HomeMy WebLinkAboutWQ0004972_Monitoring - 05-2023_20230705Monitoring Report Submittal
Permit Number#* WQ0004972
Name of Facility:* Forest Lake Preserve WWTP
Month: * May Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 2023_May_Forest Lake_WQ0004972 complete.pdf 1.82MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * agrenier@greenerehssolutions.com
Name of Submitter: * Amanda Grenier
Signature:
Date of submittal: 7/5/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 7/5/2023
rincuSinn Fn..i- in. 91FddF9R_Qngn-dFSC_QnrV13R3RrAQFd SQR
rnnmc rvo.: vvVUUU4`J/"L Facility Name: Forest Lake Preserve ELS
county: Davie
Month: May
Year: 2023
PPI: 001
Flow Measuring Point; C1 influent O Effluent O No flow generated
Parameter Monitoring Point: 0 Influent O effluent D Groundwater towering 0 Surface water
Parameter Code
60050
00400
50060
70300
00530
100310
31616
00600
00610
00626
00630
00620
Oasis
00666
00940
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E
F=
W
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0
A
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a
o
cc
cm
oZ
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zz
A
ztv
C
f'e0
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a
coLL
1
24 hr
10:55
hrs
1.5
GPD
5,240
su
7.2
mg/L
0.2
mg/L
mg/L
In IL
#1100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
2
15:00
1
4,500
7.2
0.3
3
16:00
1
3,800
6.9
0.1
4
11:00
1
5,623
7.2
0.4
5
11:00
1
4,106
7.3
0.3
6
3,613
7
5,269
8
15:00
1
5,817
7
<0.1
9
16:00
1
5,702
7.2
0.1
10
10:00
2
2,530
7.3
0.1
11
16:00
1
5,682
7.4
0.8
12
16:00
1
3,756
7.4
0.5
13
1,279
14
4,367
15
10:00
4.75
1,123
7.5
8.8
16
16:00
1
4,669
7.5
0.3
17
08:00
1
3,864
7.5
0.2
18
16:00
1
7,207
7.6
0.3
19
16:00
1
4,423
7.6
0.3
20
5,038
21
4,136
22
08:00
4.5
2,807
7.7
0.6
23
08:00
1
7,117
7.7
0.3
24
08:00
1
5,788
7.6
0.2
240
16
28.1
6000
92.1
90.5
90.4
1.8
0.059
1.7
12.9
25
08:00
1
4,018
7.4
0.5
26
08:00
1 VEU69
7.2
0.4
27
3,716
28
6,149
29
Holiday lo
Visitati
11,499
H
H
30
08:00
6
7,274
6.9
3
311
08:00
1
4,070
6.1
0.3
Average:
4,844
0.78
240.00
16.00
28.10
6,000.00
92.10
90.50
90.40
1.80
0.06
1.70
12.90
Daily Maximum:
11,499
7.70
8.80
240.00
16.00
28.10
6,000.00
92.10
90.50
90.40
1.80
0.06
1.70
12.90
Daily Minimum:
1,123
6.10
0.10
240.00
16.00
28,10
6,000.00
92.10
90.50
90.40
1.80
0.06 1
1.70
12.90
Sampling Type;
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Continuous
5x/Week
6XIWeek
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
3X/year
DocuSign Envelope ID:21E44F26-9D2D-4E5C-90DD-363B549F459B
Sampling Person(s)
Certified Laboratories
LL
co
LL
en
co
15
to
Lu
00
LL
LL
Name: Amanda Grenier
Name: Sam Perry
Name: Greener EHS Solutions, LLC
Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? O Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Amanda Grenier
Permittee: MHC TT, LP
Certification No.: 1000089
Signing Official: George Gudgeon
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
e A
DocuSign Envelope ID: 21 E44F26-9D2D-4E5C-90DD-363B549F459B ..ON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: WQ0004972
Facility Name: Forest Lake
County: Davie
Month: May
Year: 2023
Did irrigation occur
Field Name:
Field Name:
Field Name:
Field Name:
at this facility?
