HomeMy WebLinkAboutWQ0004972_Monitoring - 07-2024_20240830Monitoring Report Submittal
...................................................
Permit Number#* WQ0004972
Name of Facility:*
Month: * July
Forest Lake RV Park 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_J u ly_Forest_Lake_WQ0004972_Month ly_... 1.59M B
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
8/30/2024
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: 9/17/2024
p2np. of
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A NON -DISCHARGE MONITORING REPORT NDMR
Permit No.: WQ0004972
Facility Name: Forest Lake Preserve ELS
County: Davie
Month: July
Year: 2024
PPI: 001
Flow Measuring Point: WWTP Effluent
Parameter Monitoring Point:
Parameter Code
50050
00400
50060
70300
00530
00310
31616
00600
00610
00625
00630
00620
00615
00665
00940
f0
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O
m
Y C
O
O
3
LL
Q
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YU
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.awa
M O
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=
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d
g
O0(A
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r r.
r.
d
Z
sQ
°
a
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U
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
I mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
08:00
5
31,037
6.41
0.3
2
08:00
5
23,614
6.21
0.6
3
08:00
5
26,737
6.38
1.2
4
Holiday
Holiday
30,540
Holiday
Holiday
5
08:00
5
26,016
6.53
1.1
6
34,910
7
42,407
8
8:00
5
55,444
6.74
0.2
9
08:00
5
33,387
6.54
1.3
342
<2.5
<2.0
11
14.1
0.16
2.4
11.7
11.7
<0.10
10.2
76.2
10
08:00
5
24,323
6.53
1.4
11
08:00
5
22,980
6.62
1.6
12
08:00
5
23,148
6.3
1.6
13
33,135
14
23,722
15
08:00
5
35,176
6.32
0.6
16
08:00
5
24,941
6.43
1.2
17
08:00
5
19,786
6.31
1.4
18
08:00
5
25,566
6.15
1.6
19
08:00
5
48,249
6.5
1.1
20
33,866
21
46,310
22
08:00
5
35,428
6.35
0.8
23
08:00
5
31,470
6.33
1.3
24
08:00
5
51,096
6.54
0.6
25
08:00
5
36,434
6.44
0.6
26
08:00
5
59,713
6.54
1.1
27
31,441
28
37,484
29
08:00
5
28,065
6.3
0.6
30
08:00
5
44,749
6.27
0.8
311
08:00
1 5
26,078
6.05
1.2
Average:
33,782
0.97
342.00
0.00
0.00
11.00
14.10
0.16
2.40
11.70
11.70
0.00
10.20
76.20
Daily Maximum:
59,713
6.74
1.60
342.00
2.50
2.00
11.00
14.10
0.16
2.40
11.70
11.70
0.10
10.20
76.20
Daily Minimum:
19,786
6.05
0.20
342.00
2.50
2.00
11.00
14.10
0.16
2.40
11.70
11.70
0.10
10.20
76.20
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: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A
Sampling Person(s)
Certified Laboratories
Name: Sam Perry 11 Name: Greener EHS Solutions, LLC
Name:
Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant El 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, 7/9/2024, Fecal Coliform, D6 - The precision between the sample and sample duplicate exceeded laboratory control limits and TKN, M1 - Matrix spike recovery exceeded QC limits.
Batch accepted based on laboratory control sample (LCS) recovery.
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 Official's Title: Sr. Vice President
Has the ORC changed since the previous NDMR? ❑ Yes F11 No
Phone Number: 312-279-1400 Permit Expiration: 10/31 /2027
Signed by:
Q 7 8-30-2024
� �Iw 8/29/2024
Sam Perry (Aug 30, 10:27 EDT)
0
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: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Page of
Permit No.: WQ0004972
Facility Name: Forest Lake
County: Davie
Month: July
Year: 2024
Did irrigation
Field Name:
1
Field Name:
Field Name:
Field Name:
occur
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):
Yes
Annual Rate (in):
46.8
Annual Rate (in):
Annual Rate (in):
Annual Rate (in):
Weather
Freeboard
Field Irrigated?
