HomeMy WebLinkAboutWQ0004972_Monitoring - 01-2024_20240229Monitoring Report Submittal
...................................................
Permit Number#* WQ0004972
Name of Facility:*
Month: * January
Forest Lake WWTP
Report Information
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2024
Upload Document*
2024_January_Forest Lake_WQ0004972_Monthly 1.61 MB
Report Complete.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
agrenier@greenerehssolutions.com
Amanda Grenier
OAOW-� (It W;! 't
Reviewer: Wanda.Gerald
2/29/2024
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: 4/5/2024
p2np of
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 NON -DISCHARGE MONITORING REPORT NDMR
Permit No.: WQ0004972
Facility Name: Forest Lake Preserve WWTP
County: Davie
Month: January
Year: 2024
PPI: 001
Flow Measuring Point: Package Plant Effluent
Parameter Monitoring Point: Package Plant Effluent
Parameter Code 0.
50050
00400
50060
70300
00530
00310
31616
00600
00610
00625
00630
00620
00615
00665
00940
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24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
23,512
2
08:00
5
22,138
6.26
0.8
3
08:00
5
23,510
7.1
2.4
4
08:00
5
17,545
6.7
2.2
5
08:00
5
22,628
6.64
2.3
6
26,183
7
92,487
8
8:00
5
20,653
6.29
1.7
9
08:00
5
24,728
6.47
1.9
10
08:00
5
83,859
6.35
1.7
11
08:00
5
22,425
6.12
1.4
12
08:00
5
26,262
6.19
1.8
13
17,991
14
26,076
15
24,868
16
08:00
5
27,661
6.21
0.02
17
08:00
5
41,816
6.28
1.3
253
25.2
9.7
<1
51.7
40.9
51.5
0.16
0.16
<0.04
7.5
18
08:00
5
35,353
6.19
1.6
19
08:00
5
28,858
6.29
1.8
20
35,093
21
39,875
22
08:00
5
36,874
6.34
0.6
23
08:00
5
39,335
5.58
0.6
24
08:00
5
41,486
6.2
1.2
25
08:00
5
46,910
6.64
1.4
26
08:00
5
67,362
6.05
1.9
27
41,131
28
70,402
29
08:00
5
44,881
6.25
0.1
30
08:00
5
31,817
6.11
0.4
31
08:00
5
33,066
6.57
1.2
Average:
36,670
1.35
253.00
25.20
9.70
1.00
51.70
40.90
51.50
0.16
0.16
0.00
7.50
Daily Maximum:
92,487
7.10
2.40
253.00
25.20
9.70
1.00
51.70
40.90
51.50
0.16
0.16
0.04
7.50
Daily Minimum:
17,545
5.58
0.02
253.00
25.20
9.70
1.00
51.70
40.90
51.50
0.16
0.16
0.04
7.50
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Continuous
5x/Week
5X/Week
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
3X/year
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20
Sampling Person(s)
Certified Laboratories
Name:
Name: Greener EHS Solutions, LLC
Name: Sam Perry II Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant O 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.
The Monthly average flow exceeded the permitted flow of 24,400 gpd. The permitted application rate was not exceeded. The flow meter was calibrated on June 27, 2023 and the meter was reading significantly
low before the calibration. This was noted on the June 2023 NDMR. The plant is in the process of an upgrade to increase the capacity as well as investigating extraneous flow for 1/1 and leaking fixtures. Lab
Qualifiers, 1/17/24 - Phosphorus and TKN, M1 - Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. BOD, B3 - The dissolved oxygen depletion of the
dilution water blank exceeded 0.2 mg/L. Fecal Coliform, D6 - The precision between the sample and sample duplicate exceeded laboratory control limits.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sam Perry
Permittee: MHC TT, LP
Certification No.: 1014038
Signing Official: George Gudgeon
Grade: SI Phone Number: 919-548-2381
Signing Officials Title: Sr. Vice President
Has the ORC changed since the previous NDMR? El Yes O No
Phone Number: 312-279-1400 Permit Expiration: 10/31/2027
,C* " 2/29/2024
Ah, � w 2/28/2024 �
Signature Date
Signature Date
By this signature, I certify that this report is accurrate 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 properly gathered and evaluated 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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Permit No.: WQ0004972
Facility Name: Forest Lake
County: Davie
Month: January
Year: 2024
Did irrigation occur
Field Name:
Field Name:
Field Name:
Field Name:
Area (acres):
6
Area (acres):
Area (acres):
Area (acres):
at this facility?
Cover Crop:Grass/Trees
Cover Crop:
p�
Cover Crop:
p�
Cover Crop:
p:
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?
Field Irrigated?
Field Irrigated?
