WQ0023213_Monitoring - 06-2021_20210720

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0023213
Name of Facility:*
Month:* June
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*
SWT121072003100.pdf 606.92KB
FDF Cnly
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: Lloyd, Chloe D
7/20/2021
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: 7/23/2021

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0023213 MONTH:
FACILITY NAME: Lexington Golf Course
June YEAR: 2021
COUNTY: Davidson
-. p ■
•. p ■ ■
..-
Operator
Time
2400
Op.rat,01.RIC
M;j�
DailyArrival
(Flow) into
Treatment
System
INNNINE
nitrate
SOME
DailyMaximurn
Daily Minimum
Composite (C) Grab (G)
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
Certified Laboratories (1):
Jeff Walser
701
City of Lexin
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
Grade: WW4/SI Phone: [phone]
ORC Certification Number: WW4-1000476-SI-989973
(2): Environment 1
(SIGNATURIMOERATOR IN RESPONSIBLE CHARGE)
BY THIS SI ATURE, 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
kno ledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
falseinfr rmation.including the possibility of fines and imprisonment for knowing violations."
1=)&IA— ly� -1' ( 7--L ( Steve Craver
(Signature of Permittee)* Date (Name of Signing Official -Please print or type)
Steve Craver
(Permittee-Please print or type)
City of Lexi
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 TSSfTSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
Nov.30 2022
(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 reporting
facility's permit for reporting 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)

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: June YEAR:
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feetigallon) x 12 (inchee/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 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 Loadinc (inchea/month) / Number of days in the month fdays/monthll x 7 (days/week)
2n91
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: 0
FIELD NUMBER:
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED acres):
18.01
AREA SPRAYED acres :
9.17
COVER CROP:
rass
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 inches :
PERMITTED
YEARLY RATE (inches):
Weather
Code'
Temper-
atum at
application
Precipita-
tion
Volume
Applied
Time
Irri ated
Daily
Loading
Maximum
Hourly
Loading
Volume
A plied
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-SI989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR /
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU OIPPERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SitNATURE, 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: June
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)] 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 Loadinq (inches/month) / Number of daNs in the month (days/month)) x 7 (days/week)
YEAR: 2021
Davidson
Did Irrigation Occur At This Facility:
Yes: ❑ No: 121
Did Irrigation Occur On This Field:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
FIELD NUMBER:1
Zone 3
FIELD NUMBER:
Zone 4
AREA SPRAYED (acres):
1 7.74
AREA SPRAYED (acres):]
19.76
COVER CROP:
rass
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
atapplication
Precipita-
Lion
Volume
Applied
Time
Irrigated
Daily
Loadina
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
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
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
ORC Certification Number: WW4-1000476-S1989973 Check Box if ORC Has Changed: ❑
Phone: [phone]
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU Of bkRATOR 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 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: June
YEAR: 2021
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) 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 (daysAw k)
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
Did Irrigation Occur On This Field:
Yes: ❑ No: 2
FIELD NUMBER:
Zone 5
FIELD NUMBER: Zone 6
AREA SPRAYED (acres ,
6.34
AREA SPRAYED (acres): 10.89
COVER CROP:
qrass
COVER CROP: qrass
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
Owe,
Temper-
store at
application
Preclpita-
tion
Volume
Applied
Time
Irri sled
Daily
Loading
Maximum
Hourly
Loading
Volume
AEelied
Time
Irri atad
Daily
Loading
Maximum
Hourly
Loadin
(T)
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)l
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: WW4-1000476-SI-989973Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU F RATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGhATURE, 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: June YEAR:
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas: T
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 [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 (dayx/week)
2021
Did Irrigation Occur At This Facility:
Yes: ❑ No: [Z
Did Irrigation Occur On This Field:
Yes: ❑ No: 2
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
FIELD NUMBER:]
Zone 7
FIELD NUMBER: Zone 8
AREA SPRAYED (acres):
1 5.38
AREA SPRAYED (acres): 9.71
COVER CROP:
raSS
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
Dode,
Temper-
ature at
n
application
Precipita-
tion
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
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)l
1
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 ul Alt,
Division of Water Quality
ATTN: Information Processing Unit (SIGNATOqOUOERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS 90ATURE, 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. )
Com liant Y,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
Y
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.
Y
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)
IY
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 iWprisonment for knowing violations."
' P� �_ l'�J `` � C ' — t Steve Craver
(Signs ure of Permi ee)* Date (Name of Signing Official -Please print or type)
Steve Craver
(Perm ittee-Please print or type)
City of Lexington
28 W.Center St. Lexington NC 27292
(Permittee Address)
Lexington Regional 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 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)