Area (acres):
6
Area (acres):
Area (acres):
Area (acres):
Cover Crop:
Grass/Trees
Cover Crop:
Cover Crop:
Cover Crop:
F1 YES f_l NO
Hourly Rate (in):
0.11
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (In):
46.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
ED YES ❑ NO
Field Irrigated?
17 YES ❑ no
Field Irrigated?
❑ YES 11 NO
Field Irrigated?
❑ YES ❑ NO
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in
ft
I ft
I gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
PC
62
0.01
22
2
C
67
0
2.1
3
C
61
0
2
4
C
67
0
2
5
C
70
0
2
6
C
76
0
7
C
77
0
8
PC
80
0
25,488
180
0.16
0.05
9
C
82
0
2
25.488
180
0.16
0.05
10
C
76
0
23
21,240
150
0,13
0.05
11
C
79
0
2.5
16,992
120
0.10
0.05
12
CL
81
0
2.8
21,240
150
0.13
0.05
13
PC
80
0
14
R
77
0.83
15
CL
74
0
2.8
16,992
120
0.10
0.05
16
C
83
0
26
17
PC
79
0.41
26
16,992 1
120
0.10
0.05
18
C
68
0
2.6
16,992
120
0.10
0.05
19
C
66 1
0
3
20
PC
72
0,01
21
C
76
0
22
23
C
C
77
74
0
0
2.5
32
42,480
21,240
300
150
0.26
0.13
0.05
0.05
24
C
74
0
3.6
25
C
72
0
3.5
42,480
300
0.26 1
0.05
,26
C
68
0
4.2
21,240
150
0.13
0.05
27
PC
61
0
!28
R
61
0,34
'.'.9
R
71
1,14
10
CL
72
E0,2
3.9
PI1
i
PC
75
3.8
Monthly Loading:
12 Month Floating Total (in)
1.77
0
",
0.00
_;;
0
0.00
0
000
DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A89OF56A9F8F
Did the application rates exceed the limits in Attachment B of your permit?
O Compliant ❑ Non -compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites?
O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit?
O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site?
O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit?
O Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain In the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator In Responsible Charge (ORC) Certification
Permittee Certification
ORC: Amanda Grenier
Permittee:
MHC TT, LP
Certification No.: 1000089
Signing Official: George Gudgeon
Grade: SI Phone Number: 919-356-6509
Signing Official's Title: Sr. Vice President
Has the ORC changed since the previous NDAR-9? O Yes ❑ No
Phone Number:312-279-1400 Permit Exp.: 10/31/27
i
6/27/2023
Signature D to
Signature Date
By this signature. I certtty that this report Is accurate and complete to the best of my knowledge.
I certify, under penalty of law. that this document and all attachments were prepared under my direction or supervision In accordance
with a system designed to assure that all qualified personnel property gathered and evaluated tho information submitted. Based on my
Inquiry of the parson 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 completo. I am aware that there are significant
penalties for submitting false Information. Including the possibility of ftnes and Imprisonment for knowing violations,
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
.0:1
DocuSign Enveope ID:315F454F-578A-486F-BOE6-A89OF56A9F8F
/�ace Analytical
www.pacelabs.com
June 07, 2023
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
Dear Amanda Grenier:
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilie, NC 28078
(704)875-9092
Enclosed are the analytical results for sample(s) received by the laboratory on May 24, 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
• Pace Analytical Services - Raleigh
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
mafthew.brainard@pacelabs.com
(704)875-9092
Project Manager
Enclosures
7NI
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 17
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DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A890F56A9F8F
117_ eAna1j&a1
J www.paeelabs.com
i
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
Pace Analytical Services Raleigh
4915 Waters Edge Dr. #120, Raleigh, NC 27606
North Carolina Wastewater Certification #: 67
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
North Carolina Drinking Water Certification #: 37731
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VrginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
vrginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
0800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
Page 2 of 17
DocuSign Envelope ID:315F454F-578A-486F-BOE6-A89OF56A9F8F
Pace Analytical Services, LLC
cey Ave.
