HomeMy WebLinkAboutWQ0004972_Monitoring - 02-2023_20230330Monitoring Report Submittal
...................................................
Permit Number#* WQ0004972
Name of Facility:* Forest Lakes Preserve ELS
Month: * February Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Forest Lakes_February.pdf 1.83MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * Jessica. Mize@pacelabs.com
Name of Submitter: * Jessica Mize
Signature:
je"&A jot
Date of submittal: 3/30/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* W00004972
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 4/24/2023
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: February YEAR: 2023
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent: y I Influent:
Parameter Monitoring Point: Effluent: I Influent I Surface Water(SW):,SW
Code/Name:
Was There Effluent Flow for this Month Generated At This Facility: Yes N N
D
A
T
N.
Operator
Arrival
Time
2400
Clock
Operator
Time on
Site
ORC
on
Site?
50050
00400
1 50060
00310
1 00610
00530
31616
00665
00625
00630
00600
1 00620
70300
0094C
Daily Rate
(Flow) into
Treatment
S)stan
pH
Residual
Chlorine
OOD-5
20*C
NH-3-N
TSS
Fecal
Col,f rot
(Goo -metric
Mcen•I
Total
ph.
Total
Kieldhal
Nitrogen
NO.' `,us
Total
Nitrogen
Nitrate
N0.3-N
Total
Dissohcd
Solids
Mori&
HRS
YIN
GPD
'NITS
mg'L
xt(1'L
MG L
fU I.
100ML
MG L
MG/L
1
MG L
M(i
MG L
MG t
17annuuus
- t
_ 1 '
i,i',...
`.: �.'.
'.',
oni 4
ont )'
ont
•.'
`.' '.:
`.:
... _..'
t
1715
0.25
B
13,241
6.6
<0.01
1515
0.25
It
11.874
6.6
<0.01
3
0900
0.25
B
10,092
6.7
<0.01
1
12.131
5
12,131
a
1251)
0.50
B
12,131
7.3
<0.01
7
1505
0.25
B
9,237
1 7.3
<0.01
s
1 1610
1 0.25
B
11,911
7.4
<0.01
9
1550
0.25
B
8,823
7.4
<0.01
to
1445
0.25
It
7,797
7.5
<0.01
11
12,531
12
12.531
13
1435
0.25
B
12,531
7.3
<0.01
46.4
44.7
11.7
24211
6.1
62.7
<0.040
62.7
<0.040
14
1425
0.25
1 It
9.5553
7.3
<0.01
15
1235
0.25
B
10,189
7.3
<0.01
16
1510
0.25
It
10.237
7.8
<0.11I
17
1025
0.25
B
10.252
7.4
<0.01
IN
12.841
19
12,841
20
1450
0.25
It
12.841
7.5
<0.01
21
1350
0.25
1 B
6.293
7.5
<0.01
22
0945
0.25
B
6.685
7.4
<0.01
23
1405
0.25
B
6,916
7.6
<0.01
24
1055
0.25
B
6,631
7.4
<0.01
25
9,277
26
9,277
27
1600
0.25
B
9,277
7.5
<0.01
2s
1225
0.25
B
10.943
7.6
<0.01
29
30
It
Average
10,393
<0,01
6.
11.7
'_-l-11
7
6_.
< ,
<0.040
Daily Maximum
13,241
7.8
<0.01
11.7
24211
6.1
fi_.
<0.040
<0.040
Daily Minimum
6.293
6.6
<0.01
46.4
44.7
11.7
24211
6.1
62.7
<0.040
62.7
<0.040
Monthly Limits hl
24400
Composite -: / Grab (G)
Operator in Responsible Charge (ORC): Glenn Price Grade: 11 Phone: 336-996-2841
Check Box if ORC Has Changed: I 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 CHARGE)
Division of Water Quality By this signature, 1 certify that this report is accurate and
16117 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Com liant Y,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non-comoliant, 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."
17— -__� 3, 3d ` Baron Neal McDuffie
(Signature of Permitee)* 4V 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
WQ09 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 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-DISCIIARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W00004972 MONTH: February YEAR: 2023
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.1336 (cubic feetigallon) x 12 (incheslfoot)] / [Area Sprayed (acres) x 43.560 (square feet/acre) or
= [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallons/acre-inch).
