WQ0023213_Monitoring - 10-2022_20221117

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0023213
Lexington Golf Course
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2022
Upload Document*
SWT122111702590.pdf
PDF Only
614.23KB
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:
Date of submittal: 11/17/2022
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: 11/22/2022

NON DISCHARGE
PERMIT NUMBER: WQ0023213
FACILITY NAME: Lexington Golf
Course
WASTEWATER
MONITORING
MONTH:
REPORT
October
COUNTY:
Page
YEAR:
of
2022
Davidson
Flow Monitoring Point: Effluent: 0
Influent:
❑
Parameter Monitoring Point: Effluent:
0
Influent:
❑
Isurface Water (SW):
❑
SW CodelName:
Was There Effluent Flow For This Month Generated
At This
Facility:
Yes: ❑
No: 0
MNWM
50050 00400
50060
00310
00610
00530 31616
00076
00620
00625
00600
00665
Operator
Kjeldah
D Arrival Daily Rate
Fecal
I
Total
Total
A Time Operator ORC (Flow) into
T 2400 Time On on Treatment
Residual
BOD-5
Colfform
(Geo-metric
Turbidit
Nitroge
Nitroge
Phosph
E Clock Slte Site? System pH
Chlorine
2D°C
NH3 N
TSS Mean*)
nitrate
n
in
orus
HRS Y/N GALLONS UNITS
UG/L
MGIL
MG/L
MGIL /1001VIL
units
mg/I
mgll
mg/I
mg/l
1,
3 �
4 �.
I
5
6
7
8
10
11...
_�.
�...
12
13
14
15
16
17
18
19 _
�.
20 I .....-
21
22
WWWw
'23
24
25
26
27
28
29
30
31
Average #DIV/0!
#####
#####
##k###
##### #NUM!
Daily Maximum 0 0
0
0
0
0 0
0
0
0
0
0
Daily Minimum 0 0
0
0
0
0 0
0
0
0
0
0
Monthly Limit(s)
10
4
5 14
Composite C/ Grab !G) G
LG=
C
C
C G
Operator in Responsible Charge (ORC):
Jeff
Walser
Grade:
WW4/SI_
Phone:
336-843-0071
Check Box if ORC Has Changed:
❑
ORC Certification
Number:
WW4-1000476-SI-989973
Certified Laboratories (1):
Cite
Of Lexin
ton
(2):
Environment
1
Person(s) Collecting Samples:
Jeff
Walser
I I I
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE CI CAP OITIN RESPONSIBLE CHARGE)
BY THIS SIGNAT`, RE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Facilltv Status.
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? OY
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, inclu 'ing the possibility of fines and imprisonment for knowing violations."
1 l l —t 6- Z_ Steve Craver
re of Permit' ee)* Date (Name of Signing Official -Please print or type)
Steve Craver
(Permittee-Please print or type)
City of Lexin ton
Lexin-ton Regional WWTP ORC
(Position or Title)
336-357-5090
(Phone Number)
28 W. Center NC Lexin ton NC 27292
(Permittee Address)
Parameter Codes:
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
facilily's permit for re artincg 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.
_.... m _ 2022
PERMIT NUMBER: W00023213 MONTH: October YEAR:
