HomeMy WebLinkAboutWQ0004972_Monitoring - 04-2022_20220607 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:* April Year:* 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Forest Lakes April 22.pdf 1.71MB
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:
jrddLuz,4
Date of submittal: 6/7/2022
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
Reviewer: _anonymous
Review Date: 7/11/2022
Page 1 of 2
NON-DISCIIARGE WASTE WATER Yk/NITORING REPORT
PERNIIT NU,MBE1R: W0000-1972 moNTIL April YEAR: 2022
FACILITY NA,ME: Forest Lakes Preserve ELS COUNTY: Davie
......
Flow Monaohnd Pori Effluent I Influent i I
Parameter Monitoring Point Effluent ri,, i!niluert Si'face Water(SW ' SW Code Name. 1 1
,Was There Eli cool Row for al is Month Generated At This Eaciloty: Yes. N
operator aoinc I GO TOO 50060 ia 01:5110 00530 ,v1Pliv 0066,5 OofV25 ON:KV 11 LvViCT:51 0(.5,20 TU LOPT VX910 '
•
1) .4 royal ' OrPly Rate recai. I 1
3. I Operator 034 V PVcrovV vol0 v olpP,p5 I oto I II oval
T 24111: Time ory on Treatment kosoVria V ROD 5 r r,orPniell I, I(11:11 KjCidhA OVII Novo, Dpookol
L cli 1or SvPTT Sv`TOO pH Chlorine 29 11 VT II v'5 V',Tv Meanry Phvp Tv etv vvvvor :5,0 '1414 VT '5,11.5155 'til) \ SOI id, Chi'.pie
1111,1, ara IvIOV V 1511S mei. MO V \RI! Mr I.I. OHi'.E NOT] sIT,V, ' "dr,I. to,L ,,It/I '.."- Sd(I 1. to,L
V',OrIv. \10(6019.5 \k,I,011.! Morldt, NhIlthi, ,Aolltht), \Inintrib , 1rienririrr 1dreriler7 ""drini1777Th
772 (1;25 V 8.009 6.4 <0.01
2 I 8,41110
3 83100
4 1340. 0.25 11 8.0110 6.4 <0.01 1
5 1355 0.25 It 8,000 6.2 <0.01 -7- - - - ---
16 Ti520 0.25 13 8,000 6.3 <0.01
7 1405 0.25 81 8,000 6.1 <0.01 ,
.... -
8 0845 0.25 N" 8.000 6.4 <0.01
9 gr000
10 21,100)
I 0729 0.25 N' 8,000 6.3 <0„01
12 1305 0.25 It 8,000 6.3 <0.01 ,
-.. , .
13 1350 11.25 0 8 1100 6,3 <0 01
,, ,.
14 1)8114 0.25 li 8,000 6.4 <0.91
15 0845 0.25 14 8„000 6.2 <0M i 1:
12, 8,000
- . .
17 , 8,000 . .
18 11716 0.25 11 8.000 I 6.1 <0.01
40 1505 0.25 It , 84100 5,9 , <0.01 -
20 0708 0.25 'V 8,000 ' 5,8 , <0.01
- - '
21 1425 0.25 It 8,000 5„9 <0.01 ,
22 0035 ,., 9.25 J 8,000 5.9 <0.01 - -
23 , 8,000
' .
24 8,990
........4
25 1320 0.25 II 8,090 5.7 <0.01
,..5.,
to 0711 0.25 8' 83100 5.8 <0.01 42.1 82,9 22,7 2420 12.4 93.9 0.042 94.0 <0.040
22 12115 0„25 B 84100 5.9 <0.01
20 0744 0,25 y 8,11101 6.0 <44.0 I I
- - - .
29 0925 0.25 V 8,11041 6.0 <0.01
311 831011 1
4o,i;rogv 8,000 gings <0.0 ,1 42.1 82.1 22.7 2420 12.4 1 93.9 i 11.0r----114,11-*" <0„040
Dail)MA tintiont 8.000 6,4 .504t1 42.1 82.1 *--122.7 2420 12.4 93.9 I 0.047.7""--943--*74,007-- -77-• -
,...
