WQ0004972_Monitoring - 07-2020_20200811

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004972
Name of Facility:* Forest Lake ELS
Month:* July
Report Information
Type *
G W-59
Year:* 2020
Upload Document*
Forest Lakes.pdf
FDF Only
Please upload only one combined pdf document. Upload GW-59 individually.
Confirmation Email Address:* [e-mail]
Name of Submitter:* Amie Ferguson
Signature:*
Date of submittal: 8/11/2020
This will be filled in &Aorratically
Initial Review
Reviewer: Williams, Kendall
Is the project number correct?* WQ0004972
2.44 MB

Is the monitoring report Yes r No
accepted?*
Regional Office* Winston-Salem
Accepted Date: 8/11/2020

RESEARCh & ANA1yTICAL
LAbORATORIESP INC.
For: Forest Lake Preserve
192 Thousand Trails Drive
Advance, NC 27006
Attn: John Keen
Client Sample ID: MW-1
Site: Forest Lakes
Parameter _- ---------
Chloride
Fec Cali-MF
Nitrate Nitrogen
Total Organic Carbon
Client Sample ID: MW-2
Site: Forest Lakes
Method
SM 4500 Cl B-2011
SM 9222 D-2006
(SM 4500 NO3 E-2011)-(SM
4500 NO2 B-2011)
SM 5310 N-2011
Report of Analysis
8/7/2020
ti11tessforf
�+•�`G�&wypjN
` • _',�••,o; s
o n
m m : di NC #34 Z.;
NC #37701
r;rO f
Lab Sample ID: 85321-01
Collection Date: 7/29/2020 9:51
Result Units Rep Limit Analyst Analysis DatelTime
3.60 mg/L 1 EE 7/30/2020 —
43 col/100 ml 1 BJ 7/29/2020 1516
<0.05 mg/L 0.05 DW 7/29/2020 1550
34.3 mg/L 1 MG 7/31/2020
Lab Sample ID: 85321-02
Collection Date: 7/29/2020 9:15
arameter Method Result Units Rep Limit Analyst Analysis Date/Time
Chloride
SM 4500 Cl B-2011
6.14
mg1L I
tc
rraurcvcu
Fec Coli-MF
SM 9222 D-2006
<1
col/100 ml 1
BJ
7/29/2020 1523
Nitrate Nitrogen
(SM 4500 NO3 E-2011)-(SM
0.711
mg1L 0.05
DW
7/29/2020 1550
4500 NO2 B-2011)
Total Organic Carbon
SM 5310 N-2011
25.9
mg/L 1
MG
7/31/2020
Client Sample ID: MW-3 Lab Sample ID: 85321-03
Site: Forest Lakes Collection Date: 7/29/2020 9:27
arameter Method Result Units Rep Limit Analyst Analysis_DatelTime
Chloride SM 4500 Cl B-2011
zr.b
mglL I
tt 113ur1-u4u
Fec Coli-MF SM 9222 D-2006
168
col/100 ml 1
BJ 7/29/2020 1527
Nitrate Nitrogen (SM 4500 NO3 E-2011)-(SM
6.88
mg1L 0.05
DW 7/29/2020 1550
4500 NO2 B-2011)
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284
Tel: [phone]
Pax: 336-996-0326
www.randalabs.com Page 1