FACILITY NAME: Lexin On Golf Course COUNTY: », Davidson
_____...._.
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0,1336 (cubic feetigallon) x 12 (incheslfoot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acreinch)]
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 (Inches) = [Monthly Loadi (inches/month) / Number of days in the month (da month)] x 7 (dayslwoek)
Did Irrigation Occur At This Facility: Did Irrigation Occur On This Field: Did Irrigation Occur On This Field:
Yes: El No: ❑� Yes: ❑ No: 0 Yes: ❑ No: ❑
FIELD NUMBER: Zone 1 FIELD NUMBER: Zone 2
AREA SPRAYED (acresj.. 18.01 1 AREA SPRAYED (acres 9.17
COVER CROP: toss COVER CROP: Toss
PERMITTED HOURLY RATE (inches):' 0.2 PERMITTED HOURLY RATE (inches): 0.15
WEATHER CONDITIONS PERMITTED YEARLY RATE finches PERMITTED YEARLY RATE (inches):
D
Storage Maximum Maximum
A Weather Temper- Lagoon
T atureat Preciplta- Fr— Volume Time Daily Hourly Volume Time Daily Hourly
E Code' .,application tion board Applied Irritated Loading Load[n: A)a� Ilr ed Irri ated Loading Loading_
(°F) Inches feat gallons minutes Inches Inches gallons minutes Inches Inches
1
2 _ _.
3
........
5
_�. �. a ........ -----
6
7 �ww
8
9
10
11 I
12
13'
14
15
16
_... __.
_..wawa ., .� W -.._
17
18
19'
20 _- _..._................ _ .. _.. _-..�
21
22
23 ------
24 __--_
25
26
27
28
29
_-.. _-. _ ®.....
31
Total GallonslMonthly Loading (inches) 0 0.00 0 0.00
12 Month Floating Total (inches) 0.00 0.00
. .._m. _....
Average Weekly Loading (inches)l 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 (SIGNATURE9RE.
OR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGRTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.

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: _ mmmITOctober
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) 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) / 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: ❑'r Yes: ❑
No: ❑�
FIELD NUMBER: Zone 3 FIELD NUMBER: I
Zone 4
AREA SPRAYED 'acres : � 7.74 AREA SPRAYED acres :',
19.76
COVER CROP: rass COVER CROP:
- crass
. .........�
_...-............
PERMITTED HOURLY RATE (inches): 0.5 PERMITTED HOURLY RATE (inches): 0.2
WEATHER CONDITIONS
PERMITTED YEARLY RATE inches;: PERMITTED YEARLY RATE inches
D
A
Maximum
Maximum
T
storage
Weather
Temper-ature Preeipita- Lagoon
Volume Time Dail Hourly Volume Time
Y Y
Dail Hourly
y y
E
Owe,
at application tion Free -board
A lied Irri ated Loadin Loadin Applied I,rri, ated
Loading Loading
ff) inches feet
gallons minutes inches inches gallons minutes
inches inches
1
_
--__.. .....-_. w.w.__ .
2 .
_.
.. .......... .--. W_ _ —
_....... .
3
4
......
5
6..
_............
. ....__ .. ..... _'
7
8
9
.. -._
10
11
12
_ ...m...... _
_ .._....�
13
............
...... _
14
15
_..._
....... _........ ....
16
17
18
- _...--. -
_ ..... .
19
_ ......... __...�
_.
20
� _
21
22 __
.............- -------�.�
..�._........
23
24 .-
-
_----. _ .,.....................
..--.....
25
_- - _.........__ ..W_.....
26
m.............. --...._-
.........._. w.
27
____........-- ....__
....
28
_... ._..- -
29
..........
30
..._....._-- _----
µ _........__. ......'.
31
Total Gallons/Monthly Loading (inches)
0 0.00 0
_ ........
0.00
_
W .-------.......
