HomeMy WebLinkAboutWQ0004972_Monitoring - 08-2022_20221003Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * August
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 Aug 22.pdf 1.43MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Jessica.Mize@pacelabs.com
Jessica Mize
jemdf & lip
Reviewer: Gerald, Wanda
10/3/2022
This will be filled in automatically
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 10/4/2022
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: August YEAR: 2022
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent: 7 Influent:
Parameter Monitoring Point: Effluent: 14 Influent: I IS ace Water SW :
SW Code/Name: Ll
Was There Effluent Flow for this
Month Generated At This Facility: Yes
D
A
T
L'.
Operator
Arrival
Time
2400
Clock
Operator
Time on
Site
ORC
on
site?
50050
00400
50060
00310
00610
005M
31616
00665
00625
00630
00600
00620
70300
00940
Daily Rate
(Flow) into
Treatment
System
pH
Residual
Chlorine
BOD-5
20" C
NH-3-N
TSS
Fecal
Coliforrn
(Geo-mettic
Mean')
Taal
Phos
Total
Kjcldhal
Nitrogen
NO2+NO3
Total
Nitrogen
Nitrate
NO.;-N
Total
Dissolved
Solids
Chloride
HRS
Y/N
GPD
UNITS
mWL
Witt,
M&L
MGiL
/I00AIL
NIGL
NI&L
MG/L
MG/L
M&L
bIG/L
MG/L
Continuous
5AVock
5, M eck
NiontlTy-
ont t y
ont t y
ont y
ont y
ont t y
Monthly
Montry
ont
ryr;tr
ryear
1
1605
0.25 - ;
B
19,944
-6.1 6.1
<0.01
2
1530
0.25
B
12,227
6.1
<0.01
3
1605
0.25 -
B
12,093
6.2
<0.01:
4
1515
0.25
B
12.084
6.1
<0.01
s
0900
0.25
B
12,112
6.1
<0.01
i
6
16.744
16,744
s
1420
0.25
B
16,744
6.2
<0.01
9
1520
0.25
B
15,505
;i6.1
4.01
10
1310
0.25
B
16,188
6.1
<0.01
11
0740
0.25
Y
12,056
6.0
<0.01
12
1025
0.25
B
12,008
6.1
<0.01
13
:16,93Z
,a:
;:
d
S t:.
{,
4w
if„
14
16,932
is
1425
-0.25
B
16,932
6.0
<0.01
16
1355
0.25
B
13,527
6.1
<0.01
17
0910
OSO
Y
14,006
6.1
<0.01
405
".'69Z '
24.2 .:
. 2420 '
- 8.9 .:
" 78.2
'All ::
rl83'
' <0.040
Is
1505
0.25
B
12,244
6.0
<0.01
19
1155
0.25
: B
` M093
6.1
<0.01
20
17,045
it
17.045
22
1450
0.25
B
17,045
6.1
<0.01
23;
0645
0.50
Y
:13,005
6.0
<0.01
"
}r
24
1330
0.25
B
12,369
6.0
<0.01
25
1355
0.25
B
M088
6:1
<0.01.
26
0915
0.25
B
12,111
6.2
<0.01
z7
2s
16,891
29
1515
015
B
16,891
Y '6.0 :
<0.01
t
7
'
30
1400
0.25
B
13.322
6.1
<0.01
31
'1340.1
.. QZS
B
72�84
6 I
<0.01
> r
Average
14,648
<0.01
<
Daily Maximum
19,944
6.2
<0.01
24.2
242U
8.9
<0.040
Daily Minimum
12,008
6.0
<0.01
40.5
69.2
24.2
2420
8.9
78.2
0.11
78.3
<0.040
Monthly Limits (s)
24400
Composite 9 / Grab (G)
*FLOWS ESTIMATED, FLOW METER INOPERABLE MAY 1st - MAY 20th
Operator in Responsible Charge (ORC): Glenn Price Grade: [I Phone: 336-996-2841
Check Box if ORC Has Changed: 0
ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analytical Serivices (2):
Person(s) Collecting Samples: Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARG
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
By this signature, I certify that this report Is accurate and
complete to the best of my knowledge.
DENR Form NDAR-1 (5/2003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant 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.
