WQ0004972_Monitoring - 10-2021_20211130

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * October
Report Information
WQ0004972
Forest Lakes Preserve ELS
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2021
Upload Document*
Forest Lakes_Nov.pdf 2.12MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Jessica Mize
jwd rA lip
Reviewer: Zhong, Vivien
11 /30/2021
This will be filled in automatically

Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
12/10/2021

Page of 2
NON -DISCHARGE WAS'FE WATER MONITORING REPORT
PERM11'NUMBER: WQ0004972 MONI'll, October YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie.
Flow Monitoring Point:, Effluent: Influent:
Parameter Monitoring Point Effluent: - LIV Surface Water SW: SW Code/Name:
Was There Effluent Flow for this Month Generated At Thor Facky: Yes:
No:
flpuraYae 50050 00400 1 5OD60 00310 CC610
00530
31616
0066
25
00630
-
00600
-
_�0620
_LUI Go
00940
Arnval
Daily Ralo
Fecal
i
10W
A
Time
operator
ORC
(Flow) into
cofifi I
Iwal
T,mal
Nitiaw
D,,wlved
11,
24DO
TlMo on
LOR
on
Treatment
R.idual
BOD-5
TwM
Kj6RA
Mmg-
NO2,1,03
Nimgo,
NO3-N
"Ad,
Chl d,
E
e7
SAV
S�mcrrl
1,11
-
-.7
00 ir.
------
20 V
NH,3,N
ISS
McW)
Pho,
m
NMT
Niti'l
%1GA,
MUL
--- �,
�Tj 11,
YN
y N
GvD
-
I-
NF;T-
NIG/L
-Vo-,,tTTy-
-3fy..r
M,turawo,nos
-7, -,A mk
M,A
mml,ly
Nlmthly
1,1,0hly
Wmady
MoM
7"r
rimtMy
m"'1111
09,,54-
2
40 77
7=
h",
A
2
7,
7777q,
77777
77777777
4
5
4 753
0744
11,25
y
8,0110
--7-
000
6.9
777U7777,
77--
<10
W77,
=77""'77,7"
77777
6
1317
015
B
8,000
66
<10
7
'140
0125 y/,,1,,,'
A
4n/ 6
6.
,
o 0
'I���",�,""I"""",�,,I�f",;",
777777
77777
777
8
104M8
1048
IL25
y
8,000
1 6.5
<10
--7
-
77-
777777
8,00111
7
1536
1530,
1
71,077,
72, '77
77777 ""777"""',
-
i z
7-
320
(1,25
8,000
6.2
<11)
7-
73
�777177,,,�,7
7
7
14
1155
0.25
B
8,0011
6A
<141,
77777777,77,
'75
777-
7,777,777,777
-7,777,77
1 16
8,000
<10
Is
0920
0.25
y
8,000
63
I
[20
77j5',
1120
0.25
y
8,0(10
C,
<10
-7777777
7-7 7 777�
it
75 11,
77,17"
7775i7
­77
, ,
"77,77",=7
Z2
0955
7777711'',
0.25
B
8,000
6.5
---va,
<10
-77 77-
-7-
77,
--777/-
7
7=7-7/111-11/71-717111
7
11
24
75
8,000
777�7
IEEE
7
777
T77777=
7
26
1515
0.25
8,000
6.6
<10
77777777
777,
77
77
7`0-1 7
11
1
77,7777 7_7
�777!77,7,7,777' 7
2S 11
1340
015
B
8,000
6.4
<10
2.5
0.26
7,2
2420
3.0
12.0
15.0
12.7
000
"717777
777-77,777"
'7
8,04)0
7
777777
77"
7, 7/77
­726
7,7777,
7
Averattv
8,000
<10
7.2
2420
2.5
3.0
11.0
-T
A
Daily Maximum
$,Ilff 0
6.9
<10
2•j
0,26
7.2
2420
10
3.0
Daily N1111111tuin
811.1041
6.2
<10
2.5
0.26
7.2
2420
2,0
3.0
1 12.0
ISM
12.7
Monthly I'latils (S)
24400
. Composlic v G rah (G)
Flow Meter Estimated , Flow Meter inoperable
Opvralor in Rcsponsible Charge (ORC): Cloon]"rick Grade: 11 Phone: 33k-996-2841 -
Check Box if ORC Has Changed: 1-1 ORC Certification Number- 987911/20771
Certified Laboratories (1): Pace Analytical Serivces,- (2): .
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to,
........ .
A'I,rN: Non -Discharge Compliance Unit
1) EN R (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
IANIslon of Water Quality I)y tbLs signature, I certify that this report Is accurate and
1617 Mail Service Center of) 1"plete to the best of illy knovvledgc.
RALEIGH, NC 27699-1617

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question:
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non-complignt, 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.
* Flow Meter ingperable Flow Estimated
Com liant Y,N)
"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 a qualified personnel properly gather and evaluate 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 information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permitee)* Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza . Suite 800
Chicago, Il 60606
(Permittee Address) .
01002 Arsenic
01022 Boron -
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury_
00610
NH3 as N
01067
Nickel
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services)
(Position or Title)
3/31/21
(Permit Exp. Date)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 PAN Plant Available
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
00929
Sodium
00931
SAR
00745
Sulfide
00515
TDS
00010
Temperature
00625
TKN
00680
TOC
00530
TSS/TSR
00076
Turbidity
01092
Zinc 7�j
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone], extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facilijYs permit for reporting data.
w if signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 N (2) (D).

Page 2_ Of 2
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERNUT NUMBER. WQ004972 rv10NT14:_Q_ctobvr YEAR. 2021
FAcu.xrY NAME: Fo rest Lakes Prese i°ve ELS. COUNTY: Davie
Formulas:
Daily Loading (inclnasp = [Volume Applied (gallons) xO.1336 (mblcfeeVijalloi x 12 (Inches1fool))) [Area Sprayed (acres) x 43,560 (square feeVacca) or
= lVolume Applied (gallons) /[Area Sprayed (acres) x 27,152 (gallonslacrci
Maximum Hourly Loading (inches) = Daily Loading (inches)! [Time irrigated 150 (minulesihour)] Monthly Loading (inches) =Snm of Daily Loading Cinches)
12 Month Floating Total (inches) = Sum of this nivith's Monthly Loading (iricfiies) and previous I I month's Monillily Loadings inches)
Average WeeMy Loading (inches) = [MantNy Loading Iinches)rriorith) ! Nurmier of days in the month idiyshnanth )] x 7 (aaysAveelk)
*Uvaib,r Codtm; C-ckini VC -pa dy cloudy, 0-cloudy, R-rain, Sn-snow, Skslvvt
Spray Irrigation Operator in RespoinsibleCharge(ORQ: Glenn Price_ Phorw 336-996-2841
01ZC Certification Nurnber: 987931/20771
Mail ORIGINAL and,rwo COPIES to:
ATTN- Non -Discharge Cornolhowe Unit x
DENR (SIGNATURE OF OPMA'FOR IN RESPONSIBIAL CIIARGE)
Division of Water Quality By tills signature, I certify tilat tills report is accurate arld
1617 Mail Service Center cornplete to tile aest of illy knowledge.
RAIXIGII, NC 27699-1617
Check Box if ORC Has Changed:
i . 0 am I I

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
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)
L The application rate(s) did not exceed the limit(s) specified in the permit.
Z 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.
S. 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 a qualified personnel properly gather and evaluate 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 information, including the possibility of fines and imprisonment for knowing violations."
(Sigriature of Permitee)* Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza Suite 800
Chicago. Il 60606
(Permittee Address)
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services)
(Position or Title)
3/31/2021
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per I SA NCAC 2B.0506 (b) (2) (D).

aOAnalytical
WWW'Pacelabs-Com
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lake
Pace Project No.92569304
Dear Tracy OverdurE
Pace AnalyficM Services, LLC
1377 SoWh Park Drive
Kernersville, NC 27284
[phone]
Enclosed are the analytical results for sarriple(s) received by the laboratory on October 28, 2021, The results relate only to
the samples included in this report, Results reported herein conform to the applicable TNI/NELAC Standards and the
laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report,
The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
Pace Analytical Services -Asheville
Pace Analytical Services - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Stephanie Knott
[e-mail]
704-977-0981
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
J without Viio written consent of Pace Analytical Services, LLC.
I 4"m
Page 1 of 16

aneAnalytICalWmimidahm
o
Project: Forest Lake
Pace Project No.: 92569304
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
M^rfh Romlinn nrinkinn Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification M 99030001
VrginiaNELAP Certification #: 460222
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Servloes, LLC.
Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
[phone]
Page 2 of 16

aLU*U ytical
www Pellabs.tetit
PAO
SAMPLE ANALYTE COUNT
Project: Forest Lake
Pace Project No.: 92569304
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Analytes
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92569304001 Effluent SM 254OD-2015
AED
1
PASI-E
EPA 353.2 Rev 2.01993
SRS
1
PASI-E
SM 521OB-2016
SRS
1
PASI-E
Colilert-18
AMI
1
PASI-E
TKN+NO3+NO2 Calculation
EWS
1
PASI-A
EPA 350.1 Rev 2.0 1993
NGP
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.01993
KDF1
1
PASI-A
EPA 365.1 Rev 2.01993
MDW
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 3 of 16

aceAnalyticai
wtrtvpatnl�hsr:ont
ANALYTICAL RESULTS
Project: Forest Lake
Pace Project No.: 92569304
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Sample: Effluent
Parameters
Lab ID: 92669304001 Collected: 10/28/21 13:22 Received: 10/28/21 13:45 Matrix: Water
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 254OD-2015
Pace Analytical Services - Eden
Total Suspended Solids
7.2 mg/L 5.8 1 10/29/21 11:16
353.2 NO2/NO3 unpres EDN
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, Nitrate
12.7 mg/L 0.20 5 10/29/21 12:07 14797-55-8
5210E BOD, 5 day EDN
Analytical Method: SM 521OB-2016 Preparation Method: SM 521OB-2016
Pace Analytical Services - Eden
BOD, 5 day
2.5 mg/L 2.0 1 10/29/21 12:08 11103/21 10:57
Colilert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Cotllert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100rnL 1.0 1 10/28/21 18:35 10/29/21 12:48
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services - Asheville
Total Nitrogen
15.0 mg/L 0.52 1 11/10/21 17:02
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Ammonia
0.26 mg/L 0.10 1 11/05/21 12:33 7664-41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Kjeldahl, Total
3.0 mg/L 0.50 1 11/09/21 15:58 11/10/21 04:14 7727-37-9
353.2 Nitrogen, NO2/NO3 pros.
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
12.0 mg/L 0.20 5 11/04/21 12:19
366.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Phosphorus
2.0 mg/L 0.050 1 11/08/2122:56 11109/2121:44 7723-14-0
Date: 11/1012021 05:06 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 16

aceAnalyttcal
wrnr.paa1rt61.coiA
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92569304
Pace Analytical Services, LLC
1377 South Park Drive
Komersvitle, NC 27284
[phone]
QC Batch: 656173
Analysis Method:
SM 254OD-2015
QC Batch Method: SM 2540D-2015
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92569304001
METHOD BLANK: 3439852
Matrix: Water
Associated Lab Samples: 92569304001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
NO
2.5 10129/21 11:08
LABORATORY CONTROL SAMPLE: 3439853
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 232
93 90-110
SAMPLE DUPLICATE: 3439854
92569191001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
38.7
36.8 5
SAMPLE DUPLICATE: 3439855
92569254001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 133 133 0
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/10/2021 05:06 PM without the written consent of Pace Analytical Services, I.I.C.
Page 5 of 16

aceArralytical
tvwPacelabamm
Project: Forest Lake
Pace Project No.: 92569304
QC Batch: 656204
QC Batch Method: EPA 353.2 Rev 2.0 1993
QUALITY CONTROL DATA
Analysis Method: EPA 353.2 Rev 2.01993
Analysis Description: 353.2 Nitrate + Nitrite, Unpres. EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92569304001
METHOD BLANK: 3440034 Matrix: Water
Associated Lab Samples: 92569304001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Nitrate mg/L ND 0.040 10129/21 12:05
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE:
Parameter
Nitrogen, Nitrate
3440035
Units
mg/L
Spike
Conc.
1.5
LCS
Result
1.4
LCS
% Rae
94
% Rae
Limits Qualifiers
90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3440036
3440037
MS
MSID
92569504010
Spike
Spike
MS
MSD
MS
MSD
% Rae
Parameter
Units Result
Cone.
Conc.
Result
Result
% Rae
% Rae
Limits RPD Qual
Nitrogen, Nitrate
mg/L 4.7
1.5
1.5
6.1
6.2
98
100
90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3440038
3440039
MS
MSD
92569504009
Spike
Spike
MS
MSD
MS
MSD
% Rae
Parameter
Units Result
Conc.
Conc.
Result
Result
% Rae
% Rae
Limits RPD Qua[
Nitrogen, Nitrate
mg/L 4.7
1.5
1.5
6.1
6.1
98
95
90-110 1
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11110/2021 05:06 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 16