Yes
Field Irrigated?
Field Irrigated?
Field Irrigated?
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°F
in
ft
ft
gal
min
in
in
gal
min
in
in
gal
min
in
in
gal
min
in
in
1
C
83
0
2.5
45,492
300
0.28
0.06
2
C
83
0
3.5
3
CL
87
0
3.2
4
CL
96
0
5
C
95
0
3
6
CL
95
0
7
CL
82
0
8
CL
90
1.7"
2
9
CL
93
0
1.8
10
PC
94
0
1.7
51,379
300
0.32
0.06
11
C
88
0
2.4
12
CL
78
0
2.3
50,028
300
0.31
0.06
13
PC
93
0
14
PC
96
0
15
C
97
0
3
16
PC
92
0
2.7
17
C
93
0
2.6
54,580
300
0.34
0.07
18
C
89
0
3.9
19
CL
82
1"
3.5
20
CL
81
0
21
CL
84
0
22
CL
85
1"
2.8
23
C
87
0
2.5
52,394
300
0.32
0.06
24
R
85
.5"
3.6
25
R
80
.25"
3.4
26
CL
83
1"
3
27
CL
82
0
28
PC
85
0
29
PC
75
0
2.3
55,689
300
0.34
0.07
30
PC
84
0
3.3
311
C
1 80
1 0
1 3.2
Monthly Loading:
309,562
1.90
0
0.00
1
1771
1 0.00
0
0.00
12 Month Floating Total (in):
23.34
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A NON -DISCHARGE APPLICATION REPORT (NDAR-1)
Did the application rates exceed the limits in Attachment B of your permit?
Page of
El Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? ❑ 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? ❑ Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑ Compliant El 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
taken. Httacn aaamonal sneers IT
Freeboard was less than 2ft on July 9 and 10, due to heavy rainfall. The owner was notified.
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 Official's Title: Sr. Vice President
Has the ORC changed since the previous NDAR-1?
Phone Number: 312-279-1400 Permit Exp.: 10/31/27
7 8-30-2024
Signed by:
L�,Dr� L-IA.QI 8/29/2024
Sam Perry (Aug30, 0 10:27 EDT)
pv,
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: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
July 22, 2024
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: Forest Lake- July
Pace Project No.: 92740746
Dear Amanda Grenier:
Enclosed are the analytical results for sample(s) received by the laboratory on July 09, 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 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
Project: Forest Lake- July
Pace Project No.: 92740746
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 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
SAMPLE ANALYTE COUNT
Project: Forest Lake- July
Pace Project No.: 92740746
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92740746001 GREENER EHS EFFLUENT
SM 9222D-2015
KDF
1
PASI-C
SM 2540C-2015
AGM
1
PASI-A
SM 2540D-2015
AGM
1
PASI-A
SM 521OB-2016
LAC
1
PASI-A
TKN+NO3+NO2 Calculation
MDW
1
PASI-A
EPA 350.1 Rev 2.0 1993
NCF
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
SM 4500-CI-E-2011
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 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
ANALYTICAL RESULTS
Project: Forest Lake- July
Pace Project No.: 92740746
Sample: GREENER EHS EFFLUENT Lab ID: 92740746001 Collected: 07/09/24 12:45 Received: 07/09/24 12:50 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
11.0 CFU/100 mL 1.0
1
07/09/24 17:48 07/10/24 15:48
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
342 mg/L 25.0
1
07/15/24 14:17
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services -Asheville
Total Suspended Solids
ND mg/L 2.5
1
07/15/24 14:29
5210B BOD, 5 day
Analytical Method: SM 521OB-2016
Pace Analytical Services -Asheville
BOD, 5 day
ND mg/L 2.0
1
07/10/24 19:00 07/15/24 16:56
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
14.1 mg/L 0.040
1
07/22/24 12:03
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
0.16 mg/L 0.10
1
07/18/24 14:44 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
2.4 mg/L 0.50
1
07/18/24 15:31 07/19/24 04:46 7727-37-9
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
11.7 mg/L 0.10
5
07/10/24 02:01 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
10.2 mg/L 0.15
3
07/18/2412:56 07/19/2412:56 7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services -Asheville
Chloride
76.2 mg/L 2.0
2
07/17/2410:30 16887-00-6
Date: 07/22/2024 12:05 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 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 867617 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: 92740746001
METHOD BLANK: 4472176 Matrix: Water