Flow Estimated Flow meter inoperable May 1 st - Mav 20th
"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 inform 'on, including the possibility of fines and imprisonment for knowing violations."
3 /G- 3 - ;�- y 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, 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
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 (919) 733-5083, extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting_
facility's, permit for relortina data.
* 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).
Page 2 of 2
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W0004972 MONTH: Aueust YEAR: 2022
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (opines) =Nolume Applied fgallons) x 0.1336 (cubic feet/gallon) x 12(inchestloot)1/(Area Sprayed (acres) x 43,560(square feeVacre) or
= [Volume Applied (gallons) / (Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Maximum Hourly Loading (inches) =Daily Loading (inches)/(Time irrigated (minutes) 160(mindessalourll Monthly Loading (inches) =Sum of Daily Loading( inches)
12 Month Floating Total (inches) =Sum of this momh's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) =[Monthly Loading(incheslmomh) I Number of days in the month (days/month)I x 7(daysAwek)
Did Irrigated Occur At Ti Facility:
Yes: FY7 No:
Did Irrigation Occur On This Field:
Yes:Fy� No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No: ❑
Field Number:
Rule Number:
Area Sprayed (acres):
16.0
Area Sprayed (acres):
Cover Crap:
Cover Crop:
ermltte ou
yRate Inches:
0.11
Permitted Hourly Rate(inches:
U
A
WEATHER
CONDITIONS
a..,
Lagron
Permitted Yearly Rate (inches):
46.8
Permitted Yearly Rate (inches):
"',
C.,
Lmpadure
al
opplisliuo
PrecyAa
Ibn
Vulnmv
Ae+liul
lime
Inlpncl
Deily
""Iiig
Ma.umm�
Hmvly
1-diuµ
VAs
Tin¢
null,
Mnummn
"'ro,
hndin4
Ra9xnnl
rnl
rca
cll
nd",
.0
naiu
i.a
I
C
88
0
2.0
42,480
800
0.26
aob
2
C
92
1)
2.4
42,480
300
0.26
(1
3.
C
90
0
3.3
4
PC
87
0
3.0
5
C
77
0
2.9
6
8
C
89
II
2.0
42,481)
3011
0.26
0.06
9
C
92
0
2.6
In
C
91)
11
2.3
42,480
300
0.26
0.06
D
CI
76
0
3.2
12
C
77
1
3.0
13
u
Is
PC
82
0
2.1
42480
300
0.26
-0.06
In
CI
75
0
2.6
17
PC
73
0 -
2.4
42,480
300
0.26
0.06
18
C
82
0
3.0
11)
CI
76
0
2.9
-
20
21
22
CI
81
0
2.1
42480
300
0.26
0.06
23
PC
68
(1
2.4
42,480
300
0.26
0.06
24
1 C
1 83
0
2.8
is
CI
RO
0
2.3
42480-
300
0L26
11.06
ze
CI
89
0
3.1
27
28
29
1 C
90
0
2.0
42.48f)
300
1 0.26
0.06
30
1 C
90
0
2.6
31
1 C
921
23
42.480
VIN
0,26
1 Irlu
'rota)Gnllonr/MoolMy Lot 1'µ(io[h[al
12 Momh Flmnoq Tdol poehep
Arm.e \Veekly LWJlu411u<ht.l
2.86
_
v
22.56
31
0.57
-
-
*Weather Codes: C-cldi PC -pi cloudy, CI -cloudy, R-din, Sn sin,,,, \I-r I„I
Spray Irrigation Operator in Responsible Charge (011C): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORC Has
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
I1I
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHr
By this signature, I certify that this report is accurate and
complete to the best of my knowledge.
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.
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 4
limit(s) specified in the permit.
If the facility is iron-comnlian , 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."
(Signature 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 15A NCAC 2B.0506 (b) (2) (D).
/IceAnaljdical
www.paaalabstam
August 29, 2022
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92620936
Dear Tracy Overdurf:
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 272a4
(704)977-0981
Enclosed are the analytical results for sample(s) received by the laboratory on August 17, 2022. 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,
czn«iVicS�'
r�/�
Stephanie Knott
stephanio.knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
• emu.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 15
aceAnalydical
www.Pacelabs.com
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 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, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.L.C.
