HomeMy WebLinkAboutWQ0004972_Monitoring - 05-2021_20210630Monitoring Report Submittal
............................................................................................................................................
Permit Number #* WQ0004972
Name of Facility:*
Month:* May
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 Lake_May.pdf 1.68MB
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: Saunders, Erickson G
6/30/2021
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: 7/7/2021
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: W 0004972 MONTH: Mav YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent: El Influent:
Parameter Monitoring Point: Effluent: W Influent: I Surface Water SW SW Code/Name: LJ
Was There Effluent Flow for this Month Generated At This Facility: Yes: No:
Operator
50050
00400
50060
00310
1 00610
00530
31616
00665
00625
00630
00600
00620
70300
00949
D
Arrival
Daily Rate
Fecal
A
Time
Operator
ORC
(Flow}Into
C.1iforin
Total
Total
T
2400
Time W
on
Treatment
Residual
BOP-5
(Geometric
Taal
I:jcldhal
Total
Nitrate
Dissolved
@
Clock
Site
Site?
System
Pit
CMoriae
20C
NH-3-N
TSS
Mean`)
P1ms
Nitrogen
NO2+NO3
Nitrogen
NO3-N
Solids
Chlotidc
I1RS
Y1N
GPD
NITS
G:L
AIG'L
MG,L
71 Q I -I
I I 00ILIL
h11i
M&L
Iv110i
MG!L
h1G'L
M&L
h1G,L
Continuous
+Y
.ant y
unt v
a,t y
on[
ont y
oni _.
ont e
Monthly y
ortv
. f
.,yd,
1
9.999
9,999
3
1140
0.50
Y
9.999
6.50
<10
4
0755
0.25
S'
8.066
6.40
<10
s
1159
0.5U
Y
7,952
6.541
<10
<2.0
82.5
C3.0
2421)
12.5
66.7
0.11
66.8
0.86
6
1141
0.25
Y
7,981
6.311
<10
7
0911
0.25
Y
7,888
1 6.10
<10
$
8,173
9
8,173
10
0918
(1.25
13
8.173
5,911
<10
It
1030
050
Y
7,434
5.90
<10
12
1232
0.25
Y
10,997
5.80
<10
13
0808
0.25
Y
19,651
5.90
<10
14
0826
0.25
1'
18,038
6.00
<10
`
10,261
16
10,261
17
0947
0.25
Y
10,261
6.10
<to
1R
1353
li
1
9,876
6,00
<10
19
1100
0.25
N'
9,041 1
6.10
<10
20
1312
0.511
1S
9,094
6.10
<t0
21
0944
0.25
It
8,633
6.01)
<10
22
10,333
2,3
10,333
24
I O18
0.25
1
10,333
6.00
<10
25
1352
0.25
5
8.055
5.90
<10
261
1216 1
0.50
1'
7.873
5.90
<10
Z71
0730
050
Y
7.111
6.00
<10
28
1010
0.25
B
7,657
6.40
<10
29
9.442
.to
9,442
�1 H 9.442
6.30
--to
Average 9.676
<10
<-•
<.Il
24241
I_'.�
6t,J
11.11
66.3
4.B6
Daily Maximum 19,651
6.50
<10
.0
2420
12.n
4,6.7
II.I 1
66,4
I1.86
Daily Minimum 7,111
5.80
<10
<2.0
82.5
<3.0
242U
12.5
66.7
11.11
hh.8
I1l,86
Monthly Limits (s) 244UU
Composite D 1 Grab (G)
Operator in Responsible Charge (ORC); CTenn Price Genic II Phone; 336-996-2841
Check Box if ORC Has Changed
11 ORC Certification Number: 987931/20771
Certified Laboratories (1): Pace Analytical Serivees (2):
PersOn(s) Collecting Samples: Glenn Price l
Mail ORIGINAL and Two COPIES to; \.