Field Irrigated?
a
m
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Q
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a
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E Trn
E 0 o
X O
cL J
°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
CL
46
0
-
2
C
48
0
1'
38,885
360
0.24
0.04
3
CL
50
0
1.5'
29,722
300
0.18
0.04
4
PC
44
0
2.6'
22,500
180
0.14
0.05
5
CL
43
0
2.4'
6
CL
40
0
7
CL
52
0
8
C
47
0
2.3'
53,335
360
0.33
0.05
9
R
58
1
3.4'
10
PC
47
0
2.5'
11
C
55
0
2.2'
14,180
300
0.09
0.02
12
CL
55
0
3'
33,459
240
0.21
0.05
13
C
50
0
14
C
53
0
151
CL
1 40
0
16
CL
39
0
2.4'
20,144
180
0.12
0.04
17
C
35
trace
2.9'
18
CL
47
0
2.5'
48,849
240
0.30
0.07
19
C
48
0
3.5'
20
C
29
0
21
C
38
0
22
PC
47
0
2.3'
23
CL
49
0
2'
51,759
300
0.32
0.06
24
CL
65
trace
2.7'
15,839
120
0.10
0.05
25
R
65
0.5
2.7'
26
R
72
1.5
2.2'
27
R
62
0
28
CL
55
0
29
C
53
2.75
1'
30
PC
49
0
0.9'
58,474
300
0.36
0.07
311
CL
1 49
1 trace
1 1.6'
1
50,375
300
0.31
0.06
Monthly Loading:
437,521
2.69
0
0.00
0
0.00
0
0.00
12 Month Floating Total (in):
24.24
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page of
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? ❑ Compliant 0 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.
Freeboard was <2 ft on 1/2 - 1/3/24 and 1/29 - 1/31/24 due to high flows and rainfall. The permit owner was notified and irrigation was done to bring the freeboard back to above 2 ft.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sam Perry
Permittee:
MHC TT, LP
Certification No.: 1014038
Signing Official: George Gudgeon
Grade: SI Phone Number: 919-548-2381
Signing Officials Title: Sr. Vice President
Has the ORC changed since the previous NDAR-1?
Phone Number: 312-279-1400 Permit Exp.: 10/31 /27
�°'s 2/24//2024
C—U w 2/28/2024
�'
Signature Date
Signature Date
By this signature, I certify that this report is accurrate 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 properly gathered and evaluated 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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
:58
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
January 30, 2024
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
Dear Amanda Grenier:
Enclosed are the analytical results for sample(s) received by the laboratory on January 17, 2024. 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 - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
matthew.brainard@pacelabs.com
704-977-0942
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 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
Pace Analytical Services Charlotte
South Carolina Laboratory ID: 99006
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Laboratory ID: 99006
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
CERTIFICATIONS
South Carolina Certification #: 99006001
South Carolina Drinking Water Cert. #: 99006003
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Louisiana DoH Drinking Water #: LA029
VirginiaNELAP Certification #: 460221
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
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 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
SAMPLE ANALYTE COUNT
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92708807001 EFFLUENT GRAB
SM 9222D-2015
KDF
1
PASI-C
SM 2540C-2015
JAY
1
PASI-A
SM 2540D-2015
JAY
1
PASI-A
SM 521OB-2016
MJP
1
PASI-A
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
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
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 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
ANALYTICAL RESULTS
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
Sample: EFFLUENT GRAB Lab ID: 92708807001 Collected: 01/17/24 12:00 Received: 01/17/24 12:40 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
MBIO 9222D Fecal Coliform CHT Analytical Method: SM 9222D-2015 Preparation Method: SM 9222D-2015
Pace Analytical Services - Charlotte
Fecal Coliforms
ND CFU/100 mL 1.0
1
01/17/24 16:12 01/18/24 14:18
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
253 mg/L 25.0
1
01/18/24 11:48
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services -Asheville
Total Suspended Solids
25.2 mg/L 10.0
1
01/18/24 12:21
5210B BOD, 5 day
Analytical Method: SM 521OB-2016
Pace Analytical Services -Asheville
BOD, 5 day
9.7 mg/L 2.0
1
01/18/24 20:01 01/23/24 14:58
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
51.7 mg/L 0.040
1
01/30/24 12:17
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
40.9 mg/L 0.60
6
01/27/24 11:50 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
51.5 mg/L 2.5
5
01/29/24 14:10 01/30/24 05:38 7727-37-9
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
0.16 mg/L 0.040
1
01/17/24 23:30 14797-55-8
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
7.5 mg/L 0.15
3
01/26/2411:49 01/26/2415:38 7723-14-0
Date: 01/30/2024 12:18 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
B3
Page 4 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 826109 Analysis Method: SM 9222D-2015
QC Batch Method: SM 9222D-2015 Analysis Description: 9222D Fecal Coliform(MF) - CHT
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92708807001
METHOD BLANK: 4272221 Matrix: Water
Associated Lab Samples: 92708807001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 01/18/24 14:18
SAMPLE DUPLICATE: 4272222
Parameter
Fecal Coliforms
92708808002 Dup
Units Result Result RPD Qualifiers
CFU/100 mL 18.0 10.0 57 D6
