WQ0004972_Monitoring - 01-2022_20220303

Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * January
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:* 2022
Upload Document*
Forest Lakes —Jan 22.pdf 1.68MB
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: Gerald, Wanda
3/3/2022
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:
4/11 /2022

Page 1- of 2
NON-DISCIIARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: WQ0004972 MONTH: January YEAR: 2022
FACILITY'NAME: Foi-est Lakes 1'reset-ve ELS COUNTY: Davic
Flow MonAoring Poiw: Effluent: Lyj lnflueW; u
Parameter Morfto6ng PoInt EflluenL LIV Influent: (SW): SW Code/Name:
Was There Effluent Flow for lhis Morlh Generate At'rhf', Facility: Yes: u No: u
Op,, at,r
50050
001WO
O(K"' 10
130610
00530
316;6
OM615
00625
COOD
00600
MX20
70300
00940
D
A
T
L
Arrivall
Time
2460
Operate;
Tme on
Meng
CR,C
on
Sac?
rgidy Rim
(Flowinto,
Tmattrertl
m nrvw
oil
R'Ouhl
hk"-
HOD
20 t
NH
SS
Fecal
C Afo-
{Cco -I",
M-O�
I 'T
ph'�
jr",',I
Km,],Mfl
Nmog-
Nut
NuM,
Naah
" a n t r 7V
1'nad
IN"ol'.1
"7'A4N
hlmidc
HR
YIN
CAID
;"'d I
--=-
ing L
MO L
%Iu I
iffl,
MG 11
M tlfill
NOAL
w h
440 L
%V.l I
Mt; L.
Hil�
MO 1.
"'M'
NIG 1,
Wffl%........
MG I
%k
2
3
4
0804
1455
0.25
11,25
Y
B
8,000
81000
6.4
6.3
<111.01
<11.01
5
1505
0,25
B
8j11m
6.2
"AL01
6
1415
0.50
11
&0011
6,11
'(1.0 1
7
111211
0.25
V
8,041111
6.2
8
8,11410
to
1455
0125
13
&IIIJI)
63
1 <Ofil
tl
1,345
0,25
13
sm),l)
6.1
<OAll
1 12
1545
11.25
13
8,10(1)
6.0
<0M I
13
1016
W50
1,
3,000
5.9
<11,91
W
0811
0.25
8'41w1
5.9
'COA)l
t
1-1
-
8,000
1
16
1
If
8,000
17
Is
19
0804
14411
1.115
41.25
0?5
US
1'
B
B
81000
8,000
8,000
519
6.0
6.2
�'0'01
•A).411
0.01
20
41745
0.50
Y
8,000
fi.t
-'u.11 I
21
0915
0 2 -1;
B
8,01)1)
6A
<111.01
2:
MOO
23
8,000
24
1420
0.2,5
It
81000
63
"'0.01
25
WOO
0.25
it
8,()1)1)
6.2
"0.01
26
Hq15
0.25
11
sjml)
63
<11.01
27
0716 1
0.50
y
&000
63
""0.01
9.4
2&9
8A
2420
15 1
34.4
<0.040
34.4
<0,04(f
2,
104()
0.25
11
8 ,000
6A
"0.01
Z9
0
1
8,000
.33
31
1310 1
0.215
f3
8'm1)
6.30
<401
A'Crjy,v
E4j111f)
I=
<jI.j)j
9.4
28.1)
S.N
24211
34.4
<0.040
.44.4
<0.040
Datik, Nlakinitun
8MOO
!tA
<11.01
S.N
2420
3.5
14.4
75.575
-777-
-.7 777M 7
Daily m
Minimu1000
8
5111
<0.0
9.4
28.9
U
1
34.4
<0.040
34.4
<0.11400
M011011.1 t 11mits (S)
Composite'; / Grab ((;)
How I'victer Inopenabie flows' Estimated
Glcimllri(T Grade: If Phone: 336-996»2841
Check Box if ORCHas Changed: ORC Certification Number. 987931/20771
Cei-fified Laboratories (1). Pace Analytical ScHyces (2).
Pei-SO11(s) Collecling Samples: clelln pl-ice
Mail ORIGINAL and'Fkko COPIES Itp:
XFFN': Non -Discharge Compliance Unit x $
1) FN R (SIGN VFU R E' fah 0 11 E IM () R IN R ES P 0 N S 113 1, E C I LA R G E)
1) i i s i 4) ji of "' a t o r Q i j ; t I i I) fly this %ignaturv, I certify that this report is accurate Hit(]
1617 Malt Ser-vice Center COMI)ICIC W the best of my knoiNledv.
RALEAGM, NC 27699-1617
DENR Form NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant ,4N)
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.
Flow Estimated Flow meter inoperable
"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
-Conductivity01042
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
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
facilit,�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).

