WQ0023213_Monitoring - 05-2023_20230620

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * May
WQ0023213
Lexington Golf Course
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
SWT123062022021.pdf 655.5KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Jeff Walser
C'�„�1j%tlJ�t
Reviewer: Wanda.Gerald
6/20/2023
This will be filled in automatically

Is the project number correct?* WQ0023213
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/11/2023

NON DISCHARGE WASTEWATER MONITORING REPORT Page of
PERMIT NUMBER: W00023213
FACILITY NAME: Lexington Golf Course
MONTH: May YEAR: 2023
COUNTY: Davirlcnn
Parameter Monitoring •. 0 ■ ■
Was There Effluent Flo or This Month Generated At This Va-dility. —Yes: ■
•
.. ..
.
DailyCollform
.
system
_
:..
Fecal
. .
..
.. -
..
.
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): City of Lexington (2): Environment 1
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
(SIGNATURE OF)016EKAtOR IN RESPONSIBLE CHARGE)
BY THIS SIGNA�URE, 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:
1. Does all monitoring data and sampling frequencies meet permit requirements? Compliant (Y,N)
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
falncluding the possibility of fines and imprisonment for knowing violations."
'"� Tom Johnson
(Sr a ur f ermittee)* Date (Name of Signing Official -Please print or type)
Tom Johnson Water Resource Director
(Permittee-Please print or type) (Position or Title)
City of Lexington 336-357-5090
28 W. Center NC Lexington NC 27292 (Phone Number)
(Permittee Address)
Parameter CndPer
01002 Arsenic131504Coliform,
Total
00600 NftTtal00929 Sodium
01022 BoronConductivity
00630 NO2&NO3 00931 SAR00310
BOD5Copper
00620 NO3 00745 Sulfide01027
CadmiumDissolved
Oxygen
00556 Oil -Grease 70295 TDS00916
CalciumFecal
Coliform
WQ09 PAN (Plant Available) 00010 Temperature
00940 ChlorideLead
00400 pH 00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
32730 Phenols 00680 TOC
71900 Mercury
00665 Pnosphorus, Total 00530 TSS/TSR
01034 Chromium
00610 NH3asN
00937 Potassium 00076 Turbidly
00340 COD
01067 Nickel
D0545 Settleable Matter 01092 Zinc
1,301 .�zQ
(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 reportincl
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 (bx2)(D).
DENR FORM NDMR-1 01/2005)

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: Ma,
YEAR: 2023
FACILITY NAME: Lexin--jon 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) I [Area Sprayed (acres) x 27,152 (gallons/acre-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 Loadino (inches) = rMonthly I -A,.,, (i­hee,...,..,. r..._._
- _ . . __.__. ___..... ...._........ ..,,,,,,, ,,,,��,,.e, .,� dye m me monm iaaywmomh)] x 7 (days/week)
Did Irrigation Occur At This Facility: Did Irrigation Occur On This Field:
Yes: ❑ No: Yes: ❑ No: ❑r
FIELD NUMBER: Zone 1
AREA SPRAYED acres : 18.01
COVER CROP: I rass
PERMITTED HOURLY RATE (inches): 0.2
D WEATHER CONDITIONS PERMITTED YEARLY RATE inches):
A Storage
Weather Temper- Lagoon Maximum
T Code* abuts at Preciplts- Free- Volume Time Daily Hourly
E application lion board Applied Irrigated Loading LoadingApplied
('F) Inches feet gallons minutes inches Inches
1
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
FIELD NUMBER:j Zone 2
AREA SPRAYED (acre-4
9.17
COVER CROP:j
rass
PERMITTED HOURLY RATE (inches):
PERMITTED YEARLY RATE inches
Volume Time Daily
Irri abed Loadin
gallons minutes inches
0.15
Maximum
Hourly
Loadin
Inches
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)
12 Month Floating Total (inches)
a
Average Weekly Loading
9 y g (inches)
* Weather Codes: C-clear. PC-Dartly rinudv_ rlrinr
0
l,, o_. ;,
Z. or
0.no 1
0.00
0
_r__.
0
o.no
0.00
0
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[/�,�/ (/L
ATTN: Information Processing Unit (SIGNATUR fjF P RATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SI NATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 (1112005)

