WQ0004972_Monitoring - 04-2021_20210602

Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004972
Name of Facility:*
Month:* April
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:* 2021
Upload Document*
Forest Lakes_April.pdf 1.92MB
FDF Cnly
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-t, NDAR-2, NDMLR, GW-59).
Jessica. [e-mail]
Jessica Mize
jus l oil
Reviewer: Williams, Kendall N
6/2/2021
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: 6/3/2021

Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W00004972 MONTH: April YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow MonitoringPoint: Effluent: W Influent:
Parameter Monitoring Point: Effluent: M Influent: LJ I Surface Water (SW : I SW CodelName: LJ
Was There Effluent Flow for this Month Generated At This Facility: Yes: W No:
D
A
T
t
Operator
Amval
Time
24DO
Clock
Operator
Time on
site
ORC
on
Site?
50050
00400
5C060 1
00310
OD610
UG530
31616
00665
00625
00630
00600
OD620
70300
D0940
Daily Rate
(Fl")into
Treatment
S)srem
Dri
I
lk, iW al
Chlonne
BOD-5
2lrC
NH-3-N
TSS
Fecal
Califrnm
(Gmmcme
Mean•)
Total
Phos
Total
Kjeldhal
Ni,rogen
NO2+NO3
Tout
Nim M
Nitratc
NO3-N
Total
D4wi•-cd
Solids
Chloride
HRs
YIN
GPp
11N1f5
UG'.!L
MUL
t.1G/L
M0L
400ML
MG�L
M01L
'i
ASGiL
MGiL
RIG,
MQL
Conlin_,
' ec
onr r y
Mthly
Nl-nlhlv
Kimthly
ont r y
om y
ont •
onl t e
ant
_ iycrr
, tyear
1
1450
0.25
B
8,042
6.40
<10
2
1316
0.25
Y
9.111
6.50
<10
3
9,111
4
9,111
5
0600
(1.25
Y
9,111
6,20
<10
e
1209
0.25
Y
8,096
6.10
<10
7
0800
0.25
Y
9,298
5.90
<10
8
1101
0.25
Y
8,963
5.90
<10
9
0828
0.25
Y
8.828
5.70
<11)
10
7,696
11
7,696
12
1252
0.25
Y
7.696
�.40
<10
13
0755
0.25
Y
8,031
5.70
<10
t4
0745
11.25
Y
9.222
5.60
<111
15
1247
0.25
Y
934
5.80
<10
16
0811
0,25
Y
9,212
5.50
<141
1T
9,389
18
9,389
19
0740
0.25
Y
9389
5.70
<10
20
1243
0.25
Y
8,765
5.90
<11)
21
1318
11.25
Y
8,337
5.90
<10
22
0750
0,25
Y
7,992
5.80
<10
23
0321
0.25
Y
81655
5.90
<10
24
8.991
2s
8.991
261344
0.25
,
5.90Y
c10
27
1326
0.25
Y
6,888
5d60
<10
28
1419
0.25
1 Y
7.244
5.90
<10
29
1522
0.25
B
7,963
6.10
<10
Q,0
83.5
49.1
1.11
1; 2
85.6
<0.040
85.6
40.30
30
119110
0.25
B
8.537
6.10
<III
31
Average
8,603
<10
<-.
.5
L0
1 '
na.fi
�.
ell. 0
DailyMadrntlm
9,399
6.50 1
<10
83.5
49.1
1.0
13.2
0.
< .
e.
Daily .Minimum
6.888
SAO I
<10
<2.0
83.5
49,1
1.0
13.2
1 85.6
<0.04 1
85.6
<030
NIGntltly l.11nits (s)
1 24400
Composite D t Crab (G)
Operator in Responsible Charge (ORC): Glenn Price Grade: II Phone: [phone]
Check Box if ORC Has Changed: ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analytical Serivices (2)
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: Compliant ,N)
I. 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."
Baron Neal McDuffie
(Signature of Petmitee)* 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 (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 -7j
00545 Settleable Matter
00929
Sodium
00931
SAR
00745
Sulfide
00515
TDS
00010
Temperature
00625
TKN
00680
TOC
00530
TSS/TSR
Turbidity
r00076
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 desipated in the reporting
facility'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 2B.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: 2021
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (inches) _ [Volume Applied (gallons) x 0,1336 (cubic feettgallon) x 12 (incheslli I ]Area Sprayed (acres) x 43.560 (square featlaera) or
_ [Volume Applied (gallons)! [Area Sprayed (acres) x 27,152 (gallonslacre-inch).
Maximum Hourly Loading (inches) = Daily Loading (Inches)! [Time irrigated (minutes)160 (minutes/hour)] Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) _ [Monthly Loading (inchesimonth)1 Number of days in the month (dayslmonth )] x 7 (daystweek)
Did Irrigation Occur At This Facility:
Yes: No'
Did Irrigation Occur On This Field:
Yes; MY No:
Did Irrigation Occur On Thls Field;
Yes' Q No' El
Raid Number
Field Number
Area Sprayed (arras):
3.4
Area Sprayed (acres):
Cover Crop:
Cover Crop:
Permitted ou
y Rate In as : 10.11
Permittedoudy ate Incas):
A
i,
WEATHER CONDITIONS
51ara0a
Lagoee
Permitted Yearly
Rate (inches):
46.8
Permitted Yearly Rate (inches):
Weather
Code'
Temperature
at
a(Ml sri.m
pred ita
lion
V.1-
Apph.d
Ti..
Iin, r:J
U.dy
:.:.dint'
\I.w:u:m
IEwdy
lending
v.,lume
Applied
11n:c
Inii
Wady
1a di"g
Maumam
Flea{y
I .dins
F-b-d
!°FI
nehe
fen
Fdlnn.
..,..,,
nah..
ind,e.
gall,x,
minu,cx
nelu.
n.hw
t
PC
78
0
2.8
16,992
120
0.18
0.09
CI
76
II
3.3
16.992
120
0.18
10t)
3
4
5
PC
74
0
3.9
16,992
120
0118
(,i 9
6
C
54
fl
4.5
8,496
60
0.09
11.09
7
C
73
f]
4.5
R 496
60
(1,09
11.09
x
PC
58
II
4.5
8,496
1 60
1
il.tl'i
9
C
71
0
4.5
8.496
60
0.09
0.09
lu
II
12
PC
fig
0
4.5
8,496
611
11.09
0.01)
t.t
PC
57
0
4.5
9,496
60
jf,ijg
0.09
14
C
56
1 o
-4.5
8,496
611
11,119
0.09
Is
C
92
1 0
4.5
1 8,496
60
1 0,()9
0.09
16
C
54
{I
4.5
8,496
(111
t1.119
0.09
17
18
19
C
54
41
4.5
8,496
60
0.09
0.09
2f)
C
69
1}
4.5
8,496
60
0.09
11.119
21
C
74
li
4.5
8,496
60
0.09
0.09
22
PC
57
1)
4.5
8.496
(10
0.09
11,09
23
PC
52
1)
4.5
8 496
60
0.09
0.09
PC
76
0
4.5
8.496
h0
0.09
IL09
CL
77
II
4.5
60
0.09
0.09
[24
PC
75
1)
4.2
8.496
60
0.09
0,119
C
75
0
4.1
C
6a
I „Im van„a.ntoolnh Lamlae nmh.,i
tnalauhhio.raeTm.tle.n.q
Avenge W.e41y Lo.dsorlEachnh
2.07
35.10
0.41
'Weather Codes: C-clear, PC -partly otaudy, C1-cluudy, R-rain, Sn•snow, St -sleet
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-911
ORC Certification Number
Mail ORIGINAL and Two COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR
Division of Water Quality
1617 Mail Service Center
RALEIGH, NC 27699-1617
987931120771 Check Box if ORC Has Changed:
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
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.
Z 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. E171
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."
/3 s -7
(Signature of Permitee)* . Date
Baron Neal McDuffie (Authorized Ag_gnt)
(Permittee-Please print or type)
2N. Riverside Plaza. Suite 800
Chicago, Il 60606
(Permittee Address)
Baron Neal MCDuffe
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services)
(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).