3800� n ersville, CSuite28078
_ laceAnalXical"
www.patelabs.com
� (704W5-90e2
i
SAMPLE ANALYTE COUNT
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
Lab 1D Sample ID Method
Analysts
Analytes
Reported
Laboratory
92669051001 EFFLUENT GRAB SM 254OC-2011
DAW
1
PASI-E
SM 254OD-2015
VLG
1
PASI-E
SM 521OB-2016
AED
1
PASI-E
SM 9222D-2015
HGH
1
PASI-R
TKN+NO3+NO2 Calculation
KDF1
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 353.2 Rev 2.0 1993
MFO
3
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
PASI-R = Pace Analytical Services - Raleigh
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C. Page 3 of 17
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DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A89OF56A9F8F
Pace Analytical Services, LLC
aceAll�t aly ical ® 5800 ceyA�,e. Suite
i 8108
www.pacelabs.com
(704)875-9092
I
ANALYTICAL RESULTS
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
Sample: EFFLUENT GRAB
Lab ID: 92669051001 Collected: 05/24123 07:45
Received: 05/24/23 11:05 Matrix: Water
Parameters
Results Units Report Limit DF
Prepared Analyzed CAS No. Qual
2540C Total Dissolved Solids
Analytical Method: SM 254OC-2011
Pace Analytical Services - Eden
Total Dissolved Solids
240 mg/L 125 1
05/30/23 14:17
2540D Total Suspended Solids
Analytical Method: SM 25400-2015
Pace Analytical Services - Eden
Total Suspended Solids
16.0 mg/L 8.3 1
05/30/23 14:25
5210E BOD, 5 day EDN
Analytical Method: SM 521OB-2016 Preparation Method: SM 521OB-2016
Pace Analytical Services - Eden
BOD, 5 day
28.1 mg/L 2.0 1
05/25/23 17:37 05/30/23 13:48
MBIO 9222D Fecal Coliform RAL
Analytical Method: SM 922213-2015 Preparation Method: SM 922213-2015
Pace Analytical Services - Raleigh
Fecal Coliforms
6000 CFU/100 mL 1.0 1
05/24123 15:06 05MI23 14:26 El
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services - Asheville
Total Nitrogen
92.1 mg/L 0.040 1
06107/23 10:27
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Asheville
Nitrogen, Ammonia
90.5 mg/L 1.0 10
06/02/23 13:47 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
90.4 mglL 5.0 10
06/01/23 17:24 06/02/23 04:37 7727-37-9
353.2 Nitrogen, NC2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.01993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
1.8 mg/L 0.040 1
05126/23 01:52
Nitrogen, Nitrate
0.059 mg/L 0.040 1
05/26/23 01:52 14797-55-8
Nitrogen, Nitrite
1.7 mg/L 0.040 1
05126/23 01:52 14797-65-0
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
12.9 mg1L 0.15 3
06105/2316:12 06/06/2312:39 7723-14-0
I
Date: 08/07/202312:40 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 17
DocuSign Envelope ID:315F454F-578A-486F-BOE6-A89OF56A9F8F
aceAnalytical
www.pacelabs.com
I
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
QC Batch: 777544
QC Balch Method: SM 254OC-2011
Associated Lab Samples: 92669051001
METHOD BLANK: 4033670
Associated Lab Samples: 92669051001
Parameter Units
Total Dissolved Solids mg/L
LABORATORY CONTROL SAMPLE:
Parameter
4033671
Units
Total Dissolved Solids
mg/L
SAMPLE DUPLICATE: 4033672
Parameter
Units
Total Dissolved Solids
mg/L
QUALITY CONTROL DATA
Analysis Method: SM 254OC-2011
Analysis Description: 2540C Total Dissolved Solids