Page 2 _ of _..2____
NON-1)[SCH�kR(.1i'Al"PLICA'rION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUINIBER: WQ004972 INIONTIJ: January YEAR: 2022
FACILITYNANIE: Forest Lakes Preserve ELS. COUNTY: Da%,ie
Formulas:
Daily Loading (incines) = [VoluTne Applies (galions) x 0.1336 (cubic foeLgWon) x 12 (Inch"Anot)] f jAroa Sprayed (acres) x 43,560 (squat e feeLlacro) or
(Volume Appred (gallons) ( (Area Sprayed (acres) x 27,152 (gaflons/acre-ancin),
Max-inum Hourly Loading linchrs) Daily Loading (inches))'Finne irrigated (minutos) 160 (niinwps)hoturtj Monthly Loading (linchos), mSurn of Daily Loading (inchas)
12 Month Floating Joi (inOiosl = Suni of this month"s i Loading (inches) and previous 11 month's Monttnly Loadings (inches)
Avi;irage Weekly Loading (inches) = [%knitbly Loading (inchesinnon(h) / Nurnoer of dav,r in the month (day0i I] x 7 (days//­eek I
'%N catticar Codi C-clear. K-par dv clocid, , Cl-clouirb, R-rwir, SI-dret
Spray Irrigation Operator in WSPOVISHAC Charge (ORC); Gicall Price - - Phone: [phone]
ORC Certification Number: 987931120771 Cheek Box if ORCHas Changed:
Mail ORIGINAI, and'hvo COPIES to:
A'Ft N: Non-Discluirge Compliance Unit X . . ..... Zs,
1) EN R (SIGNA'fURE 01, OPERA'll IN RESPONSIBIX CHARGE)
Division of Water Quvr1i1% By this signutilivol I evill-tili that tins report is accurate and
1617 Mail Service Centel, coroplew to the best of il kno"10ge.
NC 27699-1617
DENR Form NDAR-1 (5/2003)

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)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s). r,
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."
Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal MCDuffie (Authorized Agent)
(Permittee-Please print or type)
2N. Riverside Plaza, Suite 800
Chicago. I1 60606I 160606
(Permittee Address)
Field Services Director (Pace Services Director (Pace AnalZical 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 15A NCAC 2B.0506 (b) (2) (D).

Analytical
WWW'Pacirlabs'COM
February 09, 2022
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lake
Pace Project No.: 92584837
Dear Tracy Overclurf:
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
Enclosed are the analyfical results for sample(s) received by the laboratory on January 27, 2022. The results relate only to
the samples included in this report. Results reported herein conform to the applicable TNIINELAC 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 tNs report, please feel free to contact me.
Sincerely,
Stephanie Knott
stepl)[e-mail]
704-977-0981
Project Manager
Enclosures
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 1 of 16

IweAnalytical
wrw.pacelabu m
Project: Forest Lake
Pace Project No.: 92584837
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NO 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NO 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Yrginia/VELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 2 of 16

1�5aaqceAnalytical
WMIS ISI)Leam
SAMPLE ANALYTE COUNT
Project: Forest Lake
Pace Project No.: 92584837
Pace Analytical Services, LLG
1377 South Park Drive
Kemersville, NC 27284
[phone]
Lab ID Sample ID Method
Analysts
Analyses
Reported
Laboratory
92584837001 Effluent SM 254OD-2015
DAW
1
PASI-E
EPA 350.1 Rev 2.0 1993
AMI
1
PASI-E
EPA 353.2 Rev 2.0 1993
SRS
1
PASI-E
SM 521OB-2016
AED
1
PASI-E
Colilert-18
LRB
1
PASI-E
TKN+NO3+NO2 Calculation
EWS
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
KDF1
1
PASI-A
EPA 365.1 Rev 2.0 1993
KDF1
1
PASI-A
PASI-A = Pace Analytical Services -Asheville
PAS I-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

act. Analj cal"
www.paeetabs.com
ANALYTICAL RESULTS
Project: Forest Lake
Pace Project No.: 92584837
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvipe, NC 27284
[phone]
Sample: Effluent
Lab ID: 92584837001 Collected: 01127/22 11:03 Received: 01/27/22 14:15 Matrix: Water
Parameters
Results Units Report Limit OF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids
Analytical Method: SM 254OD-2015
Pace Analytical Services - Eden
Total Suspended Solids
8.8 mg/L 6.3 1 01/28/22 17:27
350.1 Ammonia EDN
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, Ammonia
28.9 mg/L 0.50 5 02101/2212:55 7664.41-7
353.2 NO2/NO3 unpres EDN
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, Nitrate
ND mg/L 0.040 1 01/27/22 19:01 14797-55-8
5210E SOD, 5 day EON
Analytical Method: SM 521 OB-2016 Preparation Method: SM 521OB-2016
Pace Analytical Services - Eden
SOD, 5 day
9.4 mg/L 2.0 1 01/27/22 18:00 02101/22 15:49
Colilerl:48 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100mL 1.0 1 01/27/22 17:33 01/28/22 12:07
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
34.4 mg/L 0.52 1 0210712212:00
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
34A mg/L 2.5 5 02/02/22 13:25 02/03/22 04:41 7727-37-9
353.2 Nitrogen, NO2/NO3 pres.
Analytical Method: EPA 363.2 Rev 2.01993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
ND mg/L 0.040 1 02103/2210:58
365.1 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
3.5 mg/L 0.050 1 02/08/22 23:29 02/09/22 15:10 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 16

aceAnalytical
www.pacelaba.eam
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92584837
Pace Analytical Services, LLC
1377 South Park Drive
Kernersvilie. NC 27284
[phone]
QC Batch: 674743
Analysis Method:
SM 254OD-2015
QC Batch Method: SM 254OD-2015
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92584837001
METHOD BLANK: 3531713
Matrix: Water
Associated Lab Samples: 92584837001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 01/28/22 17:23
LABORATORY CONTROL SAMPLE: 3531714
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 242
97 90-110
SAMPLE DUPLICATE: 3531715
92584846001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
91.6
91.0 1
SAMPLE DUPLICATE: 3531716
92584848001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
748
660 12
Resuns 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: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, L.L.C. Page 5 of 16

IeAnalyticai�
tmaw.pacelabseom
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92584837
QC Batch: 674912 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.01993 Analysis Description: 350.1 Ammonia, EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92584837001
METHOD BLANK: 3532600
Associated Lab Samples: 92584837001
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 02/01/2211:29
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3532601
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L 5 5.4 108 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3532602 3532603
MS MSD
92584816001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.6 5.5 109 109 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3532604 3532605
MS MSD
92584822002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.6 5.6 111 111 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: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, I.I.C.
Page 6 of 16

acmnalytical
www.pacelabuom
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92584837
QC Batch: 674409 Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, Unpres. EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92584837001
METHOD BLANK: 3530199
Associated Lab Samples: 92584837001
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 01127/2218:58
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3530200
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Nitrate mg/L 1.5 1.5 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3530201 3530202
MS MSD
92584837001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L ND 1.5 1.5 1.5 1.5 100 99 90-110 1
Results presented an this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the resuh.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, L-C.
Page 7 of 16

acmnalytical
www.pacelabs.com
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92584837
QC Batch: 674357 Analysis Method: SM 521 OB-2016
QC Batch Method: SM 521OB-2016 Analysis Description: 5210B BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92584837001
METHOD BLANK: 3529651 Matrix: Water
Associated Lab Samples: 92584837001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD, 5 day mg/L ND 2.0 02/01/22 14:20
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville. NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3529652
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
BOD, 5 day mg/L 198 176 89 84.6-115
SAMPLE DUPLICATE. 3529654
92584726002 Dup
Parameter Units Result Result RPD Qualifiers
BOD, 5 day mg/L 156 158 2 R6
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 fug,
Date: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, L-C.
Page 8 of 16

aceAnalXical
www.pacolabs.com
Project: Forest Lake
Pace Project No.: 92584837
QC Batch: 674413
QC Batch Method: Colilert-18
Associated Lab Samples: 92584837001
SAMPLE DUPLICATE: 3530208
Parameter Units
Fecal Coliforms MPN/100mL
QUALITY CONTROL DATA
Analysis Method: Colilert-18
Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
92584797004 Dup
Result Result RPD Qualifiers
ND ND
Pace Ana"cal Services, LLC
1377 South Park Drive
Kerners ille, NC 27284
[phone]
Results presented an 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: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, LLC,
Page 9 of 16