Associated Lab Samples: 92740746001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 07/10/24 15:48
SAMPLE DUPLICATE: 4472177
Parameter
Fecal Coliforms
92740630001 Dup
Units Result Result RPD Qualifiers
CFU/100 mL 5.0 10.0 67 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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 868131 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: 92740746001
METHOD BLANK: 4474676
Associated Lab Samples: 92740746001
Parameter
Units
Total Dissolved Solids
mg/L
LABORATORY CONTROL SAMPLE:
4474677
Parameter
Units
Total Dissolved Solids
mg/L
SAMPLE DUPLICATE: 4474678
Parameter
Units
Total Dissolved Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 07/15/2414:16
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 250 100 90-110
92741001001 Dup
Result Result RPD Qualifiers
63.0 62.0 2
SAMPLE DUPLICATE: 4474679
92740748001 Dup
Parameter Units Result Result
Total Dissolved Solids mg/L 930 916
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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 868130 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: 92740746001
METHOD BLANK: 4474674
Associated Lab Samples: 92740746001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
4474675
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 4475178
Parameter
Units
Total Suspended Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 07/15/2414:24
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 250 100 90-110
92740711001 Dup
Result Result RPD Qualifiers
206 209 1
SAMPLE DUPLICATE: 4475179
92740711003 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 3720 3260
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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 867275 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: 92740746001
METHOD BLANK: 4470236
Associated Lab Samples: 92740746001
Parameter
Units
BOD, 5 day
mg/L
LABORATORY CONTROL SAMPLE:
4470238
Parameter
Units
BOD, 5 day
mg/L
SAMPLE DUPLICATE: 4470239
Parameter
Units
BOD, 5 day
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 07/15/2415:46
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 168 85 84.6-115
92740688001 Dup
Result Result RPD Qualifiers
182 181 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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 868786 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: 92740746001
METHOD BLANK: 4477690
Associated Lab Samples: 92740746001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 4477691
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 07/18/2414:22
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 5.0 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4477692 4477693
MS MSD
92740568001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 0.29 5 5 5.5 5.5 105 105 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4477694 4477695
MS MSD
92741035001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 0.44 5 5 5.9 5.9 109 110 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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 868900 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: 92740746001
METHOD BLANK: 4478173
Associated Lab Samples: 92740746001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
LABORATORY CONTROL SAMPLE: 4478174
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 07/19/24 04:39
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
10 10.3 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4478175 4478176
MS MSD
92741413003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 0.51 10 10 11.6 11.6 111 111 90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4478177 4478178
MS MSD
92741413004 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 10.2 10.8 102 108 90-110 5
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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 867030 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: 92740746001
METHOD BLANK: 4469077
Associated Lab Samples: 92740746001
Parameter Units
Nitrogen, Nitrate mg/L
LABORATORY CONTROL SAMPLE: 4469078
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.020 07/10/24 01:17
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
1.5 1.5 102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4469079 4469080
MS MSD
92740417001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 0.35 1.5 1.5 1.9 1.9 105 105 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4469081 4469082
MS MSD
92740453005 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 0.16 1.5 1.5 1.6 1.6 98 97 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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 868842 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: 92740746001
METHOD BLANK: 4477877
Associated Lab Samples: 92740746001
Parameter Units
Phosphorus mg/L
LABORATORY CONTROL SAMPLE: 4477878
Parameter Units
Phosphorus mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.050 07/19/24 09:24
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4477879 4477880
MS MSD
92740746001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 10.2 2.5 2.5 12.7 12.9 99 106 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4477881 4477882
MS MSD
92740752001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.054 2.5 2.5 2.5 2.5 99 99 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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA
Project: Forest Lake- July
Pace Project No.: 92740746
QC Batch: 868542 Analysis Method: SM 4500-CI-E-2011
QC Batch Method: SM 4500-CI-E-2011 Analysis Description: 4500 Chloride
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92740746001
METHOD BLANK: 4476488
Associated Lab Samples: 92740746001
Parameter Units
Chloride mg/L
LABORATORY CONTROL SAMPLE: 4476489
Parameter Units
Chloride mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 1.0 07/17/2410:07
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
20 20.7 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4476490 4476491
MS MSD
92739646002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 6.2 10 10 17.0 16.9 108 107 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4476492 4476493
MS MSD
92739646003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 8.0 10 10 17.6 18.4 96 104 90-110 4
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC.
Page 13 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALIFIERS
Project: Forest Lake- July
Pace Project No.: 92740746
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
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: 07/22/2024 12:05 PM without the written consent of Pace Analytical Services, LLC. Page 14 of 18
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
(704)875-9092
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
Forest Lake- July
92740746
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92740746001
GREENER EHS EFFLUENT
SM 9222D-2015
867617
SM 9222D-2015
867618
92740746001
GREENER EHS EFFLUENT
SM 254OC-2015
868131
92740746001
GREENER EHS EFFLUENT
SM 2540D-2015
868130
92740746001
GREENER EHS EFFLUENT
SM 521OB-2016
867275
SM 521OB-2016
867350
92740746001
GREENER EHS EFFLUENT
TKN+NO3+NO2
870009
Calculation
92740746001
GREENER EHS EFFLUENT
EPA 350.1 Rev 2.0 1993
868786
92740746001
GREENER EHS EFFLUENT
EPA 351.2 Rev 2.0 1993
868900
EPA 351.2 Rev 2.0 1993
869421
92740746001
GREENER EHS EFFLUENT
EPA 353.2 Rev 2.0 1993
867030
92740746001
GREENER EHS EFFLUENT
EPA 365.1 Rev 2.0 1993
868842
EPA 365.1 Rev 2.0 1993
869258
92740746001
GREENER EHS EFFLUENT
SM 4500-CI-E-2011
868542
Date: 07/22/2024 12:05 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 15 of 18
Mil." T"'"' `M"" """" """"
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A 5 —Sam le Condition Upon Receipt
rd(Ir
Effective Date: 05/24/2024
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Huntersville Raleigh❑ Mechanicsville) —I AtlantaF- Kernersvillel-1
SampleUpon Receipt rClient Name:
,��WO# : 92740746
�-i (-1 tJ �1 I �� Project #:
Courier: ❑Fed Ex ❑UPS ❑USPS ❑Client
❑ Commercial ❑Pace ❑Other:
92740746
L
Custody Seal Present? Oyes QNo Seals Intact? IlYes [:]No❑N/A
Date/Initials Person Examining Contents:.
Packing Material: ❑Bubble Wrap
Thermometer:
❑Bubble Bags []None ❑ Other
❑ IR Gun ID: TC/�
Type of Ice: ❑Wet
Correction Factor:
Cooler Temp: r Add/Subtract ("C) L/
Cooler Temp Corrected (•C):- 1 j •({/
USDA Regulated Soil ( 0 N/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC
(check maps)? ❑Yes /ONo
❑Blue ❑None
Biological Tissue Frozen?
[-]Yes [:]No ❑(I/A
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,
including Hawaii and Puerto Rico)? Dyes /❑No
Chain of Custody Present?
[ Yes
[:]No
I
❑N/A
Comments/Discrepancy-
1.
Samples Arrived within Hold Time?
Dyes
❑No
[-]N/A
_
2.
Short Hold Time Analysis (<72 hr.)?
❑Yes �No
❑N/A
3.
Rush Turn Around Time Requested?
❑Yes
No
❑N/A
4.
Sufficient Volume?
dyes
[:]No
❑N/A
5.
Correct Containers Used?
Pace Containers Used?
QYes
byes
(:]No
❑No
❑N/A
❑N/A
6.
7.
8.
9.
Containers Intact? Dyes ❑No ❑N/A
Dissolved analysis: Samples Field Filtered? ❑Yes ❑No ❑N/A
Sample Labels Match COC? ❑Yes ❑No ❑N/A
Includes Date/Time/ID/Analysis Matrix:
Headspace in VOA Vials (>5-6mm)?
❑Yes
❑No
i N/A
10,
Trip Blank Present?
Trip Blank Custody Seals Present?
[]Yes
❑Yes
[:]No
❑No
i N/A
❑N/A
11.
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Lot ID of split containers:
Date/Time:
Date:
Date:
Field Data Required? ❑Yes ❑No
Qualtrax ID: 69614 Page 1 of 2 Page 16 of 18
/7 1
r ^" rut • --.. � � .— wwww
Docusign Envelope ID: 9EDCDCEA-6FA3-4BAF-AD82-56E3FDA54B3A w5_Sample Condition Upon Receipt
race
Effective Date: 05/24/2024
I —
*Check mark top half of box if pH and/or dechlorination is verified and within the W0 : 92740746
acceptance range for preservation samples. Project
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC, LLHg PM: MWB Due Date: 07/23/24
;:Bottom half of box is to list number of bottles CLIENT: 92-Greener
Check all unpreserved Nitrates for chlorine
Laboratory Receiving Location: Asheville ❑ Eden[] Greenwood ❑ Huntersville Raleigh[-1 MecnamcsvmeL_J AtlantaLJ KernersvilleLJ
Client Profile/EZ (Circle one) Notes
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pH Adjustment Log for Preserved Samples
Sample ID
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Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative Lot #
added
_
rvuce: vvnenever mere is a aiscrepancy anecung Nonn Larouna compliance samples, a copy of this form will be sent to the North Carolina DENR Certification Ott ice (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Qualtrax ID: 69614 Page 2 of 2 Page 17 of 18
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Page 18 of 18
sample.
2024_J u ly_Forest_Lake_WQ0004972_Month ly_
Report for signature
Final Audit Report
Created: 2024-08-30
By: Amanda Grenier (agrenier@greenerehssolutions.com)
Status: Signed
Transaction ID: CBJCHBCAABAAXlkj9bhAZrQY77GJvmUag9MQ-sWOorfw
2024-08-30
"2024_July_Forest_Lake_WQ0004972_Monthly_Report for signa
ture" History
Document digitally presigned by DocuSign\, Inc. (enterprisesupport@docusign.com)
2024-08-29 - 8:44:41 PM GMT
Document created by Amanda Grenier (agrenier@greenerehssolutions.com)
2024-08-30 - 2:20:57 PM GMT
Document emailed to sperry@greenerehssolutions.com for signature
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Email viewed by sperry@greenerehssolutions.com
2024-08-30 - 2:25:46 PM GMT
Signer sperry@greenerehssolutions.com entered name at signing as Sam Perry
2024-08-30 - 2:27:52 PM GMT
Document e-signed by Sam Perry (sperry@greenerehssolutions.com)
Signature Date: 2024-08-30 - 2:27:54 PM GMT - Time Source: server
Agreement completed.
2024-08-30 - 2:27:54 PM GMT
a Adobe Acrobat Sign