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:
336-843-0071
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 (SIGNATURE OF oEiQl� I RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATIFY 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: WQ ..0023213 MONTH: October .................. YEAR: 2022
FACILITY NAME: LeXln ton GOIf 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 feetlacre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallons/acre4nch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) I [Time Irrigated (minutes)160 (minuteslhour)] 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 Weekl Loading inches = [Monthly Loading (inches/month) l Number of days in the month (days/month)] x 7 (dayshveek)
Did Irrigation Occur At This Facility: Did Irrigation Occur On This Field: Did Irrigation Occur On This Field:
Yes: ❑ No: Yes: ❑ No: 17v Yes: ❑ No: (]
FIELD NUMBER: Zone 5 FIELD NUMBER:' Zone 6
..._...._� www .__
AREA SPRAYED_ acres : 6.34 AREA SPRAYED 'acres : 10.89 _
COVER CROP: rass COVER CROP: orass
PERMITTED HOURLY RATE (inches): 0.3 PERMITTED HOURLY RATE (inches): 0.25
WEATHER CONDITIONS PERMITTED YEARLY RATE (inches): PERMITTED YEARLY RATE N�[nches :
storage Maximum Maximum
A Tamper- Lagoon
weather Volume Time Dail Hourly Volume Time Dail Hourly
T Code` store al precipaa Fran- y Y y y
E application tion board Allied„ Irrigated Loading, Loading A Applied Irri at... Loading Loadln
(°F) inches feet gallons minutes Inches Inches gallons minutes Inches Inches
1 _ __________ w
2,
3'',
4
_ ... ..._
5
6
7 _. . ... .... ............ __
.. ..... _
9
_.
_ _ ........
11 _.... .. _ _ .._.._. _.....
12 _ ............ _. ....... ............. _...
13,
14 ........... _____
15 .........
16 .._ ...
17 _ _ ..
18 ... _.. _............... ....._''..
19 , _. _......_.. .. .....___
20
21I
22 _...._ ___.._..... ______EHE
24
25 __. ................
Y8
27_....
28. ..... ___.._
29 ...... ,.... _......___ . _..._.... __....._______.
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
g g ( )
Spray Irrigation Operator m Responsible Charge ORC : .. Jeff Walser Phone: [phone]
ORC Certification Number: WW4-1000476-SI-989972, Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
( to
ATTN: Information Processing Unit (SIGNATUR O Cl .:R OR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIG OF a, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.

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: w October W.... ..wwuwwwmmmm„ YEAR: 2022
FACILITY NAME: LexI!ngton Golf Course ....,_ COUNTY: Davidson
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feel/gallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feetlacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27.152 (gallonslacre-Inch)]
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 (Inches) = [Monthly Loading (Incheslmonth) I 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: ❑ Yes: ❑ No: ❑ Yes: ❑ No: ❑Z
FIELD NUMBER: Zone 7 FIELD NUMBER: Zone 8
AREA SPRAYEDacres 5.38 AREA SPRAYED (acres): . 01
COVER CROP: raSS COVER CROP: _ rass
PERMITTED HOURLY RATE (inches): 0.15 PERMITTED HOURLY RATE (inches):', 0.3
._ - Maximum _ . inches :
D WEATHER CONDITIONS store PERMITTED YEARLY RATE Inches: PERMITTED YEARLY RATE,. Maximum
A Tamper- Lagoon
Weather Volume Time Dail Hourly Volume Time Dail Hourly
T Codes store at Precipita- Free- Y Y Y Y
E application son board Allied Irrigated Loading Loadin Applied Irri ated Loadin Loadin
.. w._ .....
(°F) Inches feet gallons minutes inches inches gallons minutes Inches Inches
1
2,,
3 _... ._ _ .- ._--�. ......
4
_.- ........____� --
5 ........_ ......
8 ..........._ .. ..
7 ._.... _. ... _ ......
8
....... --
9
10
11 — . . .. .. ........... . . . . . . .............. ­ I F --- I—
12
13
14
15
.....
1s
17
..®._...........
18
22
21
22
............._ _ __..._ .......�
23
24
25
2s
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 (SIGNATURE O (UO;JE,
ER T IN RESPONSIBLE CHARGE)
1617 Mail Service Center BYTHIS SIGNA 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)
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.
Ly U
4. All buffer zones as specified in the permit were maintained during each application.
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 n nn-cam, 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 o ermittee )} Date
Steve Craver
(Perm ittee-Please print or type)
Cite of Lexin ton
28 W.Center St. Lexington NC 27292
(Permittee Address)
Steve Craver
(Name of Signing Official -Please print or type)
Lexington Re ional W WTP ORC
(Position or Title)
336-357-5090 Nov.30 2022
(Phone Number) (Permit Exp7 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)