WQ0004972_Monitoring - 04-2020_20200529

Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER:_ W00004972 MONTH: ADril YEAR: 2020
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent W Influent: Li
Parameter Monitoring Point: Effluent: Q Influent: Surface Water (SW): SW Code/Name: ❑
Was There Effluent Flow for this Month Generated At This Facility: Yes: W No: Li
Openlor
SM50
00400
1 50WO
00310
Own)
00630
1 31616
OWN
OW25
OW30 1
OWN
OW20
70300
00940
D
A
T
E
Arrival
Time
2400
Clerk
Opamlor
Time an
Sim
ORC
Si1e7
DWy Rate
(Flow) into
Treatment
S"".
M
Residual
Chlorine
BOD-5
20-C
Nil-3-N
T55
Feul
C011fum1
(Ge .hR,
Mmn•)
Tool
Phm
Tool
Kcldhol
Nilrob n
NO2+NO3
Tod
Maogim
Niaeo
NO3-N
Told
lo.Owl
Solids
Chloride
HRS
YIN
GPD
KNITS
LG/L
MG/1.
MGIL
MO/L
IIOOML
MWL
MG/L
MGIL
MGIL
MGIL
MG/L
MGIL
(lmlim�ous
`11 r,:
5/Nmk
Monthly
Mwlhi,
Monhly
Maobly
NI-71
Tlonthly
SlnnNly
Momhly
771ly
11-1
Lycar
1
1245
0.15
B
4,444
6.12
<10
2
1210
0.50
Y
5,631
6.IS
<10
3
1420
0.15
B
5,227
6.16
<10
4
7,964
7,964
4
1337
11.25
1
7,9(,4
6.27
Q10
7
1149
0.25
Y
6,616
6.19
<111
s
06511
0.25
1
6.748
6.22
<10
9
1540
0.15
1 B
7,323
6.19
<10
m
1325
0.15
B
7,699
6.21
<10
12
8,148
12
8,148
u
1300
0.15
B
8,148
6.17
<10
14
1450
0.25
1'
7,219
1 6.21
<10
Is
1535
0.15
B
6,466
6.23
<10
V.
0850
11.15
B
6,777
6.22
<10
17
1040
0.25
Y
7,039
6.26
<10
3
8333
1s
1
1
8333
20
130110.50
11
8,333
6.24
<10
21
1219
Y
7,258
6.24
<10
1604
It
7391
6.21
<10
23
0740
Y
6,282
6.28
<10
24
11836
❑
7,797
6.25
<III
2s
9,706
9,706
27
1348
B
9,706
6.29
<10
2a
1340
B
6.354
6.29
<10
29
0635
Y
6,889
6.21
<10
16.2
72.6 -:
14.0
>2420
5.89
81.2
<0,05
81.2
<0,05
20
0829
0.15
B
6.955
6.24
<10
31
Aver.,
Daily N1axlnsmn
7.419
9,706
6.29
<10
<10
16.2
72.6
14.0
14.0
>2420
124211
5.89
5.89
81.2
<0.05
81.2
<0.05
16.2
72.6
81.2
<0.05
81.2
<0.05
Deliv Minimum
1 4,444
6.12
<10
16.2
72.6
14.0
12420
5.89
81.2
<0.05
81.2
<0.05
Monthly Lorils(s)
24400
Calnpndtr ® / Grab U)
Operator in Responsible Charge (ORC): Glenn Price Grade: 11 Phone: [phone]
Check Box if ORC Has Changed: ❑ ORC Certification Number: 987931/20771
Certified Laboratories (1): R & A Laboratories Inc.
Person(s) Collecting Samples:
Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
^
X r�
DENR
(SIGNATURE OF OPERATOR IN RESPONSIBLE CIIARGE) _�
Division of Water Quality'
By this signature, 1 certify that this report is accurate and
1617 Mail Service Center
complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)

NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant ,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non-compllant , please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signat re of Permitee)* Date
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza . Suite 800
Chicago, II 60606
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
E34
hromium
OD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (R & A Laboratories, Inc. )
(Position or Title)
3/31/21
(Permit Exp. Date)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
WQ09 PAN Plant Available)
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
00929 Sodium
00931 SAR
00745 Sulfide
00515 TD S
00010 Temperature
00625 TKN
00680 TOC
00530 TSS/TSR
00076 Turbidity
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at [phone], extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting_
facility's permit for reporting data.
* If signed by other than (lie Permittee, delegation of signatory authority must be on file with the state per I SA NCAC 213.0506 (b) (2) (D).