;aceAnalyfica(
www.pacelabs.com
May 10, 2021
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92535767
Dear Tracy Overdurf:
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on April 29, 2021. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNVNELAC 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,
Stephanie Knott
[e-mail]
704-977-0981
Project Manager
Enclosures
�pCCR�Or
REPORT OF LABORATORY ANALYSIS
This report sha€€ not be reproduced, except fn full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 15

acmnalj cal
www.pacelabs.com
t
Project: Forest Lakes
Pace Project No.: 92535767
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
/aml�
� 43I 1910TAK911P
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
(0� REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Pace Analytical Services, LLC
1377 South Park Drive
Komersville, NC 27284
[phone]
Page 2 of 15

IeAnalytical
www.pacelabs.ccm
IQ
Project: Forest Lakes
Pace Project No.: 92535767
SAMPLE ANALYTE COUNT
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvllle, NC 27284
[phone]
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92535767001 Effluent HACH 10206
AFJ
1
PASI-E
SM 254OD-2011
LRB
1
PASI-E
SM 521OB-2011
MWF
1
PASI-E
Coliiert-18
MWF
1
PASI-E
TKN+NO3+NO2 Calculation
EWS
1
PASI-A
EPA 350.1 Rev 2.0 1993
NGP
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
NAL
1
PASI-A
PASI-A= Pace Analytical Services -Asheville
PASI-E = Pace Analytical Services - Eden
1401
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, L.L.C.
Page 3 of 15

/aceAnalXical 0
l www.pacelabs.com
f
f
ANALYTICAL RESULTS
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Project: Forest Lakes
Pace Project No.: 92535767
Sample: Effluent Lab ID: 92535767001 Collected: 04/29/21 11:22 Received: 04/29/21 12:08 Matrix: Water
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Quaff
HACH 10206 Nitrogen, Nitrate
Analytical Method: HACH 10206
Pace Analytical Services - Eden
Nitrogen, Nitrate
ND mg/L 0.30 1 04/30/21 11:34 14797-55-8
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Eden
Total Suspended Solids
49.1 mg/L 9.1 1 04130121 09:45
5210E BOD, 5 day EDN
Analytical Method: SM 521OB-2011 Preparation Method: SM 5210E-2011
Pace Analytical Services - Eden
BOD, 5 day
ND mg/L 2.0 1 04/30/21 12:05 05/05/21 11:11
Colilert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
1.0 MPN/100mL 1.0 1 04/29121 14:27 04/30/21 08:34
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
85.6 mg/L 0.52 1 05/07/21 16:37
1410i0.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
83.5 mg/L 1.0 10 05/05/21 13:39 7664-41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.01993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahi, Total
85.6 mg/L 5.0 10 05/05/21 20:34 05/06/21 04:58 7727-37-9
353.2 Nitrogen, N021NO3 pres.
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
ND mg/L 0.040 1 05/04/21 12:38
365.1 Phosphorus, Total
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.01993
Pace Analytical Services - Asheville
Phosphorus
13.2 mg/L 0.25 5 05/04/2116:58 06105/2113:55 7723-14-0
Q
Date: 05110/2021 02:23 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, I.I.C.
Page 4 of 15

Pace Analytical Services, LLC
1�5a'cmnalXicala 1377 South Park Drive
KemersvEEle, NC 27284
www,pacelabsxam [phone]
7
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92535767
QC Batch: 617390 Analysis Method: HACH 10206
QC Batch Method: HACH 10206 Analysis Description: 10206 Nitrogen, Nitrate
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92535767001
METHOD BLANK: 3248445
Associated Lab Samples: 92535767001
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.30 04/3012111:33
LABORATORY CONTROL SAMPLE: 3248446
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Nitrate mg/L 5 5.3 106 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3248447 3248448
MS MSD
92535767001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
itrogen, Nitrate mg/L ND 5 5 5.3 5.3 101 102 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: 05110/2021 02:23 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 15

1�5a'cmnalyticalo
www.pacelabs.com
1
t'ank�
Project: Forest Lakes
Pace Project No.: 92535767
QUALITY CONTROL DATA
QC Batch: 617351 Analysis Method: SM 254OD-2011
QC Batch Method: SM 254OD-2011 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92535767001
METHOD BLANK: 3248188
Associated Lab Samples: 92535767001
Parameter Units
Total Suspended Solids mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 04/3012109:27
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvilie, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3248189
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 232 93 90-110
SAMPLE DUPLICATE: 3248190
92535805001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 113 117 4
110"Oh
SAMPLE DUPLICATE: 3248191
92535798001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 34.2 34.2 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: 05/10/2021 02:23 PM without the written consent of Pace Analytical Services. I.I.C.
Page 6 of 15

leAnalytical
tarw.Qseelabs.eem
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92535767
QC Batch: 617360 Analysis Method: SM 521OB-2011
QC Batch Method: SM 521 OB-2011 Analysis Description: 5210E BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92535767001
METHOD BLANK: 3248220
Associated Lab Samples: 92535767001
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 05/05/2110:50
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvilie, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3248221
Spike LCS LCS % Rec
Parameter Units Cone. Result % Rae Limits Qualifiers
BOD, 5 day mg/L 198 200 101 84.6-115.4
SAMPLE DUPLICATE: 3248223
92535800001 Dup
Parameter Units Result Result RPD Qualifiers
�BOD, 5 day mg/L 829 828 0 R6
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.
140� REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/10/2021 02:23 PM without the written consent of Pace Analytical Services, L.I.C.
Page 7 of 15

