WQ0023213_Monitoring (Report)_20231220

NON DISCHARGE WASTEWATER MONITORING REPORT Page
of
PERMIT NUMBER:
FACILITY NAME:
W 00023213
Lexington Golf Course
MONTH: November YEAR:
COUNTY:
Davidson
Flow Monitoring Point: Effluent: 0 ■
Parameter Monitoring Point: Effluent: 121 Influent: ■ ■SWCode/Name-
..:.
•
Daily Rate
(Flow) into
Treatment:..
Fecal
Colfform
ME
Operator in Responsible Charge (ORC):
Check Box if ORC Has Changed: ❑
Jeff Walser Grade: WW41SI 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 (SIGNAT01f OPPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality BY THIS 1 NATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
ATTN: Information Processing Unit AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
1617 Mail Service Center
RALEIGH, NC 27699-1617
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?
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 t+o cluding the possibility of fines and imprisonment for knowing violations."
12 - Zo - 23 Tom Johri'son
(SighaTur 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 Lexinc tLon
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
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 TurbidR
00340 COD
01067 Nickel
00545 Settleable Matter
01092 Zinc
q-30-2 2'
(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 desictnated in the renortinu
facility's permit for reportina 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: November
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) I [rime 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: El
Did Irrigation Occur On This Field:
Yes: ❑ No: [21
.......................................
FIELD NUMBER:
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED acres :
18.01
AREA SPRAYED (acres):
9.17
COVER CROP:
rass
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):
0.2
PERMITTED HOURLY RATE (inches):
0.15
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
Applied
Time
Irrigated
Dail y
Loading
Maximum
Hourly
y
Loading
Volume
Applied
Time
Irrigated
Dail y
Loading
Maximum
Hourly
y
Loading
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 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-SI989973 Check Box if ORC Has Changed: ❑
Phone: [phone]
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU E i F RATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS S NATURE, 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: November
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)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)
._______..,__,.._, __�x__ix__x___x_...__....__"__�.__�__,___.�".,..�:.-.-t.,-..-:-u... ..•...•u. ,w..•...I..•...•u.1, -i /A.••.�h.•ee41
Did Irrigation Occur At This Facility:
Yes: ❑ No: 0
Did Irrigation Occur On This Field:
Yes: ❑ No:
Did Irrigation Occur On This Field:
Yes: ❑ No: 0
......................................
FIELD NUMBER:
Zone 3
FIELD NUMBER:
Zone 4
AREA SPRAYED acres :
7.74
AREA SPRAYED facrask
19.76
COVER CROP:
rass
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
Preclpita-
non
Volume
A plied
Time
Irrigated
Dail y
Loading
Maximum
Hourly
y
Loading
Volume
Applied
Time
Irrigated
DailyHourly
Loading
Maximum
y
Loading
('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
- weatner uoaes: t-mear, ru-paray ciouuy, c.r-cwuay, rc-rduy 011-auow, Qi . IVC1
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 TOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIG RE, 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: WQ0023213
MONTH: November
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/fort)] / [Area Sprayed (acres) x 43,560 (square feet/acre)] OR
= Volume Applied (gallons) I [Area Sprayed (acres) x 27,152 (gallonslacra-inch)]
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)
Averane Weekly Loading (inches) = [Monthly Loading (inches/month) I Number of days in the month (days/month)l x 7 (daysfv eek)
Did Irrigation Occur At This Facility:
Yes: ❑ No: 21
Did Irrigation Occur On This Field:
Yes: ❑ No: El
Did Irrigation Occur On This Field:
Yes: ❑ No: D
...................................
FIELD NUMBER:
Zone 5
FIELD NUMBER.7
Zone 6
AREA SPRAYED (acres):
6.34
AREA SPRAYED (acres);
10.89
COVER CROP:
oraSS
COVER CROP:
qrass
PERMITTED HOURLY RATE (inches):
0.3
PERMITTED HOURLY RATE (inches):
0.25
DI
A
T
E
WEATHER
CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE inches
Weather
Dode�
Temper-
store at
application
Precipfta-
tion
Volume
Applied
Time
Irrigated
Dail y
Loading
Maximum
Hourly
y
Loading
Volume
Applied
Time
Irri ated
Dail y
Loading
Maximum
Hourly
y
Loading
(°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-SI-989973Check Box if ORC Has Changed: ❑
Phone: [phone]
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATU F fPokATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SitATURE, 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: November
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) I [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (Inches) = Daily Loading (inches) I [Time irrigated (minutes) / 60 (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)
Averaee Weekly Loading (inches) = ffulonthly Loading (inches/month) / Number of days In the month (dayslmonth)l x 7 (dayshveek)
Did Irrigation Occur At This Facility:
Yes: ❑ No: 0
Did Irrigation Occur On This Field:
Yes: ❑ No: [Z
Did Irrigation Occur On This Field:
Yes: ❑ No: 91
...................................
FIELD NUMBER:
Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres):
5.38
AREA SPRAYED acres J.
9.71
COVER CROP:
grass
COVER CROP:
raSS
PERMITTED HOURLY RATE (inches):
0.15
PERMITTED HOURLY RATE (inches):
0.3
D
A
T
E
WEATHER CONDITIONS
storage
Lagoon
Free-
sward
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE (inches):
� ;r
Temper-
atusat
application
Preclpna-
tion
Volume
Applied
Time
Irrigated
Daily
Loading___Loading
Maximum
Hourly
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
CF)
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 _ 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 (SIGNATUR F P RA OR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIN T R , I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE 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 comuliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The application rate(s) did not exceed the limit(s) specified in the permit.
comuliant {Y,N)
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
0
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
IY
4. All buffer zones as specified in the permit were maintained during each application.
0
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the limit(s)
Y
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.
C
"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."
Z_ ZO, 2.3
Date
Tom Johnson _
(Permittee- Please print or type)
Cily 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
(Phone Number)
If, W-2Aa9
(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)