ATTN-. Non -Discharge Compliance Unit X
DENR (SIGNATtiRE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best or my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Co�(Y,N )
1. Does all monitoring data and sampling frequencies meet permit requirements? ``TT
If the facility is non-comp-Hant, 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."
-3cp -
(Signature of Permitee)* 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
Conductivi
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
W009 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
idity
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
facility's permit for reporting data.
* If signed by other than the Perrnittee, 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: May YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Leading (inches) = (Volume Applied (gallons) x 0.1336 (cubic feellgallon) x 12 (incheadoot)] I (Area Sprayed (acres) x 43,660 (square feetlacre) or
= (Volume Applied (gallons) I (Area Sprayed (acres) x 27,152 (gallons)ecre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) I (rime imgated (minutes)) 60 (minutes/hour)) Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this months Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = (Monthly Loading (lncneslmonth)I Number of days in the month (dayslmonth )] x 7 (days/weak)
n, Irrigation Occur
oE
• •
IMMM11. "MEN
•. Occur On
-
D. Inig9tion Occur On
■ ■
Permitted Hourly Rate CinchesF
Rate (�nches)
MEN
'!Feather Coda: C-elrar, PC -partly cloudy, Ci-cloudy. R-rain, S"new, SWIM
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931120771 Check Box if ORC Has Changed:
Mail ORIGINAL and Two COPIES to: C
ATTN: Non -Discharge Compliance Unit X
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quafity By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Farm NDAR-9 (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)
I. The application rate(s) did not exceed the limit(s) specified in the permit. 4
Z 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. C�
S. The freeboard in the treatment and/or storage lagoon(s) was not less than the
limit(s) specified in the permit.
If the facility is non -compliant , please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for s mitting false information, including the possibility of fines and imprisonment for knowing violations."
3 v a Baron Neal McDuffie
(Signature Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N. Riverside Plaza. Suite 800
Chicago. Il 60606
(Permittee Address)
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).
aceAnalytrcal
www.pacelabs.com
May 17, 2021
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92536950
Dear Tracy Overdurf:
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Enclosed are the analytical results for sample(s) received by the laboratory on May 05, 2021. The results relate only to the
samples included in this report. Results reported herein conform to the applicable TNIINELAC 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
stephanie.knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
�Q PCCR�r�.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in V1,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 16
aceAnalytical "
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Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977.0981
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
CERTIFICATIONS
North Carolina Wastewater Certification #: 40
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
VirginiaNELAP Certification #: 460025
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in foil,
without the written consent of Pace Analytical Services, LLC. Page 2 of 16
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f
SAMPLE ANALYTE COUNT
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvitle, NC 27284
(704)977-0981
Analyses
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92536950001 Effluent SM 254OD-2011
LRB
1
PASI-E
EPA 353.2 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
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
NGP
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 16
aceAnalj6cal
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ANALYTICAL RESULTS
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
aampie: tTriuent
Lab ID: 92536950001 Collected: 05/05/21 12:03 Received: 05/05/21 14:14 Matrix: Water
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Oual
2540D Total Suspended Solids
Analytical Method: SM 254OD-2011
Pace Analytical Services - Eden
Total Suspended Solids
ND mg/L 3.0 1 05/06/21 09:17
353.2 NO2/NO3 unpres EDN
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, Nitrate
0.86 mg/L 0.040 1 05/O6/21 16:21 14797-55-8
5210E BOD, 5 day EDN
Analytical Method: SM 521 OB-2011 Preparation Method: SM 5210B-2011
Pace Analytical Services - Eden
BOD, 5 day
ND mg/L 2.0 1 05/06/21 15:12 05/11/21 10:48 132
Colilert-18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-16
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN/100mL 1.0 1 05/05/21 18:11 05/06/21 12:37 1g,El
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
66.8 mg/L 0.52 1 05/14/21 16:52
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
82.5 mg/L 1.0 10 05/14/2112:47 7664-41-7
351.2 Total Kjeldahl Nitrogen
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Kjeldahl, Total
66.7 mg/L 2.5 5 05111/21 22:02 05/13/21 05:03 7727-37-9
353.2 Nitrogen, NO2JN03 pros.
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, NO2 plus NO3
0.11 mg/L 0.040 1 05/13/21 12:49
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
12.5 mg/L 0.25 5 05/13/21 18:32 05/1412112:32 7723-14-0
Date: 05/17/2021 03:13 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 16
aceAnalytical
www.pacelaDs.ecm
{
QUALITY CONTROL DATA
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lakes
Pace Project No.: 92536950
QC Batch: 618636
Analysis Method:
SM 254OD-2011
QC Batch Method: SM 2540D-2011
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92536950001
METHOD BLANK: 3254811
Matrix: Water
Associated Lab Samples: 92536950001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 05/06/21 09:09
LABORATORY CONTROL SAMPLE: 3254812
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 236
94 90-110
SAMPLE DUPLICATE: 3254813
92536941001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
13.0
14.0 7
SAMPLE DUPLICATE: 3254814
92537022001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
252
238 6
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: 05/17/2021 03:13 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 16
QD
acmnalytical
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1
I
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977.0981
QC Batch: 618679
Analysis Method:
EPA 353.2 Rev 2.01993
QC Batch Method: EPA 353.2 Rev 2.0 1993
Analysis Description:
353.2 Nitrate + Nitrite, Unpres. EDN
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92536950001
METHOD BLANK: 3255098
Matrix: Water
Associated Lab Samples: 92536950001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Nitrate mg/L
ND 0.040 05/06/21 16:18
LABORATORY CONTROL SAMPLE: 3255099
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, Nitrate mg/L
1.5 1.5
102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3255100 3255101
MS MSD
92536950001
Spike Spike MS
MSD MS MSD % Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 0.86
1.5 1.5 2.4 2.4 103 99 90-110 3
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: 05/17/2021 03.13 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 16
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvilie, NC 27284
(704)977-0981
QC Batch: 618742
Analysis Method:
SM 521OB-2011
QC Batch Method: SM 521 OB-2011
Analysis Description:
521013 BOD, 5 day Final EDN
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92536950001
METHOD BLANK: 3255537
Matrix: Water
Associated Lab Samples: 92536950001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
BOD, 5 day
mg/L
ND 2.0 05/11/21 10:12
LABORATORY CONTROL SAMPLE: 3255538
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rao Limits Qualifiers
BOD, 5 day
mg/L
198 206
104 84.6-116.4
SAMPLE DUPLICATE: 3255540
92537248002 Dup
Parameter
Units
Result Result
RPD Qualifiers
BOD, 5 day
mg/L
97.5 97.5 0 R6
Results presented on this page are In the units indicated by the'Untis' 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: 05/17/2021 03:13 PM without the written consent of Pace Analytical Services, I.I.C.
Page 7 of 16
/�5a'vce Ana/Xicai�
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92536950
%At, maicn: bldb40 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Associated Lab Samples: 92536950001 laboratory: Pace Analytical Services - Eden
SAMPLE DUPLICATE: 3254820
92536950001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL 2420 2420 0 19,El
Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
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: 05/17/2021 03:13 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 16
aceft ytical
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QUALITY CONTROL DATA
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lakes
Pace Project No.: 92536950
QC Batch: 620337
Analysis Method:
EPA 350.1 Rev 2.01993
QC Batch Method: EPA 350.1 Rev 2.0 1993
Analysis Description:
350.1 Ammonia
Laboratory:
Pace Analytical Services -Asheville
Associated lab Samples: 92536950001
METHOD BLANK: 3263877
Matrix: Water
Associated Lab Samples: 92536950001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Ammonia mg/L
ND 0.10 05/14/21 11:51
LABORATORY CONTROL SAMPLE: 3263878
Spike LCS
LCS % Rec
Parameter Units
Cone. Result
% Rec Limits Qualifiers
Nitrogen, Ammonia mg/L
5 5.0
100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3263879
3263880
MS MSD
92538146002
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone, Cone. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Ammonia mg/L ND
5 5 4.9 4.9 98 97
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3263881 3263882
MS MSD
92538146003
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone. Cone. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Ammonia mg/L ND
5 5 4.9
4.9 98 98
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: 05117/2021 03:13 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 16
10001111
aceAnalytical
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 619667
Analysis Method: EPA 351.2 Rev 2.0 1993
OC Batch Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92536950001
METHOD BLANK: 3259941
Matrix: Water
Associated Lab Samples: 92536950001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L
ND 0.50 05/13/21 02:53
LABORATORY CONTROL SAMPLE: 3259942
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L
10 9.4 94 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3259943 3259944
MS MSD
92537483004
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 52.6
10 10 56.2 59.9 36 74
90-110 7 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3259945 3259946
MS MSD
92537483005
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L NO
10 10 11.6 9.9 115 98
90-110 15 M1,R1
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: 05/17/2021 03:13 PM without the written consent of Pace Analytical Services, I.I.C.
Page 10 of 16
1�5a'ceAnalj6cal
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 620117
Analysis Method: EPA 353.2 Rev 2.0 1993
QC Batch Method: EPA 353.2 Rev 2.01993
Analysis Description: 353.2 Nitrate + Nitrite, preserved
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92536950001
METHOD BLANK: 3262556
Matrix: Water
Associated Lab Samples: 92536950001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Nitrogen, NO2 plus NO3 mg/L
NO 0.040 05/13/21 12:25
LABORATORY CONTROL SAMPLE: 3262557
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mg/L
2.5 2.4 97 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3262558 3262559
MS MSD
92537597005
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 1.2
2.5 2.5 3.7 3.6 99 97
90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3262560 3262561
MS MSD
92537611001
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 0.61
2.5 2.5 2.8 2.8 68 88
90-110 0 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: 05/1712021 03:13 PM without the written consent of Pace Analytical Services, I.L.C.
Page 11 of 16
aceAnalytical
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I
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 620175
Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993
Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92536950001
METHOD BLANK: 3262793
Matrix: Water
Associated Lab Samples: 92536950001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Phosphorus mg/L
ND 0.050 05/1412112:25
LABORATORY CONTROL SAMPLE: 3262794
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Phosphorus mg/L
2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3262795 3262796
MS MSD
92536748001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qua[
Phosphorus mg/L 12.9
2.5 2.5 15.4 15.4 100 103
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3262797 3262798
MS MSD
92536750001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 7.0
2.5 2.5 9.6 9.4 103 94
90-110 2
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: 05/17/2021 03:13 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 16
aceaAnalytical
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t
i
i
QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92536950
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.
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
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
1g >2419.6
B2 Oxygen usage is less than 2.0 for all dilutions set. The reported value is an estimated less than value and is calculated
for the dilution using the most amount of sample.
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.
R1 RPD value was outside control limits.