aceAnaiytical
www:pacelatis.eom
t
Project:
Forest Lake
Pace Project No.:
92SU837
QC Batch:
675517
QC Batch Method:
EPA 351.2 Rev 2.0 1993
Associated Lab Samples: 92584837001
METHOD BLANK: 3535321
Associated Lab Samples: 92584837001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services -Asheville
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 02/03/22 03:35
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3535322
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L 10 9.9 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3535323 3535324
MS MSD
92584807005 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 651 10 10 578 632 -733 -189 90-110 9 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3535325 3535326
MS MSD
92584815001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 10.7 10 10 19.6 19.2 89 85 90-110 2 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 hull,
Date: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 16

aceAldj cal
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92584837
QC Batch: 675717 Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.0 1993 Analysis Description: 353.2 Nitrate + Nitrite, preserved
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92584837001
METHOD BLANK: 3536607 Matrix: Water
Associated Lab Samples: 92584837001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, NO2 plus NO3 mg/L ND 0.040 02/03/22 10:31
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3536608
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mg/L 2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3536609 3536610
MS MSD
92585573001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 0.22 2.5 2.5 2.7 2.7 101 99 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3536611 3536612
MS MSD
92585574001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L NO 2.5 2.5 2.4 2.4 95 95 90-110 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: 02/0912022 05:16 PM without the written consent of Pace Analytical Services, I.L.C.
Page 11 of 16

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acmnalytical
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92584837
QC Batch: 676630 Analysis Method: EPA 365.1 Rev 2.01993
QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92584837001
METHOD BLANK: 3641547 Matrix: Water
Associated Lab Samples: 92584837001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg1L ND 0.050 0210912214:59
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3541548
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Phosphorus mgiL 2.5 2.6 104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3541549 3541550
MS MSD
92584054003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RP0 Qual
Phosphorus mgiL 0.17 2.5 2.5 2.7 2.7 102 101 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3541551 3541552
MS MSD
92584711001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mgiL 4.5 2.5 2.5 7.2 4.9 109 17 90-110 38 M1,R1
Results presented on this page are In the units indicated by the "Units" column except where an alternate unit Is presented to the right or the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 16

1�5aa'uceeAnalytical
www.pacelab.cam
Project: Forest Lake
Pace Project No.: 92584837
DEFINITIONS
DF - 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.
MDL -Adjusted Method Detection Limit.
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, 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 analyze in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine 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-Nitrosodiphenylamine 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.
TNI -The NELAC Institute.
ANALYTE QUALIFIERS
Mi Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R1 RPD value was outside control limits.
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 02/09/2022 05:16 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 16

