WQ0023213_Monitoring - 01-2021_20210217

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0023213
Name of Facility:*
Month:* January
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:* 2021
Upload Document*
SWT121021703271.pdf 591.95KB
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
2/17/2021
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: 2/17/2021

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: W00023213
FACILITY NAME: Lexington Golf Course
MONTH: January • YEAR: 2021
COUNTY: Davidson
Flow Monitoring •. p ■
.Parameter Monitoring Point: Effluent: p ■ ■SW
Code/Name:
..-:.
Daily
(Flow) into
Treatment
System
INE11111=111101
Coliform
-
• � 1
-�000�0
• � 1
00
Operator in Responsible Charge (ORC): _ Jeff Walser Grade: WW4/SI Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: WW4-1000476-SI-989973
Certified Laboratories (1): Cit of Lexin- o (2):
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Jeff Walser 0%/
a..L� �✓
Environment 1
(SIGNATURE PF OPERATOR IN 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."
a� �ZOz-I Steve Craver
(Signature of rermittee) Date (Name of Signing Official -Please print or type)
Steve Craver
(Permittee-Please print or type)
City of Lexington
Lexington Regional WWTP ORC
(Position or Title)
336-357-5090
(Phone Number)
28 W. Center NC Lexington NC 27292
(Permittee Address)
Parameter Codes:
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
TSS/TSR
01034
Chromium
00610
NH3asN
00937
Potassium
00076
Turbidity
00340
COD
01067
Nickel
00545
Settleable Matter
01092
Zinc
30-Nov-22
(Permit Exp. Date)
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 reirortinu
facility's permit for reportino data.
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 26.0506 (b)(2)(D).
DENR FORM NDMR-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: WQ0023213
FACILITY NAME:
Golf Course
MONTH: Janual:
YEAR: 2021
COUNTY: Davidson
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feellgallon) x 12 (inches/foot)] I [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) / [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 (inches/month) I Number of days in the month (days/month)] x 7 (days/vyeek)
Did Irrigation Occur At This Facility:
Yes: ❑ No: I]
Did Irrigation Occur On This Field:
Yes: ❑ No: I]
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
FIELD NUMBER:1
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED (acres :
1 18.01
AREA SPRAYED (acres):
9.17
COVER CROP:
1 arass
COVER CROP:
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 (inches):
PERMITTED YEARLY RATE inches
Weathor
Dom,
Temper-
ature at
application
Prec(pita-
tion
Volume
A lied
Time
Irr[ ated
Daily
LoadingLoadingA
Maximum
Hourly
Volume
lied
Time
Irrigated
Daily
LoadingLoading
Maximum
Hourly
ff)
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
0.00
0
0.00
0.00 1,
12 Month Floating Total (inches)
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:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATIL1#104WRATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS t$NATURE, 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
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: WQ0023213
MONTH: January YEAR: 2021
FACILITY NAME: Lexington Golf Course COUNTY:
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) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) I mime 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 Loadinq (inches/month) / Number of days in the month (days/month)] x 7 (dayshveek)
Davidson
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: [21
FIELD NUMBER:j
Zone 3
FIELD NUMBER:
Zone 4
AREA SPRAYED acres :
7.74
AREA SPRAYED (acres):
19.76
COVER CROP:
grass
COVER CROP:
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
Precipita-
tion
Volume
Applied
Time
Irri ated
Daily
Loading
Maximum
Hourly
Loading
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
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
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-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
— A'Al Azjln�
(SIGNATU(9bFFMRATOR IN RESPONSIBLE CHARGE)
BY THIS ST11NATURE, 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
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: WQ0023213
MONTH: Januai
YEAR: 2021
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 feellacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) I [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 Loadina finchesl = [Monthly Loadin (inches/monthl / Number of days in the month Idays/monthll x 7 fdayshvaekl
Did Irrigation Occur At This Facility:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No: Q
FIELD NUMBER:
Zone 5
FIELD NUMBER: Zone 6
AREA SPRAYED (acres):
6.34
AREA SPRAYED (acres): 10.89
COVER CROP:
rdss
COVER CROP:j 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 :
weather
Off,
Temper-
store at
application
Precipita-
tion
Volume
Applied
Time
Irr[ ated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loadina
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)
0
0.00
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)
0
0
- vveatner loses: u-clear, ru-parry ciouay, LA -Cloudy, tc-ram, An -snow, of -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Jeff Walser
ORC Certification Number: W W4-1000476-SI-989973 Check Box if ORC Has Changed: ❑
Phone: [phone]
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATUR VF PItOATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS Sl t�f`ATURE, 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 Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0023213
MONTH: Janua
YEAR: 2021
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inches/fwt)] 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)
Average Weekly Loading (Inches) = [Monthly Loadin (inches/month) / Number of days in the month (days/month)1 x 7 (days —k)
Did Irrigation Occur At This Facility:
Yes: ❑ No: 121
Did Irrigation Occur On This Field:
Yes: ❑ No: E)
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑✓
FIELD NUMBER: Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres): 5.38
AREA SPRAYED acres :
9.71
COVER CROP: toss
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):
0.15
PERMITTED HOURLY RATE (Inches):
0.3
D
A
T
E
WEATHER CONDITIONS
Storege
Lagoon
Free-
board
PERMITTED YEARLY RATE inches :
PERMITTED YEARLY RATE inches
Weather
cam,
Temper-
store at
application
Precipila-
von
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
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
31
Total Gallons/Monthly Loading (inches)
0
0.00
1
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)
0
0
. Weather Codes: Cclear, 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: ` 336-843-0071
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality 01,
ATTN: Information Processing Unit (SIGNATURVbf O O I ESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SI N U E, ERTIFY 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
FaclW % 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. )
1. The did the limit(s) in the
Com liant Y,N)
YY
application rate(s) not exceed specified permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
0
4. All buffer zones as specified in the permit were maintained during each application.
YO
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
l�
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."
�Y_ -/ `o ZoSteve Craver
(Signs ure of Permittee)* Date (Name of Signing Official -Please print or type)
Steve Craver
(Permittee-Please print or type)
City of Lexington
28 W.Center St. Lexington NC 27292
(Permittee Address)
Lexington Re,Jonal WWTP ORC
(Position or Title)
336-357-5090 11/30/2022
(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 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (1112005)