WQ0023213_Monitoring - 09-2023_20231020

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * September
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*
SWT123102021590.pdf 641.31 KB
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'1;K�111j%tlJ--t
Reviewer: Wanda.Gerald
10/20/2023
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: 10/24/2023

NON DISCHARGE WASTEWATER MONITORING REPORT Page
PERMIT NUMBER: WQ0023213 MONTH: September YEAR:
FACILITY NAME: Lexington Golf Course COUNTY:
of
13n,)Q
Davidson
Flow Monitoring Point: Effluent: 0 ■
MonitoringParameter •. 0 ■ ■
..
Was There Effluent Flow For Thii--M—onth Generated At This Facility: Yes: ■
..
(Flow) into
Treatment
System
NON
..
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 OqRIN RESPONSIBLE CHARGE)
BY THIS SIGNAT , I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETEVTTHE BEST OF MY KNOWLEDGE.
DENR FORM NDMR-1 (11/2005)

Page of
NON DISCHARGE WASTEWATER MONITORING REPORT
Facility Status:
Please answer the following question:
Compliant (Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
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 tto cluding the possibility of fines and imprisonment for knowing violations."
ZU " 23 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)
City of Lexington
28 W. Center NC Lexington NC 27292
(Permittee Address)
Parameter Codes:
(Position or Title)
336-357-5090
(Phone Number)
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
W009 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 Turbidhy
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
q- 3y- 21)zg
(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.
* 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
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: WQ0023213
MONTH: Se[-tember 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 feeVacre)] 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 Loadina finchesl
Did Irrigation Occur At This Facility:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑J
FIELD NUMBER:
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED (acres):
18.01
AREA SPRAYED (acres):
9.17
COVER CROP:
9toss
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):1
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):
Weathermum
Code,
Tamper.
ature at
application
(°F)
Preclpita
tion
inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
Loading
Inches
Maxi
Hourly
Loading
Inches
Volume
Applied
gallons
Time
Irri abed
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
1
0.00
0
0.00
12 Month Floa
1
0.00
0_00
Average Weekly Loading (inches)F
* Weather C—i— c, jt — .....a.,
1
0
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
ATTN: Information Processing Unit (SIGNATURE�61 0109ATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SI URE, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE THE BEST OF MY KNOWLEDGE.
DENR FORM NOAR-1 01/2005)

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: September 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 43,660 (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 Loadinq (inches/month) / Number of days in the month fri—fmnnth➢ x 7 lrin s ucekl
Did Irrigation Occur At This Facility:
Yes: ❑ No: 121
Did Irrigation Occur On This Field:
Yes: ❑ No: 9
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
FIELD NUMBER:
Zone 3
FIELD NUMBER:1
Zone 4
AREA SPRAYED (acres):1 (acres):
7.74
AREA SPRAYED (acres):]
19.76
COVER CROP:
1 9rass
COVER CROP:
1 Q rass
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
Precipita-
tlon
Volume
A plied
Time
Irri ated
Daily
Maximum
Hourly
Loading
inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
Loading
inches
Maximum
Hourly
Loading
inches
('F)
inches
feet
gallons
minutes
—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)l
0
0.00
0
0.00
12 Month Floating Total (inches)l
0.00
0.00
Average Weekly Loading (Inches)l
0 1
0
N -panty cloudy, cl-cloudy, R-ram, 5n-snow, 51-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Jeff Walser
ORC Certification Number: WW4-1000476-SI989973 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 TOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIG RE, 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 Pageof
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: W00023213 MONTH: September YEAR: 2023
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feettgallon) 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 Loadina (inches)=rMonthly Loadin. rnnhest­, l r N ­h-...f, _ 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:
FIELD NUMBER:
Zone 5
FIELD NUMBER:
Zone 6
AREA SPRAYED (acres);
6.34
AREA SPRAYED (acres):[
10.89
COVER CROP:
9rass
COVER CROP:j
grass
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
0.25
D
A
T
E
WEATHER
CONDITIONS
Storage
Lagoon
Free
board
PERMITTED
YEARLY RATE
(inches):
PERMITTED
YEARLY RATE
(inches):
Weather
Code-
Temper-
atnre at
application
Preciplta
tion
Volume
I Applied
Time
Irrigated
minutes
Daily
Loading
Inches
Maximum
Hourly
Loading
inches
Volume
Applied
gallons
Time
Irri ated
minutes
Daily
Loading
Inches
Maximum
Hourly
Loading
Inches
(°F)
inches
feet
gallons
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)l
0
yar, -Pai •ry C OLiuy, a.rwwuuy, m-rain, on -snow,
Spray Irrigation Operator in Responsible Charge (ORC): Jeff Walser Phone:
ORC Certification Number: WW4-1000476-SI-989973Check Box if ORC Has Changed: ❑
336-843-0071
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE OF RA RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNAT R , I ERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TOT EST 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: W00023213
MONTH: SecMember
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 feeVacre)] OR
= Volume Applied (gallons) I [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)=1Monihly l ..di- fin hnetmnnfh) :­_ - _11_ I
Did Irrigation Occur At This Facility:
Yes: ❑ No: ❑r
-part
Did Irrigation Occur On This Field:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑r
FIELD NUMBER:
Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres):
1 5.38
AREA SPRAYED (acres):
9.71
COVER CROP:
rass
COVER CROP:j
grass
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):
Weather
Code'
Temper-
ature at
application
(°F)
Preclplta-
tion
Inches
Volume
Applied
gallons
Time
Irrigated
minutes
Daily
LoadingLoadingApplied
inches
Maximum
Hourly
Inches
Volume
gallons
Time
Irri ated
minutes
Daily
Loadin
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
1
0.00
0
1000
12 Month Floating Total (inches)l
0.00
0.00
Average Weekly Loading (inches)
* woattior r ie�• r_..r...,. oC I I
0
0
y c oudy, CI -cloudy, R-rain, Sn-snow,
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 OF O T I ESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGNATU[E, CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, INC 27699-1617 COMPLETE TO TH ST OF My,
Y 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 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).
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 and/or storage lagoon(s) was not less than the limit(s) L—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 a a re hat there are significant penalties for submitting false information, including the possibility of fines
and impri a for nowing violations."
i I0--2.0-2
(Si ature please,<int
ittee)' Date
Tom Johnson
(Permittee- or type)
City ofof 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 `" - 30— 2Zq
(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 213.0506 (b)(2)(D).
DENR FORM NDAR-1 (11/2005)