Laboratory: Pace Analytical Services - Eden
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 05/30/2314:15
Pace Analytical Services, LLC
9800 Kincey Ave. Suite too
Huntersvile, NC 28078
(704)875-9092
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 230 92 90-110
92669051001 Dup
Result Result RPD Qualifiers
240 310 25
Results presented on this page are In the units Indlcatod by the ^Units^ column oxcept whom an alternate unit Is presentod to tho right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not bo reproduced, except in full,
Date: 06/07/2023 12:40 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 17
DocuSign EnveiopeID:315F454F-578A-486F-BOE6-A89OF56A9FBF
171aceAnalXical
www.pacelabs.com
i
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
QC Batch: 777273
QC Batch Method: SM 254OD-2015
Associated Lab Samples: 92669051001
METHOD BLANK: 4032504
Associated Lab Samples: 92669051001
Parameter Units
Total Suspended Solids mg/L
LABORATORY CONTROL SAMPLE: 4032505
Parameter Units
Total Suspended Solids mg/L
QUALITY CONTROL DATA
Analysis Method: SM 254OD-2015
Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Eden
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifie
ND 2.5 05/30/2314:20
Spike LCS LCS
Conc. Result % Rec
250 252 101
SAMPLE DUPLICATE: 4032506
92669002002 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 364 310
SAMPLE DUPLICATE: 4032507
Parameter
Total Suspended Solids
92669039001
Units Result
mg1L 1130
Dup
Result
1150
RPD
16
0
Pace Analytical Services, LLC o
9800 KinceyAve. Suite 100 V?
Huntersville, NC 28078 9
% Rec
Limits Qualifiers
90-110
Qualifiers
RPD Qualifiers
2
(704)875-9992 M
m
m
Results presented on this page are In the unite Indicated by the "Unite" column except whom an ahemsto unit Is presented to the right of the reaulL
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/07/2023 12:40 PM without the written consent of Pace Analytical Services, LLC, Page 6 of 17
DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A890F56A9F8F
v
Pace Analytical Services, LLC °o
98aQ KiRcey Ave. Suite 100
_ aceAnalytical0
Huntersville, NC 28078 `�
www.paeelabs.oaln
(704)875-9092
M
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v
QUALITY CONTROL DATA
Project: FOREST LAKE MONTHLY
m
T
Pace Project No.: 92669051
rn
v
QC Batch: 776966
Analysis Method: SM 521OB-2016
0
QC Batch Method: SM 521 OB-2016
Analysis Description: 5210B BOD, 5 day Final EDN
m
Laboratory: Pace Analytical Services - Eden
Cn
9
Associated Lab Samples: 92669051001
o
v
METHOD BLANK: 4031136
Matrix: Water
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Associated Lab Samples: 92669051001
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Blank Reporting
a
�
Parameter Units
Result Limit Analyzed Qualifiers
n
BOD, 5 day mg/L ND 2.0 05/30/23 12:53 aI
LABORATORY CONTROL SAMPLE: 4031137
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
BOD, 5 day mg/L 198 182 92 84.6-115
SAMPLE DUPLICATE: 4031139
92669055001 Dup
Parameter Units Result Result RPD Qualifiers
BOD, 5 day mg/L 343 418 20
Results presented on this pago are In the units lndleated by the "UntW Column except wham an altamate unit Ie pmsentod to the right of the foaett.