8C@Analyt%Cato
tnrw.patcu�0><.eora
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92569304
QC Batch: 656192 Analysis Method: SM 521OB-2016
QC Batch Method: SM 521OB-2016 Analysis Description: 5210E BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92569304001
METHOD BLANK: 3439949 Matrix: Water
Associated Lab Samples: 92569304001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD, 5 day mg/L ND 2.0 11/03/21 10:11
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3439950
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rao Limits Qualifiers
BOD, 5 day mg/L 196 193 97 84.6-115
SAMPLE DUPLICATE: 3439952
92569254001 Dup
Parameter Units Result Result RPD Qualifiers
BOD, 5 day mg/L 160 170 7 R6
Results presented on this page are in the units Indicated by the "Unite' column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11110/2021 05:06 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 16

(�Iace
Anaiytical
wtrtrpttult<Its.colu
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92569304
QC Batch: 656078 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EON
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92569304001
SAMPLE DUPLICATE: 3439622
Parameter
Fecal Coliforms
92569453001 Dup
Units Result Result RPD Qualifiers
MPN/100mL NO NO
Pace Analytical Services, PLC
1377 South Park Drive
Kemersville. NC 27284
[phone]
Results presented on this page are In the unite Indicated by the "Units" column except where an alternate unit Is presented to the right of the result
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 11/10/2021 05:06 PM without the written consent of Pace Analytical Services. I.I.C.
Page 8 of 16

aceAnaJytical
1tww.Ptc1Itb&=
Project: Forest Lake
Pace Project No.: 92569304
QC Batch: 657751
QC Batch Method: EPA 350.1 Rev 2.0 1993
Associated Lab Samples: 92569304001
METHOD BLANK: 3447860
Associated Lab Samples: 92569304001
QUALITY CONTROL DATA
Analysis Method: EPA 350.1 Rev 2.01993
Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Blank
Reporting
Parameter
Units
Result
Limit Analyzed Qualifiers
Nitrogen, Ammonia
mg/L
ND 0.10 11/05/21 10:57
LABORATORY CONTROL SAMPLE:
3447861
Spike
LCS LCS °!o Rec
Parameter
Units
Conc.
Result % Rec Limits Qualifiers
Nitrogen, Ammonia
mg/L
5
5.0 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3447862 3447863
MS MSD
92569249001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L NO 5 5 5.1 5.1 101 101 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3447864
MS
92569250001 Spike
Parameter Units Result Conc.
Nitrogen, Ammonia mg/L 24.2 5
3447865
MSD
Spike MS MSD MS MSD % Rec
Conc. Result Result % Rec % Rec Limits RPD Qual
5 28.4 28.5 85 88 90-110 0 M1
Results presented on this page are In the units Indicated by the "Units' column except where an alternate unit is presented to the right of the result
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/10/2021 05:06 PM without the written consent of Pace Analytical Services, I.L.C.
Page 9 of 16

(�IaceAnalytical
W pacoltbs.com
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92569304
QC Batch: 658510 Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92569304001
METHOD BLANK: 3451371 Matrix: Water
Associated Lab Samples: 92569304001
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Blank
Reporting
Parameter
Units
Result
Limit Analyzed Qualifiers
Nitrogen, Kjeldahl, Total
mg/L
NO 0.50 11/10/21 03:55
LABORATORY CONTROL SAMPLE:
3451372
Spike
LOS LCS % Rae
Parameter
Units
Conc.
Result % Rae Limits Qualifiers
Nitrogen, Kjeldahl, Total
mg/L
10
9.6 96 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3451373 3451374
MS MSD
92569193001 Spike Spike MS MSD MS MSD % Rae
Parameter Units Result Conc. Cone. Result Result % Rae % Rae Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 5.9 10 10 16.6 16.4 107 106 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3451375 3451376
MS MSD
92569233001 Spike Spike MS MSD MS MSD % Rae
Parameter Units Result Cone. Cone. Result Result % Rae % Rae Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L ND 10 10 10.3 IDA 99 100 90-110 1
Results presented on this page are In the units indicated by the "Unite" column except where an alternate unh is presented to the right of the rasuit.
REPORT OF LABORATORY ANALYSIS
This report shall riot be reproduced, except in full.
Date: 11/10/2021 05:06 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 16

