HomeMy WebLinkAboutWQ0004972_Monitoring - 02-2022_20220331Monitoring Report Submittal
Permit Number #*
Name of Facility:*
Month: * February
Report Information
WQ0004972
Forest Lakes Preserve ELS
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address:*
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2022
Upload Document*
Forest Lakes _Feb.pdf 1.65MB
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Jessica.Mize@pacelabs.com
Jessica Mize
jwd rA lip
Reviewer: Gerald, Wanda
3/31 /2022
This will be filled in automatically
Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Accepted Date:
4/11 /2022
Page of -2-
NON -DISCHARGE WASTE NVA1'1,11Z MONITORING REPORT
PER.MITNUMBER: W00004972 MONTH: February YEAR: 2022
FiNCILITY NAME: Forest Lakes Pir"wil ELS COUNTY: Davie
Flow Monitoring Point: Effluent: Lyj Influent: 11
Parameter Monitoring l E ft I' U F' 11 t : K Influent Surface Water (SW): SW Code;Narne� LJ
Was There Effluent Flow for this Month Generated At Fis Facilty: Yes:Na:
Opvwor
50050
W400
50060
uomo
006 w
005110
1161C,
avf%
00l
00630
CM600
00620
MWD
=340
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A
r
L
Arrival
Time
2,100
(, 1,,c
Cperator
Timeon
Ske
oll
OTI
Site?
Daily Rate
(Flo,) into
Treatment
S'It"n
p1l
R,�,W,W
Chl,gi
BOD
M C
Nit N
1SS
Fecal
("Afo I
(6o"-Inctri
l"u.]
pl!
'Iv["fl
Kj6djul
Nwojmi
1,02, NO;
loul
Ni=,
NO-N
I 01al
D's""I".t
S"Ji&,
Chi) idc
11 RS
Mi....
GlID
F77-1,
-7
,., I
mo 1,
MU L
MUIL
Kf(, l
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kl6 L.
016 i
M 1,
',Eli4
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COMM,,"-
=
, 7
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N
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%5,1d,l,
77-77w,
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I Y77
1418
0.25
13
1 8,000
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1 145
0.25
v
8,Owt
6.4
<11.01
3
1207
0,25
v
8M)0
6.3
11.01
12.0
32,6
F67;_
1730
4.7
37.8
<(
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<0.3
N8,000
InvIvirowni Weather - mutitic to get to lit 1:1111 ------- -------------- ------------- -- - -------- .......... - -----------
8,0110
7
N
8,000
Inelenient We�vilie Unable to _,Qt to rite plant- -----
8
9
1440
1028
0.25
1l
13
N,
8,000
6.2
<0.01
'tl I
TO
1145
0.25
Y
9,000
6.1
10.111
1
l ti
1015
0.25
y
81000
63
-il
81000
tD
0940
0.25
V
91000
8.000
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1 <0.0 I
_0905
0.25
V
8,000
59
<0.0 I
urs
1324
0.50
%,
8,000
I r.9
<0,0 I
ra
0747
0.25
V
8,0(10
j 5.8
."0.01
0933
0.25
11
8.000
i 5.9
<0.01
81000
zri
8,000
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11.25
v
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611
<0.01
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st
07.50
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'4 .
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8,000
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is
0913
025
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8,000
6.0
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2a
8,000
27
8.000
28
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0,25
1'
8.0110
6,2
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7o
_T
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EM,
7;
Average
&IIIII),
11afffill
<O.o I
<-,
1710
4.7
it
<0A 1)
'it o
7. o
Djih Maxonum
8,1109
6A
<0.( 17
32.6
111.3
1730
4
,
'117
< 0
Daily Milliflittel
8AIM
L44))41)t
5,8
<OOl
<2.0
32.6
16.3
1730
4.7
37.N
<01040
37.8
<
Molohly [Andis ($)
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nniposile,a', Grah
"'FLOWS ESTINIATED, FLOW NIETER INOPERABLE
01wrator in Responslibic Charge (011 Glenn Pirke Grade: 11 Phone: 336-996-2841
Check BON if ORC I las Changed: 0 OR( Certification Number: 987931120771
C."cri Laboratories (1): Pace Analvitical Sel (2): .