Page 2 of 2
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W0004972 MONTH: April YEAR: 2020
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (inches) = [Volume Applied (gallons) x 0.13W (cubic feeligallon) a 12 (inches li / [Area Sprayed faces) x 43,550 (square fee0sue) or
= [Volume Applied (gallons) / [Area Sprayed (aces) x 27,152 (gallons/acre-incn).
Maximum Hourly Loading (inches) =Daily Loading (inches) /[Time ingated(minutes)/ 60(minuteshouq) Monthly Loading (inches) =Sum of Dally Loading(inches)
12 Month Floating Total (inches) = Sum of this monris Monthly Loading (inches) and previous 11 monlh's Monthly Loadings (inches)
Average Weekly Loading (inches) = [Monthly Loading (tnches/month) I Number of days in the month (days/month )) x 7 (EaysAveek)
Did Irrigation Occur At This Facility:
Yes: No:❑
Did irrigation Occur On This Field:
Yes: © No: ❑
Did Irrigation Occur On This Field:
Yes: ❑ No ❑
Field Number.
Field Number.
Area Sprayed sues): !_0
Area Sprayed jacres).
Cover Crop: I
Cover Crop:
Permitted Hourly Rate (inches)'.
0.11
Permitted Hourly Rate (Inches):
D
A
T
E
WEATHER CONDITIONS
elae9e
lea==.
Permitted Yearly Rate (inches):
46.8
Permitted Yearly Rate (inches):
WeeNtt
cede.
TemperzNe
a
.mrou„
Prtdr4.-
eoo
i,a
irrl,d
ri-
Imwul
oah
L.mmr
Mmmw
I-,,,
I„u..
c,.wm.
,rrm.I
rim[
rmx,N
Duly
rwlmr
Mm
Iw.6
r�mes
eR4...J
I•li
ume,
..,u,...
,ten..
„.L�
I
PC
52
A
2.1
33984
240
0J8
0L03
C
fit
11
2.8
25488
1811
0.13
11.03
3
C
67
0
3.1
4
5
6
C
63
II
2.7
7
PC
68
0
2.6
s
C
55
0
2.5
33.984
240
11.18
0.03
9
C
75
0
2.9
m
C
51
11
2.7
II
r
13
(A
74
0
2.3.
33,984
240
0.18
0.03
14
C
70
1)
2.8
15
C
55
0
2.7
w
C
42
II
2.7
17
C
53
0
2.6
18
19
21,
('I
54
1)
2.1
33.984
240
0.18
0.03
21
PC
70
0
2.6
25,499
180
0.13
0.03
PC
67
0
2.9
23
Cl
59
0
2,8
25 488
181)
0.13
0.03
24
C
64
0
3.2
25
2G
27
C
fib
0
2.2
28
C
71
0
2.5
29
PC
60
0
2.4
33.984
240
0.18
0.03
w
CI
53
0
2.5
31
I,i,al II.... .. ...Y lnnJrnL nn[M1[n
13 Annni lion m¢...... nmp
...,..x[1ettl,p'r,..nmerm[neq
,29 1
12,22
0.26
-Y
• Weather Coda: C<li PC -partly toady, CI -cloudy, R-rais. Snanow, SI-sleet
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed: ❑
Mail ORIGINAL and Two COPIES to: /
ATTN: Non -Discharge Compliance Unit X A r`
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
By this signature, I certify that this report is accurate and
complete to the hest of my knowledge.
DENR Form NDAR-1 (5/2003)

NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
FACILITY STATUS:
Please indicate( by inserting Y(es) or N (o) in the appropriate box) whether the facility has been compliant
with the following permit requirements: (Note: If a requirement does not apply to your facility put (NA) in the
compliant box.)
Compliant (Y,N)
I. The application rate(s) did not exceed the limit(s) specified in the permit.
Z Adequate measures were taken to prevent wastewater runoff from the site(s).
4
.3. A suitable vegetative cover was maintained on the sites) in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application.
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is Iran-connnflant , please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
v Baron Neal McDuffie
(Signature of Permitee)* (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Aaent)
(Permittee-Please print or type)
2N. Riverside Plaza, Suite 800
Chicago, Il 60606
(Permittee Address)
Field Services Director (R & A Laboratories, Inc)
(Position or Title)
3/31 /2021
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).

RESEARCh & ANAI.yTICAI. Report of Analysis
LAWRATORIES, INC. 5/13/2020
4% NNZ%
�MJALYl�
For: Forest Lake Preserve
192 Thousand Trails Drive
Advance, NC 27006
= ern NC#34 z N
NC#37701
Attn: Equity Lifestyle Properties
;� c •. p7R�Q .:
Client Sample ID: Effluent
Site: Forest Lakes
Lab Sample ID:
Collection Date:
81472-01
4/29/2020
7:00
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Parameter
Ammonia Nitrogen
SM 4500 NH3 D-2011
72.6
mg/L
0.1
FK
5/12/2020
BOD-5
SM 5210 B-2011
16.2
mg/L
2
HW
4/30/2020
1629
Feral Coliform QT
Colilert 18
>2420
MPN/100ml
1
BJ
4/29/2020
1412
Nitrate + Nitrite
SM 4500 NO3 E-2011
<0.05
mg/L
0.05
DW
4/29/2020
1520
Nitrate Nitrogen
(SM 4500 NO3 E-2011)-(SM
<0.05
mg/L
0.05
DW
4/29/2020
1530
4500 NO2 B-2011)
Total Kjedjahl Nitrogen
Hach 10242
81.2
mg/L
1
FK
5/7/2020
Total Nitrogen
Calc
81.2
mg/L
1
Total Phosphorous
SM 4500 P E-2011
5.89
mg/L
0.05
BJ
5/1/2020
Total Suspended Solids
SM 2450 D-2011
14.0
mg/L
5
AW
4/29/2020
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax [phone] w .randalabs.com Page 1

Research & Analytical
Laboratories, Inc.
Analytical / Process Consultations
Phnne(336)gg6-2R4I
CHAIN OF CUSTODY RECORD
Water
/ Wastewater
Misc.
Company Forest Lake
Job No.
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Project
Monthly Effluent Sampling
City, Slate, Zip
Sampler Name (Plea a/Print)
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Contact
Phone
Sampler Signature
Sample Number
(Lab Use Only)
Dale
Time
Comp
Grab
Temp
°C
Res.
Chlorine
Removed
Y or NI(SorW)^'
Sample
Matrix
Sample Location / I.D.
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Reguested Anal sis
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(BOD, TSS, NH3N, F.coli
NO3-N, T.Nit, T. Phos)
Relin uishe By
D e/Time/
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eived By
Remarks:
Relinquished By
Date/Time
Received By
On Ice
Sample Temperature at receipt ��� °C