(�Ia'neAnalytical
wwwwwafti n
Project: Forest Lake
Pace Project No.: 92569304
QC Batch: 657412
QC Batch Method: EPA 353.2 Rev 2.01993
Associated Lab Samples: 92569304001
METHOD BLANK: 3446176
Associated Lab Samples: 92569304001
Parameter Units
Nitrogen, NO2 plus NO3 mg/L
LABORATORY CONTROL SAMPLE: 3446177
Parameter
Nitrogen, NO2 plus NO3
QUALITY CONTROL DATA
Analysis Method: EPA 353.2 Rev 2.01993
Analysis Description: 353.2 Nitrate + Nitrite, preserved
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 11/0412111:40
Spike
Units Conc.
mg/L 2.5
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LCS LCS % Rec
Result % Rec Limits Qualifiers
2.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3446178 3446179
MS MSD
92567965002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rac Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L NO 2.5 2.5 2.3 2.3 92 93 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3446180 3446181
MS MSD
92567965003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg1L ND 2.5 2.5 2.4 2.4 95 97 90-110 1
Results presented on this page are In the units Indicated by the 'Unite column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except in full,
Date: 11/10/2021 05:06 PM without the written consent of Pace Analytical Services, I.I.C.
Page 11 of 16

aceAnalyticat
www.pwNUf c=
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92569304
QC Batch: 658334 Analysis Method: EPA 365.1 Rev 2.01993
QC Batch Method: EPA 365.1 Rev 2.01993 Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92569304001
METHOD BLANK: 3450643 Matrix: Water
Associated Lab Samples: 92569304001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg/L NO 0.050 11/09/2120:30
Pace Analytical Services, LLC
1377 South Park Drive
Kernersvilie. NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3450644
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L 2.5 2.6 104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3450645 3450646
MS MSD
92569237001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 4.7 2.5 2.5 7A 7.1 110 98 90-110 4
MATRIX SPIKE $ MATRIX SPIKE DUPLICATE: 3450647 3450648
MS MSD
92569249001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 3.3 2.5 2.5 5.8 6.9 103 107 90-110 2
Resutts presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/10/2021 05:06 PM without the written consent of Pace Analytical Services, I.I.C.
Page 12 of 16

aclAna/ytical"
nerve paetlatbieao
QUALIFIERS
Project: Forest Lake
Pace, Prniwct NM: 92569304
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MOIL - Adjusted Method Detection Limit.
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
PQL - Practical Quantitation Limit.
RL- Reporting Limit _-The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenythydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphanylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is. a combined concentration.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as
"Total" may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TN - The NELAC Institute.
ANALYTE QUALIFIERS
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R6 The RPD between valid sample dilutions exceeded 30%.
Date: 11/10/2021 05:06 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C.
Page 13 of 16

(�Iaci.Anayical
www.patcNatncom
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lake
Pace Project No.: 92569304
Pace Analytical Services, LLC
1377 South Park Drive
Kernersvilie, NC 27284
[phone]
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92569304001
Effluent
SM 254OD-2015
656173
92569304001
Effluent
EPA 353.2 Rev 2.0 1993
656204
92569304001
Effluent
SM 521OB-2016
656192
SM 52108-2016
656246
92569304001
Effluent
Colitert-18
656078
Colilerl-18
656079
92569304001
Effluent
TKN+NO3+NO2
658936
Calculation
92569304001
Effluent
EPA 350.1 Rev 2.0 1993
657751
92569304001
Effluent
EPA 351.2 Rev 2.01993
658510
EPA 351.2 Rev 2.0 1993
658664
92569304001
Effluent
EPA 353.2 Rev 2.0 1993
657412
92569304001
Effluent
EPA 365.1 Rev 2.0 1993
658334
EPA 365.1 Rev 2.0 1993
658622
Date: 11/10/2021 05:06 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 14 of 16

CHAIN -OF -CUSTODY Analytical Request Document 1 LAB USE ONLY -Affix Workorder/togin babel Here or List Pace Workorder Number or
-" Chain -of -Custody is a LEGAL DOCUMENT - Complete all relevent fields
Company- Forest st Lakes III information:
ALLSHADED Ia 111111 All, 11111111111 fit
Report To: Email To:
Copy To:Site Collection lnfd/Address:
Customer Project Name/Number: State: CountyjCity, Time Zone Collected:
i [ ]PT[ ]MT[ ]CT [ ]ET
Phone:
Site P
/ ayiiity iD �:
—r -ia
Compliance M©rttpting7
Email:
[ V6es [ ]No
Col eco- y (print):
Purchase Order #:
F DW PWS ID .
� DW Location Code.
i f
Quote R:
CoNec-ed ey signature):
Turnaround Date Required:
Immediately Packed on .ee: t
��Vlpsal
[ ]Yes [ ] Nd3
Rush:
Field Filtered (if applicable):
( j mspme as appropriate ( I Return
[ ]Same Day [ Next Lay [ ] Yes [ ]No
I ( ) Archive:
] ] 2 Day [ 13 Lay [ ] 4 DAY
[ ] 5 Day
Analysis
I ] Hold:
(Expedite Charges APPIY)
£ Matrix Codes (insert in Matrix box below): tar inking Water (DW), Ground Water (GW), Wastewater (WW),
$ Product WE SoHISolid (SL). (ail f©L), Wipe (WP), Air (AR), Tissue (fS), Bioassay (B), Vapor (V), Other (OT)
•, Presentative Types: O nitric atid, 12) sulturic aci. ,'j:.,
(6) methanaL 17) sodium b€sulfate, (S) Sodium .. iosulfate, (9) hexane, IA) ascorbic acid, iti) ammon.urn suN$te,
IQ a-mvniLm hyd oxide, ID) TSP,,U) Unpresen'taf, M) Other
3
n;
: I >�a �.�m� � rccF<•e'ng� �r s?a�aaF��::
t study° Seals r ue t/lnt t N t,A E.
1 i [ custom{ Signatures PreventF
CullecLar 5 anat�I_e irte n w t--
3 _ I RVILtiog i ,€ace '' ; (�
orrect aorr"Ie =4 NA
i Sufficient V� it:� NA
1 l arFrlea e€ vent on Tee.: U,a �
I I [ 1 IV0.1% - Hein a .� Acc ptabie ar`f
I -.( MADA veesulated so 2 v Y
] F sa>•1ttF #r H€rrl T.r tom, -
t.. I Residual rr1.?rsia4 s; nt 5°com
�t rp� [
swrie.FAH c � �� tF:
PH St
Sul=lac pr.oanr Y h �f
( I,ea'd Acetate Strips:.
Comp l Collected (or
Res d of I- a carpi :'r nr t r:
Sample ID Matrix
I Customer Sam P "
) Composite Ent)
Gran Composite p
_
GI Gtns C] A) € ( t
D to Time I Date
Time
0(_
Z r 1
`LMue t
Ia
- t
( 1
0
E
i
,
f
I
1 E
r
Customer Remarks / Sp¢c"sal Conditions / Possible Hazards: 'Type of ice Used: kWel IBlue Dry None
i�
!Packing Material Used:
( Radchent sample(s) screened (<Soo cpm): Y N NA
by/Com ny:(Signature)
f
by/Company: (Signature)
j f
ze_eived by/Co ��ny: (Signature)
Received oy/Company: (Signature)
SHORT HOLDS PRESENT (c72 hourS). Y i N N/A
Lab Tracking M.
pies recehmd via:
€DID'* U'S
Client Courier
r
r
Tall
3 j
'Acc,num:
{"
Fa`f #
i 'rem plate:
ePrelo�in:
Date) ai, ,,
l N:
Dp-
Lap Sample Iel pp r€#1 tge into:
ernp Blank PpcPi r Y N NA
berets 4Dp tI�
Coolt r l Temp V n Recelp InG
Cooler I T hprm C r Factor. CC
Cooler : Correct Tem�p. tC
Comments:
Trip San, Rect ived: t N NA
HCL M.oOl-I TSP Other -
Aeon volors -,,r, ej t. Page:
YtS / -N c

D%W"ent Name Document Revised: February 1,
i,mer� taredkren IMti a.w.re.�IR�I tC l page 1 of 2
Document No.: I fsurfng authartty:
•Chuk mark top half of box If pH and/or dechlorinatlon Is Project I
-werlffed and.within the 4=0101tance range for-preserNtlon - — - -
samples.
faaapdov. VOA+ Catffam, MC CO and Grease, OW/8015 (water) OM 11Hy
**Bottom hall of box Is to list number of bottle
96
46 96
E
o d s o
6
pH Adjustment
Log for Preserved
Samples
WV4 ID
tW of Prostrative
plf apan receipt
Dow presuvatlen adjuttad
itt a presemttan
adjultid
Anmurtt of proservaUve lot N
added
NOU: WMneVir trrdra U a aRQe�t7RGY arriGUn6 naru, tirCUM cwopnar+c� iuntn■,, ■ wyr w w.r .■..n mw vc .any w u..+ nv.... ....--.. ��... _. __. _.--r- - �..- .----
out at hall, tnoarrrat p 4orraow, aut of temp, k1correct eanuiners.
Page 16 of 16