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Page 2 of 15
aceAnaljftal
www.patelabs.com
Project: Forest Lakes
Pace Project No.: 92620936
Lab ID Sample ID
92620936001 Effluent
PASI-A = Pace Analytical Services - Asheville
PAS I-E = Pace Analytical Services - Eden
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
SAMPLE ANALYTE COUNT
Method
Analysts
Analytes
Reported
Laboratory
SM 254OD-2015
LRB
1
PASI-E
EPA 353.2 Rev 2.0 1993
SRS
2
PASI-E
SM 521OB-2016
AED
1
PASI-E
Colilert-18
SRS
1
PASI-E
TKN+NO3+NO2 Calculation
MDW
1
PASI-A
EPA 350.1 Rev 2.0 1993
KDF1
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
SMT
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, L.L.C.
Page 3 of 15
IUuAnalytical
www.pacolabs.com
ANALYTICAL RESULTS
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Sample: Effluent Lab ID: 92620936001 Collected: 08/17/22 09:47 Received: 08/17/22 12:00 Matrix: Water
Parameters
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
24.2 mg/L 5.3 1 08/18/22 16:19
353.2 NO2/NO3 unpres EDN
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, NO2 plus NO3
0.11 mg/L 0.040 1 08/18/22 09:42
Nitrogen, Nitrate
NO mg/L 0.040 1 08/18/22 09:42 14797-55-8
5210B BOD, 5 day EDN
Analytical Method: SM 521 OB-2016 Preparation Method: SM 521OB-2016
Pace Analytical Services - Eden
BOD, 5 day
40.5 mg/L 2.0 1 08/18/22 16:14 08/23/22 18:34 131
Colilert-18 Fecal Coliform EON
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100mL 1.0 1 08/17/22 16:31 08/18/22 10:36 El
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
78.3 mg/L 0.040 1 08/26/22 14:32
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
69.2 mg/L 1.0 10 08/29/22 11:46 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
78.2 mg/L 2.5 5 08/24/22 14:20 08/26/22 06:17 7727-37-9
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
8.9 mg/L 0.25 5 08126/2216:21 08/26/2219:22 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 15
1�5a'oeAnalXical
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I
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 718163
Analysis Method:
SM 2540D-2015
QC Batch Method: SM 254OD-2015
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92620936001
METHOD BLANK: 3743767
Matrix: Water
Associated Lab Samples: 92620936001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 08/18/22 16:13
LABORATORY CONTROL SAMPLE: 3743768
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 242
97 90-110
SAMPLE DUPLICATE: 3743769
92620766002 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
132
116 13
SAMPLE DUPLICATE: 3743770
92620727001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
62.0 72.4 15
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 fuil,
Date: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 15
IUEAnalyica!
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
QC Batch: 718039
Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.01993
Analysis Description: 353.2 Nitrate + Nitrite, Unpres. EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92620936001
METHOD BLANK: 3742989
Matrix: Water
Associated Lab Samples: 92620936001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Nitrate mg/L
ND 0.040
08/18/22 09:37
Nitrogen, NO2 plus NO3 mg/L
ND 0.040
08/18/22 09:37
LABORATORY CONTROL SAMPLE: 3742990
Spike LCS
LCS % Rec
Parameter Units
Cone. Result
% Rec Limits Qualifiers
Nitrogen, Nitrate mg/L
1.5 1.5
98 90-110
Nitrogen, NO2 plus NO3 mg/L
2.5 2.4
98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3742991 3742992
MS MSD
92620943001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone. Cone. Result
Result % Rec % Rec
Limits
RPD Qual
Nitrogen, Nitrate mg/L 0.88
1.5 1.5 2.3
2.3 91 92
90-110
0
Nitrogen, NO2 plus NO3 mg/L 0.88
2.5 2.5 3.3
3.3 96 96
90-110
0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3743155 3743156
MS MSD
92620943002
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone. Cone. Result
Result % Rec % Rec
Limits
RPD Qual
Nitrogen, Nitrate mg/L ND
1.5 1.5 1.4
1.4 96 96
90-110
1
Nitrogen, NO2 plus NO3 mg/L ND
2.5 2.5 2.5
2.6 98 98
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: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 15
acmnalXical0
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 718127
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: 92620936001
METHOD BLANK: 3743494
Matrix: Water
Associated Lab Samples: 92620936001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
BOD, 5 day
mg/L
ND
2.0 08/23/22 16:36 B3
LABORATORY CONTROL SAMPLE: 3743495
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
BOD, 5 day
mg/L
198 203
103 84.6-115
SAMPLE DUPLICATE: 3743497
92621191001 Dup
Parameter
Units
Result Result
RPD Qualifiers
BOD, 5 day
mg/L
338
351 4
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: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92620936
QC Batch: 718045 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92620936001
SAMPLE DUPLICATE: 3743014
92620950004 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL 10.2 9.1 11
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Rosulls 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: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 15
