total Gallons/Monthly Loading
(inches)i
0
0.00
0
1
0.00
12 Month Floating Total (inches)
5.05
5.53
Average Weekly Loading (inches)
0
0
" Weather Codes: C-clear, PC -partly cloudy, Cl-cloudy, R-rain, Sn-snow, Si -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Jeff Walser _ Phone:
ORC Certification Number: WW4-1000476-SI-989972Check Box if ORC Has Changed: ❑
336-843-0071
Mail ORIGINAL and TWO COPIES to:
DENR _N�4 , '�ILZ
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU F OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: W00023213
MONTH: April YEAR:
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feat/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (Inches) = Daily Loading (inches) / [Time Imgated (minutes) / 60 (minutes/hour)] Monthly Loading (Inches) = Sum of Daily Loadings (inches)
12 Month Floating Total (Inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
e..nronn Wm41v 1 n�dtnn linrhoal = rnn­thiv 1 „adinn (inchec/mnnthl / Nombwrof days in the month fdays/month]] x 7Idays/week)
2020
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑�
Did Irrigation Occur On This Field:
Yes: ❑ No: Q
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑`
FIELD WIUMBER:1
Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres):l (acres):
5.38
AREA SPRAYED (acres):
9.71
COVER CROP:l
grass
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):
0.15
PERMITTED HOURLY RATE (inches):
0.3
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE (inches):
weather
Die,
Temper-
azure at
application
Precipna-
tlon
Volume
Applied
Time
Irri ated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
VF)
Inches
feet
gallons
minutes
inches
inches
gallons
minutes
Inches
Inches
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Gallons/Monthly Loading (inches)
0
0.00
0
0.00
12 Month Floating Total (inches)
6.11
3.91
Average Weekly Loading (inches)
0
0
. Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC):
Jeff Walser
ORC Certification Number: WW4-1000476-SI989973 Check Box if ORC Has Changed: ❑
Phone: [phone]
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality _
ATTN: Information Processing Unit (SIGNATUR O PERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS S NATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (11/2005)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
Page of
Facility Status:
Please indicate ( by inserting Y(es) or N(o) in the appropriate box ) whether the facility has been compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
Compliant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
ly
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
Y
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
IY
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
ry—�
specified in the permit.
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
AU44 e,,4�J —I 1-76ZV Steve Craver
(Signature of Permitteer Date (Name of Signing Official -Please print or type)
Steve Craver
(Permittee-Please print or type)
City of Lexington
28W.Center St. Lexington NC 27292
(Permittee Address)
City of Leximton WWTP ORC
(Position or Title)
336-357-5090 Nov.30 2022
(Phone Number) (Permit Exp. Date)
If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (1112005)