Mawmum Hourly Loading (inches) = Daily Loading (inches) / (Time irrigated (minutes) / 60 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (inchestmonth) / Number of days in the month (days/month )] x 7 (daystweek)
b�cijringiifion Occur At This Facility:
Did Irrigation Occur On This Field
Did Irrigation Occur On This Field
.r
• • •Permitted
Yearly Rate (inches)
n enmer 1-1; l -near. --I y --y, l lrrloutly, K-ralll. Nn-nnaw, it-sicrr
Spray Irrigation Operator in Responsible ('harge (ORC): Glenn Price Phone: 336 996-2841
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed: 0
Mail ORIGINAL, and TNo COPIES to:
A-I"I'N: Non -Discharge Compliance Unit \ �(
DENII (SIGNA'11111F. OF OPERATOR IN RESPONSIBLE (11ARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617.Nlail Service ('enter complete to the best of my knowledge.
RALEIGII, N(- 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.
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
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is non -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.
"1 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. 1 am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
3 Baron Neal MCDUffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Aeent)
(Permittee-Please print or type)
2N. Riverside Plaza, Suite 800
Chicago, 11 60606
(Permittee Address)
Field Services Director (Pace Analytical Services)
(Position or Title)
3/31 /202 l
(Permit Exp. Date)
* 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).
aceAnalytical
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March 23, 2023
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lake
Pace Project No.: 92656585
Dear Tracy Overdurf:
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Enclosed are the analytical results for sample(s) received by the laboratory on March 13, 2023. 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,
c�t�tt.dX.�
Stephanie Knott
stephanie.knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
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 16
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CERTIFICATIONS
Project: Forest Lake
Pace Project No.: 92656585
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
South Carolina Laboratory ID: 99030
Florida/NELAP Certification #: E87648
South Carolina Certification #: 99030001
North Carolina Drinking Water Certification #: 37712
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 40
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 Services, LLC. Page 2 of 16
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SAMPLE ANALYTE COUNT
Project: Forest Lake
Pace Project No.: 92656585
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92656585001 Effluent SM 254OD-2015
VLG
1
PASI-E
EPA 353.2 Rev 2.0 1993
SRS
2
PASI-E
SM 521OB-2016
SRS
1
PASI-E
Colilert-18
VLG
1
PASI-E
TKN+NO3+NO2 Calculation
MAB2
1
PASI-A
EPA 350.1 Rev 2.0 1993
ARJ
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
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
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I
ANALYTICAL RESULTS
Project: Forest Lake
Pace Project No.: 92656585
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Sample: Effluent Lab ID: 92656585001 Collected: 03/13/23 14:35 Received: 03/13/23 16:00 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
11.7 mg/L 6.7 1 03/14/23 14:31
353.2 NO2/NO3 unpres EDN
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, NO2 plus NO3
ND mg/L 0.040 1 03/14/23 17:13
Nitrogen, Nitrate
ND mg/L 0.040 1 03114123 17:13 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
46.4 mg1L 2.0 1 03/14/23 10:01 03/19/23 12:05
Colltert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100ml- 1.0 1 03/13/23 18:05 03/14/23 12:52
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services - Asheville
Total Nitrogen
62.7 mg/L 0.040 1 03/21123 14:18
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
44.7 mg/L 1.0 10 03/22/23 11:37 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
62.7 mg/L 2.5 5 03/17/23 16:40 03/18/23 05:16 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
6.1 mg/L 0.10 2 03/23/2311:39 03/23/2315:23 7723-14-0
Date: 03/23/2023 05:26 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.L.C.
B 1. B3,
L1
El
Page 4 of 16
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92656585
QC Batch: 761195 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: 92656585001
METHOD BLANK: 3953720
Associated Lab Samples: 92656585001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE: 3953721
Parameter
Units
Total Suspended Solids
mg/L
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 03/14/2314:27
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 256 102 90-110
SAMPLE DUPLICATE: 3953722
92656412001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L ND ND
SAMPLE DUPLICATE: 3953723
92656585001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 11.7 11.5
RPD Qualifiers
RPD Qualifiers
2
Results presented on this page are In the units Indlcated 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: 03/23/2023 05:26 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 16
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92656585
QC Batch: 761304 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: 92656585001
METHOD BLANK: 3954405 Matrix: Water
Associated Lab Samples: 92656585001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Nitrate mg/L ND 0.040 03/14/23 17:06
Nitrogen, NO2 plus NO3 mg/L ND 0.040 03/14/23 17:06
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE:
3954406
Spike
LCS LCS % Rec
Parameter
Units
Conc.