Daily Nlinimuin 8,000 5,7 <0.0 il 42.1 82.1 22.7 2420 11.4 914.9 ' 0.042 14i 0 :1717177""m
8188018 Limits(st 24400
14 i88001410 t.1.11;rah(6) 1 _
*FLOWS ESTINLVEED, FLOW METER INOPERABLE
Operator in Responsible Cliarge(ORO: Glenn Price Grade: 11 Phone: 336.996.2841
Cheek Box if OR( Ilas Changed: - OR('Certilication Number: 987931/20771
Certified Laboratories(I): Pace Analytical Serivces (2): •
Pei-min(s)Collecting Samples: Glenn Price
man onici N A I,and ro 0 cop'Es tot
AlTN:Non-llischarge Compliance I,nit X -444,4,-----14;7'54t--.
DENR (SIGNATURE OF OPERATOR IVICESPONSIBLE CHARGE)
Division of Water Quality By Ibis signature,1 certify i bat this report is accurate anti
1617 Mail Service Center eilltoplete to i he lies)of no knowledge.
RALEICIE NC 27699-1617
DENR Form NDAR-1 (5/2003)
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.
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."
. & "�-�< L' 'Z 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 SAR
00310 BOD5 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 I5A 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 ADDtD110NAL PAGES AS NEEDED
PERMIT NUMBER: WQ004972 MONTH: April YEAR: 2022
FACILITY NAME: Forest Lakes Preserve ELS, COUNTY: Davie
Formulas:
Daily Loading(inches), .[Volume Applied tgatIons)K 0_1336(CU Sc feeligalion)x 12(inchesifoot)1/[Area Sprayed(acres)x 43.560(square feet/acre)or
-(Voliume Applied(gailons:i/(Area Sprayed(acres)x 27,152(gallons/acreanch)
Maximum Hourly Loading(inches) -Daily Loading(inches),/[Time irrigated Minutes( 60(minotesihour),1 Monthly Loading(inches) .Sum of Daily Loading(inches)
12 Month Floating Total(inches) -iii Sum of this month's Monthly Itoading(inches),and previous 11 months Monthly Loadings(inches)
Average Weekly Loading(inches), ret(Monthly Loading Unches/month)/Number of days in the month(days/month 11 x 7(days/week),
Did Irrigation Occur At This Facitity. Did In Occur On This,Field: I Did trrigalion Occur On This P,oldi '1
Yes NoP Yet IA No: El Yel: No:0
.
Field Number 1 Field Nii ril her:
Area Sprayed)ucres),. 6.0 lArea Sprayed(acres):
Cover Crop: .1 Cover Crop.
armeted Houriy'ate(inches): tilt 1 'ermined F oui iy ate(inches):
WEATHER CONDITIONS Permitted Yearly Rate hitches): /16.8 Permitted Yearty Rate(inches):
'DI
A I Weother Ternpwalure Storage MAMIMLIII M,1,1.1111
T Code' at Pratapda- Latattart i,51,7, Vkli,line n111, I rue it,iiiii
lama, auht, aufic, etitru aunaltu awl.,
II -
1 I?, 46 0.7 2.4
2
Mill.11111.111111111111111111111111111111111
ESIIIIIIMIIMMMIUM 42.48f) 300 0.26 1..06
IEIIIIFIIEIIIIIIIEIIIIIIIIWIIIIIIIIIINIIIIIIIIIIIIIIIIIMIIIINIIIIIIMIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIHIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
IIIIIIMINNIEINIIIIMINIIKEINI 1. .1111 IIIIIIIIIIIIIIIIIIIIIIII
C 91
78 PC' 53 it: 27:s77
I
..'
s
10
11 .(' ! 58 0 2.1 42,480 , 300 0.26 0.06 : 0111111111111
IIi111$s67
'1.I
9600 00
1 . .1.
1.
II
2.3 42.4l0111 026 0.06
22 1 PC ' 57 0 3.0,
namonamimamm.
24 ,
IlliMIMME111110=ffill :
l' 26 C ' 61 11 2.4 42.4811 300 0.26 : 0.06
III
25 P(T, 63 0, 3.3
MI
31 I
r -
tuna GdinftwfMonlhl,Loading find., 11111144110WRIP111411111 1.04 11111111111111111111111111111111111111111111 111111111111111111111 i I 2 Nlanth Fl6aliri,,I ottal I inchn", IRWIPVIRTIPI"1111; 24 45 OFTWIRIPIWW14141011"111041114 pmmosempagemv
wakEdif Orlik41•1440404464. --•-- 04/414404444444444444.44#4p4.414#!44#10444 IVIEN24642221ilat
Fampumpouuis*
19179",F,F,M11 0 26 ORIMFORRAPPIPPORIPplifpi!
''''''''W"Li'L"'''''''''''' tiA014 tag IKeilelib.i,)1;e2))))febeild))e.)) " 11):), 'glia6,iikmamsolbknamtatio01041,a alghl 0.A 44111 111111111
iiiiiinallitigagillinaini
t"'Weather Codes:C-clear,11C-paHly cloudy,CI-cloudy..It-rain,So-snour SI-sleet
Spray Irrigation Operator in Responsible Charge(ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771 Check Box if ORC Has Changed:
.,.
Mail ORIGINAL and"fsvo COPIES tot ( _
ATTN:Non-Discharge Compliance Unit X /).2 c—4--
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Q1111A11y 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 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. II
2. Adequate measures were taken to prevent wastewater runoff from the site(s). II
3. A suitable vegetative cover was maintained on the site(s)in accordance with the permit. II
4. All buffer zones as specified in the permit were maintained during each application.
5. The freeboard in the treatment and/or storage lagoon(s)was not less than the
limit(s)specified in the permit.
If the facility is non-compliant,please explain in the space below the reason(s)the facility was not in compliance with its
permit. Provide in your explanation the date(s)of the non-compliance and describe the corrective action(s)taken. Attach
additional sheets if necessary.
"I certify,under penalty of law,that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the
information submitted is,to the best of my knowledge and belief true,accurate,and complete. I am aware that there are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
L- G 'Z 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 3/31/2021
Chicago.Il 60606 (Permit Exp.Date)
(Permittee Address)
*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).
00002 ik°70 Pace Analyticall Services,LLC
•
Pace Analytical 1377 South.Park Drive
Kernersville,NC 27284
www.pacelatirs.com (704)977-0981
May 09, 2022
Tracy Overduri
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92601020
Dear Tracy Overdurf:
Enclosed are the analytical results for sample(s)received by the laboratory on April 26, 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
r
REPORT OF LABORATORY ANALYSIS
yiVROMP044
g"T:Nt
This report shall not be reproduced,except in full,
,rrt.
0' without the written consen L t of Prace Analytical Services, LC. Page. 1 of 17
0
Pace Analytical Services,LLC
aceAnalyfical® 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.cam
(704)977-0981
r
CERTIFICATIONS
Project: Forest Lakes
Pace Project No.: 92601020
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 17
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.com
(704)977-0981
SAMPLE ANALYTE COUNT
Project: Forest Lakes
Pace Project No.: 92601020
Analytes
Lab ID Sample ID Method Analysts Reported Laboratory
92601020001 Effluent SM 2540C-2015 AED 1 PASI-E
SM 2540D-2015 LRB 1 PASI-E
EPA 353.2 Rev 2.0 1993 SRS 1 PASI-E
SM 5210B-2016 SRS 1 PASI-E
Colilert-18 SRS 1 PASI-E
TKN+NO3+NO2 Calculation MAB2 1 PASI-A
EPA 350.1 Rev 2.0 1993 NDS 1 PASI-A
EPA 351.2 Rev 2.0 1993 MFO 1 PASI-A
EPA 353.2 Rev 2.01993 KDF1 1 PASI-A
EPA 365.1 Rev 2.0 1993 SMT 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 17
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.com
(704)977-0981
ANALYTICAL RESULTS
Project: Forest Lakes
Pace Project No.: 92601020
Sample: Effluent Lab ID: 92601020001 Collected: 04/26/22 08:20 Received: 04/26/22 10:45 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
2540C Total Dissolved Solids Analytical Method:SM 2540C-2015
Pace Analytical Services-Eden
Total Dissolved Solids 308 mg/L 50.0 1 05/02/22 13:37
2540D Total Suspended Solids Analytical Method:SM 2540D-2015
Pace Analytical Services-Eden
Total Suspended Solids 22.7 mg/L 6.2 1 04/28/22 09:32