REPORT OF LABORATORY ANALYSIS
This report shelf not be reproduced, except in full,
Date: 06/07/2023 12:40 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 17
DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A89OF56A9F8F
eAnalytical
www.pacelabs.com
i
QUALITY CONTROL DATA
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
QC Batch: 776963 Analysis Method: SM 9222D-2015
QC Batch Method: SM 9222D-2015 Analysis Description: 9222D Fecal Coliform(MF) - RAL
Laboratory: Pace Analytical Services - Raleigh
Associated Lab Samples: 92669051001
METHOD BLANK: 4031127 Matrix: Water
Associated Lab Samples: 92669051001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 05/25/23 14:26
SAMPLE DUPLICATE: 4031128
92668954002 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms CFU/100 mL ND ND
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvitle, NC 28078
(704)875-9092
Results presented on this page are in the unas indicatod by the "Units" column except wham an alternate unit is presert.d to the right of the reauit
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/07/202312:40 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 17
DocuSign Envelope 10: 315F454F-578A-486F-BOE6-A89OF56A9F8F
eAnalytical "
tnvw.pacelaDs.ccm
1
4
Project:
FOREST LAKE MONTHLY
Pace Project No.:
92669051
QC Batch:
778240
QC Batch Method:
EPA 350.1 Rev 2.01993
Associated Lab Samples: 92669051001
METHOD BLANK:
4036873
Associated Lab Samples: 92669051001
QUALITY CONTROL DATA
Analysis Method: EPA 350.1 Rev 2.01993
Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Ammonia mg/L ND 0.10 06102/23 12:59
v
Pace Analytical Services, LLC 0
9800 Kincey Ave. Suite 100 0
Huntersville, NC 28078 90
LABORATORY CONTROL SAMPLE: 4036874
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L 5 5.4 108 90-110
(704)875-9092 m
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4036875 4036876
MS MSD
92669942003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.3 5.3 106 107 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4036877 4036878
MS MSD
92668821002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L ND 5 5 5.4 5.4 107 107 90-110 0
Results presented on this page are in the units indicated by tho -Units- cohann except where an sit —to uNt Is pro.anted to tho right of the resulL
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/072023 12:40 PM without the written consent of Pace Analytical Services, I.I.C.
Page 9 of 17
DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A89OF56A9F8F
llaceAnalyficala
www.pacelabs com
i
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
QC Batch: 778045
QC Batch Method: EPA 351.2 Rev 2.0 1993
Associated Lab Samples: 92669051001
METHOD BLANK: 4035955
Associated Lab Samples: 92669051001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 351.2 Rev 2.01993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 06/02/23 04:00
Pace Analytical Services, LLC
9800 19noey Ave. Suite 1co
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE: 4035956
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L 10 10.6 106 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4035957 4035958
MS MSD
92669063004 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 9.5 10 10 17.9 18.4 84 88 90-110 3 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: 06/071202312:40 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 17
DocuSign Envelope ID:315F454F-578A-486F-BOE6-A89OF56A9F8F
/715ceAnalXical'
www.pacelabs.com
i
QUALITY CONTROL DATA
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
QC Batch: 777050 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-
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92669051001
METHOD BLANK: 4031538
Matrix: Water
Associated Lab Samples: 92669051001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Nitrogen, Nitrate
mg/L
ND 0.040
05/26/23 01:50
Nitrogen, Nitrite
mg/L
ND 0.040
05/26123 01:50
Nitrogen, NO2 plus NO3
mg/L
ND 0.040
05/26123 01:50
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
(704)875-9092
LABORATORY CONTROL SAMPLE: 4031539
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rec Limits Qualifiers
Nitrogen, Nitrate mg/L 1.5 1.5 101 90-110
Nitrogen, Nitrite mg/L 1 1.0 101 90-110
Nitrogen, NO2 plus NO3 mg/L 2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
4031542
4031543
MS
MSD
92669051001 Spike
Spike
MS
MSD
MS
MSD
% Rec
Parameter
Units
Result Cone.
Cone.