Result % Rec Limits Qualifiers
Nitrogen, Nitrate
mg/L
1.5
1.5 100 90-110
Nitrogen, NO2 plus NO3
mg/L
2.5
2.4 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
3954407
3954408
MS
MSD
92656494001 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
1.6
1.5 108 102
90-110 5
Nitrogen, NO2 plus NO3
mg/L
0.62 2.5
2.5
3.3
3.2 108 104
90-110 3
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: 03/23/2023 05:26 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 16
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QUALITY CONTROL DATA
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lake
Pace Project No.: 92656585
QC Batch: 761186
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: 92656585001
METHOD BLANK: 3953687
Matrix: Water
Associated Lab Samples: 92656585001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
BOD, 5 day
mg/L
ND 2.0 03/19/23 11:47 B3
LABORATORY CONTROL SAMPLE: 3953688
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
BOD, 5 day
mg/L
198 302
153 84.6-115 B3,1-1
SAMPLE DUPLICATE: 3953690
92656449001 Dup
Parameter
Units
Result Result
RPD Qualifiers
BOD, 5 day
mg/L
2120 2070 3 133,1-1
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: 03123/2023 05:26 PM without the written consent of Pace Analytical Services, LLC.
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92656585
QC Batch: 761115 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92656585001
SAMPLE DUPLICATE: 3953514
92656585001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN1100mL 2420 2420 0 El
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
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: 03/23/2023 05:26 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 16
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92656585
QC Batch: 762607 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.01993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92656585001
METHOD BLANK: 3960479
Associated Lab Samples: 92656585001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 3960480
Parameter Units
Nitrogen, Ammonia mg/L
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 03/22/2310:56
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 5.0 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3960481 3960482
MS MSD
92657433001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 13.7 5 5 18.8 18.9 103 104 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3960483 3960484
MS MSD
92657612001 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 5.3 5.3 106 106 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: 03/23/2023 05:26 PM without the written consent of Pace Analytical Services, LLC.
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Project: Forest Lake
Pace Project No.: 92656585
QC Batch: 762117
QC Batch Method: EPA 351.2 Rev 2.01993
Associated Lab Samples: 92656585001
METHOD BLANK: 3958575
Associated Lab Samples: 92656585001
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 03/18/23 03:46
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3958576
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L 10 10.6 106 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3958577 3958576
MS MSD
92656582002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 69.0 10 10 79.2 76.6 102 76 90-110 3 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3958579 3958580
MS MSD
92656582003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 58.3 10 10 68.9 69.7 106 114 90-110 1 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: 03/23/2023 05:26 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 16
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I
QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92656585
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 762990
Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993
Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92656585001
METHOD BLANK: 3962417
Matrix: Water
Associated Lab Samples: 92656585001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Phosphorus mg1L
ND 0.050 03/23/2315:15
LABORATORY CONTROL SAMPLE: 3962418
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L
2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3962419 3962420
MS MSD
92655582010
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 1.5
2.5 2.5 4.2 4.2 107 106
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3962421 3962422
MS MSD
92656551001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 4.5
2.5 2.5 7.1 7.2 105 107
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: 0312312023 05:26 PM without the written consent of Pace Analytical Services, I.I.C.
Page 11 of 16
aceAnalytical
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QUALIFIERS
Project: Forest Lake
Pace Project No.: 92656585
DEFINITIONS
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
NO - 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, unfounded 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.
83 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.
L1 Analyte recovery in the laboratory control sample (LCS) was above QC limits. Results for this analyte in associated
samples may be biased high.
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: 03/23/2023 05:26 PM without the written consent of Pace Analytical Services, L.L.C. Page 12 of 16
W
aceAnalytical
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lake
Pace Project No.: 92656585
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
92656585001
Effluent
SM 254OD-2015
761195
92656585001
Effluent
EPA 353.2 Rev 2.0 1993
761304
92656585001
Effluent
SM 521OB-2016
761186
SM 521OB-2016
761462
92656585001
Effluent
Colilert-18
761115
Colilert-18
761116
92656585001
Effluent
TKN+NO3+NO2
762748
Calculation
92666585001
Effluent
EPA 350.1 Rev 2.0 1993
762607
92656585001
Effluent
EPA 351.2 Rev 2.0 1993
762117
EPA 351.2 Rev 2.0 1993
762266
92656585001
Effluent
EPA 365.1 Rev 2.0 1993
762990
EPA 365.1 Rev 2.0 1993
763338
Date: 03/23/2023 05:26 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 16
CHAIN -OF -CUSTODY / Analytical Request Document
ace The Chain -Dr Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
11 - ---I A AAA f—pa 1,1 - 0— T.....-n r fitu,nc (mind nr Anne /fmfn naeelnhs com/huhfsloas-standard-telms.Ddf
Section A B Section C
Required Cliant information: Required ProJoet Information: Invoice Information: If 1
Required
WOE a 92656586
nY' Forest Lake aeon To Tracy Overme n n
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nce. NC 27006 rats:
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mail ovardu0 u com 7aseOrderffi auote: 8Z836S83
no" NONE FeX Name. Forest Lake Monthly xe project Manor: sleohane.knc
equested Due Dam' lea N aco Profile t: 12254 �...