'm
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 720075
Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993
Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92620936001
METHOD BLANK: 3752543
Matrix: Water
Associated Lab Samples: 92620936001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Nitrogen, Ammonia mg/L
ND 0.10 08/29/22 11:06
LABORATORY CONTROL SAMPLE: 3752544
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L
5 5.0 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3752545 3752546
MS MSD
92620811002
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Nitrogen, Ammonia mg/L 23.9
5 5 28.1 27.9 85 80
90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3752547 3752548
MS MSD
92620814001
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 4.4 4.4 87 87
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: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
QC Batch: 719258
Analysis Method: EPA 351.2 Rev 2.01993
QC Batch Method: EPA 351.2 Rev 2.01993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92620936001
METHOD BLANK: 3748925
Matrix: Water
Associated Lab Samples: 92620936001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L
ND 0.50
08/26/22 04:08
LABORATORY CONTROL SAMPLE: 3748926
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L
10 9.5
95 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3748927 3748928
MS MSD
92621035001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 67.4
10 10 76.6
79.7 92 123
90-110 4 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3748929 3748930
MS MSD
92621035002
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 3.6
10 10 12.9
12.0 93 84
90-110 7 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: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 719637
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: 92620936001
METHOD BLANK: 3750659
Matrix: Water
Associated Lab Samples: 92620936001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Phosphorus mg/L
ND 0.050 08/26/2218:58
LABORATORY CONTROL SAMPLE: 3750660
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L
2.5 2.4 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3750661 3750662
MS MSD
92619754001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 1.3
2.5 2.5 3.8 3.8 98 97
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3750663 3750664
MS MSD
92619575001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 0.033.1
2.5 2.5 2.5 2.5 100 98
90-110 2
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: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, I.I.C.
Page 11 of 15
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QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92620936
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
Kemersville, NC 27284
(704)977-0981
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-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
B1 Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is
calculated for the dilution using the least amount of sample.
B3 The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L.
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used. The true value is likely greater than the value reported.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 08/29/2022 03:23 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 15
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92620936
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92620936001
Effluent
SM 2540D-2015
718163
92620936001
Effluent
EPA 353.2 Rev 2.0 1993
718039
92620936001
Effluent
SM 521OB-2016
718127
SM 521OB-2016
718671
92620936001
Effluent
Colilert-18
718045
Colilert-18
718046
92620936001
Effluent
TKN+NO3+NO2
719898
Calculation
92620936001
Effluent
EPA 350.1 Rev 2.0 1993
720075
92620936001
Effluent
EPA 351.2 Rev 2.0 1993
719258
EPA 351.2 Rev 2.0 1993
719762
92620936001
Effluent
EPA 365.1 Rev 2.0 1993
719637
EPA 365.1 Rev 2.0 1993
719942
Date: 08/29/2022 03:23 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 13 of 15
IP" ce Anal ieal
_. a Yt
r'
Company: Forest Lakes
CHAIN -OF -CUSTODY Analytical Request Document
Chain -of -Custody is a LEGAL DOCUMENT - Complete all relevent fields
J Billing Information:
Address:
Report To: Email To:
Copy To: Site Collection Info/Address:
.e-...i.+.r.,w:.... n..wad.•.•;.....r...e..........r•.w.w.�..r.�«wraa.a*w.r»«ex .w.w..►.new.,.....,...»r..-.+-.w..w.aw.a.w.,rr.k
LAB USE ONLY- Affix Workorder/Login Label Here or List Pace Workorder Number or
MTJL Lo-'- hl"mhr►.r Here
ALL SHADED ARE WO#:92620936
Container Preservative Type " 111111111111
u 1 2 1 8 1 1 i
I
II
92620936
" Preservative Types:11) nitric acid, (2) sulfuric acid, (3,
(6) methanol, (7) sodium bisulfate, (8) sodium thiosulfate, (9) hexane, tr%,
(C) ammonium hydroxide, (D) TSP, (U) Unpreserved, (0) Other
Analvses ILab Profile/Line:
Customer Project Name/Number:
State: County/City: Time Zone Collected:
Lab Sample Receipt Checklist:
/ [ ]PT[ ]MT[ ]CT [ JET
Custody Seals Precent/Intact N
Custody Signatures Proc'ent NA
Phone:
Site/Facility ID #:
Compliance Monitoring?