Persoll(s) Collecting sarnples. (Avinn Price
Mail ORIGINAL and,lmo COPIES to:
,vr"ll Non -Discharge Compliance Unit x DE` R (MCNATI RE OFOPERA FOR IN RESPO\SiBLE CIIARG�E)
Di,tsto, nrNNr.., ter Qualk,m B.p i hissi-nat tire, I certif,N that this report is acourate and
1617 Mail Service Center Complete to the best of"iny knowledge.
RAll NC 27699-1Ci17
DENR Form NDAR-1 (512003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant ,N)
1. Does all monitoring data and sampling frequencies meet permit requirements?
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance with its
permit. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach
additional sheets if necessary.
Flow Estimated. Flow meter inoperable
"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 ✓ 31 Baron Neal McDuffie
(Signature of Pern,104
Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie (Authorized Agent)
(Permittee-Please print or type)
2N Riverside Plaza . Suite 800
Chicago.11 60606
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
Field Services Director (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
rOO
937 Potassium
545 Settleable Matter
00929
Sodium
00931
SAR
00745
Sulfide
00515
TDS
00010
Temperature
00625
TKN
00680
TOC
00530
TSS/TSR
00076
Turbidity
01092
Zinc
Parameter Code assistance may be obtained by calling the Water Quality CompliancelEnforcement Unit at (919) 733-5083, extension 529.
The monthly average for Fecal Coliform is to be reported as a GEOMETRIC mean. Use only units desiartated in the reporting
facili1y'spermit 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 REPOIZT
SPRAY IRRIGAT ION SITE(S)
THERE ARE TWO APPLICATION FIELD$ PER PAGE, USE ADDIDTIONAL PAGES AS NEEDED
PERMITNUMBER: NVQ004972 MONTIL February YEAR: 2022
V.80LITY NANIE: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas;
Daly Loading (inchw) m (Voiurre Applied (gilinins) x 0.1336 (cubic feeVpllon) x 12 (inchpsifoot)) / jArea Spi aycd (acres) x 43.560 (square feet/acre) or
[V6urre Apohed (gailons) I jArea Spriyed ;=res) x 27,152 (gaHonslacre-irrchq.
Maximum Houny Loading (inches') Daliy Loading 4jwhe) / gT6rnp irrigated 60 (mpnutesftiourl�l MonthlyLeading (irrches?-SuiriofDaftly Loading (iincliy,,3)
12 Monih Hoaling Total linche3) Sum of this. rnonli's, Monthly Loading (jncrws)� and previous 11 month's Monlinly LowAirga' (4idiias)
Average Weekly Loading (inches) iMonflhly Loading gwioineshnonth) r Number of Up in the monih Cdays/rnonth )l x 7 (day s4rjok)�
. ....... . ........ .... .
Did krigaflan Occur At The Facility
yesg NcEl
INN
Did lr6gatein Orcur On TNs Field:
No� EJ
!Md irrigation Occur Gin Thio Reld�
ye".13 No� 0
I
MENEIII
. ......... - -- ----
.
'9BI
. .... .... . ........... . . ..... ...... .. ... ..
1%k,rilfller ( o4o; C-Clem, IV-paifl, vloud, Cuvloiii 14-raw, Sa-snwd , Sklect
Spi%ir It-t-hpiti(m 01wrator in Responsible Claii (ORC): QC1111 r'liLiCe Phone: 336-996-2841
OIZC Certification Ntimber: 987931/20771 Check Box if ORC Has Chamled.
Mail 0IZICINAL andCE anal' OPIS (w t� F1
A'V'I'N. Non-ffischai°gv Compliance Unit . .......
DENR (Sl(',NA'I'UtliOfE'01'ER,k'I'OR IN RESPON41101 CIILARGA")
INN ision of NVater Qualit.) B.k this signature. I certif.y that this i-epor-t is accurate and
1617,10ail Service Center complete to (lie best of 111N knowledge.
RALEIGII,NC 27699-1617
DENR Form NDAR-1 (512003)
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).
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. r71
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 submitting false info lion, including the possibility of fines and imprisonment for knowing violations."
Mom^''' ✓� 3 t_. "a Baron Neal McDuffie
(Signature of Permitee)* Date (Name of Signing Official -Please print or type)
Baron Neal McDuffie_ (Authorized Aaent)
(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).
ceAnayical"
www.pacttabs.com
February 17, 2022
Tracy OverdUrf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Protect: Forest Lake
Pace Project No.: 92586019
Dear Tracy OverdUrf:
Pace Analytical Services, LLC
1377 South Park Dave
KL mersville No 27284
Enclosed are the analytical results for sample(s) received by the laboratory on February 03, 2022. 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 reSUkS provided in this final report were generated by each of the following laboratories within the Pace Netvvork:
• 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
step8iariie.kriott@pacelabs.coi,n
704-977-0981
Project Manager
Enclosures
1"Ns roporl shall not be reproduced, except in full,
without the written consent of Pace Anolykal Services, 11C.
(704)977-09811
Page 1 of 16
aceAnalytical
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Project: Forest Lake
Pace Project No.: 92586019
Pace Analytical Services Asheville
2225 Riverside Drive, Asheville, NC 28804
Florida/NELAP Certification #: E87648
North Carolina Drinking Water Certification #: 37712
North Carolina Wastewater Certification #: 40
Pace Analytical Services Eden
205 East Meadow Road Suite A, Eden, NC 27288
North Carolina Drinking Water Certification #: 37738
CERTIFICATIONS
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
Virginia/VELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
Virginia/VELAP Certification #: 460025
Pace Analytical Services, LLC
1377 South Park Drive
Kernorsville, NC 27284
(704)977-0981
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, L.L.C. Page 2 of 16
aceAnalytical
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SAMPLE ANALYTE COUNT
Project: Forest Lake
Pace Project No.: 92586019
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Analyses
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92586019001 Effluent HACH 10206
LRB
1
PASI-E
SM 254OD-2015
AED
1
PASI-E
EPA 350.1 Rev 2.0 1993
AMI
1
PASI-E
SM 521OB-2016
MWF
1
PASI-E
Colilert-18
MWF
1
PASI-E
TKN+NO3+NO2 Calculation
DMN
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
SMT
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 16
aceAnaiyticai
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Project: Forest Lake
Pace Project No.: 92586019
Sample: Effluent
Parameters
HACH 10206 Nitrogen, Nitrate
Nitrogen, Nitrate
2540D Total Suspended Solids
Total Suspended Solids
350.1 Ammonia EDN
Nitrogen, Ammonia
5210B BOD, 5 day EDN
BOD, 5 day
Colilert-18 Fecal Coliform EDN
Fecal Coliforms
Total Nitrogen Calculation
Total Nitrogen
351.2 Total Kjeldahl Nitrogen
Nitrogen, Kjeldahl, Total
353.2 Nitrogen, N021NO3 pros.
Nitrogen, NO2 plus NO3
365.1 Phosphorus, Total
Phosphorus
Date: 02/17/2022 01:48 PM
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvilie, NC 27284
(704)977-0981
ANALYTICAL RESULTS
Lab lD: 92586019001 Collected: 02/03122 12:18 Received: 02/03/22 13:35 Matrix: Water
Results Units Report Limit DF Prepared Analyzed CAS No. Qual
Analytical Method: HACH 10206
Pace Analytical Services - Eden
ND mg/L 0.30 1
02/04/2218:42 14797-55-8
Analytical Method: SM 25400-2015
Pace Analytical Services - Eden
10.3 mg/L 6.8 1
02/04/2211:32
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services - Eden
32.6 mg/L 0.50 5
02/07/2212:59 766441-7
Analytical Method: SM 521OB-2016 Preparation Method: SM 521OB-2016
Pace Analytical Services - Eden
ND mg/L 2.0 1 02/04/2212:34
02/09/2214:15 B2
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
1730 MPN/100mL 1.0 1 02103/2218:33
02104/2212:50
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
37.8 mg/L 0.52 1 02/17/2213.45
Analytical Method: EPA 351.2 Rev 2.0 1993 Preparation Method: EPA 351.2 Rev 2.0 1993
Pace Analytical Services -Asheville
37.8 mg/L 2.5 5 0211112218:59 02/13/2212:19 7727-37-9
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
ND mg/L 0,040 1 02/15/22 09:36
Analytical Method: EPA 365.1 Rev 2.0 1993 Preparation Method: EPA 365.1 Rev 2.0 1993
Pace Analytical Services -Asheville
4.7 mg/L 0.20 4 02/14122 22:42 02/15/22 19:15 7723-14-0
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 16
aceAnalytical6
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Project: Forest Lake
Pace Project No.: 92586019
QC Batch: 676193
QC Batch Method: HACH 10206
Associated Lab Samples: 92586019001
METHOD BLANK: 3539546
Associated Lab Samples: 92586019001
Parameter Units
Nitrogen, Nitrate mg/L
QUALITY CONTROL DATA
Analysis Method: HACH 10206
Analysis Description: 10206 Nitrogen, Nitrate
Laboratory: Pace Analytical Services - Eden
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.30 02/04/2218:39
LABORATORY CONTROL SAMPLE: 3539547
Spike
Parameter Units Cone.
Nitrogen, Nitrate mg/L 5
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
LCS LCS % Rec
Result % Rec Limits Qualifiers
4.9 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3539548 3539549
MS MSD
92585952004 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg1L ND 5 5 4.9 4.9 97 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: 02/1712022 01:48 PM without the written consent of Pace Analytical Services, LLC,
Page 5 of 16
aceAnaijdical
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92586019
QC Batch: 676056 Analysis Method: SM 25400-2015
QC Batch Method: SM 25400-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92586019001
METHOD BLANK: 3538466 Matrix: Water
Associated Lab Samples: 92586019001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 02/04/22 11:31
Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3538467
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 226 90 90-110
SAMPLE DUPLICATE: 3538468
92586110001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 86.4 85.5 1
SAMPLE DUPLICATE: 3538469
92586161003 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 142 166 15
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/17/2022 01:48 PM without the written consent of Pace Analytical Services, I.I.C.
Page 6 of 116
aceAnalj&cal
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92586019
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 676081
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: 92586019001
METHOD BLANK: 3538695
Matrix: Water
Associated Lab Samples: 92586019001
Blank Reporting
Parameter Units
Result Limit Analyzed Qualifiers
Nitrogen, Ammonia mg/L
ND 0.10 02/07/22 11:09
LABORATORY CONTROL SAMPLE: 3538696
Spike LCS LCS % Rec
Parameter Units
Conc. Result % Rec Limits Qualifiers
Nitrogen, Ammonia mg/L
5 5.1 102 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3538697 3538698
MS MSD
92585752002
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 5.2 103 103
90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3538699 3538700
MS MSD
92585754001
Spike Spike MS MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result Result % Rec % Rec
Limits RPD Qual
Nitrogen, Ammonia mg/L 1.7
5 5 6.4 6.6 93 98
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: 02/17/2022 01:48 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 16
aceAnalyt1ca16
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92586019
QC Batch: 676079 Analysis Method: SM 521OB-2016
QC Batch Method: SM 521OB-2016 Analysis Description: 5210B BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92586019001
METHOD BLANK: 3538662
Associated Lab Samples: 92586019001
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 02/09/2213:16
LABORATORY CONTROL SAMPLE: 3538663
Spike
Parameter Units Conc.
BOD, 5 day mg/L 198
SAMPLE DUPLICATE: 3538665
92586004001
Parameter Units Result
SOD, 5 day mg/L 138
LCS LCS
Result % Rec
186 94
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
% Rec
Limits Qualifiers
84.6-115
Dup
Result RPD Qualifiers
145 5
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 02/17/2022 01.48 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 16
ac"Analytical6
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92586019
QC Batch: 676023 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92586019001
SAMPLE DUPLICATE: 3538349
92586018001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL NO NO
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, 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 NO,
Date: 02/17/2022 01:48 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 16
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92586019
Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
QC Batch: 677687
Analysis Method: EPA 351.2 Rev 2.0 1993
QC Batch Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
Associated Lab Samples: 92586019001
METHOD BLANK: 3546782
Matrix: Water
Associated Lab Samples: 92586019001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L
ND 0.50
02/13/22 11:00
LABORATORY CONTROL SAMPLE: 3546783
Spike LCS
LCS % Rec
Parameter Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg1L
10 10.9
109 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3546784 3546785
MS MSD
92585933001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Neldahl, Total mg/L 14.3
10 10 28.8
31.3 145 170
90-110 8 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3546786 3546787
MS MSD
92585935001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Conc. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 2.7
10 10 14.7
13.9 120 112
90-110 6 M1
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 02/17/2022 01:48 PM without the written consent of Pace Analytical Services, I.I.C.
Page 10 of 16
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92586019
QC Batch: 678081 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: 92586019001
METHOD BLANK: 3548748
Associated Lab Samples: 92586019001
Parameter Units
Nitrogen, NO2 plus NO3 mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 02/15/22 09:13
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvilie. NC 27284
(704)977.0981
LABORATORY CONTROL SAMPLE: 3548749
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, NO2 plus NO3 mg/L 2.5 2.5 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3548750 3548751
MS MSD
92587705001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, NO2 plus NO3 mg/L ND 2.5 2.5 2.3 2.3 94 93 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3548752 3548753
MS MSD
92587705002 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 0.23 2.5 2.5 2.6 2.5 93 92 90-110 1
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 02/17/2022 01:48 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 16
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QUALITY CONTROL DATA
Project: Forest Lake
Pace Project No.: 92586019
QC Batch: 678204 Analysis Method: EPA 365.1 Rev 2.0 1993
OC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92586019001
METHOD BLANK: 3549440
Associated Lab Samples: 92586019001
Parameter Units
Phosphorus mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.050 02/1512219:00
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3549441
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: 3549442 3549443
MS MSD
92585901001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 2.5 2.5 2.5 5.1 5.2 103 106 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3549444 3549445
MS MSD
92585913003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.37 2.5 2.5 2.9 2.9 102 101 90-110 0
Results presented on this page are in the units Indicated by the "Units' column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/1712022 01:48 PM without the written consent of Pace Analytical Services, I.I.C.
Page 12 of 16
Pace Analytical Services, LLC
1377 South Park Drive
(�Ia'neMalytical" Kemersville, NC 27284
www.paW8b3.cam (704)977-0961
QUALIFIERS
Project: Forest Lake
Pace Project No.: 92586019
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
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.
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: 02/17/2022 01:48 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 16
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QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lake
Pace Project No.: 92586019
Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
Lab ID
Sample 10
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
92586019001
Effluent
HACH 10206
676193
92586019001
Effluent
SM 254OD-2015
676056
92586019001
Effluent
EPA 350.1 Rev 2.0 1993
676081
92586019001
Effluent
SM 521OB-2016
676079
SM 521OB-2016
676158
92586019001
Effluent
Colilert-18
676023
Colilert-18
676024
92586019001
Effluent
TKN+NO3+NO2
679108
Calculation
92586019001
Effluent
EPA 351.2 Rev 2.0 1993
677687
EPA 351.2 Rev 2.0 1993
677886
92586019001
Effluent
EPA 353.2 Rev 2.0 1993
678081
92586019001
Effluent
EPA 365.1 Rev 2.0 1993
678204
EPA 365.1 Rev 2.0 1993
678462
Date: 02/17/2022 01:48 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 14 of 16
CHAIN -OF -CUSTODY Analytical Request Document
ace Analytical'
Chain -of -Custody is a LEGAL DOCUMENT - Complete all relevent fields
�B.''"'t "-'" '" "' "'r� c 'erNumberor
C0r ,92586019
Company: Forest Lakes
Bluing Information:
Address:
2
Report To:
Email To:
•• Preservative Types: (2) nitric acid, (2) sulfuric acid,13) hydrochloric acid, (4) sodium hydroxide, (5) zinc acetate,
(6) methanol, (7) sodium bisulfate, (8) sodium thiosultate, (4) hexane, (A) ascorbic acid, (B) ammonium sulfate,
(C) ammonium hydroxide, (0) TSP, (U) Unpreserved, (0) Other
Copy To:
Site Collection Info/Address:
Analyses
Lab ProFlle line: ` `
Customer Project Name/Number:
State: County/City: Time Zone Collected:
/ I JPT[ IMTI IC' I JET
Lab, Sample Rece pt Checklists,.
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Custody Scale Present/intactIN
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Custody Signatures' PresentN NA
Collector:Signature PresentN NA
Bottles intact N NA
Correct Battles. N=NA .
Sufficient volume N-'NA '
Samples Received on Ice
VCA - Headapace Acceptable Y. N ply(
USDA Regulated Soils , A N fg!
Samples in Holding Time W.
Residual Chlori eat x tt
Cl -strips r ia
sample PH, Aa�t�; 1• N RA
pH 'stri s r /'�
Sulfide Present,
Lead Acetate Stripe i
Phone:
Email:[%Yes
Site/Facility ID #:
Compliance Monitoring?
[ ]No
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Purchase Order #:
Quote #:
DW PWS ID #:
DW Location Code:
Collected By Isignaturejs,Turnaround
Date Required:
Immediately ate onIce:
[ ) Yes [ ) No
Sample Disposal:
( J Dispose as appropriate [ J Return
[ 1 Archive:
( J Hold:
Rush:
( 1 Same Day [ I Next Day
( 12 Day [ ] 3 Day [ ]4 Day ( 15 Day
(Expedite Charges Apply)
Field Filtered (if applicable):
( ]Yes ( ]No
Analysis:
` 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)
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tab sample # ! Comments:
Customer Sample ID
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Composite End
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Time
Date
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Customer Remarks / Special Conditions / Possible Hazards:
Type of Ice Used: Wet' Blue •, '. Ojy None
SHORT HOLDS PRESENT (<72 hours):
Y N/A
Lab Sample Temperature Info:
Temp Blank elved: Y N . NA
Therm iD#:
Packing Material Used:
Lab Tracking #;
Cooler 1 Temp Upon Rece t: I - oG
Radch m samples) scre ened (<SOD cpni Y N (NA
Samples received via:
FEDEX UPS Client Courier ce Course
Cooler 1 Therm Corr. Factor: O -n oC
Cooler 1 Corrected Temp: oC
Comments:
Relinquished by/Corn ny: (Signature)
Datepri
by/Company: (Si ature}
Datefrime:
MTJL
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Ret@quished by/Company: (Sign re)
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Mid
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Acctnum:
Template: -
Date/Time:
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Date roe:
Trip Blank Received: Y N NA
Prel gin:
PM:
PB:
HCL MCOH . TSP other
Relinquished by/Company: (Signature)
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Date/Time:
Received by/Company: (Signature)
Date/Time:
Non Conformance(s):
YES / NO
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BP4U-125 ml. Plastic Unpreserved (N/A) (CI-)
SP3U-2SO mL Plastic Unpreserved (N/A)
BP2U-500 mL Plastic Unpreserved [N/A)
BPIU•1 liter Plastic Unpreserved (N/A)
BMS-125 mL Plastic 112504 (pit <2) (Cl-)
BP3N-2S0 mt. plastic I IN03 (pH < 2)
BP42-125 mL Plastic 2N Acetate & NaOH (>9)
BNH-125 mL Plastic NaOlf (pit > 12) (Cl-)
WGFU-Wide-mouthed Glass jar Unpreserved
AG1U-1 liter Amber Unpreserved (N/A) (CI-)
AG111-1 liter Amber I ICI (pl l < 2 )
AG3U-250 mt. Amber Unpreserved (N/A) [CI-)
AG1S-1 liter Amber 112SO4 (pit < 2)
AG3S-250 mL Amber H2504 (pH < 2)
AG3A(DG3AI.250 ml. Amber N114C1(N/A)(CI-)
DG911-40 mL VOA IfCI (N/A)
VG9T•40 mL VOA Na2S203 (N/A)
VG9U-40 ml. VOA Unpreserved (N/A)
DG9P-40 ml. VOA 113PO4 (N/A)
VOAK (3 vials per kit)-503S kit (ti/A)
V/GK (3 vials per kit)•VPH/Gas kit (N/A)
SPST-12S mL Sterile Plastic (N/A - lab)
$P2T-250 mt. Sterile Plastic (N/A - lab)
BP3A-2SO ml. Plastic (NH2)2SO4 (9.3.9.7)
AGOU-100 mt. Amber Unpreserved vials (N/A)
VSGU-20 ml. Scintillation vials (N/A)
DG9U•40 mi. Amber Unpreserved vials (N/A)
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