acmnalytical
wuw.pacelabscam
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92535767
QC Batch: 617178 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92535767001
SAMPLE DUPLICATE: 3247414
Parameter
Fecal Coliforms
0
92535805003 Dup
Units Result Result
MPN/100mL ND ND
RPD Qualifiers
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right or the result
toft\ REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/10/2021 02:23 PM without the written consent of Pace Analytical Services, I.I.C.
Page 8 of 15

laanemAnalj cal
arwar pecetabacom
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92535767
QC Batch: 618147 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92535767001
METHOD BLANK: 3252340
Associated Lab Samples: 92535767001
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 05/05/21 13:13
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville. NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3252341
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L 5 4.9 99 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3252342 3252343
MS MSD
92535514003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
/00-1 rogen, Ammonia mg/L 0.11 5 5 4.9 4.9 96 96 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3252344 3252345
MS MSD
92535543001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 6.4 5 5 11.3 11.3 97 97 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: 05/10/2021 02:23 PM without the written consent of Pace Analytical Services, I.I.C.
Page 9 of 15

1�5a'cmnalytical
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Project: Forest Lakes
Pace Project No.: 92535767
QC Batch: 618413
QC Batch Method: EPA 351.2 Rev 2.0 1993
Associated Lab Samples: 92535767001
METHOD BLANK: 3253731
Associated Lab Samples: 92535767001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
QUALITY CONTROL DATA
Analysis Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 05106/2103:53
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville. NC 27284
{704}977-0981
LABORATORY CONTROL SAMPLE: 3253732
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L 10 10 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3253733 3253734
MS MSD
92536229003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD Qual
/0"'(itrogen, Kjeldahl, Total mg/L 7.8 10 10 19.2 19.0 115 113 90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3253735 3253736
MS MSD
92536229004 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 86.6 10 10 103 107 169 203 90-110 3 M6
Results presented on this page are in the units indicated by the "Units" column except where an attemate unit Is presented to the right of the result
/0"Z REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 05/10/2021 02:23 PM without the written consent of Pace Analytical Services, I.I.C.
Page 10 of 15

acmnalXical m
www.pacelabs=M
Project: Forest Lakes
Pace Project No.: 92535767
QC Batch: 617938 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: 92535767001
METHOD BLANK: 3251215
Associated Lab Samples: 92535767001
Parameter Units
Nitrogen, NO2 plus NO3 mg/L
LABORATORY CONTROL SAMPLE: 3251216
Parameter Units
Nitrogen, NO2 plus NO3 mg1L
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 0.040 05/04/2112:16
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3251217 3251218
MS MSD
92536202001 Spike Spike MS MSD Ms MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
/'"hitrogen, NO2 plus NO3 mg/L 6.2 2.5 2.5 8.8 8.7 102 100 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3251219 3251220
MS MSD
92535469001 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 NO 2.5 2.5 2.1 2.1 83 83 90-110 1 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 resulL
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/10/2021 02.23 PM without the written consent of Pace Analytical Services, I.I.C.
Page 11 of 15

aceAnalytical
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Project: Forest Lakes
Pace Project No.: 92535767
QUALITY CONTROL DATA
QC Batch: 617998 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: 92535767001
METHOD BLANK: 3251363 Matrix: Water
Associated Lab Samples: 92535767001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg/L ND 0.050 05/05/2113:46
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
[phone]
LABORATORY CONTROL SAMPLE: 3251364
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L 2.5 2.6 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3251365 3251366
MS MSD
92536406002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
phosphorus mg/L 9.0 2.5 2.5 12.7 12.1 147 124 90-110 5 M6
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3251367 3251368
MS MSD
92536422001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.19 2.5 2.5 2.7 2.7 102 102 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.
p REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/10/2021 02:23 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 15

Pace Analytical Services, LLC
aceAnalytical ® 1377 South Park Drive
Kemersville, NC 27284
WWW.pacelabatan
[phone]
/O� QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92535767
DEFINITIONS
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 Chloroethyivinyl ether.
/4"k) 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.
TN -The NELAC Institute.
ANALYTE QUALIFIERS
0
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution.
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/10/2021 02:23 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 15