Result
Result
% Rec
% Rec
Limits RPD Qual
Nitrogen, Nitrate
mg/L
0.059 1.5
1.6
1.5
1.5
97
95
90-110 2
Nitrogen, Nitrite
mg/L
1.7 1
1
2.8
2.8
108
109
90-110 1
Nitrogen, NO2 plus NO3
mg/L
1.8 2.5
2.5
4.3
4.3
101
101
90-110 0
Results presented on this page am In the units Indicatod by the "Units" colurnn except whem en atternato unit to prosontod to the right or the rooulL
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 06/0712023 12:40 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 17
DocuSign Envelope ID:315F454F-57BA-486F-BOE6-A890F56A9F8F
�laceAnalyfical"
Wmitacela0s.com
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
QC Batch: 778523
QC Batch Method: EPA 365.1 Rev 2.0 1993
Associated Lab Samples: 92669051001
METHOD BLANK: 4038241
Associated Lab Samples: 92669051001
Parameter Units
Phosphorus mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 365.1 Rev 2.01993
Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 0.050 06106/2311:50
0
Pace Analytical Services, LLC 0
9800 Kincey Ave. Suite 100 [n
Huntersville, NC 28078
LABORATORY CONTROL SAMPLE: 4038242
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L 2.5 2.5 102 90-110
(704)875-9092 m
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4038243 4038244
MS MSD
92668823001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.31 2.5 2.5 2.9 2.9 103 103 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4038245 4038246
MS MSD
92668823002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.14 2.5 2.5 2.8 2.7 106 104 90-110 1
Results presented on this page are In the units Indleatod by the 'Unitc" column except where an alternate unit is presented to the right of the rcoutt.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Date: 06/07/202312:40 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 17
DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A89OF56A9F8F
0
Pace Analytical Services, LLC 0
aceAnalytical
9800 K incey Ave. Suite 100 N
Huntersvllle, NC 28078 o
www.pacelabs.com
(704)875-9092 m
i
m
0
CD
QUALIFIERS
N
m
Project: FOREST LAKE MONTHLY a
m
Pace Project No.: 92669051
io
0
DEFINITIONS n
OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL -Adjusted Method Detection Limit.
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)
OUP - 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
'otal" 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
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: 06/07/202312:40 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 17
DocuSign Envelope ID:315F454F-578A-486F-BOE6-A89OF56A9F8F
laceAnalyfical'
i www.patelabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: FOREST LAKE MONTHLY
Pace Project No.: 92669051
Lab ID
Sample ID
QC Batch Method
92669051001
EFFLUENT GRAB
SM 254OC-2011
92669051001
EFFLUENT GRAB
SM 254OD-2015
92669051001
EFFLUENT GRAB
SM 521 OB-2016
9266SO51001
EFFLUENT GRAB
SM 9222D-2015
92669051001
EFFLUENT GRAB
TKN+NO3+NO2
Calculation
92669051001
EFFLUENT GRAB
EPA 350.1 Rev 2.0 1993
92669051001
EFFLUENT GRAB
EPA 351.2 Rev 2.01993
92669051001
EFFLUENT GRAB
EPA 353.2 Rev 2.0 1993
92669051001
EFFLUENT GRAB
EPA 365.1 Rev 2.0 1993
Date: O6I07l202312:40 PM
Pace Analytical Services, LLC o
9800 Kincey Ave. Suite 100
Huntersville, NC 28078 90
(704)875-9092 m
QC Batch
Analytical Method
Analytical
Batch
777544
777273
776966
SM 521OB-2016
777415
776963
SM 92220-2015
776965
779038
778240
778045
EPA 351.2 Rev 2.0 1993
778218
777050
778523
EPA 365.1 Rev 2.0 1993
778766
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C.
Page 14 of 17
DocuSign Envelope ID: 315F454F-578A-486F-BOE6-A89OF56A9F8F
---- r-Rtyt-nuN'l-uuuJ v01_Sample Condition Upon Receipt
ace
uurrckni,im
Effective Date: 05/1
Laboratory receiving samples:
Asheville ❑ Eden[] Greenwood ❑ Huntersville ❑ Raleigh Mechanicsville�l atlanra(-1 Kpr.,o��,,;il .n
Upon ' Receipt Client Npa�me: Project WO# : 92669051
fJ:
Courier: \�f�ed Ex UPS USPS Client III III I 111111111111
❑ Commercial ldPace ❑Other: 92669051
Custody Seal Present? Dyes L 4 o Seals Intact? ❑Yes L 4
Packing Material: ❑ Bubble Wrap ❑ Bubble Bags �0/bne �❑ Other
Thermometer: ^ 1yigo
❑ IR Gun ID: .(J•�
Type of Ice: L_J'tM1let ❑Blue
Correction Factor: ,,//��
Cooler Temp: Add/Subtract ('C) 0
Cooler Temp Corrected (
USDA Regulated Soil ( r Nt' -ter sample)
Did samples origina eY in a. arantine zone within the United States: CA, NY, or SC
(check maps)? Dyes ( o
Chain of Custody Present?