Email:
[ Yes [ ] No
collector Signatures PreNent N NA
Bottles Intact N NA
correct Bottles N NA
Coll y (pri t) `
Purchase Order #:
DW PWS ID #:
Quote #:
DW Location Code:
Z
Sufficient volume N NA
Samplea Raceived on Ice Y N
IMA - Headepace Acceptable Y N
P
Co ected By signatur
Turnaround Date Required:
Immediately Pace on Ice:
[ ] Yes ( ] No
O
F—
EL
USDA Regulated Soils hy. N 1W
Samples in Holding Time Li NA
Residual Chlori P nt Y 2: NA
Sample Disposal:
Rush:
Field Filtered (if applicable):
Same Day [ Next Day
is
Cl Strips:
[ ] Dispose as appropriate [ ] Return
[ ] Archive
[ ] ]
[ J 2 Day ( ) 3 DaY [ J 4 DaY ( ] S Day
[ ] Yes [ ] No
O
1-'
sample pH A ce b
[ )Hold:
I Expedite Charges Apply)
Analysis:
Z
'
pH Stripe:
Sulfide Pr en Y N N
Lead Acetate Strips;
e
Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW),
Product (P), Soil/Solid (SL), Oil (OL), Wipe (WP). Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT)
Lo
FF--
O
Z
Z
LAB USE ONLY:
Lab Sample 4 / Comments:
Comp/
Collected (or
Res
# of
Customer Sample ID
Matrix s
Grab
Composite Start)
Composite End
Cl
Ctns
A
U
O
Date
Time
Date
Time
M
Z
ILL
Effluent
WW
G
144
I eldl
Customer Remarks / Special Conditions / Possible Hazards: Type of Ice Used: (Wet Blue Dry None
Packing Material Use
''I ''I ''I'll, N:��
Radchem sample(s) screened (600 cpm): Y N
Relinquished by/company: (Signre�rDate/Time: Reeeive,P by/Company: (Signature
ReTiuquisfiied by/Companyl,tSignature) DXte/Time: Received by4fompany: (Signature)
0
Relia uished by/Company: (Signature) Date/Time: Received by/Company: (Signature)
SHORT HOLDS PRESENT (<72
Lab Tracking #:
pies received via:
FEDEX UPS Client Courier
Date/Time: MTJI
I 1 6 cl)d 'Rbh� Table #:
Acctnum:
Date/Time-
Template:
Prelogin:
Date/Time: PM:
aPB:
N N/A Lab Sample Temperature Info:
Temp Blank Received: Y N NA
Therm ID#:
Cooler 1 Temp Upon Receipt: oC
Cooler 1 Therm Corr, Factor: aC
Pac�Couri Cooler 1 Corrected Temp; oC
Comments:
Trip Blank Received: Y N NA
HCL McOH TSP Other
Non Conformance(s): Page:
YES / NO of:
1 DC:r 1 itle: r� ' i 7 t
_ E�+ L-rr.P,'-HJ�11-�.�-f �nI T,_h c., S3
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5a1-1rte 1C TI;a of ?f esdriatiVe I i''^ u; Crl nceip,, Ca! {.res,,r/'oi,ort 3.!1usze. Time prn
seria;.on .+rncurt of Pf2:df'l;,:iLQ
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Page 15 of 15