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SIGM7URE of SAMPLER
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DC#_Title: ENV-FRM-HUNI.0084 v01_Tech Spec Sample Condition
f�aCg Upon Receipt
Effective Date: 05R212022
Laboratory receiving samples:
Asheville ❑ Eden ❑ Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville[] Atlanta[] Kernersville[l
Sample Condition Upon Client Name:
Receipt Project It:
-_ ------------- __ ___ _ _ __ _. _ _ __ _ __ F 0 r e ,t
Courier: Fed Ex ❑UPS ❑USPS ❑Client
El Commercial Pace ❑Other:_.__
Carrier Tracking Number:
Custody Seal Present? ❑Yes [ZNo Seals Intact? ❑Yes []No Date/Initials Person Examining Contents:
Packing Material: ❑Bubble Wrap ❑Bubble Bags None ❑ Other Biological Tissue Frozen?
[Dyes []No ❑N/A
Thermometer: ❑ IR Gun ID: " T 0 0 2,Type of Ice: ❑ Wet []Blue ❑ None
Cooler Temp ('C ): ' _± Correction Factor: Add / Subtract ('C ) Temp should be above freezing to 6'C
0 ❑Samples out of temp criteria. Samples on ice, cooling process
Corrected Cooler Temp ('C 1: has begun
USDA Regulated Soil ( 16 N/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? 0 d samples ong nate from a foreign source (internationally,
❑Yes QNo including Hawaii and Puerto Rico)? ❑Yes ❑No
Comments/Discrepancy:
Chain of Custody Present?
Elyes
[]No
❑N/A
1.
Samples Arrived within Hold Time?
OYes
rINo
N A
2.
Short Hold Time Analysis (<72 hr.)?
EfYes
EJNo
N/A
3.
Rush Turn Around Time Requested?
[]Yes
[TNo
[]N/A
4.
Sufficient Volume?
ZYes
No
N/A
5.
Correct Containers Used?
-Pace Containers Used?
('' Yes
Yes
❑No
[]NO
❑N/A
❑N/A
6.
Containers Intact?
CrYes
No
N/A
7.
Dissolved analysis: Samples Field Filtered?
Yes
No
[3f4/A
B.
Sample Labels Match COC?
Includes Oate/Time/10/Analysis Matrix:
p]Yes
sV7
[]No
❑N/A
4
Headspace in VOA Vials (>5.6mm)?
Yes
No
N/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
[]Yes
Ye;
[]No
No
❑N/A
N/A
11.
COMMENTS/SAMPLE DISCREPANCY Field Data Required? ❑Yes ❑No
Temp Log: Temp must be maintained
at <6 C during login, record temp
every ZO minutes.
Time opened: I b 0 0 Temp:
Time: j d 0 put in cooler
Time: Temp:
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person Contacted: __ ........ _........... Date/Time:
Project Manager SCURF Review: Date:
Project Manager SRF Review:
Date:
Qualtrax Document ID: 70677 Page 1 of 2
Page 15 of 16
DC# Title: ENV-FRM-HUN1.0084 v01 Tech Spec Sample Condition
�ce
Upon Receipt
Effective Date: 05112/2022
I WVIiWHMd1
*Check mark top half of box if pH and/or dechlorination
is verified and within the acceptance range for
preservation samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/9015 (water) DOC, LLHg
**Bottom half of box is to list number of bottles
***Check all unpreserved Nitrates for chlorine
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pit upon receipt
Date preservation adjusted
Time preservation
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Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, Incorrect containers)
Qualtrax Document ID: 70677 Page 2 of 2
Page 16 of 16