HomeMy WebLinkAboutWQ0004972_Monitoring - 02-2021_20210330Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004972
Name of Facility:* Forest Lakes Preserve ELS
Month:* February Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR forest Lakes_Feb.pdf 1.9MB
FDF only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Confirmation Email Address:* Jessica. Mize@pacelabs.com
Name of Submitter:* Jessica Mize
Signature:
Date of submittal: 3/29/2021
This will be filled in &Aormticaly
Initial Review
Reviewer: Williams, Kendall
Is the project number correct? * WQ0004972
Is the monitoring report r Yes r No
accepted?*
Regional Office * Winston-Salem
Accepted Date: 3/30/2021
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: February YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point Effluent: Influent:
Parameter Monitoring Point: Effluent: L1 Influent Surface Water (SW)] SW Code/Name: LJ
Was There Effluent Flow for this Month Generated At This Facility: Yes: No:
Opaata
50050
00400
1 50060
00310
00610
00530
31616
00665
00525
00630
00600
M20
70300
00940
D
A
T
L
snivel
Time
24M
CkY
o malllr
Time on
Sim
ORC
on
Site?
Deity Rate
(F )Inm
Tleaument
S'lan
pH
Rai4ul
C14aae
DOD'
29'f
NH-3-N
TSS
Fecal
Califmm
(Gwmemi
Along
Taal
Pl
Taal
Kjddlnl
Nizm en
NO2vNO3
Taal
Ninuem
Him.
NO3-N
Taal
Dissolved
Solids
(AU.nde
HRS
YM
GPD
UNITS
UG,L
AIOL
Md.
?IG L
111N>IL
>IOL
h16
UGC
lUd.
AIG4.
A¢-�.I.
%IG L
[allilNd6
Wt _•
au Y
.laniliy
1
1235
0.25
B
26,094
5.98
<10
1515
0.25
B
21,139
5.98
<10
3
1536
0.25
B
17,627
6.02
<10
+
1445
0.25
B
12358
6.03
<10
$
1340
0.25
B
HIA"
5.99
1 <10
6
11,169
1
11,169
s
1256
0.25
V
11,169
7.03
<10
9
1518
0.25
Y
9,279
6.99
<10
10
1220
0.25
V
8,040
6.99
<10
8.7
29.1
12.9
2420
5.4
33.5
<0.040
33.6
<0 30
11.
1515
0.25
Y
21.041
633
<10
12
0845
11.25
V
18,6.57
6.57
<10
13
14321
14
14,321
15
1405
0.25
R
14321
6.69
<10
16
1441)
0.25
V
10.0(4
6.73
<10
17
1402
0.25
B
9.292
6.73
<10
IS
ISI7
0.25
V
16.582
6.61
<10
19
0850
0.25
R
17,066
6.54
<10
20
10,798
21
10,798
22
1415
0.50
V
10,798
6.83
<10
v
1510
0.25
V
8,729
6.77
<10
24
1200
0.50
1"
9.994
6.18
<10
a
1200
0.25
Y
"55
6.11
<10
26
0910
0.25
B
7.603
6.23
<10
27
9.090
29
9,090
,9
JO
31
.�. eraee
Daih'Maximum
12.855
26.094
7.03
<10
710
1
12.9
2420
a.
5.4
.o
< ,
<0.30
- .1
Daik 3linimum
7,603
5.98
<10
8.7
29.1
12.9
2420
5.4
33.5
<0.040
33.6
<030
Monthly Limits (a)
24400
Composite ®/ Grab (G)
Operator in Responsible Charge (ORC): Clem Prim Grade: 11 Phone: 336-996-2841
Check Box if ORC Has Changed ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analytical Serivices
Person(s) Collecting Samples:
Glenn Price
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
X
DENR
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
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: Com 'ant (Y,N)
L Does all monitoring data and sampling frequencies meet permit requirements?
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."
