WQ0023213_Monitoring - 05-2021_20210617

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0023213
Name of Facility:* Lexington Golf Course
Month:* May Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SWT121061702120.pdf 614.7KB
PDF= Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Jeff Walser
Signature:
Cf l aaot
Date of submittal: 6/17/2021
This will be filled in autorratically
Initial Review
Reviewer: Zhong, Vivien

Is the project number correct? * WQ0023213
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 6/22/2021

NON DISCHARGE WASTEWATER MONITORING REPORT Page
of
PERMIT NUMBER:
FACILITY NAME:
W00023213
Lexington Golf Course
MONTH: May YEAR: 2021
COUNTY: Davidson
Flow Monitorin Point: Effluent: p ■
Parameter Monitoring •. p ■ ■
.d-
Was There
Effluent Flow For This Month Generated At This Facility: Yes: ■ p
Daily
(Flow) into
Treatment:..
System
..
Daily Minimum
Manthly Limit(s)
Composite (C) Grab IGI
--
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) Collecting Samples: Jeff Walser
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
(SIGNATURE'OF 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)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
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."
6L �� — - 6
-/ , / Steve Craver
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Steve Craver
(Permittee-Please print or type)
City of Lexington
28 W. Center NC Lexington NC 27292
(Permittee Address)
Parameter Codes:
Lexington Re;,jonal 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
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
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 desicinated in the reportinI:_
facility's permit for re ortin 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)(1)).
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
MONTH: May YEAR:
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 feet/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre4nch)]
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 I inches) = [Monthly Loadinq (inches/month) / Number of days in the month (days/month)) x 7 (days/week)
9091
Did Irrigation Occur At This Facility:
Yes: ❑ No: (]
Did Irrigation Occur On This Field:
Yes: ❑ No: [2]
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
COVERCROP:1 qrass
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 :
weather
code
Temper-
ature at
application
Preclpita-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irri atad
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
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: �C
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATUYEkFOOPERATOR 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 Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00023213 MONTH: May YEAR: 2021
FACILITY NAME: Lexin ton Golf Course COUNTY: Davidson
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)) 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 Loading (inches/month) / Number of days In the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility: Did Irrigation Occur On This Field: Did Irrigation Occur On This Field:
Yes: ❑ No: El Yes: ❑ No: 0 Yes: ❑ No:
FIELD NUMBER:1 Zone 3 FIELD NUMBER: Zone 4
AREA SPRAYED (acres): 1 7.74 AREA SPRAYED (acres): 119.76
COVER CROP: rass COVER CROP:grass
DFDMITFYr111D1 v DATC /:....1.....1. !1 G TrI
•
r •
..�
• •
MEN•
,.
WNW
Time
.... . _ . . . - Daily
Loading. Loading
MEN
MINE
©AINE
MINEMBEEN
MENIMMIM MINE
©INE�����������
n
---
-
----- -- MINE
E---_
-_-- ----
©------------
_--
-- MINE -MINE ----
m
---
-- MIEN -MINE MIMM---
m---
_ ---MINE
®--NIM
ME ----
®_-MIE----EME1
m
---
_---- ----
MINE
m-----EME!
-
m
---
----- ----
m-----------MEE
m----------
MINE
MEE
m----
---NEEN ----
MINE
m---
_-------MEN
®-----MINE------
®-----------MEN
®-_--_
_-�_-_----
®--EMEMME
----------
t oual t,anonsrmomnly 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 (SIGNATURFAiNPERATOR 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.
PERMIT NUMBER: WQ0023213 MONTH: Ma:
Page
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)] 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) 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 (days/monthl] x 7 (dav A-1,l
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:1
Zone 5
FIELD NUMBER:
Zone 6
AREA SPRAYED acres :
6.34
AREA SPRAYED (acres):
10.89
COVER CROP:
rass
COVER CROP:
9rass
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):1
0.25
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE (inches):
weather
Code'
Temper-
atureat
application
Precipita-
lion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irri ated
Daily
Loading
Maximum
Hourly
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
Weather Codes: G-clear, PG -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-98997OCheck Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU PERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS,9fGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
Of
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.
Pageof
PERMIT NUMBER: W00023213
MONTH: Ma,
YEAR: 2021
FACILITY NAME: Lexington Golf Course COUNTY: _ Davidson
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)] 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) = [MonthlV Loading (inches/month) / Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: ❑ No: 0
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
Did Irrigation Occur On This Field:
Yes: ❑ No:
FIELD NUMBER:
Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres):
5.38
AREA SPRAYED jacres):1
9.71
COVER CROP:j
9rass
COVER CROP:j
grass
PERMITTED HOURLY RATE (inches):
0.15
PERMITTED HOURLY RATE (inches):1
0.3
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE (inches):
er Weath
Code*
Temper-
ature at
application
Freciplta-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
AEplied
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, Cl-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: �r
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATUq9ff4bPE4XTOR 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)
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. )
Cam liant(Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the 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. 0
4. All buffer zones as specified in the permit were maintained during each application. Y
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
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
an imprisonment for knowing violations."
w- • ,(,--_z Steve Craver
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Steve Craver Lexington Regional WWTP ORC
(Perm ittee-Please print or type) (Position or Title)
336-357-5090 Nov.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 215.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)