RESEARCh & ANALyTICA1 Report of Analysis
LAbO RATORI ESIF INC. 8i7/2020
Client Sample ID: MW-3 Lab Sample ID: 85321-03
Site: Forest Lakes Collection Date: 7/29/2020 9:27
[L::arameter Method Result Units Rep Limit Analyst Analysis DatetTime
Total Organic Carbon SM 5310 N-2011 14.9 mg/L 1 MG 7/31/2020
Client Sample ID: MW-4
Site: Forest Lakes
Lab Sample ID: 85321-04
Collection Date: 7/29/2020 9:36
arameter Method Result Units Rep Limit Analyst Analysis Date/Time
Chloride
Fec Coli-MF
Nitrate Nitrogen
Total Organic Carbon
SM 4500 Cl B-2011
SM 9222 D-2006
(SM 4500 NO3 E-2011)-(SM
4500 NO2 B-2011)
SM 5310 N-2011
5.65
15
0.949
7.22
mg/L 1
col/100 ml 1
mg/L 0.05
mg/L 1
tt
BJ
DW
MG
/!3Uizuzu
7129/2020
7/29/2020
7/31/2020
1531
1600
Client Sample ID: Effluent
Lab Sample ID:
85321-05
Site: Forest Lakes
Collection Date:
7/29/2020
9:59
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Ammonia Nitrogen
SM 4500 NH3 D-2011
49.7
mg/L
0.1
FK
7/30/2020
BOD-5
SM 5210 B-2011
16.8
mg1L
2
HW
7/30/2020
1530
Chloride
SM 4500 Cl B-2011
55.5
mg/L
1
EE
7/30/2020
Dissolved Solids
SM 2540 C-2011
304
mg1L
25
AW
7/30/2020
Fecal Coliform QT
Colilert 18
>2420
MPN1100ml
1
BJ
7/29/2020
1551
Nitrate + Nitrite
SM 4500 NO3 E-2011
<0.05
mg/L
0,05
DW
7/29/2020
1600
Nitrate Nitrogen
(SM 4500 NO3 E-2011)-(SM
<0.05
mg/l_
0.05
DW
7/29/2020
1600
4500 NO2 B-2011)
Total Kjedjahl Nitrogen
Hach 10242
66.1
mg/L
1
FK
8/4/2020
Total Nitrogen
Calc
66.1
mg/L
1
Total Phosphorous
SM 4500 P E-2011
10.3
mg/L
0.05
BJ
8/2/2020
Total Suspended Solids
SM 2450 D-2011
6.20
mg1L
5
LP
7/29/2020
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 2

RESEARCh & ANAlyTlCAL
LAbORATORI ES, INC.
Report of Analysis
8/7/2020
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 3