__2� ku.-Ij
(Signature of Permitee)* V Date
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
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services_
(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 Turbidity
01092 Zinc
Parameter Code assistance may be obtained by calling the Water Quality Compliance/Enforcement Unit at (919) 733-5083, extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
fact�lity's 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 28.0506 (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: February YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.13W (cubic feelfgallon) x 12 (inclesaola)11 [Area Sprayed (arms) x 43,560 (square feeVacre) or
is [Volume Applied (gallons) / (Area Sprayed (acres) x 27.152 (ga9onslam.mcn).
Maximum Hourly Loading (inches) =Daily Loading (inches)/[Time irrigated (minutes) 160(minutes/bou0) Monthly Loading (inches) Sum of Daily Loading (inches)
12 Month Floating Total (Inches) = Sum of this mci Monnly Loading (Inches) and previous 11 months Monthly Loadings (Inches)
Average Weekly Loading (inches) = (MonWy Loading (inchelVmonM) / Number m days in Me month (daysanonM )l x 7 (daystweek)
Did Irrigation Occur At Thls Facility:
yesny Note
Did Irrigation Occur On Thie Field:
Ya y No: ❑
Did Irrigation Occur On This Field:
YeEl No: ❑
Field NumberI
Field Numaer:
Area Sprayed (acres)
13.4
Area Sprayed (acres):
Cover Crop: ICover
Crop:
e8rci Hourly
Rate (inches):
allllltle tl0 y a B in e6:
D
A
T
E
WEATHER
CONDITIONS
Slwege
lagoon
Pemaaed Yearly Rate (inches):
46.8
Permitted Yearly Rate (inches):
Wrests,
co
TempweWe
al
•pplmw�
RetryXa
awe
V.I-
Anil
Tm
Irtuxi
Day
trains
M.ulnum
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v,:lume
nrrgw
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hn,,::.:
uvur
uwee
M........
Iuully
LaJ:nI•
nsama
rf)
Fchea
rm
eallau
i.Me
ircho
pdL.n
:nuhn
Inchn
-.Cl.
2.8
2,1
2
39
1.9
3
1
48
- 0
1.7
42,480
300
0.46
.09
+
Cl
48
0
2.3
42480
300
0.46
0.09
Cl
31
6
7
C
60
I/
2.7
6
P
0
2.6
Ig
CI
48
0
-
it
li
48
2.9
2.6
a
R
34
0.8
2.4
-
Ia
1+
Is
li
37
0.2
1.
16
I'C
411
0
1.8
17
C
42
0
1.
42,480
q
Ix
Sit
31
1.0
2.0
19
PC
35
0
1.8
42,480
300
0.46
0.09
1
20
21
22
CI
41
0
1.8
42 481)
300
0.46
0.09
23
66
0
2.
2+
C
69
0
2.7
33,984
2411
11.37
11.119
25
4
0
1.2
2e
CI
dri
11
3.1
27
2x
29
111
1
r.1 r..avoe>lamwy L-dl.elmm..l
u Neelh rlo.uerrwel awnwl
Arne, w,ny l.wume Remy
2.67
35.33
0.67
CS¢+q r.-Pmry
51-ticel
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996.2841
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed:
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit x
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699.1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
By this signature, ) 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.)
L The application rate(s) did not exceed the limit(s) specified in the permit.
Compliant (Y,N)
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
TJ
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.
A4 I- ftW-
Ir 41 ip-s
"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."
--r Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
_Baron Neal McDuffie (Authorized Agent) _ Field Services Director (Pace AnalZical Services)
(Permittee-Please print or type) (Position or Title)
2N. Riverside Plaza. Suite 800
Chicago, I1 60606
(Permittee Address)
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).
