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Home My WebLink AboutWQ0004972_Monitoring - 10-2020_20210527Monitoring Report Submittal ............................................................................................................................................ Permit Number #* WQ0004972 Name of Facility:* Month:* October Report Information Forest Lakes Preserve ELS Type * NDMR, NDAR-1, NDAR-2, NDMLR Confirmation Email Address:* Name of Submitter:* Signature: Date of submittal: Initial Review Year:* 2020 Upload Document* Forest Lakes_Oct.pdf 1.51 MB FDF Only Please upload one PDF containing all applicable monitoring reports (i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59). Jessica. Mize@pacelabs.com Jessica Mize jus l oil Reviewer: Williams, Kendall N 5/27/2021 This will be filled in automatically Is the project number correct? * WQ0004972 Is the monitoring report r Yes r No accepted?* Regional Office * Winston-Salem Accepted Date: 5/27/2021 Page 1 of 2 NON -DISCHARGE WASTE WATER MONITORING REPORT PERMIT NUMBER: W 0004972 MONTH: October YEAR: 2020 FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie Flow Monitoring Point: Effluent: 12 Influent: Li Parameter Monitoring Point: Effluent: 19 Influent', Suriaoe Water ($W): SW CodelName: ❑ Was There Effluent Flow for this Month Generated At This Facility: Yes: W No: Li 1) A I: Operator Arrival Time 2400 Clock Operator Tkme on Site ORC on Site? 50050 00400 50050 00310 00610 00530 31816 00665 00625 00830 00600 00620 70300 00940 Daily Rate (Flow) into Treatment System pH Residual Chlorine DOW 20°C NH-3-N TSS Facet Coliform Rico-mctric Man-) Total Phos Total Kjcldhal Nivogm NO2+NO3 Total Nitrogen Nitrate NO3.N Total Dissolved Solids Ch.lidc 1{It5 YIN GP0 UNITS UOlL MG/L MGIL MGrL !109ML MOIL MGIL MGlL MG1. MG/L MGIL MCA. 5'ut-ck 5iweck Momhly Monthly kimthly Monthly ner y Monthly Monthly Monhly Monhly 313rar 1 1155 0.25 1' 6,514 5.91 <10 1318 ❑.25 Y 6,514 5.93 <13) 3 6,514 S 6.514 s 1536 0.15 B 7,049 5,94 <10 51111 0.25 1' 7.111 5.99 <IO 7 1220 0.50 Y 6,822 6.01 <10 g 0745 0,51) Y 6,904 6.01 <Ill 1310 1 0.25 Y 6,733 6,00 <.10 10 9,895 11 9,895 12 1211E 0.25 Y 9.89E 5,9.1 clfl 13 0822 0,50 Y 8,267 5.91 <IO 14 [200 0,75 Y 7,933 5,99 <10 15 1112 0115 Y 7,941 6.111 <10 16 1130 1).4;o B 8,11118 6.111 <111 17 10,001 19 10,001 19 1 1141 1.25 Y 10,001 6.410 <10 20 21 081E 0900 0.75 0.25 1' 1' SA23 8,292 6.111 6.02 <III <10 0.25 1 7,655 6.112 <III 23 06N1808 53 11.26 Y 8,003 6.02 <10 5.56 7.20 <5 >2420 4.50 89.2 0.064 89.3 <I1.05 2s _ 9,99(1 2s 1 9,996 26 1512 1),15 13 9,996 0.113 <I II 27 1503 (Lis i3 8,211 6.41 <10 28 1503 0.25 13 8,963 6.03 <10 29 1719 0.7E Y 7,478 6.04 <10 30 31 f190{I {I,'_5 Y 6,999 10,000 602 <10 Aver2gt' Daily Maximum 8,275 10,001 1 C04 <10 1 <10 5.56 5.56 7.20 7.20 <5 <5 >2420 >2420 4.50 4.50 89..2 89.2 0.064 0.064 89.3 89.3 <0.05 <0.05 Dally Minimum 6,514 5.91 <10 5.56 7.20 <5 >2420 4.50 89.2 0.116-! 89.3 <0.05 N1 unthly Limits (a) 24400 Composite m! Grab (G) Operator in Responsible Charge (ORC): GI nn Pric Grade: 11 Phone: _336-996-2841 Check Box if ORC Has Changed: 11 ORC Certification Number: 987931/20771 Certified Laboratories (1): R & A Laboratories Inc. (2); Person(s) Collecting Samples: Glenn Price Mail ORIGINAL and Two COPIES to: ATTN: Non -Discharge Compliance Unit D£NR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHAR ) Division of Water Quality By this signature, I certify that this report Is accurate and 1617 Mall 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 -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 -1-c) Baron Neal McDuffie (Signature of Permitee)* gV 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,11 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 T _ 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 facilitv's permit for re orting 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: W 004972 MONTH: October YEAR: 2020 FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie Formulas: Daily Loading (inches) = [Volume Applied (gatlons) x 0.1336 (cubic feellgalton) x 12 (inchasgoot)) I [Area Sprayed (acres) x 43,560 (square feetiacre) or = [Volume Applied (gallons) / [Area Sprayed (acres) x 27,152 (gallonslacre-Inch). Maximum Hourly Loading (inches) = Daily Loading (inches) I [Time irrigated (Minutes)160 (minulesfhour)] Monthly Loading (inches) =Sum of Daily Loading (inches) 12 Month Floating Total (inches) Sum of this month's Monthly Loading (inches) and previous i 1 months Monthly Loadings (inches) Average Weekly Loading (inches) = [Monthly Loading (incheslmonth) I Number of days in the month (days/month )] x 7 (days/week) •. Irrigation • •. Irrigation occur on Field Number. Permitted Hourly Rate (inches): Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996-2841 ORC Certification Number: 987931/20771 Mail ORIGINAL and Two COPIES to: ATTN: Non -Discharge Compliance Unit X DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CH2 Division of Water Quality By this signature, 1 certify flint this report is accurate and 1617 Mail Service Center complete to the best of my knowledge. RALEIGH, NC 27699-1617 Check Box if ORC Has Charged: ❑ r 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.) ,N) 1. The application rateCompliant (Ys) did not exceed the limit(s) specified in the permit. I'—�ll�'1 2. Adequate measures were taken to prevent wastewater runoff from the site(s). 4 3. A suitable vegetative cover was maintained on the site(s) in accordance with the permit. 4 4. All buffer zones as specified in the permit were maintained during each application. ( u j 5. 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." . 43�_ =_f� / I -;I- `y (J _ 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 Chicaao, II 60606 (Permittee Address) Field Services Director (R & A Laboratories Inc) (Position or Title) 3/ 1 /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 & ANAtyTICAI LAWRATQRIES, INC. For: Forest Lake Preserve 192 Thousand Trails Drive Advance, NC 27006 Attn: Tracy Overdurf Client Sample ID: Effluent Site: Forest Lakes Report of Analysis 10/28/2020 0101111010t11i 001 Chl,9+io �tp NC#34 i NC #37701 Lab Sample ID: 89370-01 Collection Date: 10/23/2020 7:03 T?arameter MethodResult Units Rep Limit Analyst Analysis DatelTime Ammonia Nitrogen SM 450U NH3 U-2011 LLU mgie_ U. I rr% IUIG3fLULU BOD-5 SM 5210 B-2011 5.56 mg/L 2 HW 10/23/2020 1500 Fecal Coliform QT Colilert 18 >2420 MPN/100ml 1 BJ 10/23/2020 1436 Nitrate + Nitrite SM 4500 NO3 E-2011 0.064 mg/L 0.05 LP 10/23/2020 1540 Nitrate Nitrogen (SM 4500 NO3 E-2011)-(SM <0.05 mg/L 0.05 LP 10/23/2020 1540 4500 NO2 B-2011) Total Kjedjahl Nitrogen Hach 10242 89.2 mg/L 1 FK 10/27/2020 Total Nitrogen Calc 89.3 mg/L 1 Total Phosphorous SM 4500 P E-2011 4.50 mg/L 0.05 BJ 10/26/2020 Total Suspended Solids SM 2450 D-2011 <5 mg/L 5 AW 10/26/2020 NA = not analyzed P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel; 336-996-2841 Pax: 336-996-0326 www.randalabs.com Page 1 1ai cna 0as;t: v1 J rxT: '°h «sue -ix. Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD Water / Waste water Misc. Company Forest Lake Job No. °' p Z7 .a r+ _ ? E 0 a ': Y 0 �n N x_ U E o � N a = V r- .� -- 2 O v = � — G U C7 a: .� — I o x '� C7 a: .� — a p U C7 0. .� — o CS d -r V) I Street Address Project A9oulhly Efflueul Stripling City, State, Zip Sampler Name ase Print Contact Phone Sampler Signature \ b San�t3lr N,wnllcr (Lab Ilse Only) Date Time Comp Grab temp «C Res. CI. Chlorine Removed V or NI(SorW)Z Sample Matrix Sample Location 1 I.D. O O Requested Anal sis (BOO, TSS, NH3N, F.coli 0" d w Effluent 4 NO3-N, T.Nit, T. Phos) Re uish I By p D eTim£ , z aso Ree ivet By Remarks: Relinquished Icy Date/Time IZCCCI lay On Ice Sample Temperature at receipt �- "C