WQ0023213_Monitoring - 05-2022_20220622

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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
Enrlranmenlel QHaflly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0023213
Name of Facility:* Lexington Golf Course
Month:* May Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SWT122062201520.pdf 594.57KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* [e-mail]
Name of Submitter:* Jeff Walser
Signature: p
C%
Date of submittal: 6/22/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda

Is the project number correct?* WQ0023213
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/12/2022

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: WQ0023213 _... MONTH: May YEAR: 2022
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Flow Monitorin f Point: Effluent: ❑ Influent: ❑
Parameter Monitoring Point: Effluent: 2 Influent: ❑ Surface Water(SW): ❑ SW Code/Name: L.
Was There Effluent Flow For This Month Generated At This Facility: Yes: Ei No:
50050 11 00400 50080 00310 1 00610 00530 00076 00620 00625 00600 00665 I
Operator Kjeldah
D `' Arrival Daily Rate Fecal
IIIII Total Total
A Time Operator ORC (Flow)into CoWorm T j 2400 Time On on Treatment Residual BOD-5 (Geo-metric Turbidit Nitroge Nitroge Phosph I
E I Clock Site Site? System Chlorine 20°C Mean') nitrate n n orus
IN m° GALLONS iiiamm meUG/L MG/L /100MLInal mg/I mg/I mg/1 f mg/I
A�e
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Average #DIV/0! I ##### =I itgiclt#=I #NUM!;c=1 #DIV/0!Fi" "1 1 ##### 1F/1 #
_ __ _:
Dail Maximum 0 0 0 00 00 0 0' 0 0 0I 0 01
y 0 0 0
Daily
Minimum 0 0 0 0 0 0 0
Monthly Limit(s) 10 4i 5I 14 EMI
Composite(C)/Grab(G) IC IC OM MI 111.1N
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 ton (2): Environment 1
Person(s)Collecting Samples: Jeff Walser
Mail ORIGINAL and TWO COPIES to: -(fit/
DENR (SIGNATUR F O E ATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS SIG TURE,I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facilit 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."
'?
�' "� I �
„At-- ' Steve Craver
(Signature of Permittee)* Date (Name of Signing Official-Please print or type)
Steve Craver Lexin ton Re Tonal WWTP ORC
(Permittee-Please print or type) (Position or Title)
Cit of Lexin ton 336-357-5090 Nov.30 2022
(Phone Number) (Permit Exp. Date)
28 W. Center NC Lexin.ton 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 1 00927 Ma•nesium 32730 Phenols 00680 TOC
Residual 71900 Mercisy 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(919)715-6189.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean.Use onl the units desk noted in the re ortine„
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 2B.0506(b)(2)(D).
DENR FORM NDMR-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:mmmmmm min WQ0023213 MONTH: ay 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/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)
Avera a Weekly Loading(Inches) =[Monthly Loadin.(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: 0 No: I] Yes: 0 No: p Yes: 0 No: I]
I
FIELD NUMBER: Zone 1 FIELD NUMBER:, Zone 2
AREA SPRAYED acres: 18.01 AREA SPRAYED acres ---- --- 9.17
COVER CROP:': grass ....- COVER CROP: 'rass
inches):HOURLY RATE :( ) 0.2 PERMITTED HOURLY RATE(inches): 0.15
D WEATHER CONDITIONS
storage PERMITTED YEARLY RATE'inches;: Maximum PERMITTED YEARLY RATE inches,:••Maximum
A Temper- Lagoon
T Weather ature at Precipita- Free- Volume Time Daily Hourly Volume Time Daily Hourly
E application Con board A ,lied !rrl ated Loading Loading Apulied Irri aged_ Loadin I Loading
(F) inches 1111= gallons minutes Inches Inches gallons minutes inches Inches
_ 1= 6110.
NM IIIIIIIIIIIIIIII
-"-"="-7:-
EN
SI MI
Total Gallons/Monthly Loading(inches)I 0 0.00 0 0.00
12 Month Floating Total inches I 0.00
Average Weekly Loading(inches)f, 0 0
Weather Codes: C-clear,PC-partly cloudy,Cl-cloudy,R-rain,Sn-snow,SI-sleet
Spray Irrigation Operator in Responsible Walser Phone: [phone] Responsible Charge(ORC): mmmmmmmmmmmmmITITmm�mmm
ORC Certification Number:WW4-1000476-SI989973 Check Box if ORC Has Changed: 0
Mail ORIGINAL and TWO COPIES to:DENRiki.14.7-Division of Water Quality r
ATTN:Information Processing Unit (SIGNATU E ) ERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS S TURE,I CERTIFY THAT THIS REPORT IS ACCURATE AND
ALEIGH,NC 27699-1617 COMPLETE
R 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: _............W M YEAR: 2022
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/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: 2 Yes: ❑ No: E Yes: ❑ No: 2
FIELD NUMBER: Zone 3 FIELD NUMBER:I Zone 4 t
AREA SPRAYED .acres I_ -----._...--_ 7.74 ._. - AREA SPRAYED(acres):I 19 76.-- ..-...._ I
COVER CROP grass COVER CROP:I IirasS
PERMITTED HOURLY RATE
(inches
): 0 5 PERMITTED HOURLY RATE(inches): 0.2
D l WEATHER CONDITIONS PERMITTED YEARLY RATE inches;: PERMITTED YEARLY RATE inches c