llaceAna'1jdical'
wwwpacela6s.cam
i
February 22, 2021
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92521491
Dear Tracy Overdurf:
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
Enclosed are the analytical results for sample(s) received by the laboratory on February 10, 2021. 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 - Eden
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
n
Stephanie Knott
stephanie.knott@pacelabs.com
336-996-2841
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 15
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Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633
North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025
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 15
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SAMPLE ANALYTE COUNT
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
Analytes
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92521491001 Effluent HACH 10206
AMI
1
PASI-E
SM 254OD-2011
AFJ
1
PASI-E
EPA 350.1 Rev 2.0 1993
AMI
1
PASI-E
SM 521OB-2011
MWF
1
PASI-E
Colilert-18
MLS1
1
PASI-E
TKN+NO3+NO2 Calculation
DMN
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
KDF1
1
PASI-A
EPA 365.1 Rev 2.0 1993
KDF1
1
PASI-A
PASI-A = Pace Analytical Services -Asheville
PASI-E = Pace Analytical Services - Eden
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 15
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ANALYTICAL RESULTS
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
Sample: Effluent Lab ID: 92521491001 Collected: 02/10/21 12:35 Received: 02/10/21 14:05 Matrix: Water
Parameters
Results Units Report Limit DF Prepared
Analyzed CAS No. Qual
HACH 10206 Nitrogen, Nitrate
Analytical Method: HACH 10206
Pace Analytical Services - Eden
Nitrogen, Nitrate
ND mg/L 0.30 1
02/11/21 13:18 14797-55-8
2540D Total Suspended Solids
Analytical Method: SM 2540D-2011
Pace Analytical Services - Eden
Total Suspended Solids
12.9 mg/L 8.1 1
02/12/21 11:13
350.1 Ammonia EDN
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, Ammonia
29.1 mg/L 0.50 5
02/12/21 14:10 766441-7
5210B BOD, 5 day EDN
Analytical Method: SM 521OB-2011 Preparation Method: SM 521OB-2011
Pace Analytical Services - Eden
BOD, 5 day
8.7 mg/L 2.0 1 02/11/21 11:12
02/16/21 11:10 R6
Colilert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100mL 1.0 1 02/10/21 18:15
02/11/21 12:46 1g,El
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
33.6 mg/L 0.52 1
02/22/21 12:03
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.01993 Preparation Method: EPA 351.2 Rev 2.01993
Pace Analytical Services - Asheville
Nitrogen, Kjeldahl, Total
33.5 mg/L 2.5 5 02/18/21 18:10
02/19/21 05:16 7727-37-9 M1
353.2 Nitrogen, NO2/NO3 pres.
Analytical Method: EPA 353.2 Rev 2.01993
Pace Analytical Services - Asheville
Nitrogen, NO2 plus NO3
ND mg/L 0.040 1
02/17/21 13:26
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
5.4 mg/L 0.15 3 02/17/21 10:00
02/17/21 14:30 7723-14-0
Date: 02/22/2021 05:40 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 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
QC Batch: 599364
Analysis Method:
HACH 10206
QC Batch Method: HACH 10206
Analysis Description:
10206 Nitrogen, Nitrate
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92521491001
METHOD BLANK: 3159802
Matrix: Water
Associated Lab Samples: 92521491001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Nitrate mg/L
ND 0.30 02/11/21 13:16
LABORATORY CONTROL SAMPLE: 3159803
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, Nitrate mg/L
5 5.1
102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3159804 3159805
MS MSD
92521324001
Spike Spike MS
MSD MS MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 0.36
5 5 5.8 5.7 108 108 90-110 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: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
QC Batch: 599701
Analysis Method:
SM 2540D-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92521491001
METHOD BLANK: 3161465
Matrix: Water
Associated Lab Samples: 92521491001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 02/12/21 11:10
LABORATORY CONTROL SAMPLE: 3161466
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 266
106 90-110
SAMPLE DUPLICATE: 3161467
92521312001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
503
371 30 D6
SAMPLE DUPLICATE: 3161468
92521544001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
62.7 46.0 31 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: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
QC Batch: 599704
Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993
Analysis Description: 350.1 Ammonia, EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92521491001
METHOD BLANK: 3161475
Matrix: Water
Associated Lab Samples: 92521491001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Nitrogen, Ammonia mg/L
ND 0.10 02/12/21 13:15
LABORATORY CONTROL SAMPLE: 3161476
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L
5 4.8 95 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3161477 3161478
MS MSD
92521714001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Nitrogen, Ammonia mg/L 3.0
5 5 7.2 7.2 84 84
90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3161479 3161480
MS MSD
92521716001
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 4.7 4.6 93 92
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: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 15
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
QC Batch: 599319
Analysis Method:
SM 521 OB-2011
QC Batch Method: SM 521OB-2011
Analysis Description:
5210B BOD, 5 day Final EDN
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92521491001
METHOD BLANK: 3159457
Matrix: Water
Associated Lab Samples: 92521491001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
BOD, 5 day
mg/L
ND 2.0 02/16/21 10:30
LABORATORY CONTROL SAMPLE: 3159458
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
BOD, 5 day
mg/L
198 201
101 84.6-115.4
SAMPLE DUPLICATE: 3159460
92521430001 Dup
Parameter
Units
Result Result
RPD Qualifiers
BOD, 5 day
mg/L
2060 1960 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
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
QC Batch: 599173 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92521491001
SAMPLE DUPLICATE: 3159017
92521327001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL ND ND
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
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: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC.
