WQ0023213_Monitoring - 08-2023_20230921

Monitoring Report Submittal
...................................................
Permit Number#* WQ0023213
Name of Facility:* Lexington Golf Course
Month: * August Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SWT123092120580.pdf 629KB
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: 9/21/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald

Is the project number correct?* W00023213
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 9/26/2023

NON DISCHARGE WASTEWATER MONITORING REPORT Page of_
PERMIT NUMBER: W00023213 MONTH: August YEAR: 2023
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Flow Monitoring •. ■
Parameter Monitoring Point: Effluent: Influent:■ ■
0
Was There Effluent Flow For This Month Generated At This Facility: Yes:■Daily
00076
Rate
(Flow) into
Treatment
System
..
MAIM
I
11101111110
111M
11=
m
111=11110
ME
mAIMMM
11100
11100
1����
®
10000
111=11110
11000
m�1=0
moss
Imo
mo
11000
m
11000
M
110001
110=100010
111000�
m�10000
11100
11000=10
11000
11101=11
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MBII=11111�
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed:
❑■
Jeff Walser
Grade: WW4/SI Phone: [phone]
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
- W IALZ66Z
(SIGNATURE O P OR IN RESPONSIBLE CHARGE)
BY THIS SIGNA R , I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLET O 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
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false infor 16 cluding the possibility of fines and imprisonment for knowing violations.
/ 21 , ' Z3 Tom Johnson
(S 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 \
(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 TSSITSR
01034 Chromium
00610 NH3asN
00937 Potassium
00076 Turbidity
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
1061 &Z_9
(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: WQ0023213 MONTH: August 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) / mime 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 finches) = fMonthly Loading finches/month) / Number of days in the month (days/month)] x 7 (days/week)
Did Irrigation Occur At This Facility:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: (Z
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
FIELD NUMBER:
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED (acres):j (acres):
18.01
AREA SPRAYED (acres):
9.17
COVER CROP:l
graSS
COVER CROP:
9raSS
PERMITTED HOURLY RATE (inches):
0.2
PERMITTED HOURLY RATE (inches):1
0.15
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE (inches):
Weather
Code*
Temper-
atureat
application
Precipita-
tion
Volume
A lied
Time
Irri ated
Daily
Loadin
Maximum
Hourly
LoadingApplied
Volume
Time
Irrigated
Daily
LoadingLoading
Maximum
Hourly
(°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
1s
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, Cl-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 n
Division of Water Quality ��i✓
ATTN: Information Processing Unit (SIGNATURE FOP R IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGN R , I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE T HE 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.
PERMIT NUMBER: W00023213 MONTH: _ Au wst
FACILITY NAME: Lexington Golf Course COUNTY:
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetigallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feet/acre)]
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
OR
Page of
YEAR: 2023
Davidson
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:
Yes: ❑ No: 121
Did Irrigation Occur On This Field:
Yes: ❑ No: 121
Did Irrigation Occur On This Field:
Yes: ❑ No: 121
FIELD NUMBER:
Zone 3
FIELD NUMBER:
Zone 4
AREA SPRAYED (acres):
7.74
AREA SPRAYED (acres):
1 19.76
COVER CROP:
grass
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
at application
Preciplta-
tion
Volume
A lied
Time
Irrigated_
Dail Y
LoadingLoadingApplied
Maximum
Hourly
Y
Volume
Time
Irrigated
Dail Y
LoadingLoading
Maximum
Hourly
Y
(*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
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 (SIGNATURE O PE R IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGN RE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TD HE 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 MONTH: Auuust 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 feef/acre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (Inches) = Daily Loading (inches) / [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) = [MomhlI Loadin. fincheslmonth) / Nomh—r f d— ,,, tho m,...«, - , ,.,-._I __-
Did Irrigation Occur At This Facility:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: v
FIELD NUMBER:
Zone 5
FIELD NUMBER:1
Zone 6
AREA SPRAYED acres:
6.34
AREA SPRAYED (acres):1
10.89
COVER CROP,j
9foss
COVER CROP;j
qfoss
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
0.25
D
A
T
E
WEATHER
CONDITIONS
Storage
Lagoon
Free-
sward
feet
PERMITTED
YEARLY RATE
(inches):
PERMITTED
YEARLY RATE
inches
:
Weather
Temper.
atureat
application
(-F)
Precipita-
tion
Inches
Volume
Applied
gallons
Time
Irrigated
minutes
Dailyourly
Loadingadin
inches
ximum
Pinches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
LoadingLoading
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)
--
0
0
y „..,,,,.y, . -r —y, n-roof, an -snow, ar-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Jeff Walser Phone: [phone]
ORC Certification Number: WW4-1000476-SI-989979Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNAT OF RATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS 17110
A U , I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPL T 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: Am+ ust
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 feetlacre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallonslacre-inch)]
Maximum Hourly Loading (Inches) = Daily Loading (inches) I [Time Irrigated (minutes)1 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)
A., -rim Weekly 1 nndinn rinchecl = lmm hlv I nadinn iinchaslmnnthl 1 Numher of days in the month idayslmonthll x 7 (days/weekl
Did Irrigation Occur At This Facility:
Yes: ❑ No: I]
Did Irrigation Occur On This Field:
Yes: ❑ No: I]
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑r
FIELD NUMBER:j
Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED acres):
1 5.38
AREA SPRAYED (acres):
9.71
COVER CROP:j
qrass
COVER CROP:
arass
PERMITTED HOURLY RATE (inches):
0.15
PERMITTED HOURLY RATE (inches):1
0.3
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE inches):
PERMITTED YEARLY RATE (inches):
weather
Code•
Temper-
afore at
application
Precipila-
tion
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loading
Volume
Applied
Time
Irrigated
Dail Y
Loading
Maximum
Hourly
Y
Loadin
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 G illons/Monthly Loading
(inches)l
0
0.00
0
0.00
12 Month Floating Total (inches)
0.00
0.00
Average Weekly Loading (inches)
0
0
e Weather Codes: C-clear, PC -partly cloudy, CI -cloudy, R-rain, Sn-snow, 51-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Jeff Walser Phone: _ 336-843-0071
ORC Certification Number: W W4-1000476-SI989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU OF P ATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS G A RE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLE O 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. )
Compliant (YA)
1. The application rate(s) did not exceed the limit(s) specified in the permit. ly
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. F�
4. All buffer zones as specified in the permit were maintained during each application. l'
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 a a Lnowing
re are significant penalties for submitting false information, including the possibility of fines
and impri a violations."
-- 1 r21 I23 Tom Johnson
(Si4Aature o e m!nee)* Date (Name of Signing Official -Please print or type)
Tom Johnson Water Resource Director
(Perm ittee-15 lease print or type) (Position or Title)
336-357-5090 / ', !� Zg
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)