WQ0023213_Monitoring - 01-2024_20240614 (2)

Monitoring Report Submittal
...................................................
Permit Number#* WQ0023213
Name of Facility:*
Month: * January
Lexington Golf Course
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Year:* 2024
Upload Document*
SWT124061420200.pdf
PDF Only
655KB
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: 6/14/2024
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: 6/17/2024

NON DISCHARGE WASTEWATER MONITORING REPORT Page of_
PERMIT NUMBER: W00023213 MONTH: January YEAR: 2024
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
■
■ ■SW
Code/Name:
.....
DailyMEMM
(Flow) into
Treatment
—System
INN011111=11110111
Coliform
Daily Maximum
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):
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
Citv of Lexington (2):
Environment 1
Jeff Walser
(SIGNATURE OF P OR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE
AND COMPLETE TO 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 inform do , cluding the possibility of fines and imprisonment for knowing violations."
22' 22 Tom Johnson
(SighaTur Z7
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
W009 PAN (Plant Available)
00010 Temrerature
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
(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
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
Page of
PERMIT NUMBER: WQ0023213
MONTH: January YEAR:
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) 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) = [Monthly Loading [inches/month) / Number of days in the month (days/month)] x 7 (dayshmeek)
2024
Did Irrigation Occur At This Facility:
Yes: ❑ No: [21
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑�
Did Irrigation Occur On This Field:
Yes: ❑ No: Q
FIELD NUMBER:
Zone 1
FIELD NUMBER:
Zone 2
AREA SPRAYED (acres);
18.01
AREA SPRAYED (acres):
9.17
COVER CROP:
cirass
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):
0.2
PERMITTED HOURLY RATE (inches):
0.15
D
A
T
E
WEATHER CONDITIONS
Storage
Lagocn
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE
(inches):
Weather
Codes
Temper-
atureat
application
Preclpita-
non
Volume
Applied
Time
Irrigated
Dail Y
Loadin
Maximum
Hourly
Y
LoadingApplied
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
—
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 Load 1ng (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-S1989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to:
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATUR ATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIG URE,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 Page of
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDITIONAL PAGES AS NEEDED.
PERMIT NUMBER: WQ0023213
MONTH: Januai, YEAR: 2024
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 (gallonslacre-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 I 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: [21
Did Irrigation Occur On This Field:
Yes: ❑ No: [21
FIELD NUMBER:
Zone 3
FIELD NUMBER:
Zone 4
AREA SPRAYED (acres):
7.74
AREA SPRAYED (acres):
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-
ton
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
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 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 0 P RATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SIGN .TORE, 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: Januac; YEAR: 2024
FACILITY NAME: Lexington Golf Course COUNTY: Davidson
Formulas:
Daily Loading (Inches) = [Volume Applied (gallons) x 0.1336 (cubic feeVgallon) x 12 (inches/foot)] / [Area Sprayed (acres) x 43,560 (square feetlacre)] 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)j 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:
Did Irrigation Occur On This Field:
Yes: ❑ No: I]
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:
grass
COVER CROP:
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-
awre at
applicadon
Preciplta-
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
I
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-SI-989973 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and TWO COPIES to: 1
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATURE fl0jE&TOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BYTHISSIGNky E, I CERTIFY THAT THIS REPORT IS ACCURATE AND
RALEIGH, NC 27699-1617 COMPLETE TO 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: January YEAR: 2024
FACILITY NAME: Lexin !ton 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 festlacre)] OR
= Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch)]
Maximum Hourly Loading (inches) = Daily Loading (inches) I [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: El
Did Irrigation Occur On This Field:
Yes: ❑ No: ID
Did Irrigation Occur On This Field:
Yes: ❑ No: El
FIELD NUMBER:
Zone 7
FIELD NUMBER:
Zone 8
AREA SPRAYED (acres):
5.38
AREA SPRAYED (acres):
9.71
COVER CROP:
grass
COVER CROP:
grass
PERMITTED HOURLY RATE (inches):
0.15
PERMITTED HOURLY RATE (inches):
0.3
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
Free-
board
PERMITTED YEARLY RATE (inches):
PERMITTED YEARLY RATE
(inches):
Weather
od of
Temper-
ature at
application
Preciplta-
tion
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
Volume
Applied
Time
Irrigated
Daily
Loading
Maximum
Hourly
Loading
(°F)
Inches
feet
gallons
minutes
Inches
Inches
gallons
minutes
Inches
Inches
1
2
3
4
5
6
7
6
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: It n
DENR
Division of Water Quality
ATTN: Information Processing Unit (SIGNATUR(F P ATOR IN RESPONSIBLE CHARGE)
1617 Mail Service Center BY THIS SI N T RE, 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 compliant
with the following permit requirements: (Note: if a requirement does not apply to your facility put (NA) in the
compliant box. )
1. The did limit(s)
Compliant (Y�,N)
application rate(s) not exceed the specified in the permit.
u
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.
0
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-com; liant, 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
�
"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 acq a re hat there are significant -penalties for submitting false information, including the possibility of fines
and impri a foInowing violations."
Tom Johnson
Date (Name of Signing Official -Please print or type)
print or type)
City of Lexington
28 W.Center St. Lexington NC 27292
(Permittee Address)
Water Resource Director _
(Position or Title) 336-357-5090 �' ' 242?
(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)

2/22/24, 9:10 PM
Submission Completed
DWR - NonDischarge Monitoring Report Submittal
Permit #: *
Name of Facility:*
Month: January
Report Information
WQ0023213
Lexington Golf Course
Year: * 2024
►'•
. JORTH CAROLINA
_nrfrortnm �1Q1 Pry
Type Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR SWT124022221401.pdf 611.98KB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:
Name of Submitter:
Signature: *
Submittal Date:
[e-mail]
Jeff Walser
2/22/2024
Will be filled out automatically.
https://edocs.deq.nc.gov/Forms/Form/Submit 1 /1