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I^AAna' 1j4ical0
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
QC Batch: 601004
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: 92521491001
METHOD BLANK: 3167565
Matrix: Water
Associated Lab Samples: 92521491001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L
ND 0.50
02/19/21 03:49
LABORATORY CONTROL SAMPLE: 3167566
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L
10 9.2
92 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3167567 3167568
MS MSD
92521422002
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 2.5
10 10 13.6
13.6 111 111
90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3167569 3167570
MS MSD
92521491001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 33.5
10 10 51.7
50.9 182 174
90-110 2 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: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC.
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
QC Batch: 600625 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, preserved
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92521491001
METHOD BLANK: 3165578
Associated Lab Samples: 92521491001
Parameter Units
Nitrogen, NO2 plus NO3 mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 02/17/2113:15
LABORATORY CONTROL SAMPLE: 3165579
Spike
Parameter Units Conc.
Nitrogen, NO2 plus NO3 mg/L 2.5
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
LCS LCS % Rec
Result % Rec Limits Qualifiers
2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3165584 3165585
MS MSD
92522145007 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L 0.26 2.5 2.5 2.6 2.5 92 91 90-110 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: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 15
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Pace Analytical Services, LLC
106 Short St.
Kernersville, NC 27284
336-996-2841
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92521491
QC Batch: 600575 Analysis Method: EPA 365.1 Rev 2.01993
QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92521491001
METHOD BLANK: 3165396 Matrix: Water
Associated Lab Samples: 92521491001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg/L ND 0.050 02/17/2114:20
LABORATORY CONTROL SAMPLE: 3165397
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L 2.5 2.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3165398 3165399
MS MSD
92521160001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 1.8 2.5 2.5 4.4 4.3 102 102 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3165400 3165401
MS MSD
92521166001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.46 2.5 2.5 3.0 3.0 103 103 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: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 15
Pace Analytical Services, LLC
1aUcnC-n;Ma'1Xica1 le, Short 84Kemersville, NC 27284
r
WWW.Pacelabs.ccm 336-996-2841
t
i
QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92521491
FOY43P.IIIIf•PF�
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.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI -The NELAC Institute.
ANALYTE QUALIFIERS
1 g >2419.6
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
El Reported value should be considered a minimum estimate since it is the maximum reportable number for this method
based on the sample volume used. The true value is likely greater than the value reported.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/22/2021 05:40 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 15