A ... Storage Maximum . ... . .. Maximum
Weather
T Temper-stare Prectplta- Lagoon Volume Time Daily Hourly Volume Time Daily Hourly
Code*
E at application tton Free-board Applied Irri��ated LoadingLoadingApplied lied Irri ated Loadint, Loadin„
(° inches feet gallons
F)
T Ip g
�� inches inches gallons minutes 11111=1111=
2
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21
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27 I _.. _ ......., _ .._
30_.�..�... -.. . .. M __�
Total Gallons/Monthly Loading(inches) 0 I 0.00 0 0.00
12 Month Floating Total(inches)I 0.00 0.00
Average Weekly Loading(inches)1 0 0 I
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-S1989973 Check Box if ORC Has Changed: 0
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality u
"4016AT 7 Mail Service Center tion ssing Unit BY THIS SIG TU R E,I CERTIFY Y THAT IN ONSIBLE THIS REPORT GE)
IS
li A.
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: Ma � YEAR: 2022,
FACILITY NAME: Lexintuton 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/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 OYes: ccur At This Facility: El Yes:: Did" Irrigation Occur On This Field:No: ❑ Did Irriigeation OccurNo: ❑On This Field: f
s: 0
AREA SPRAYED acres): --..6.34
_,_-- AREA SPRAYEDCOVER CROP: 10.89 1
FIELD NUMBER:1 Z
COVER CROP:
Zone 5 FIELD NUMBER: Zone
PERMITTED HOURLY RATE(inches): 0.3 PERMITTED HOURLY RATE(inches): 0.25
I WEATHER CO[r • J PERMITTED YEARLY RATE(inches;: PERMITTED YEARLY RATE,inches
Storage ) Maximum Maximum
Temper- Lagoon
Weather 1ature at Preclplia- Free- Volume Time Daily Hourly Volume Time Hourly
application tion board A rilied Urn),ated Loadin;, Loadin. A *lied IrriIated ... Loadin
Inches -- gallons inches inches minutes ;,.` inches
0 Mil 1
al
nomeimm ,i
' 1EIIIMIIIIIIIIIIIIIIIIIIIIIIIIIIBBII
C .m..
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1 11
I151 ----E-0----
El_ .. "Ili ...
16 ....... __a _<_,,...
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17
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= ,==mil
1 mil=
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__.._...m
Gallons/Monthly ,Iii.
1
Loading(inches) 0 0 00
Total 0 0.00 MINI
12 Month Floating Total(inches) 0.00 0.00
mmm
Average Weekly Loading(inches) I 0 1 I 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: 0
Mail ORIGINAL and TWO COPIES to: 1
DENR
Division of Water Quality
1617 Service Center X __. I CERTIFY THAT THIS REPORT IS ACCURATE AND
Information Processing Unit (SIGNATU 1F P ATOR IN RESPONSIBLE CHARGE)
MailBYTHISSI' 'pT RE,
RALEIGH,NC 27699-1617 COMPLETE 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: ... mm W00023213 MONTH: wow Mammmm mmmmmmmmmm _„ YEAR: 2022
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/acre-inch)]
Maximum Hourly Loading(inches) =Daily Loading(inches)/[Time Inigated(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: 0 No: 0 Yes: 0 No:• D Yes: 0 No: 0
FIELD NUMBER: Zone 7 FIELD NUMBER: Zone 8
COVERREA SPRAYED CROP: 5.38 A COVER acres:CROP: arose
A PERMITTED HOURLY RATE
0.15 A PERMITTED HOURLY RATE(inches):71 0.3
WEATHER CONDI
TIONS PERMITTED YEARLY RATE'inches: PERMITTED YEARLY RATE inches ,m ,„
® m �� Storage
A Temper- Lagoon Maximum Maximum
Weather Volume Time DailyHourlyVolume Time DailyHourly
T Code` ature at Precipita- Free-
E application ties board Apslied_... _mmlrri ated Load[n, Loadin, A*tlied Irrr ated Loading Load[n __
(°F) inches feet gallons minutes inches inches gallons.., minutes inches inches
?..,........._. ...m _ .. ...
3
4IT ...... m._
5 �._..__.,....--- ....
6IT-„......_...._ -------------
7 4.
9 __a.. ..... _ --... -
10 ....
11
12
13 _ _--_.--_.... w_..... _-... ... .��. ........ ��
14
15 _. - ---
16 �....__ ��. I
17
18 �... -.. .- w ---.
19
20
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22 _ ...,
24 .....
25
26 ...-..... 4 -. ..« ..__ ._
....
28 ,- ____ .-....._
29
30 _—.....
31 1
Total Gallons/Monthly Loading(inches) 0 0.00 0 C 0.00
12 Month Floating Total(inches) 6.11 1 3.91
Average Weekly Loading(inches) 0 I 0
*Weather Codes: C-clear,PC-partly cloudy,CI-cloudy,R-rain,Sn-snow,SI-sleet
Spray Irrigation Operator in Responsible Charge(ORC): W_ m mm„m Jeff336-843-0071
Walser Phone:
ORC Certification Number: WW4-1000476-SI989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality j„,,
ATTN:Information ProcessingUnit (SIGNATURE F P � �
TOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGN R-,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)
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). Y
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 andlor storage lagoon(s)was not less than the limit(s) Y
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."
) �
✓" 't-rrt'-. Steve Craver
(Signa tire of Permittee)' Date (Name of Signing Official-Please print or type)
Steve Craver LexiVon Re;)ional WWTP ORC
(Permittee-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 2B.0506(b)(2)(D).
DENR FORM NDAR-1(11/2005)