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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 826215 Analysis Method: SM 2540C-2015
QC Batch Method: SM 2540C-2015 Analysis Description: 2540C Total Dissolved Solids
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92708807001
METHOD BLANK: 4272471
Associated Lab Samples: 92708807001
Parameter
Units
Total Dissolved Solids
mg/L
LABORATORY CONTROL SAMPLE:
4272472
Parameter
Units
Total Dissolved Solids
mg/L
SAMPLE DUPLICATE: 4272473
Parameter
Units
Total Dissolved Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 01/18/2411:46
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 246 98 90-110
92708637001 Dup
Result Result RPD Qualifiers
732 738 1
SAMPLE DUPLICATE: 4272474
92708640007 Dup
Parameter Units Result Result
Total Dissolved Solids mg/L 59.0 67.0
RPD Qualifiers
13
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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 826214 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92708807001
METHOD BLANK: 4272468
Associated Lab Samples: 92708807001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
4272469
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 4272590
Parameter
Units
Total Suspended Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 01/18/2412:02
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 236 94 90-110
92708731003 Dup
Result Result RPD Qualifiers
12100 12700 5
SAMPLE DUPLICATE: 4272591
92708699003 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 3060 3120
RPD Qualifiers
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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 826370 Analysis Method: SM 521 OB-2016
QC Batch Method: SM 521OB-2016 Analysis Description: 5210E BOD, 5 day
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92708807001
METHOD BLANK: 4273359
Associated Lab Samples: 92708807001
Parameter Units
BOD, 5 day mg/L
LABORATORY CONTROL SAMPLE: 4273361
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 01 /23/24 14:10 B3
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 182 92 84.6-115
SAMPLE DUPLICATE: 4273362
92708682001 Dup
Parameter Units Result Result
BOD, 5 day mg/L 5.2 5.3
RPD Qualifiers
1 B3
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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 828110 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: 92708807001
METHOD BLANK: 4281351
Associated Lab Samples: 92708807001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 4281352
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 01 /27/24 10:20
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 5.0 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4281353 4281354
MS MSD
92710153001 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 5.2 5.2 105 105 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4281355 4281356
MS MSD
92708689004 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 5.1 5.1 102 101 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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 828523 Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993 Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92708807001
METHOD BLANK: 4283108
Associated Lab Samples: 92708807001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
LABORATORY CONTROL SAMPLE: 4283109
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 01 /30/24 04:21
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
10 9.6 96 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4283110 4283111
MS MSD
92709504005 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 1.4 10 10 11.7 11.3 103 100 90-110 3
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4283112 4283113
MS MSD
92709504006 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L ND 10 10 11.3 11.7 109 112 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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 826144 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: 92708807001
METHOD BLANK: 4272328
Associated Lab Samples: 92708807001
Parameter Units
Nitrogen, Nitrate mg/L
LABORATORY CONTROL SAMPLE: 4272329
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 01/17/24 23:21
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
1.5 1.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4272330 4272331
MS MSD
92708680001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 2.5 1.5 1.5 4.0 4.1 106 107 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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
QC Batch: 827912 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: 92708807001
METHOD BLANK: 4280549
Associated Lab Samples: 92708807001
Parameter Units
Phosphorus mg/L
LABORATORY CONTROL SAMPLE: 4280550
Parameter Units
Phosphorus mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.050 01 /26/24 15:12
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4280551 4280552
MS MSD
92707886001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.070 2.5 2.5 2.6 2.6 100 100 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4280553 4280554
MS MSD
92708460002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 2.7 2.5 2.5 5.0 5.0 89 91 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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALIFIERS
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92708807
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.
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.
TN -The NELAC Institute.
ANALYTE QUALIFIERS
B3 The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L.
