WQ0023213_Monitoring - 12-2020_20210127

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0023213
Name of Facility:*
Month:* December
Report Information
Lexington Golf Course
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter:*
Signature:
Date of submittal:
Initial Review
Year:* 2020
Upload Document*
SWT121012702060.pdf 595.55KB
PDF= Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
[e-mail]
Jeff Walser
Cf l aaot
Reviewer: Williams, Kendall
1 /27/2021
This will be filled in automatically

Is the project number correct? * WQ0023213
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 1/27/2021

NON DISCHARGE WASTEWATER MONITORING REPORT Page
of
PERMIT NUMBER: W00023213
FACILITY NAME: Lexington Golf Course
MONTH: December
COUNTY
YEAR: 2020
Davidson
Flow Monitoring Point: Effluent: 0 ■
•
Parameter Point: Effluent: 21 Influent: El iSurface Water (SW): El
SW Code/Name:
Flow ■
006110-1-00530
.,
Daily Rate
(Flow) into
Treatment
System
Residual
Chlorine
N
J NH3-N
TSS
IRENE
Daily Maximum
Monthly Limit(s)
Composite (C) Grab (G)
Operator in Responsible Charge (ORC)
Check Box if ORC Has Changed
107
Jeff Walser Grade: WW4/SI Phone: [phone]
ORC Certification Number: WW4-1000476-SI-989973
Certified Laboratories (1): City of Lexington (2): Environment 1
Person(s) Collecting Samples: _ Jeff Walser /1) / rn
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGN URE`CfiF OPERATOR IN RESPONSIBLE CHARGE)
BY TRIS 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."
(Signature of Permittee)* Date
Steve Craver
(Permittee-Please print or type)
Citv of Lexinaton
28 W. Center NC Lexington NC 27292
(Permittee Address)
Parameter Codes:
Steve Craver
(Name of Signing Official -Please print or type)
Lexin ton Regional WWTP ORC
(Position or Title)
336-357-5090
30-Nov-22
(Phone Number) (Permit Exp. Date)
01002 Arsenic
31504 Coliform, Total
00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01042 Copper
00620 NO3
00745 Sulfide
01027 Cadmium
00300 Dissolved Oxygen
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 TSSITSR
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 reQortin_,.
facility's permit for rerorting data.
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b)(2)(D).
DENR FORM NDMR-1 (11/2005)

Page of
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00023213
FACILITY NAME:
Golf Course
MONTH: DeCember
YEAR: 2020
COUNTY: Davidson
Formulas:
Dally Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feel/gallon) x 12 (inches/foot)] I [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 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)
A—f!P Weekly Loadina linrhesl = TM—thly Loading !inches/monthl / Number of days in the month (days/monthll x 7 (dayshveek)
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑✓
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
FIELD NUMBER:
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED acres):
18.01
AREA SPRAYED (acres):
9.17
COVER CROP:
grass
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):
0.2
PERMITTED HOURLY RATE (inches):
0.15
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
sward
PERMITTED YEARLY RATE (inches):]
PERMITTED
YEARLY RATE (inches):
Weather
Codes
Temper-
glare at
application
Preclpita-
tion
Volume
Appiied
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
0.00
0
0.00
12 Month Floating Total (inches)
0.00
1
0.00
Average Weekly Loading (inches)
0
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 _ Phone: [phone]
ORC Certification Number: W W4-1000476-SI989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality _
ATTN: Information Processing Unit (SIG PERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY T IS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDARA (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: December
YEAR: 2020
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feettacre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
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)
Average Weekly Loading (inches) = [Monthly Loading (incheslmonth) / Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: ❑ No: El
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
Did Irrigation Occur On This Field:
Yes: ❑ No: (]
FIELD NUMBER:
Zone 3
FIELD NUMBER:1
Zone 4
AREA SPRAYED acres :
7.74
AREA SPRAYED acres :
19.76
COVER CROP:
9toss
COVER CROP:j
grass
PERMITTED HOURLY RATE (inches):
0.5
PERMITTED HOURLY RATE (inches):
0.2
D
A
T
E
WEATHER CONDITIONS
storage
Lagoon
Free -board
PERMITTED YEARLY RATE inches):
PERMITTED YEARLY RATE (inches):
weather
Code*
Temper-ature
at application
Preciplta-
tion
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irri ated
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)l
1
0.00
0.00
Average Weekly Loading (inches)
0
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-SI989973 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]
(SIGN06d &OPERATOR 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 Pageof
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00023213
MONTH: December
YEAR: 2020
FACILITY NAME: Lexington 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 feevacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) / [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)
Avarana Weakly Loading (Inrhac) = [Wnthly Loading (inches/month) / Number of days in the month (davalmonth)l x 7 fdayst re k)
Did Irrigation Occur At This Facility:
Yes: Cl No: ❑�
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
Did Irrigation Occur On This Field:
Yes: ❑ No:
FIELD NUMBER:
Zone 5
FIELD NUMBER:
Zone 6
AREA SPRAYED (acres):
6.34
AREA SPRAYED acres :
10.89
COVER CROP:
grass
COVER CROP:
grass
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 (inches):
We;
Code'
Temper•
ature at
application
Precipita-
uon
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irri ated
Dall 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)l
0
0.00
0
0.00
12 Month Floating Total (inches)
I
I
1 0.00
0.00
Average Weekly Loading (inches)l
I
1 0
1
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
Phone: [phone]
ORC Certification Number: WW4-1000476-SI-989972Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGVORkfOYOPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY TWS 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: December
YEAR: 2020
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
T Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/foot)] 1 [Area Sprayed (acres) x 43,560 (square f"Yacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (Inches) = Daily Loading (inches) / [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 (inch month) / Number of days in the month (days/month)] x 7 (dayshveek)
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑✓
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑+
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
FIELD NUMBER:1
Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres);
1 5.38
AREA SPRAYED acres :
9.71
COVER CROP:j
grass
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):tHourly
PERMITTED HOURLY RATE (inches):
0.3
D
Tweather
E
WEATHER CONDITIONS
Storage
LFgree n
board
PERMITTED YEARLY RATE (inches):PERMITTED
YEARLY RATE inches
Code.
_
aturr.
application
Preclpita
uon
Volume
Applied
Time
Irri tied
Daily
Loading
Volume
A lied
Time
Irri ated
Daily
Loadin
Maximum
Hourly
Loadin
(°F)
inches
feet
gallons
minutes
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)
0.00
0.00
Average Weekly Loading (Inches)
0
t
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:
DENR
Division of Water Quality ,
ATTN: Information Processing Unit (SIGN E OPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY T 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)

Page of
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
FacilityStatus:
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. )
limit(s) in the
Com liant Y,N)
1. The application retells) did not exceed the specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
r
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)
0
specified in the permit.
If the facility is non-coml2liant, 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."
ItAd- Lel� I ' Steve Craver
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Steve Craver Lexington Regional WWTP ORC
(Permittee-Please print or type) (Position or Title)
336-357-5090 11/30/2022
City of Lexington (Phone Number) (Permit Exp. Date)
28 W.Center St. Lexington NC 27292
(Permittee Address)
* If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 28.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)