WQ0023213_Monitoring - 06-2023_20230719

Monitoring Report Submittal
...................................................
Permit Number#* WQ0023213
Name of Facility:* Lexington Golf Course
Month: * June Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SWT123071922330.pdf 646.67KB
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:
Date of submittal: 7/19/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0023213
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/20/2023

NON DISCHARGE WASTEWATER MONITORING REPORT
PERMIT NUMBER: WQ0023213 MONTH: June
FACILITY NAME: Lexington Golf Course COUNTY:
Page of
YEAR: 2023
Davidson
MonitoringFlow •. pInfl■
Parameter Monitoring Point: Effluent: 2 Influent: ■ ■
Was There Effluent Flow For This Month Generated At This Facility: Yes: ■
Daily Rate
(Flow) into
..
to
m��.�����������.��
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): Cityof Lexh--Jon (2): Environment 1
Person(s) Collecting Samples:
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit
1617 Mail Service Center
RALEIGH, NC 27699-1617
Jeff Walser
(SIGNATURE O#Pf4TOk IN RESPONSIBLE CHARGE)
BYTHISSIGMARTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETBEST 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
false inform do , ncluding the possibility of fines and imprisonment for knowing violations."
Z Tom Johnson
(S a ur f ermittee)* Date (Name of Signing Official -Please print or type)
Tom Johnson
(Permittee-Please print or type)
Water Resource Director
(Position or Title)
City of Lexington 336-357-5090
28 W. Center NC Lexington NC 27292 (Phone Number)
(Permittee Address)
Paramptar r_nelec-
01002 Arsenic 1
31504 Coliform, Total
vV 00600 Nitrogen, Total
00929 Sodium
01022 Boron
00094 Conductivity
00630 NO2&NO3
00931 SAR
00310 BOD5
01027 Cadmium
01042 Copper
00300 Dissolved Oxygen
00620 NO3
00556 Oil -Grease
00745 Sulfide
70295 TDS
00916 Calcium
00940 Chloride
31616 Fecal Coliform
01051 Lead
WQ09 PAN (Plant Available)
00400 pH
00010 Temperature
00625 TKN
50060 Chlorine, Total
Residual
00927 Magnesium
71900 Merc :ry
32730 Phenols
00665 Phosphorus, Total
00680 TOC
00530 TSSITSR
01034 Chromium
00340 COD
00610 NH3asN
01067 Nickel
00937 Potassium
00546 Settleable Matter
00076 Turbidity
01092 Zinc
y/3a 12o 2q
(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 reportin facility's Permit for reporting data g
* 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 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: June YEAR: 2023
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 feetfacre)] OR
= Volume Applied (gallons) / [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)
Average Weekly Loadinu (inches) = IMonthl L—ii—!inch-¢/­th%I N­he f,.e.M
Did Irrigation Occur At This Facility:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
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
COVER CROP:
grass
COVER CROP:
rass
PERMITTED HOURLY RATE (inches):
0.2
PERMITTED HOURLY RATE (inches):
0.15
D
A
T
E
WEATHER
CONDITIONS
Storage
Lagoon
Free-
board
feet
PERMITTED
YEARLY RATE
(inches):
PERMITTED
YEARLY RATE
(inches):
Weather
Temper-
ature at
application
('F)
Preclpila-
tion
Inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
Loading
inches
Maximum
Hourly
Loading
inches
Volume
Applied
gallons
Time
Irrigated—
minutes
Daily
Loading
Inches
Maximum
Hourly
Loading
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)
* we +kt f,_A.... r ^I PC
0
0
ear, -partly cloudy, CI -cloudy, R-rain, Sn-snow,
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 OP"OR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNAE, I tERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE' E 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: June YEAR: 2023
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 11noh-1--hN I ti,�mr.o.
- - _ ._...