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
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: 01 /30/2024 12:18 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 17
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
FOREST LAKE -MONTHLY
92708807
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92708807001
EFFLUENT GRAB
SM 9222D-2015
826109
SM 9222D-2015
826110
92708807001
EFFLUENT GRAB
SM 254OC-2015
826215
92708807001
EFFLUENT GRAB
SM 2540D-2015
826214
92708807001
EFFLUENT GRAB
SM 521 OB-2016
826370
SM 521 OB-2016
826432
92708807001
EFFLUENT GRAB
TKN+NO3+NO2
828835
Calculation
92708807001
EFFLUENT GRAB
EPA 350.1 Rev 2.0 1993
828110
92708807001
EFFLUENT GRAB
EPA 351.2 Rev 2.0 1993
828523
EPA 351.2 Rev 2.0 1993
828725
92708807001
EFFLUENT GRAB
EPA 353.2 Rev 2.0 1993
826144
92708807001
EFFLUENT GRAB
EPA 365.1 Rev 2.0 1993
827912
EPA 365.1 Rev 2.0 1993
828169
Date: 01/30/2024 12:18 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 14 of 17
I I DC# Title: ENV-FRM-HUN1-0083 v03_Sample Condition Upon Receipt
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20
•"HVV
Effective Date: 11/29/2023 4:16:30 PM
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Huntersville [] Raleigh[] Mechanicsville❑ Atlanta[] Kernersville❑
r
SampleUpon Receipt Client Name: Project #: • WO# . 92708807
G cc-EllEf CHI n5
Courier. Ued Ex UPS LISPS Client II I II' II I I I II I I I I I I �II
❑ Commercial Pace El Other:
927/18807
Packing Material: ❑ Bubble Wrap CJ Bubble Bags ❑ None ❑ Other
Thermomgter:
Q ^� � \ ,�
IR Gun ID: `� U Type of Ice: E3/wet []Blue
�)� Correction Factor: I
Cooler Temp: Q( Add/Subtract (°C)
Cooler Temp Corrected ('s):
USDA Regulated Soil ( 9 N/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC
(check maos)? ❑ Yes ❑ No
Date/Initials Person Examining Conte
Biological TissueeFF zen?
❑ Yes El No L�LI N/A
❑ None
Jiq -
Temp should be above freezing to 6°C
❑ Samples out of temp criteria. Samples on ice, cooling process
has begun
Did samples originate from a foreign source (internationally,
includine Hawaii and Puerto Ricol? ❑ Yes ❑ No
Comments/Discrepancy:
Chain of Custody Present?
Y s
❑ No
] N/A
1.
Samples Arrived within Hold Time?
ETyes
❑ No
❑ N/A
2.
Short Hold Time Analysis (<72 hr.)?
91Yes
❑ No
❑ N/A
3.
Rush Turn Around Time Requested?
E3 Yes
No
❑ N/A
4.
Sufficient Volume?
EYYes
❑No
❑N/A
S.
Correct Containers Used?
dyes
❑ No
❑N/A
6.
-Pace Containers Used?
-Yes
❑ No
❑ N/A
Containers Intact?
Yes
❑ No
❑ N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
eNo
❑N/A
8.
Sample Labels Match COC7
ETYes
❑ No
❑ N/A
9.
"" T
-Includes Date JTi me/I D/Analysis Matrix:
Headspace in VOA Vials (>5-6mm)?
❑ Yes
❑ No
CJ N/A
10.
Trip Blank Present?
❑Yes
❑No
11.
TripBlank Custody Seals Present?
❑ Yes
❑ No
2/N/A
p/N/A
COMMENTS/SAMPLE DISCREPANCY
Lot ID of split containers:
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Date/Time:
Date:
Date:
Field Data Required? U Yes U No
Qualtrax ID: 69614 Paae 1 of 2
Page 15 of 17
A, -I I DC# Title: ENV-FRM-HUN1-0083 02 Sample Condition Upon Receipt
DocuSign Envelope ID: C67CE27C-F12B-4A59-97FA-49E9BDF94E20
Effective Date: 11/14/2022
*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/8015 (water) DOC. LLHg
**Bottom half of box is to list number of bottles
***Check all unpreserved Nitrates for chlorine
Project 4
WO#:92708807
PM: MWB Due Date: 01/31/24
CLIENT: 92-Greener
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pH Adjustment Log for Preserved Samples
Sample ID
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
Lot k
Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DENR Certification Office
Out of hold, incorrect preservative, out of temp, incorrect containers.
Qualtrax ID: 69614 Page 2 of 2 page 16 of 17
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-
17
2024_January_Forest Lake_WQ0004972_Month
ly Report for signature
Final Audit Report 2024-02-29
Created:
2024-02-29
By:
Amanda Grenier (agrenier@greenerehssolutions.com)
Status:
Signed
Transaction ID:
CBJCHBCAABAABiwOVglYhGzIC5j6-AJnA-Jlsyli4gjQ
" 2024_January_Forest Lake_WQ0004972_Monthly Report for si
gnature" History
Document created by Amanda Grenier (agrenier@greenerehssolutions.com)
2024-02-29 - 8:10:07 PM GMT
Document emailed to Sam Perry (sperry@greenerehssolutions.com) for signature
2024-02-29 - 8:10:15 PM GMT
Email viewed by Sam Perry (sperry@greenerehssolutions.com)
2024-02-29 - 8:13:09 PM GMT
Document e-signed by Sam Perry (sperry@greenerehssolutions.com)
Signature Date: 2024-02-29 - 8:16:42 PM GMT - Time Source: server
Agreement completed.
2024-02-29 - 8:16:42 PM GMT
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