Yc
❑No
]N/A
Samples Arrived within Hold Time?
es
❑ No
❑N/A
Short Hold Time Analysis (<72 hr.)?
es
❑ No
❑ N/A
Rush Turn Around Time Requested?
❑Yes
o
❑N/A
Sufficient Volume?
Yes
❑No
❑N/A
Containers Used?
-Pace Containers Used?
'::Correct Y s
Yes
❑ No
❑ No
❑ N/A
❑ N/A
Containers Intact?
es
❑ .
❑ N/A
Dissolved analysis: Samples Field Filtered?
❑Ye
ON.
/A
Sample Labels Match COC?
Yes
❑ Nb
❑ N/A
-Includes Date/Time/ID/Analysis Matrix:
Headspace in VOA Vials (>5-6mm)? ❑Yes No A
Trip Blank Present? ❑Yes ❑�o n
Tri Blank CustodySeals Present? ❑ Yes ❑ tb N/A
COMMENTS/SAMPLE DISCREPANCY
^'-ICATION/RESOLUTION _ y - --
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
r)—itrov in- RGR1d
1.
Date/initials Person Examining Contents:_�q�
Biological Tissue Fro & W
❑ Yes ❑ No ❑ 1A
❑None
Temp should be above freezing to 6'C
❑ Samples o ut of temp crteria. Samples on Ice, coolirg process
has begun
Did samples originate from a foreign source
including Hawaii and Puerto Rico)? ❑yes
Comments/Discrenancvc
Field Data Required? ❑ Yes
Lot ID of split containers:
Date/Time:
Date:
Date:
Ponc 1 of 7
Page 15 of 17
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BP4U-125 mL Plastic Unpreserved (N/A) (Cl-)
BP3U-250 mL Plastic Unpreserved (N/A)
----
—
BPZU-500 mL Plastic Unpreserved (N/A)
52
8PZU-1 liter Plastic Unpreserved (N/A)
BMS-125 mL Plastic H2SO4 (pH <2) (CI-)
BP3N-250 mL plastic HNO3 (pH <2)
BP4Z-125 ml. Plastic ZN Acetate & NaOH (>9)
BP46-I25 mL Plastic NaOH (PH> 12)(CI-)
WGFU-Wide-mouthed Glass jar Unpreserved
AG1U-1 liter Amber Unpreserved (N/A) (Cl-)
mC1 (pH <2)
L Amber Unpreserved (N/A) (CI -)Amber
FleAbe,rHzzzzz
H2SO4 (pH <2)LAmberH2SO4
(pH <Z)L
Ambr NH4C1(N/A)(CI•)
DG9H-40 mL VOA HCl (N/A)
VG9T-40 mL VOANa2S203 (N/A)
VG9U-40 mL VOAUnpreservcd (N/A)
DG9V-40 mL VOA H31,04 (N/A)
069S40 mL VOAH2SO4 (N/A)
V/GK (3 vials per kit}VPH/Gas kit (N/A)
SPST-125 mL Sterne Plastic (N/A —lab)
SP2T-250mLSterlicPlastic(N/A—lab)
FIX
7
APEBMR-250ml.
Plastic (NH2)2504 (9.3.9.7)
AGOU-100 mL Amber Unpreserved (N/A) (Cl-)
VSGU-20 ml.Scintillation vials (N/A)
DG9U-40 mLAmber Unpreserved vials (WA)
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DocuSign Envelope ID: 21 E44F26-9D2D-4E5C-90DD-363B549F459B
CHAIN -OF -CUSTODY / Analytical Request Document
f The Chain -of -Custody Is a LEGAL DOCUMENT, All relevant fields must be Completed
Submitting a sample via this chain of custody constitutes acknowledgment and acceptance of the Pace Terms and Condttlons [ound at httpsJlnfo.pacelabs.cominubfs/p,
Section A Section D
Required Client IMormatton: Required ProJeel hdormatioru Section C
COfnPQ+tY GreeneLFl,d
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Amanda Grmtcr
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