Pace Analytical Services, LLC
m 1377 South Park Drive
acemalxical
Kemersvflle, NC 27284
www.pacelaba.cam [phone]
r• `\ QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92535767
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92535767001
92535767001
92535767001
92535767001
92535767001
92535767001
92535767001
92535767001
92535767001
0
(" N
Effluent
HACH 10206
Effluent
SM 254OD-2011
Effluent
SM 521OB-2011
Effluent
Colilert-18
Effluent
TKN+NO3+NO2
Calculation
Effluent
EPA 350.1 Rev 2.0 1993
Effluent
EPA 351.2 Rev 2.0 1993
Effluent
EPA 353.2 Rev 2.0 1993
Effluent
EPA 365.1 Rev 2.0 1993
Date: 05/10/2021 02:23 PM
617390
617351
617360
SM 521OB-2011
617440
617178
Colilert-18
617179
619087
618147
618413
EPA 351.2 Rev 2.0 1993
618592
617938
617998
EPA 365.1 Rev 2.0 1993
618244
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, L.L.C.
Page 14 of 15

� CHAIN -OF -CUSTODY Analytical Request Document
LAD USE ONLY- Affix Worknr4orli —in r ahnr Flora — 1t D... l� —1 Aar At..`a'r' r
.:aceArr�ly�trcl
WO# • 92535767 0of
Chain -of -Custody a LEGAL DOCUMENT -Complete all (eleven[ fields
- Chaim
42
ALL 1HA11 I!I! C
Company: Forest Lakes
Billing Information:
Container Preservative TyI
Address:
N z a 92535767
— Preservative Types: (1) nitric acid, (2) sulfuric acid, (3) hydrochloric acid, (A) sodium hydroxide, (5) zinc acetate,
Report To:
Email To:
(6) methanot, (7) sodium bisulfate, (8) sodium thiasulfate, (9) hexane, (A) ascorbic acid, (9) ammonium sulfate,
(C) ammonium hydroxide- ID) TSP, (U) Unpreserved, (D) Other
Copy To:
_
Site Collection InfoJAddress:
Anal ses
tab Profile Line:
Customer Project Narne/Number:
State: County/City: Time Zone Collected:
—
Lab Sample ReceiaL Checklist:
/ I ]PT I IMT ( ICT [ IET
"A
Custody Seals prenont/IutaaL
Custody Signatures Present c N NA
Phone:
Site/ra[illty ID N:
Compliance Monitoring?
Email:
I Yes [ ] No
Collector SiCinaturc Present .wj NA
Bottles Intact NA
correct Bottler 4 NA
Collected By p 'nt):
Purchase Order N:
DW PWS ID H:
.�
Quole tl:
DW Location Cade:
Z
Sufficient Volume NA
VT
8arrpleo naceivad on lea 1
VOA - Headspace Acceptable Y N NA)
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Collecte By (signature)-
Turnaround Date Required:
Immediately Pac ed on Ice:
]Yes No
[ ( ]
USDA Regulated Soils
�
4..
samples in Holcling Time NA
Rerildual Chlorin eaei Y DNA
Icr
Sam7DDisposal:
Rush:
Field Filtered (if applicable[:
] I Dppropriate [ ] Return
[ J Same Day ( ) Next Day
[ ] Yes [ ] No
L'1 StripjI
A
[ ] 2 Day [ ] 3 Day [ ] 4 Day [ ] 5 Day
Analysis:
P
F—
Sample pll Acceptabl]
pH strips:
H
(Expedite Charges Apply)
Z
M
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Sulfide Prevent Y I NA
Lend Acetate Strips:
' Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WWI,
Product (P), Sail/Solid (SQ. Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bloassay (B), Vapor (VI, Other (OTI
tr7
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LAB USE ONLY:
_
F�-
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Lab Sample H ! Commentm:
Camp/
Collected (or
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Cu5lomerSampleiD
Matrix'
Grab
Composite Start)
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Customer Remarks J Special Conditions / Possible Hazards: Type of Ice Used: Wet Blue Dry None
Packing Material Used:
Radchem sample(s) screened (U00 cpm): Y N NA
(Signature) [Datyf/TimR: Received by Co pan SigbalvrO
by/Company: (Signature) (Date/Time: Received by/Com
Relinquished by/CompV--- (Signature) IDate/Time: IReceived by/Company: (Signature)
FORT HOLDS PRESENT (02 hours): Y N N/A
b Tracking It:
mples received via:
FEDEX UPS Client Courier Pace Courier
Date/Time: MTJL LAB USE ONLY
Table p:
Acctnum:
Date/Time:
r , PM:
PB:
Lab Sample Temperature Info:
Temp Blank Received; Y N NA
Therm IDtl: ��
Cooler 1 Temp Upon Receipt; �oC
Cooler 1 Therm Corr. Factor: --) _oC
Cooler 1 Corrected Temp: -3-aoe
Comments:
Trip Blank Received: Y N NA
HCL McOH TSP 00wr
Non Conlorrnancels): Page:
YES / NO �of: �_