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92521491
Pace Analytical Services, LLC
106 Short St.
Kemersville, NC 27284
336-996-2841
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
92521491001
Effluent
HACH 10206
599364
92521491001
Effluent
SM 2540D-2011
599701
92521491001
Effluent
EPA 350.1 Rev 2.0 1993
599704
92521491001
Effluent
SM 521OB-2011
599319
SM 521OB-2011
599495
92521491001
Effluent
Colilert-18
599173
Colilert-18
599175
92521491001
Effluent
TKN+NO3+NO2
601633
Calculation
92521491001
Effluent
EPA 351.2 Rev 2.0 1993
601004
EPA 351.2 Rev 2.0 1993
601170
92521491001
Effluent
EPA 353.2 Rev 2.0 1993
600625
92521491001
Effluent
EPA 365.1 Rev 2.0 1993
600575
EPA 365.1 Rev 2.0 1993
600678
Date: 02/22/2021 05:40 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 15
CHAIN -OF -CUSTODY Analytical Request Document the USE ONLY-WD# :
Aft' ^•i st Pate vderkor
alytical der Number or 1 m
Chain -of -Custody is a LEGAL DOCUMENT -Complete all relevent fields 9252149 Forest Lakes Billing information: A" It'll' �' llI"IIII'I'lI - o
w
m
--m
_ ContainerPresen 92521491
_ D
Email To:
"Preservative Types:(1) nitric acid,OI sulfuric acid,(3) hydrochloric acin, pU wu,.,,...
(6) methanol, (7) sodium bisulfate, (Ri sodium thicetufale, (9) hexane, (A) ascorbic acid, (et ammonium sulfate,
Site Collection Info/Address; (C) ammonium hydroxide, 10) TSP, (D) Urpreserved, 10) Other
Customer Project Name/Number: State: County/City: Time Zone Collected:
/ [ )PT( ]MT[ ICT I JET
Phone:
Email: I
Site/Facility ID N:
Compliance Monitoring?
( V(Yes ] ] NO
Collected By (n�Ot):
Purchase Order N:
DW PWS ID H:
Quote N:
DW Location Code:
Collect r7 y (sig0a[ure):
Turnaround Date Required:
Immediately Packed on Ice:
J ]Yes I ]NO
I Dispose as appropriate f I Return I ] Same Day [ ) Next Day [ ) Yes I ] NO
]Archive:__ I ) 2 Day [ 1 3 Day [ ] 4 0ay ( ] 5 Day
)Held: (Expedite Charges APPIY) I
Analysis:
' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water(GW), Wastewater (WW),
Product IP), Soll/Solid (SL), Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor JV), Other (OT)
Comp/ Collected (or
Customer Sample ID Matrix' Grab Composite Start) Composite End
Date I Time I Date Time
Z
c7
rn 0
to Z
Res N of H Z
CI I Clues 0 r
Effluent WW G z ra LI 1�3�- 4
_._
Customer Remarks / Special Conditions/ Possible Hazards; Type of Ice Used: Wet Blue Dry None SHORT HOLDS PRESENT (<72
Packing Material Used: Lab Tracking It:
Ratichemsam.. ..,..les...._.`._ ._..._
p O screened (<500 cpm): Y N NA Samples received via:
FEDEX UPS Client
Rglinquished by/ ompany: i nature) Date/ im Received by/Company: (Signature) Date/Time:
� zio�; 21ro a : 0 5
Relinquished by/Company: (Si0nat6re ' Date/Time: Received by/Company: (Signature) Date/Time:
Relinquished
Custody Beals Present/Intact Y N NA
Custody Signatures Present Y N NA
Collector Signature Present Y N NA
Bottles Intact
Y N NA
Correct Bottles
Y N NA
Sufficient Volume
Y N NA
Samples Received ers Its
Y N NA
VOA - Headspace Acceptable
Y N NA
USDA Regulated Boils
Y N NA
Sampiea in ltolding Time
Y N NA
Rssidual Chlorins Present
Y N NA
ci stripe:
Sample pit Acceptable
Y N NA
Pt £tr.ipo:
Sulfide Prenenot
Y NNA
Lead Acetate Strips: _
LAB USE obi
Lab Sample k / Commente
hours): Y N N/A
Courier Pace Courier
MTJL LAB USE ONLY
Lab Sample Temperature Info:
Temp Blank Received: Y N NA
Therm ]DO:
Cooler 1Ternp Upon Receipt: __oC
Cooler 1 Therm Corr. Factor: - OC
Cooler i Corrected Temp: oC
Comments:
Trip Blank Received: Y N NA
HCL McOH TSP Other
Non Conformance(s); Page:
YES / NO of: