HomeMy WebLinkAboutWQ0004972_Monitoring - 12-2021_20220202 of.
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DWR - NonDischarge Monitoring Report Submittal
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NORTH CAROLINA
E Mranmenlcl Quaffly
Monitoring Report Submittal
..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Permit Number#* WQ0004972
Name of Facility:* Forest Lakes Preserve ELS
Month:* December Year:* 2021
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Forest Lakes_December.pdf 1.81MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2,NDMLR,GW-59).
Confirmation Email Address:* Jessica.Mize@pacelabs.com
Name of Submitter:* Jessica Mize
Signature:
jGdd(14
Date of submittal: 2/2/2022
This will be filled in automatically
Initial Review
.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Reviewer: Gerald,Wanda
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date: 3/15/2022
Page 1 of 2
NON-DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: WQ0004972 MONTH: December YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent: LI Influent: U Parameter Monitoring Point: Effluent: Dv Influent: I (Surface Water(SW):I SW Code/Name: ❑
Was There Effluent Flow for this Month Generated At This Facility: Yes: LA No:
Operator 50050 00400 50060 00310 00610 00530 31616 00665 00625 00530 i 00600 00620 70300 00940
D Arrival Daly Rate Fecal
A Time Operator ORC (Flow)into Coliform Taal Total
T 2400 Time an on Treatment Rmidual 1104-5 (Cm-metric Total Kjeldlul Total Nitrate Dissolved
E Clock Silo Site? System pH Chlorine 20'C NH-3-N TSS Mean.) Phos Nitrogen NO2+NO3 Nitrogen NO3-N Solids Chloride
(IRS Y/N GPO UNITS mg :MG-L MGit. MG'L r[MAIL NIG-L kIGtL MG/L MG,L MCI %1GL MG'L
Continuous 3 lkeek 5 0.o: Monthly Monthly Monthly %tenthly Monthly Monthly Monthly Monthly Monthly lrynr 3-ycar
1 1345 (1.25 B 8,000 6.1 <0.01
2 1120 0.25 Y 8,000 6.4 <0.01
-
3 1255 0.25 B 8,000 6.3 <0.01
4 8,0110
-s 8,000
6 1415 0.25 13 8.000 6.2 <0.01
7 07011 0.25 V 8,111111 6.1 <0.01
8 0712 0.25 Y 8,1111)1 6.1 <0.01
_
9 1030 0.25 Y 8.000 5.9 <0.01 _
ra 1235 0.25 B 8,1)11) 5.9 <0.01
t 1 8.un11
12 8.)))))) .
T
13 1515 0.25 B 8,000 5.9 <0.01 3.4 46.5 9.4 2420 10 38 <0.040 38 <0.040
14 1255 0.25 B 8,000 5.9 <0.01
15 1440 0.25 B 8,000 6.1 <0.01
16 0918 0.25 Y 8,000 6.0 <0.01
17 1040 0.25 B 8,000 6.1 <0.01 ,
18 8,I7110
19 8,000
20 1540 (1.25 B 8,0006.2 <0.01
:1 1315 ` (1.25 B 8,0011 6.2 <0.01
22 1055 0.25 B 8,11011 6.1 <0.01
23 1015 0.25 B 8,000 6.1 <0.01
24 8.000 lrnliday
25 8,000
26 8,01)0
27 0718 0.25 Y 8.000 5.9 <0.01
_
28 0900 _ 11.25 1' 8.1)00 5.8 <0.01
09 1221 11.25 V 8,000 6.0 <0.01
30 0830 0.25 Y _ 8,0110 6.1 <0.01
31 8,000 Ilolid:n_ ---
Averrge 8,4101) <11.111 3.4 46.5 9.4 2420 10 38 <0.040 38 <11.1141)
Daily Maximum 8,000 0.-1 --11.111 3.4 46 ,' 9.4 2421) 10 38 <0.040 38 <I1.11411
Daily\Minimum 8,000 5.8 -11.111 3.4 46.5 ' 9.4 2420 10 38 <0.040 38 <I1.11411
Slonlhli Limits(s) 244011 -
composite o/Grab(G)
*Flowmeter Inoperable-Flows Estimated
Operator in Responsible Charge(ORC): Glenn Price Grade: II Phone: 336-996-284!
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:
----" \--...--/c------4..-- -
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 (512003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Com liant ,N)
1. Does all monitoring data and sampling frequencies meet permit requirements? Y
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.
Flowmeter inoperable-Flow.Estimated
•
"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."
wr -'.La Baron Neal McDuffie
• (Signature of Permitee)* Date. (Name of Signing Official-Please print or type)
Baron Neal McDuffie(Authorized Agent) Field Services Director(Pace Analytical Services)
(Permittee-Please print or type) (Position or Title)
2N Riverside Plaza Suite 800 3/31/21
Chicago.II 60606 (Permit Exp.Date)
(Permittee Address)
• 01002 Arsenic 31504 Coliform,Total 00600 Nitrogen,Total 00929 Sodium
01022 Boron 00094 Conductivity 00630 NO2& NO3 00931 SAP.
00310 BODS 01042 Copper 00620 NO3 00745 Sulfide
01027 Cadmium 00300 Dissolved Oxygen 00556 Oil&Grease 00515 TDS
00916 Calcium 31616 Fecal Coliform WQ09 PAN(Plant Available) 00010 Temperature
00940 Chloride 01051 Lead . 00400 pH 00625 TKN
50060 Chlorine,Total 00927 Magnesium 32730 Phenols 00680 TOC
Residual . 71900 Mercury 00665 Phosphorus,Total 00530 TSS/TSR
01034 Chromium 00610 NH3 as N 00937 Potassium 00076 Turbidity
00340 COD 01067 Nickel" 00545 Settleable Matter 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 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: December YEAR: 2021
FACILITY NAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading(inches) =[Volume Applied(gallons)x 0.1338(cubic feet/gallon)x 12(inches/foot)]/[Area Sprayed(acres)x 43,560(square feet/acre)or
_(Volume Applied(gallons)![Area Sprayed(acres)x 27,152(gallons/acre-inch),
Maximum Hourly Loading(inches) =Daily Loading(inches)/[Time irrigated(minutes)!60(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(inches/month)!Number of days in the month(days/month)]x 7(days/week)
Did Irrigation Occur Al This Facility: Did Irrigation Occur On This Field: Did Irrigation Occur On This Field:
Yes Na❑ Yell No: El Ye0 No:0
Feld Number: Field Number:
Area Sprayed(acres): 3.4 Area Sprayed(acres):
Cover Crop: Cover Crop:
Permitted Hourly Rate(inches): 0.11 Permitted Hourly ate(inches):
WEATHER CONDETIONS Permitted Yearly Rate(inches): 48.8 Permitted Yearly Rate(inches):
D
A weather Tamparature Manage Maximum Maximum
'I' Crxle• at Preeiptta- Lagoon Voiume Time Daily timely Volume Tune Daily Hourly
L' ap;li:.:tl:r lidn I i,i 1.,:i.! .Arpliul Imgatal Leading ti e.lmg Appiiol tea patui lx i ini.. Lading
r - -. ,ihom tn/eul. indres ,In. pliant nunur,s .i...., lobes
t I'. 36 .II... 2.3 42.480 3110 0.46 11.09
2 PC 32 0 3,11
a C 34 (1 3.0
4
.-..
h C 34 I) 2.6 .. _-. ._.
7 C 33 0 2.4
8 PC 29 0 2.2 42.4811 31111 11,46 - 11.119
t CI 47 I) 3.1
in PC.�. 55 I) 3.1)
it
13 PC 42 0 2.2 42.480 3011 0.46 (1.119
14 PC 38 0 3.0
15 C. 56 0 2.9
In C 41 II 2.7
17 C 45 I) 2.6
1.9
._211 PC 47 I) 2.8
21 PC 53 I) 2.7
22 PC 411 I) 2.5 42.480 31111 (1.46 II_Il9
s3 CI 41 II 3.4
24 lIolidav- -
25 _
26
27 __- PC 24 I) 2.6
2a PC 38 0 2.4 42.4811 31111 {1,46 ILIIH
29 C 36 0 3.2
38 C 35 0 3.1
31 li Ii 1v-
Talal GallotteMoolhiy Loading Durbin/ 2..7L4r
12 Month Eleatic,:Total tla<hexl 28.65
A,eraue XX eekli Locale:I inches) 0.55
-.Weather Codes:C-clear.PC-partly cloudy,CI-cloudy,R-rain.So-snow.S1-sleet
Spray Irrigation Operator in Responsible Charge(ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORC Has hanged: 0
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 hest of my knowledge.
RALEIGH,NC 27699-1617
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. I
2. Adequate measures were taken to prevent wastewater runoff from the site(s). II
3. A suitable vegetative cover was maintained onthe site(s)in accordance with the permit.
4. All buffer zones as specified in the permit were maintained during each application. [ Y
5. The freeboard in the treatment and/or storage lagoon(sr was not less than the
limits)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."
'. •y,,•'( -2:01 4: ) Baron Neal McDuffie
11--/..,/......-----
(Signature of Permitee)* Date (Name of Signing Official-Please print or type)
Baron Neal McDuffie (Authorized Agent) Field Services Director(Pace Analytical Services)
(Permittee-Please print or type) (Position or Title)
2N.Riverside Plaza.Suite 800 3/31/2021
Chicago.Il 60606 (Permit Exp.Date)
(Permittee Address)
*If signed by other than the Permttee,delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506(b)(2)(D).
•
•
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs_com {704)977-0981
•
January 26, 2022
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lake-Effluent
Pace Project No.: 92582497
Dear Tracy Overdurf:
Enclosed are the analytical results for sample(s)received by the laboratory on January 13,2022. 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,
Stephanie Knott
stephanie.knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
4 pCCRFO
��o 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 24
Pace Analytical Services,LLC
e aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.paeelabs.ccm
(704)977-0881
CERTIFICATIONS
Project: Forest Lake-Effluent
Pace Project No.: 92582497
Pace Analytical Services Asheville
2225 Riverside Drive,Asheville,NC 28804 South Carolina Laboratory ID:99030
Florida/NELAP Certification#:E87648 South Carolina Certification#:99030001
North Carolina Drinking Water Certification#:37712 VirginiaNELAP Certification#:460222
North Carolina Wastewater Certification#:40
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 24
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville.NC 27284
www.patelabs.ecrs
(704)977-0981
SAMPLE ANALYTE COUNT
Project: Forest Lake-Effluent
Pace Project No.: 92582497
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92582497001 Effluent SM 2540D-2015 AED 1 PASI-E
EPA 350.1 Rev 2.0 1993 SRS 1 PASI-E
EPA 353.2 Rev 2.0 1993 SRS 1 PASI-E
SM 52108-2016 MWF 1 PASI-E
Colilert-18 AMI 1 PASI-E
TKN+NO3+NO2 Calculation EWS 1 PASI-A
EPA 353.2 Rev 2.0 1993 KDF1 1 PASI-A
EPA 365.1 Rev 2.0 1993 MDW 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 24
Pace Analytical Services,LLC
aceAnalytica!® 1377 South Park Drive
Kemersville,NC 27284
www.pecelabtcom
(704)977-0981
ANALYTICAL RESULTS
Project: Forest Lake-Effluent
Pace Project No.: 92582497
Sample: Effluent Lab ID: 92582497001 Collected: 01/13/22 10:00 Received: 01/13/22 11:47 Matrix:Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids 9.4 mg/L 3.1 1 01/14/22 10:34
350.1 Ammonia EDN Analytical Method:EPA 350.1 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Ammonia 46.5 mg/L 5.0 50 01/18/22 17:52 7664-41-7
353.2 NO2/NO3 unpres EDN Analytical Method:EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Nitrate ND mg/L 0.040 1 01/13/22 16:26 14797-55-8
5210E BOD,5 day EDN Analytical Method:SM 5210B-2016 Preparation Method:SM 5210B-2016
Pace Analytical Services-Eden
BOD,5 day 3.4 mg/L 2.0 1 01/14/22 10:41 01/19/22 14:04
Colllert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method:Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms 2420 MPN/100mL 1.0 1 01/13/22 15:10 01/14/22 09:39 El
Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation
Pace Analytical Services-Asheville
Total Nitrogen 38.0 mg/L 0.52 1 01/26/22 10:14
353.2 Nitrogen,NO2/NO3 pres. Analytical Method:EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 ND mg/L 0.040 1 01/25/22 10:35
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 10 mg/L 0.20 4 01/25/22 19:18 01/25/22 21:58 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 4 of 24
Pace Analytical Services,LLC
aceAnalytical a 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.catn (704)977-0981
I
QUALITY CONTROL DATA
Project: Forest Lake-Effluent
Pace Project No.: 92582497
QC Batch: 671742 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92582497001
METHOD BLANK: 3517045 Matrix: Water
Associated Lab Samples: 92582497001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 01/14/22 10:28
LABORATORY CONTROL SAMPLE: 3517046
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 252 101 90-110
SAMPLE DUPLICATE: 3517049
92582259001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 113 113 0
SAMPLE DUPLICATE: 3517050
92582625001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 19.3 21.8 12
Results presented on this page are In the units indicated by the"Units"column except where en alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 5 of 24
Pace Analytical Services,LLC
aceAnalytical a 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.eom
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lake-Effluent
Pace Project No.: 92582497
QC Batch: 672138 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: 92582497001
METHOD BLANK: 3519023 Matrix: Water
Associated Lab Samples: 92582497001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Ammonia mg/L ND 0.10 01/18/22 15:16
LABORATORY CONTROL SAMPLE: 3519024
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Ammonia mglL 5 5.2 105 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3519025 3519026
MS MSD
92582285004 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 5.3 5.2 105 105 90-110 0
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3519027 3519028
MS MSD
92582281013 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 5.2 5.2 104 104 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:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 6 of 24
Pace Analytical Services,LLC
sr
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.eom
(704)977-0981
1
QUALITY CONTROL DATA
Project: Forest Lake-Effluent
Pace Project No.: 92582497
QC Batch: 671603 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,Unpres.EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92582497001
METHOD BLANK: 3516479 Matrix: Water
Associated Lab Samples: 92582497001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Nitrate mg/L ND 0.040 01/13/22 16:12
LABORATORY CONTROL SAMPLE: 3516480
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Nitrate mg/L 1.5 1.5 98 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3516481 3516482
MS MSD
92582403002 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Nitrate mglL 14.6 1.5 1.5 16.1 16.0 102 95 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:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 7 of 24
Pace Analytical Services,LLC
aceAnalytical a 1377 South Park Drive
www.pacelafbmm Kemersville,NC 27284
(704)977-0981
j
QUALITY CONTROL DATA
Project: Forest Lake-Effluent
Pace Project No.: 92582497
QC Batch: 671706 Analysis Method: SM 5210B-2016
QC Batch Method: SM 5210B-2016 Analysis Description: 5210E BOD,5 day Final EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92582497001
METHOD BLANK: 3516961 Matrix: Water
Associated Lab Samples: 92582497001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD,5 day mg/L ND 2.0 01/19/22 13:24
LABORATORY CONTROL SAMPLE: 3516962
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
BOD,5 day mg/L 198 196 99 84.6-115
SAMPLE DUPLICATE: 3516964
92582666002 Dup
Parameter Units Result Result RPD Qualifiers
BOD,5 day mg/L 195 185 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:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 8 of 24
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacciatla.cata (704)977-0981
i
QUALITY CONTROL DATA
Project: Forest Lake-Effluent
Pace Project No.: 92582497
QC Batch: 671642 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92582497001
SAMPLE DUPLICATE: 3516807
92582510001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL ND ND
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:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 9 of 24
Pace Analytical Services,LLC
aceAnalylical 1377 Soulh Park Drive
Kemersville,NC 27284
wtvw.pacelabscom
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lake-Effluent
Pace Project No.: 92582497
QC Batch: 673344 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: 92582497001
METHOD BLANK: 3524525 Matrix: Water
Associated Lab Samples: 92582497001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,NO2 plus NO3 mg/L ND 0.040 01/25/22 10:30
LABORATORY CONTROL SAMPLE: 3524526
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,NO2 plus NO3 mg/L 2.5 2.4 98 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3524527 3524528
MS MSD
92582497001 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 ND 2.5 2.5 2.4 2.3 93 93 90-110 1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3524529 3524530
MS MSD
92582512001 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 16.4 2.5 2.5 19.3 18.8 115 96 90-110 3 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:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 10 of 24
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
rnvw.peceltDstam Kernersville,NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lake-Effluent
Pace Project No.: 92582497
QC Batch: 673669 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: 92582497001
METHOD BLANK: 3526130 Matrix: Water
Associated Lab Samples: 92582497001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg/L ND 0.050 01/25/22 21:50
LABORATORY CONTROL SAMPLE: 3526131
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: 3526132 3526133
MS MSD
92582576001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Phosphorus mg/L 0.63 2.5 2.5 2.8 2.8 87 87 90-110 0 M1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3526134 3526135
MS MSD
92582610001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Phosphorus mg/L 1.1 2.5 2.5 3.5 3.6 98 99 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:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 11 of 24
Pace Analytical Services,LLC
aceAnalytical a 1377 South Park Drive
Kemersville,NC 27284
www.pactlabscom
(704)977-0981
QUALIFIERS
Project: Forest Lake-Effluent
Pace Project No.: 92582497
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 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.
Reported results are not rounded until the final step prior to reporting.Therefore,calculated parameters that are typically reported as
"Total"may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes.
TNI-The NELAC Institute.
ANALYTE QUALIFIERS
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.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 12 of 24
Pace Analytical Services,LLC
o
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
l www.pacatabs.cam (704)977-0981
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lake-Effluent
Pace Project No.: 92582497
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92582497001 Effluent SM 2540D-2015 671742
92582497001 Effluent EPA 350.1 Rev 2.0 1993 672138
92582497001 Effluent EPA 353.2 Rev 2.0 1993 671603
92582497001 Effluent SM 5210B-2016 671706 SM 5210B-2016 671902
92582497001 Effluent Colilert-18 671642 Colilert-18 671643
92582497001 Effluent TKN+NO3+NO2 673941
Calculation
92582497001 Effluent EPA 353.2 Rev 2.0 1993 673344
92582497001 Effluent EPA 365.1 Rev 2.0 1993 673669 EPA 365.1 Rev 2.0 1993 673839
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:01/26/2022 10:20 AM without the written consent of Pace Analytical Services,LLC. Page 13 of 24
CHAIN-OF-CUSTODY Analytical Request Document LAB USE`ONLY-Affix Workorder/Login Label Here or List Pace Workorder Number or
MTJL I ,-y,,.Uor°
aceAnalytical i_f�1,µ ; .925
Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields W V �i 824,g 7
Company: Forest Lakes Billing Information:
ALL SHADED AR
Address: Container Preservative Type" 91111111111111111111111u 2 ( ftIt .1 JJ 2582497
Report To: Email To: "Preservative Types:(1)nitric acid,(2)sulfuric acid,(_,
(6)methanol,(7)sodium bisulfate,(8)sodium thiosuifate,(9)hexane,(A)astorun.n.....,y-,-
Copy To: Site Collection Info/Address: (C)ammonium hydroxide,(D)TSP,(U)Unpreserved,(0)Other
Analyses Lab Profile/Line:
Customer Project Name/Number: State: County/City: Time Zone Collected: Lab Sample Receipt,checklist:
/ ( ]PT( ]MTI (CT I ]ET
Custody Seals Present/Intact Y4 'A
Phone: Site/Facility ID#: Compliance Monitoring? custody Signatures Present. Ali A
Email: ('Yes [ (No Collector Signature Present t110: NA
Bottlee Intact N NA
Collect (print):La...
Purchase Order#: DW PWS ID it: Correct Bottles y NA
&let Quote II: OW Location Code: Z Sufficient Volume - l?N NA
Samples Received on Ice ' N NA
B (signet re): Turnaround Date Required: Immet sly Packed on Ice: o von - tteadopace Acceptable -Y N tat
( ]Yes ( ]No I—
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emp Regulated Soils ,�'LL,N f
Samples in Holding Time CV N NA
Sample Disposal: Rush: Field Filtered(if applicable): O Residual Chlorine Present Y !kg
[ ]Dispose as appropriate ( (Return [ I Same Day [ ]Next Day [ ]Yes [ ]No ip Cl Strips:
[ (Archive: 1 12 Day 113 DaY [ 14 Day [ ]5 Day o Sample pH Acceptable Y NOP
( )Hold: (Expedite Charges Apply) Analysis: I— pH Stripe:
>` Sulfide Present Y ald'Matrix Codes(Insert in Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(WW), el Lead Acetate Strips:
Product(P),Soil/Solid(SL),Oil(Ol6 Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),—Vapor(V),Other(OT) „ Z LAB USE ONLY:
Comp/ Collected(or Res #of I— Z Lab Sample II l Comments:
Customer Sample ID Matrix' Grab Composite Start) Composite End CI Ctns f A
/Datee Time Date Time m Z u
Effluent \NW G 1�,312 r1000 4 X X X-
Customer Remarks/Special Conditions/Possible Harards: Type of Ice Used: $' Blue Dry None y +SHORT HOLDS PRESENT(<72 hours):( '�N N/A Lab Sample Temperature Info:
Packing Material Used: Lab Tracking it: Temp Blank Received; Y NA
tor, vt-C.- Therm iD#rt2.TI 00
Cooler 1 Temp Upon Receei( C
Samples received via: Cooler 1 Therm Corr.Factor:
Radchem sarnple(s)screened(<500 rpm): Y N NA FEDEX UPS Client Courier Pace Courde Cooler 1 Corrected Temp ?.�.oC
Relinquished by/Co any:(Signature Da /T( e: Received by/Company:(Signature) Date/Time: I i"�---- MTJL LAB USE ONLY Comments:
f y� :TOW ;��" I—13-2-"L2.. Table#:
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i con-test�
A Pace Analytical'Laboratory
39 Spruce Street•East Longmeadow,MA 0102E'FAX 413/525-6405•TEL.413/525-2332
January 25,2022
Stephanie Knott
Pace Analytical Services-NC
1377 South Park Dr.
Kernersville,NC 27284
Project Location:Forest Lake-Effluent
Client Job Number:
Project Number:92582497
Laboratory Work Order Number:22A0726
Enclosed are results of analyses for samples as received by the laboratory on January 14,2022.If you have any questions
concerning this report,please feel free to contact mc.
Sincerely,
41,
Raymond J.McCarthy
Project Manager
Page 16 of 24
con4Est®
A Pace AnalyticaP Laboratory
39 Spruce Street•East Longmeadow,MA 01028"FAX 413/525-6405•TEL.413/525-2332
Page 17 of 24
Con-test®
_
A Pace Analytical"Laboratory
39 Spruce Street•East Longmeadow,MA 01028•FAX 413/525-6405"TEL.413/525-2332
Pace Analytical Services-NC
1377 South Park Dr. REPORT DATE: 1/25/2022
Kemcrsville,NC 27284 PURCHASE ORDER NUMBER:
ATTN:Stephanie Knott
PROJECT NUMBER: 92582497
ANALYTICAL SUMMARY
WORK ORDER NUMBER: 22A0726
The results of analyses performed on the following samples submitted to CON-TEST,a Pace Analytical Laboratory,are found in this report.
PROJECT LOCATION: Forest Lakc-Effluent
FIELD SAMPLE# LAB ID: MATRIX SAMPLE DESCRIPTION TEST SUB LAB
Effluent 22A0726-01 Water SM I9-23 4500-N Org
B.C-NH3 C
Page 18 of 24
con-test�
A Pace Analytical'Laboratory
39 Spruce Street•East Longmeadow,MA 01028•FAX 413/525-6405*TEL.413/525-2332
CASE NARRATIVE SUMMARY
All reported results are within defined laboratory quality control objectives unless listed below or otherwise qualified in this report.
•
The results of analyses reported only relate to samples submitted to Con-Test,a Pace Analytical Laboratory,for testing.
I certify that the analyses listed above,unless specifically listed as subcontracted,if any,were performed under my direction according to the approved methodologies listed
in this document,and that based upon my inquiry of those individuals immediately responsible for obtaining the information,the material contained in this report is.to the
best of my
LL
knowledge and belief,accurate and complete.
1/1/147/.1.44441.„4„t_______.
Lisa A.Worthington
Technical Representative
Page 19 of 24
con-test�
A Pace AnaVical'Laboratory
39 Spruce Street'East Longmeadow, MA 01028•FAX 413/525-6405'TEL.413/525-2332
Project Location: Forest Lake-Effluent Sample Description: Work Order: 22A0726
Date Received: 1/14/2022
Field Samplep: Effluent Sampled: 1/13l2022 10:00
Sample ID: 22A0726-01
Sample Matrix: Water
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods(Total)
Date DatefTtme
Analvte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Total Kjeldahl Nitrogen 38 1.0 0.070 mg/L I SM19-234500-N Org 1/24/22 1/2522 12:48 EC
O.C-NH3 C
Page 20 of 24
con-4ESr,
A Pace Analytical'Laboratory
39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332
Sample Extraction Data
Prep Method:SM4500 N Org B C Analytical Method:SM 19-23 4500-N Org B,C-NH3 C
Lab Number[Field ID] Butch Initial[mil Final lmL[ Date
22A0726-01[Ellluenr] B2995117 25.0 25.0 01/24/22
Page 21 of 24
con-test
A Pace Analytical'Laboratory
39 Spruce Street•East Longmeadow, MA 01028*FAX 413/525-6405'TEL.413/525-2332
QUALITY CONTROL
Conventional Chemistry Parameters by EPA/APHAlSW-846 Methods(Total)-Quality Control
Repuning Spike Source %REC RPD
Analyze Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch B299587-SM4500 N Org B C
Blank(B299587-BLKI) Prepared:01/24/22 Analyzed:01/25/22
Total Kjeldahl Nitrogen ND 1.0 mg/L
LCS(B299587-BSI) Prepared:0124/22 Analyzed:01/25/22
Total Kjeldahl Nitrogen 20 1.0 mg/L 20.0 101 86.9-114
Page 22 of 24
A con-test
A Pace Analytical"Laboratory
39 Spruce Street'East Longmeadow,MA 01028'FAX 413/525-6405'TEL.413/525-2332
FLAG/QUALIFIER SUMMARY
' QC result is outside of established limits.
t Wide recovery limits established for difficult compound.
$• Wide RPD limits established for difficult compound.
Data exceeded client recommended or regulatory level
ND Not Detected
RL Reporting Limit is at the level of quantitatiun(LOQ)
DL Detection Limit is the lower limit of detection determined by the MDL study
MCL Maximum Contaminant Level
Percent recoveries and relative percent differences(RPDs)are determined by the software using values in the
calculation which have not been rounded.
No results have been blank subtracted unless specified in the case narrative section.
Page 23 of 24
1 _a con-test®
A Pace AnayticaP'Laboratory
39 Spruce Street•East Longmeadow,MA 01028'FAX 413/525-6405•TEL.413/525-2332
CERTIFICATIONS
Certified Analyses included in this Report
Analyte Certifications
S5119-23 4500-N Org B,C NH3 C in Water
Total Kjeldahl Nitrogen CT,MA,NFI,NY,RI,NC,ME,VA
Con-Test,a Pace Environmental Laboratory.operates under the following certifications and accreditations:
Code Description Number Expires
AIHA AIHA-LAP.LLC-IS017025:2017 100033 03/1/2024
MA Massachusetts DEP M-MAI00 OW30/2022
CT Connecticut Department of Publilc Health PH-0165 12/31/2022
NY New York State Department of Health 10899 NELAP 04/1/2022
NH-S New Hampshire Environmental Lab 2516 NELAP 02/5/2022
RI Rhode Island Department of Health LA000373 12/30/2022
NC North Carolina Div.of Water Quality 652 12/31/2022
NJ New Jersey DEP MA007 NELAP 06/30/2022
FL Florida Department of Health E871027 NELAP 06/30/2022
VT Vermont Department of Health Lcad Laboratory LL72074I 07/30/2022
ME State of Maine MA00100 06/9/2023
VA Commonwealth of Virginia 460217 12/14/2022
NH-P New Hampshire Environmental Lab 2557 NELAP 09/6/2022
VT-OW Vermont Department of Health Drinking Water VT-2557I6 06/12/2022
NC-D\V North Carolina Department of Health 25703 07/31/2022
PA Commonwealth of Pennsylvania DEP 68-05812 06/30/2022
MI Dept.of Env,Great Lakes,and Energy 9106 09/62022
Page 24 of 24