WQ0004972_Monitoring - 05-2020_20200626

Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: Mav YEAR: 2020
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davic
Flow Monitoring Point: Effluent: Influent: Li
Parameter Monitoring Point: Effluent: 19 Influent: Surface Water (SW):I SW Code/Name: ❑
Was There Effluent Flow for this Month Generated At This Facility: Yes: W No:
Operator
50050
Dome
1 50060
0031D
00510
00530
Mots
00665
OW25
00530
00600
00620
703W
Duane
D
A
T
E
Aniwel
Time
2400
Clad
Opmelor
Time on
Sim
ORC
511e7
Daily Rate
(Ft.)ml.
Treatment
System
p11
Residual
Chlorine
BOD-5
2VC
Nod-N
Ts5
Feral
cArmm
(C". m... ie
Mon')
Total
Phm
Tmai
Kjcldhal
Nitrogm
NO2+NO3
Teal
Nkmnun
Nitmte
NO3-N
Total
D.'t".
Solida
Chlmidc
IIRS
YIN
GPD
I'll,
UUL
M(L
MGIL
MGIL
/IOOML
MGIL
MCJL
sl /
MGIL
MGIL
MCdL
MGIL
S'aminnou.
`111'1
>wat
\Innthly
Monaly
Monthly
Monthly
Monthly
Monthly
Momhly
Monthly
Monthly
31year
3q
1
0842
0.15
B
6,562
6.21
<10
g562
3
6,562
4
1440
0.25
1
6.562
1 6.26
<111
5
1052
0.35
Y
7.071
6.24
<IO
6
1552
0.1.5
7.827
6.25
<III
7
1311
0.25
1'
10,699.
6.61
<10
a
0858
11.15
It
81055
6.73
<III
9
9,262
9,262
u
1525
0.15
B
9,262
6.27
<10
12
1523
o.IS
B
8,049
6.24
<III
0
1600
0.15
r B
L887
6.26
<10
14
1525
0.15
It
8,923
1 6.25
<III
IS
I600
0.15
B
9,555
6.22
<10
16
8.342
7
8,342
19
1017
0.25
1'
8.342
6.31
<]0
19
1534
0A5
It
4,922
6.27
-10
20
1526
0.15
B
48.211
6.27
<10
21
1527
0.15
B
29.006
6.25
<10
22
1526
0.15
B
10,455
6.19
<10
a
9,978
24
9,978
25
9,978
Holiday -_-.---- _---------- ___._.._--_-�_�
26
1524
0.15
It
%978
6.26
<10
37
1230
0.50
Y
9,204
6.21
to
37.0
82.0
263
>2420
4.54
87.9
<0.05
87.9
<0.05
2x
1555
0.15
11
8,003
6.21
<11)
29
1514
0.1.5
B
7,756
6.22
<10
-
m
5.000
5,000
average
Daily Madmam
10,180
48,211
6.73
<10
<IO
37.0
82.0
26.3
26.3
>2420
>2410
4.54
454
87.9
<0.05
87.9
<0.05
37.0
82.0
87.9
<0.05
87.9
<0.05
Deiiv Minimum
1 4,922
6.19
<10
37.0
82.0
26.3
>2420
4.54
87.9
<0.05
87.9
<0.05
Monthly l.indts(a)
24400
Caa9mdte © I Grab (G)
Operator in Responsible Charge (ORC): Gienn 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:
ATrN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
By this signature,) certify that this report is accurate and
complete to the best army knowledge.
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 Eton -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza , Suite 800
Chicago, Il 60606
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
Field Services Director (R & A Laboratories, Inc. )
(Position or Title)
3/31/21
(Permit Exp. Date)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 PAN Plant Available)
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 Settleable Matter
00929 Sodium
00931 SAR
00745 Sulfide
00515 TDS
00010 Temperature
00625 TKN
00680 TOC
00530 TSS/TSR
00076 Turbidi
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,
facilitYs permit for reporting data.
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).

Page 2 of 2
NON -DISCHARGE APPLICATION REPORT
SPRAY IRRIGATION SITE(S)
THERE ARE TWO APPLICATION FIELDS PER PAGE. USE ADDIDTIONAL PAGES AS NEEDED
PERMIT NUMBER: W0004972 MONTH: MM EAR: 2020
FACILITYNAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Leading (inches) =[Volume Applied (gallons) x 0.1336(cubic feedgelon) x 12(inches/foot)]/(Area sprayed (acres) x 43,560(square feetfacre) or
= [Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) I [Time Irrigated (minutes)160 gonutesrnour)I Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (incises) = Sum of Nis month's Monthly Loading (inches) and previous 11 months Monthly Loadings (inches)
Average Weekly Loading (Inches) = [Monthly Loading 0nche timonm)) Number of days in me month (daysdnonlh )I x y (daystei
Did ligation 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 (acres) ] 0
Area Sprayed (ayes):
Cover Crop.
Cover Crop:
permitted Hourly Rate(inches):
0.11
Permitted Hourly Rate(inches)
D
A
T
E
WEATHER CONDITIONS
Storage
Lagoon
permitted Yearly Rate (inches):
46.8
permitted Yearly Rate (inches)
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*Weather Codex: CKIaar, PC,umdy cloudy. Cl4ka dy, R-Mn. So -now, tit -elect
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: [phone]
ORC Certification Number: 987931/20771 Check Box if I Has
Mail ORIGINAL and Two COPIES to:
ATT'N: Non -Discharge Compliance Unit
DENR
Division of Witter Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
u
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHi
By this signature, 1 certify that this report is accurate and
complete to the best 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)
1. The application rate(s) did not exceed the limit(s) specified in the permit.
2. Adequate measures were taken to prevent wastewater runoff from the site(s).
3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit.
4. 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 non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"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."
A G
.4 C.) Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Aeent)
(Permittee-Please print or type)
2N. Riverside Plaza, Suite 800
Chicago, II 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 213.0506 (b) (2) (D).

RESEARCh & ANA1yTICAL
I.AbORATORIES, INC.
For: Forest Lake Preserve
192 Thousand Trails Drive
Advance, NC 27006
Attn: Equity Lifestyle Properties
Client Sample ID: Effluent
Site: Forest Lakes
Parameter Method
BOD-5
Fecal Coliform QT
Nitrate + Nitrite
Nitrate Nitrogen
Total Kjedjahl Nitrogen
Total Nitrogen
Total Phosphorous
Total Suspended Solids
SM 4500 NH3 D-2011
SM 5210 B-2011
Colilert 18
SM 4500 NO3 E-2011
(SM 4500 NO3 E-2011)-(SM
4500 NO2 B-2011)
Hach 10242
Calc
SM 4500 P E-2011
SM 2450 D-2011
Result Units
Report of Analysis
6/4/2020
?=�1 t-CHq 9!
wro % n
:to NC#34 z:-
NC#37701
Lab Sample ID: 82672-01
Collection Date: 5/27/2020 12:34
Rep Limit Anal st Analysis Date/Tim
82.0
mg/L
0.1
FK
5/28/2020
37.0
mg/L
2
HW
5/29/2020
1030
>2420
MPN/100ml
1
BJ
5/27/2020
1434
<0.05
mg/L
0.05
DW
5/28/2020
1200
<0.05
mg/L
0.05
DW
5/28/2020
1200
87.9
mg/L
1 FK 6/1/2020
87.9
mg/L
1
4.54
mg/L
0.05 BJ 5/29/2020
26.3
mg/L
5 AW 5/29/2020
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
Phone [phone]
CHAIN OF CUSTODY RECORD
Water / Wastewater
Misc.
Company Forest Lake
Job No.
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Monthly Effluent Sanipfitig
City, State, Zip
Sampler Name (Pies Print)
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Contact
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Sampler SignaturerA
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Sample Number
(Lab Use Only)
Date
Time
Comp
Grab
Temp
°C
Res.
Cl.
Chlorine
Removed
V or N
Sample
Matrix
S or W
Sample Location / I.D.
o
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GCS
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(BOD, TSS, NH3N, F.coli
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Relinq ishe By
D e/Time
Z
Received By
Remarks:
Relinquished By
Date ime
Received By
COlce
Sample Temperature at receipt °C