R6 The RPD between valid sample dilutions exceeded 30%.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 05/17/2021 03:13 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 16
ace Analyticall
www.pacelabs.ccm
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92536950
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92536960001
Effluent
SM 254OD-2011
618636
92536950001
Effluent
EPA 353.2 Rev 2.0 1993
618679
92536950001
Effluent
SM 521 OB-2011
618742
SM 521OB-2011
618874
92536950001
Effluent
Coiilert-18
618640
Colilert-18
618641
92536950001
Effluent
TKN+NO3+NO2
620670
Calculation
92536960001
Effluent
EPA 350.1 Rev 2.0 1993
620337
92536950001
Effluent
EPA 351.2 Rev 2.0 1993
619667
EPA 351.2 Rev 2.0 1993
620086
92536950001
Effluent
EPA 353.2 Rev 2.0 1993
620117
92536950001
Effluent
EPA 365.1 Rev 2.0 1993
620175
EPA 365.1 Rev 2.0 1993
620454
Date: 05/17/2021 03:13 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 16
CHAIN -OF -CUSTODY Analytical Request
LAB USE ONLY- Affix Workord,-^-s -
aeA,a,>�»l
i WO# 9253C950
Chain -of -Custody is a LEGAL DOCUMENT •Complete all retevent fields
0
ALL SHADEC II I III_IIIiI I m
Company: Forest Lakes
Billing Information:e-
.I ,
Container Preservative Type ` 92569$0 '
Address:
u 2 8
" Preservative Types: (1) nitric add, (2) sulfuric acid, (3) hydrochloric acid, (4► sodium hydroxide, (5) zinc acetate,
ReportTo:
Email To:
(6) methanol, (7) sodium bisulfate, (8) sodium thiosulfate, (9) hexane, (A) ascorbic acid, (8) ammonium sulfate,
(C) ammonium hydroxide. (D) TSP, (U) Unpreserved, (o) other
Copy To:
Site Collection Info/Address:
Analyses
lLab Profile Line:
Customer Project Name/Number:
State: County/City: Time Zone Collected:
Lab Sample Receipt Checklist:
J t JPTJ JMTI JCT I JET
Custody Beals Present/Intacf14A
Custody Signatures PresentEmail:
Phone:
Site/Facility ID b:
Compliance Monitoring?
(/Yes ( ]No
Collector Signature PresentBottles Intact
Correct Bottles
Collected B (p 'nt):
Purchase Order 4:
DW PWS ID 4:
Quote a:
DW Location Code:
Z
Sufficient volume
Samples Received cn Ice Y N NA
VOA - Headepace Acceptable Y A
Collected By (signature)
Turnaround Date Required:
immediately Packed on Ice:
_
t )Yes [ ]No
CL
USDA Regulated Soils Y rA
`
Samples in Holding Time Yam. NA
Residual Chlorine cFs W NA
Sample Disposal:
Rush:
Field Filtered (if applicable):
( J Dispose as appropriate I J Return
( ] Same Day I J Next Day
( ) Yes [ ]No
Cl Stripe r
I J Archive:
I J 2 Day I) 3 Day ( J 4 Day I 15 Day
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Sample pH Acce t�i N NA
( J Hold:
lExpedite Charges Apply)
Analysis:
Z
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Sulfide PresentY HA
Lead Acetate Strips:
• Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW),
Product (P), Soil/Solid (SL), Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT)
O
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LAB USE ONLY:
Lab Sample H ( Comments:
Comp/
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Composite End
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Customer Sample ID
Matrix
Grab
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Customer Remarks J Sperial Conditions / Possible Hazards Type of Ice Used: Wet Blue Dry None SHORT HOLDS PRESENT (<72 hours): Y N N/A
Lab Sample Temperature Info:
Packing Material Used: Lab Tracking #:
Temp Blank ReceivedL Y N NA
Therm 1011;
Cooler l Temp Upon eceipt:2—.Loc
Radchem sample(s) screened (<500 cpm): Y N NA Samples received via:
Cooler 1 Therm Corr. Factor: --Q--oC
FEDEX UPS Client Courier Pace Courier
Cooler 1 Corrected Temp:oC
Relinquished by/Company. Signature) D im Received by omp ny: ( ign ur Date/Time: MTJL LAB USE ONLY
Comments:
Table it:
Acctnum.
Relinquished by/Company: (Signature) Date/Time: Received by/Company: [Signature) Date/Time:
t Tri f Blank Received: Y N NA
Template:
Prelogin•
HCL McOH TSP Other
Relinquished by/Company: (Signature) �Date/Time: Received by/Company: (Signature) Date/Time: PM:
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Non Conformance(s):
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PB: ____
YES / NO___
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Page 16 of 16