aceAnalj6cal
www.pacelaba.ecm
1
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville. NC 27284
[phone]
Project: Forest Lake
Pace Project No.: 92584837
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92584837001
Effluent
SM 254OD-2015
674743
92584837001
Effluent
EPA 350.1 Rev 2.0 1993
674912
92584837001
Effluent
EPA 353.2 Rev 2.0 1993
674409
92584837001
Effluent
SM 52106-2016
674357
SM 521OB-2016
674591
92584837001
Effluent
Colilert-18
674413
Colilert-18
674415
92584837001
Effluent
TKN+NO3+NO2
676437
Calculation
92684837001
Effluent
EPA 351.2 Rev 2.0 1993
675517
EPA 351.2 Rev 2.0 1993
675697
92584837001
Effluent
EPA 353.2 Rev 2.0 1993
675717
92584837001
Effluent
EPA 365.1 Rev 2.0 1993
676630
EPA 365.1 Rev 2.0 1993
676995
Date: 02109/2022 05:16 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
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Chain -of -Custody is il LEGAL DOCUMENT- Complete all relevent fields
fnBusEraNLY-f : Wo# * 925g4837
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Container Preser. . , 92584837 .
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Company: Forest Lakes
Billing Information:
Address:
Report To:
Email To:
•• Preservative Types: (1) nitric add, (2) sulfuric acid, (3) hydrochloric acid, (4) sodium hydroxide, (5) zinc acetate,
(6) methanol, (7) sodium bisulfate, (8) sodium thiosulfate, (4) hexane, (A) ascorbic acid, (B) ammonium sulfate,
(C) ammonium hydroxide, (D) TSP, (U) Unpreserved, (0) Other
Copy To:
Site Collection Info/Address:
Analyses
Lab,ProfileiUne:
Customer Project Name/Number:
State: County/City: Time Zone Collected:
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Custody seals Prosenc/Intact Y N 10
Custody Signatures Present V N NA
collector Signature Preoont N NA
Bottles intact, N NA
Correct .Bottles N NA
Sufficient Volume . N NA
Samples Received on Ice l
Yoh - Haddopaco Acceptable y N
USDA Regulated Soils �t, N
Samples in Holding Time (YJ KNA
Residual Chlorin P Y C"
Cl Strips:
" Sample pH ojtja Y J NA
pH Stripe41
Sulfide Prevent Y N
Lead Acetate Strips t
LAB USE ONLY:
Lab Sample # / Comments:
Phone:
Email:
Site/Facility ID #:
Compliance Monitoring?
[ V/Yes [ ] No
Collect y (print):
j.
Purchase Order #:
Quote q:
DW PWS ID #:
DW Location Code:
Co eMed B (signat re):
Turnaround Date Required:
Immediately Pace on Ice:
[ ]Yes [ ]NO
Sample Disposal:
I ) Dispose as appropriate ( ] Return
I J Archive:
( J Hold:
Rush:
( ] Same Day [ ] Next Day
( 12 Day ( 13 Day [ 14 Day [ 15 Day
(Expedite charges Apply)
Field Filtered (if applicable):
[ ] Yes [ ] No
Analysis:
' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW),
Product (P), Soil/Solid (51.), Oil IOL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT)
Customer Sample ID
Matrix
Comp /
Grab
Collected (or
Composite Start)
Composite End
Res
Cl
# of
Ctns
Date
Time
Date
Time
Effluent
VVW
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Customer Remarks / Special Conditions / Possible Hazards:
Type of ice Used: Wet Blue Dry Notre
SHORT HOLDS PRESENT (02 hours):
Y NIA
Lab Sample Temperature Info:
Temp Blank R Y N NA
ThermfD#:
Cooler 1 Temh Upon Receipt: C
Cooler 1 Therm Corr. Factor: oC
Cooler 1 Corrected Temp: oC
Comments:
Packing Material Used:
Lab Tracking 11:
dt hem sample(s) screened (aSOD cpm): Y N NA
Et
Samples received via:
FEDEX UPS Client Courier Pace Course
Relinquished byJCom ny:ISignature)
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7 ZZ
Ric d by/Co any: (Sig ature)
DateJTime:
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Date/Time:
Receiv by/ ompany: {5 gnature)
Date/T1me:
Template,
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Trip Blank Received: Y N NA
HCL McOH TSP Other
Rei214uished by/Company: (Signature)
0)Nan
Date/Time:
Received by/Company: (Signature)
Date/Time:
Conformance(s):
YES / NO
Page:
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BP3U-250 mL Plastic Unpreserved (N/A)
BP211-500 ml. Plastic Unpreserved (N/A)
SP1U-1 liter Plastic Unpreserved (N/A)
BP45.125 mL Plastic 112SO4 (pit < 2) (CI-)
BP3N-250 mL plastic HNO3 (pH < 21
BP4Z-12S mL Plastic ZN Acetate & NaOH (>9)
BP40-125 mL Plastic NoOl i (pH > 12) (CI-)
WGM-Wide-mouthed Glass jar Unpreserved
AGiU-1 liter Amber Unpreserved (N/A) (Cl-)
AG1H-1 liter Amber HCI (pH < 2)
AG3U-250 ml. Amber Unpreserved (N/A) (Cl-)
AG1S-1 liter Amber Ii25O4 (piI < 2)
AG35-250 mt. Amber H2504 (pH < 2)
AG3A(DG3A)-250 ml.Amber NH4CI (N/A)(CI-)
DG9H-40 mL VOA HCI (N/A)
VG9T-40 mt. VOA Na25203 (N/A)
VG91.11-40 mL VOA Unpreserved (N/A)
DG9P-40 mL VOA 143PO4 (N/A)
VOAK (3 vials per kit)-5035 kit (N/A)
V/GK (3 vials per kit)-VPH/Gas kit (N/A)
SPST-125 mi. Sterile Plastic (N/A — lab)
SP2T-250 mL Sterile Plastic (N/A — lab)
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BP3A-250 mL Plastic (NH2)2SO4 (9.3.9.7)
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AGOU-100 ml. Amher Unpreserved vials (N/A)
VSGU-20 ml. Scintillation vials (N/A)
OG9U-40 ml Amber Unpreserved vials (N/Al
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