Did Irrigation Occur At This Facility:
Yes: ❑ No: El
_____- ,..._..__...._.....,...-...-��................... ym-......ilia r iuEyJlw
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
)
Did Irrigation Occur On This Field:
Yes: ❑ No:
FIELD NUMBER:1
Zone 3
FIELD NUMBER:1
Zone 4
AREA SPRAYED (acres):
1 7.74
AREA SPRAYED (acres):
1 19.76
COVER CROP:
grass
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):
1 0.5
PERMITTED HOURLY RATE (inches):
0.2
D
A
T
E
WEATHER
CONDITIONS
storage
Lagoon
Free -board
feet
PERMITTED
YEARLY RATE
(inches):
PERMITTED
YEARLY RATE
(inches):
Weather
Code'
Temper-ature
at application
(°F)
Precipita-
Lion
inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
Loading
inches
Maximum
Hourly
Loading
inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
Loading
inches
Maximum
Hourly
Loadin
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)
* Weathar Cnclac- rrlanr oc_..- ci I d CI
I
0
0
y c ou y, -c oudy, R-rain, Sri -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 (SIGNATURE O E TOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIG URE, 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 YEAR: 2023
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) I60 (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 Loadina finrin—I=r�.,,r,i„i..=a;....r.,,.e............"" ._.___1 .,_.._�_ 1. .... .... _..
- -
Did Irrigation Occur At This Facility:
Yes: ❑ No:
----...� ,.9_..,.,,�,,, .., ;ay. n mn n,omn tyaysrmonmll x r (oaY-N
Did Irri anon Occur On This Field:
Yes: ❑ No:
sek)
Did Irrigation Occur On This field:
Yes: ❑ No: ❑�
FIELD NUMBER,j
Zone 5
FIELD NUMBER:1
Zone 6
AREA SPRAYED (acres),
6.34
AREA SPRAYED jacres):1
10.89
COVER CROP,j
COVER CROP:
rays
PERMITTED HOURLY RATE (inchePERMITTED
HOURLY RATE (inches):
0.25
DWEATHER
AStorageweather
T
CONDITIONS
Lagoon
Frea-
board
feet
PERMITTED
YEARLY RATE
inchePERMITTED
YEARLY RATE
inches
0�,ature
temper-
at
application
Preciptta-
tion
Volume
A lied
gallons
Time
Irri ated
minutes
DailyVolumeE
LoadinInches
inchesgallons
Wrass
I 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)
12 Month Floating Total (Inches)l
Average Weekly Loading (inches)l
' Weather Codes: C-clear. PC-nartly clei,dv- ri-rin„d„
0
fa­:�
1
c..___, c, _,__.
0.00
0.00
0
0
0.00
0.00
0
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:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE OF OPE OOF
ESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATURE,THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO THE BKNOWLEDGE.
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
MONTH:
YEAR: 2023
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 feeuacre)] 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) / Number of d ' th th d
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑�
ays in a Mon ( ays/month)] x 7 (daW%veek)
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 acres :
9.71
COVER CROP:
toss
COVER CROP:
toss
PERMITTED HOURLY RATE (inches):
0.15
PERMITTED HOURLY RATE (inches):
0.3
D
A
T
E
WEATHER
CONDITIONS
Storage
Lagoon
Free-
board
feet
PERMITTED
YEARLY RATE
(inches)-
PERMITTED
YEARLY RATE
(inches):
Codeer
Temper-
ature at
application
(°F)
Prscipita-
tion
inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
Loading
Inches
Maximum
Hourly
Loading
inches
Volume
Applied
gallons
Time
Irri atad
minutes
Daily
LoadingLoadin
inches
Maximum
Hourly
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)l
0.00
0.00
Average Weekly Loading (inches)
' Weathar r—l— rslc.r Dr--l., m..,,.r.,
r......�.. r, __:_
o_ _----
0
0
r, .-,a, , �„ SROW, 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
ATTN: Information Processing Unit (SIGNATURE OF ER T IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNAT , I C TIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO T 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. )
Compliant ,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).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment andlor storage lagoon(s) was not less than the limit(s) Fy--J
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 impria for .nowinq violations."
0 -%
(SigWature or ittee)Date
Tom Johnson
(Permittee-P 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)
336-357-5090 36eO 2?
(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 2B.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)