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: 2023
FACILITY NAME: Lexington Golf Course COUNTY:
Davidson
Formulas:
Daily Loading (inches) = [volume Applied (gallons) x 0.1336 (cubic feet/gallon) x 12 (inchestfoot)I / [Area Sprayed (acres) x 43,560 (square feet/acre)l 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
Loadin )) Monthly Loading (inches) =Sum of Daily Loadings (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly
g (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading cinches/month) l Numhar of ,1=­ i„ ,�.o ....,...� �..,..._,__
Did Irrigation Occur At This Facility:
Did Irrigation Occur On This Field:
Did Irrigat[on Occur On This Field:
Yes: ❑ No: 1z
Yes: ❑
No: 0
Yes: ❑ No: M4
FIELD NUMBER: Zone 3
FIELD NUMBER:
Zone 4
AREA SPRAYED (acres): 7.74
AREA SPRAYED (acres:
19.76
COVER CROP:1 rass
COVER CROP: rass
WEATHER CONDITIONS
PERMITTED HOURLY RATE (inches):nHourly
PERMITTED HOURLY RATE (inches): 0.2
D
PERMITTED YEARLY RATE inches :PERMITTED
YEARLY RATE inches
A
Volume
Time
DailMaximum
y
Volume
Storage
T Weather Temper-ature Precipita. Lagoon
Code*
E at application uon Free -board
A lied
Irri ated
Loadin
A lied
Time
Irri ated
Daily Hourly
inches feet
gallons
minutes
inches
gallons
Loadin LoadinI'F)
7
minutes
inches inches
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
12 Month Floating Total (inches)
0.00
0 0.00
Average Weekly Loading (inches)
0.00
0
0.00
* Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, SI-sleet 0
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 (/1
ATTN: Information Processing Unit (SIGNATURE ERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIG TURF, 1 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: WQ0023213
MONTH: Ma'v YEAR: 2023
FACILITY NAME: Lexington 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 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 d— i� e,o
IDid,_....._..._.....
Irrigation Occur At This Facility:
Yes: ❑ No:
WEATHER CONDITIONS
Storage
weather Tamper- Lagoon
Code. atureat Precipha- Free-
application Lion board
JE
F) Inches feet
1
..=r�,,,,v„u,qn. tonysrwaep
Did Irrigation Occur On This Field:
Yes: ❑ No:
FIELD NUMBER: Zone 5
AREA SPRAYED (acres): 1 6.34
Did Irrig ation Occur On This Field:
Yes: ❑ No:
FIELD NUMBER: Zone 6
AREA SPRAYED (acres): 10.89
COVER CROP:
PERMITTED HOURLY RATE (inches):
PERMITTED YEARLY RATE inches
Volume Time Daily
Applied Irri ated Loadin
gallons minutes Inches
rass
0.3
:
Maximum
Hourly
Loadin
Inches
COVER CROP: rays
PERMITTED HOURLY RATE (inches):
PERMITTED YEARLY RATE inches
Volume Time Daily
Applied Irri ated Loadin
gallons minutes Inches
0.25
Maximum
Hourly
Loading
inches
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
0 0.00
31
Total Gallons/Monthly Loading (inches) 0
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)
0
0.00
n
-C Oaf, ra -Paruy cfauay, t i-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 (SIGNATURE AO� ATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIG TU✓zE, 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: Ma:
YEAR: 2023
FACILITY NAME: Lexln.,jon 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 feef/acre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallonslacre-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)
Averaue Weekly Laadlna tinchosl
- _ _ , _ _, ,..........
Did Irrigation Occur At This Facility:
Yes: ❑ No:
. __.,_..,� ,.9,,, ,,,,,,,,,,,, nays in me monm (aays/month)) x 7 (days/week)
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
D WEATHER CONDITIONS
A Storage
Weather Temper- Lagoon
T Code, ature at Pmcipita Free-
E application tion board
(°F) Inches feet
1
FIELD NUMBER:
/-One 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres):
5.38
AREA SPRAYED jacres):1
9.71
COVER CROP:
,ass
COVER CROP:j
raSS
PERMITTED HOURLY RATE (inches):
PERMITTED YEARLY RATE inches
Volume Time Daily
A lied Irri ated Loadin
gallons minutes Inches
0.15
:
Maximum
Hourly
Loading
Inches
PERMITTED HOURLY RATE (inches):
PERMITTED YEARLY RATE inches
Volume Time Daily
Applied Irrigated Loadin
gallons minutes inches
0.3
Maximum
Hourly
Loadin
Inches
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)
12 Month Floating Total (inches)
Average Weekly Loading (inches)
Weather Codes: C clear, PC -partly cloudy. CI-elnirohu
0
R-ra;„
c­.,...., ai
0.00
0.00
0
0 1
0.00
0.00
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 (SIGNATERATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THI SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BEST OF MY KNOWLEDGE.
DENR FORM NDAR-1 0112005)

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. )
Compliant ,N)
1. The application rate(s) did not exceed the limit(s) specified in the permit. L-J
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. L-_J
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 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 ark a re hat there are significant penalties for submitting false information, including the possibility of fines
and impri a for nowing violations."
4/26123
Date
lease print or type)
City of Lexington
28 W.Center St. Lexington NC 27292
(Permittee Address)
Tom Johnson
(Name of Signing Official -Please print or type)
Water Resource Director
(Position or Title) �f1,3q126f
336-357-5090 7}' Z�
(Phone Number) (Permit Exp. Date)
" If signed by other than the permittee, delegation of signatory authority must be on file with the state per 16A NCAC 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)