SUBMIT FORM ON YELLOW PAPER ONLY
Mall original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Plea$ePrint Clearly DrType
PERMIT Number: WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance `"" NC 27006 County Davie
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanze
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
From Pettnil)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-1
Date sample collected:
7/29/2020 FIELD ANALYSES:
WAS
Well Depth: 90.00 ft.
Well Diameter:
2 in. pH 00400: 6.55 units Temp ocolo: 18.7 eC
DRY at
Dept to Water Level 67.38 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is ft, above land
surface
Relative M.P. Elevation:
ft. Odor 00085:
check
Volume of water pumped/bailed before sampling:
5.50-Dry
gallons
Appearance
here:❑
Samples for metals were collected unfiltered:
❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07129-07131/2020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect
dissolved and colloidal
concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615
mg1L Pb - Lead 01051 ug1L
Coliform: MF Fecal 31616 43
1100mL
Nitrate (NO3) as N 00620
<0 05 mglL Zn - Zinc 01092 mglL
Coliform: MF Total 31504
1100mL Phosphorus:
Total as P 00665
mg1L
(Nate Use l method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mg1L
Al -Aluminum o1 im
nri
PH (Lab) 00403
units
Ba - Barium 01007
ug1L
TOC oo6so 34.3
nrl
Ca - Calcium 00916
mg1L
Chloride 00940 360
mglL
Cd - Cadmium 01027
ug1L
Arsenic 01002
it
Chromium: Total 01034
ug1L
Grease and Oils 00552
mglL
Cu - Copper 01042
mg1L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
it
Fe - Iron 01045
ug1L (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 719co
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg1L VOC 78732: method # 8260
Total Ammonia oos10
mglL
Mg - Magnesium 00927
ni method #
(Ammonia Nitrogen; NH, as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L , method #
TKN as N 00625
mg1L
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mglL Effluent Total VOCs:
mg1L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory
Permittee for At
I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
�IU-�-�- ( i cl1 " �f� -
Name and Title - Please prinior type
GW_59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 Copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH. NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly or Typo
PERMIT Number. WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
❑ Lagoon ❑ Remediation: Infiltration Gallery
Advance NC 27006 County Davie
'
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanze
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled:
4
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-2
Date sample collected:
7/29/2020 FIELD ANALYSES:
WAS
Well Depth: 39.00 ft.
Well Diameter:
2 in. pH 00400: 6.39 units Temp. 00010: 17.6 °C
DRY at
Dept to Water Level 33.93 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cord. 00094: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M.P. Elevation:
ft. Odor aooa5:
check
Volume of water pumped/bailed before sampling:
2.25-Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered:
❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07129-07131/2020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335
mg1L
Nitrite (NO2) as N 00615
mg1L Pb - Lead o1o5i uglL
Coliform: MF Fecal 31616 <1
1100ml-
Nitrate (NO.) as N 00620
0.711 mg1L Zn - Zinc 01092 mglL
Coliform: MF Total 31504
1100mL Phosphorus:
Total as P 00665
mg1L
(Note, use MPN method for highly turbid samples)
Orthophosphate 70507
mg1L Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 7030o
mglL
Al - Aluminum ot105
mg1L
pH (Lab) 00403
units
Ba - Barium D1007
uglL
TOC 00680 25.9
mglL
Ca - Calcium oasts
mglL
Chloride 0094C 8.7
mg1L
Cd - Cadmium 01027
ug1L
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00552
mg1L
Cu - Copper 01042
mg/L ORGANICS: (by GC, GCIMS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mg1L
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) F7No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg1L VOC 76732: method # 8260
Total Ammonia 00610
mglL
Mg - Magnesium 00927
mg1L method #
(Ammonia Nitrogen; NH3 as N, Ammonia Nitrogen, Total)
Mn - Manganese 01055
uglL , method #
TKN as N 00625
mglL
Ni - Nickel o1067
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mg1L Effluent Total VOCs:
mg1L VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-certified laboratory. I am aware that there are significant penalties for submitting false information, includirg the possibility of fines and imprisonment for knowing violations.
Qj,����,�
print or tvoe
(Date)
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 Copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699-1617 Phone: [phone]
FACILITY INFORMATION
Please PrrrtlClearfyorType
PERMIT Number: WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
NPDES Other
Permit Name (if different):
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
El Lagoon ❑ Remediation: Infiltration Gallery
Advance i NC 27006 County Davie
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanze
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Weil LocationlSite Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Permit)
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-3
Date sample collected:
712912020 FIELD ANALYSES:
WAS
Well Depth: 19.10 ft.
Well Diameter:
2 in. pH oa400 6.42 units Temp. 000m 17.1 oC
DRY at
Dept to Water Level 11.72 ft. below measuring point
Screened Interval:
ft. to ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is ft above land surface
Relative M.P. Elevation:
ft. Odor doom:
check
Volume of water pumped/bailed before sampling:
3.GD-Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07129-07/3112020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect
dissolved and colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N 00615
mglL Pb - Lead olo51 uglL
Coliform: MF Fecal 31616 168
1100mL
Nitrate (NO3) as N 00620
6.88 mglL Zn - Zinc 01092 mg/L
Coliform: MF Total 31504
1100ml- Phosphorus:
Total as P 00665
mg1L
(Note. Use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mglL
Al - Aluminum of 105
mglL
pH (Lab) 00403
units
Ba - Barium 01007
uglL
TOC o066o 14.9
mglL
Ca - Calcium o0916
mg1L
Chloride 00940 27.8
mglL
Cd - Cadmium 01027
uglL
Arsenic 01002
ug1L
Chromium: Total 01034
uglL
Grease and Oils 00552
mglL
Cu - Copper 01042
mg1L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
uglL (Specify test and method #.�TACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
uglL Lab Report Attached? Yes (1) =No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mg1L VOC 78732: method # 8260
Total Ammonia 00610
mg1L
Mg - Magnesium 00927
mglL method #
(Ammonia Nilrogeq NH3 as N; Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug/L , method #
TKN as N oo625
mglL
Ni - Nickel o1o67
uglL method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOC& mglL Effluent Total VOCs:
mglL VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methads of analysis by a
DWC-certified laboratory_ I am aware that there are significant nettles for submitting false information, including the passibility of fines and imprisonment for ng violations.
�o .T -�
Permittee
and Title - Please print or
re
GW-59 Rev.212010

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original
DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING:
and 1 copy to:
DIVISION OF WATER QUALITY -INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM
1617 MAIL SERVICE CENTER, RALEIGH, NC 27699.1617 Phone: [phone]
FACILITY INFORMATION
Please Print Clearly
or Type
PERMIT Number: WQ0004972 Expiration Date:
Facility Name: Forest Lake ELS
Non -Discharge UIC
Permit Name (if different):
NPDES Other
Facility Address: 192 Thousand Trails Drive
TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC
27006
County Davie
❑ Lagoon ❑ Remediation: Infiltration Gallery
W° al"
"'
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanze
Telephone#:
❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name:
No. of wells to be sampled: 4
❑ Water Source Heat Pump ❑ Other:
(from Permit}
SAMPLING INFORMATION
If WELL
WELL ID NUMBER (from Permit): MW-4
Date sample collected:
7/29/2020 FIELD ANALYSES:
WAS
Well Depth: 46 00 ft.
Well Diameter:
2 in. pH 00400 6.41 units Temp. omio 17A °C
DRY at
Dept to Water Level 38.71 ft. below measuring point
Screened Interval:
ft, to ft. Spec. Cond. 00094: µMhos
time of
sampling,
Measuring Point is ft. above land surface
Relative M P. Elevation:
ft. Odor 000ss:
check
Volume of water pumpedlbailed before sampling:
1.50-Dry
gallons
Appearance
here: ❑
Samples for metals were collected unfiltered: ❑ YES ❑
NO and field acidified: ❑ YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07129-0713112020
Laboratory Name: Research & Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect
dissolved and
colloidal concentrations.
COD 00335
mglL
Nitrite (NO2) as N o0615
mglL Pb - Lead o1o51 ug1L
Coliform: MF Fecal 31616 15
/100mL
Nitrate (NO3) as N 00620
0.949 mglL Zn - Zinc 01092 mg1L
Coliform: MF Total 31504
/100ml- Phosphorus:
Total as P 0o665
mglL
(Nola. Use MPN method for highly turbid samples)
Orthophosphate 70507
mglL Other (Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300
mglL
All -Aluminum o1105
mglL
pH (Lab) C0403
units
Ba - Barium 01007
ug1L
TOC 0o6m 7-22
mglL
Ca - Calcium co916
mglL
Chloride 00940 5.65
mglL
Cd - Cadmium 01027
ug1L
Arsenic 01002
uglL
Chromium: Total 01034
ug1L
Grease and Oils 00552
mglL
Cu - Copper C1042
mglL ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730
uglL
Fe - Iron 01045
ug/t_ (Specify test and method #. ATTACH LAB REPORT.)
Sulfate 00945
mglL
Hg - Mercury 71900
ug1L Lab Report Attached? ❑ Yes (1) ❑ No (0)
Specific Conductance 00095
µMhos
K - Potassium 00937
mglL VOC 76732: method # 8260
Total Ammonia 00610
mg1L
Mg - Magnesium 00927
mg1L method #
(Ammonia Nilrogan: NH3 asN: Ammonia Nitrogen, Total)
Mn - Manganese 01055
ug1L , method #
TKN as N 0062s
mglL
Ni - Nickel 01067
ug1L method #
For Remediation Systems Only (Attach Lab Reports): Influent Total VOCs: mglL Effluent Total VOCs:
mglL VOC Removal%
I certify that, to the best of my knowledge and belief, the information submitted in this report is true, accurate, and complete, and that the laboratory analytical data was produced using approved methods of analysis by a
DWO-cerlified taboralory. I am aware that there arsignirccaant pennalties for submitting false information, including the possibility of fines and imprisonment for knowing vielations.
j
rmittee for Authorized Aqent) Name and Title - Please print or type Siqnatu of Permittee (or Authorized Aqent) (Date)
GW-59 Rev.2/2010