353.2 NO21NO3 unpres EDN Analytical Method:EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Eden
Nitrogen,Nitrate ND mg/L 0.040 1 04/26/22 15:36 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 42.1 mg/L 2.0 1 04/27/22 11:18 05/02/22 08:58 B1
CotI!ert-18 Fecal Coliform EDN Analytical Method:Colilert-18 Preparation Method:Colilert-18
Pace Analytical Services-Eden
Fecal Coliforms 2420 MPN/100mL 1.0 1 04/26/22 15:00 04/27/22 09:00 El
Total Nitrogen Calculation Analytical Method:TKN+NO3+NO2 Calculation
Pace Analytical Services-Asheville
Total Nitrogen 94.0 mg/L 0.040 1 05/09/22 10:06
350.1 Ammonia Analytical Method:EPA 350.1 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,Ammonia 82.9 mg/L 1.0 10 04/29/22 12:21 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 93.9 mg/L 5.0 10 05/06/22 06:27 05/07/22 04:42 7727-37-9 M1
353.2 Nitrogen,NO2/NO3 pres. Analytical Method:EPA 353.2 Rev 2.0 1993
Pace Analytical Services-Asheville
Nitrogen,NO2 plus NO3 0.042 mg/L 0.040 1 05/06/22 08:49
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 12.4 mg/L 0.15 3 05/05/22 21:23 05/06/22 19:25 7723-14-0 M1
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 4 of 17
Pace Analytical Services,LLC
aceAnalytical® 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.coto
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 695358 Analysis Method: SM 2540C-2015
QC Batch Method: SM 2540C-2015 Analysis Description: 2540C Total Dissolved Solids
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92601020001
METHOD BLANK: 3631976 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Dissolved Solids mg/L ND 25.0 05/02/22 13:37
LABORATORY CONTROL SAMPLE: 3631977
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Dissolved Solids mg/L 250 266 106 90-110
SAMPLE DUPLICATE: 3631978
92601020001 Dup
Parameter Units Result Result RPD Qualifiers
Total Dissolved Solids mg/L 308 312 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:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 5 of 17
Pace Analytical Services,LLC
a
aceAnalyfical 1377 South Park Drive
Kemersville,NC 27284
www.paeelabs.eom
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 694366 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: 92601020001
METHOD BLANK: 3626935 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 04/28/22 09:30
LABORATORY CONTROL SAMPLE: 3626936
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Total Suspended Solids mg/L 250 232 93 90-110
SAMPLE DUPLICATE: 3626937
92601109001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 346 349 1
SAMPLE DUPLICATE: 3626938
92601135001 Dup
Parameter Units Result Result RPD Qualifiers
Total Suspended Solids mg/L 175 189 8
Results presented on this page are In the units indicated by the"Unite"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:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 6 of 17
Pace Analytical Services,LLC
to
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.cam (704)977-0981
I
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 694238 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: 92601020001
METHOD BLANK: 3626407 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Nitrate mg/L ND 0.040 04/26/22 15:34
LABORATORY CONTROL SAMPLE: 3626408
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Nitrate mg/L 1.5 1.5 100 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3626409 3626410
MS MSD
92601020001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Nitrate mg/L ND 1.5 1.5 1.4 1.5 96 100 90-110 4
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:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 7 of 17
Pace Analytical Services,LLC
aceAnalytical a 1377 South Park Drive
Kemersville,NC 27284
wtvw,pualabs.com
(704)977-0981
1
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 694378 Analysis Method: SM 5210E-2016
QC Batch Method: SM 5210B-2016 Analysis Description: 5210E BOD,5 day Final EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92601020001
METHOD BLANK: 3626969 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
BOD,5 day mg/L. ND 2.0 05/02/22 08:26
LABORATORY CONTROL SAMPLE: 3626970
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
BOD,5 day mg/L 198 208 105 84.6-115
SAMPLE DUPLICATE: 3626972
92601123002 Dup
Parameter Units Result Result RPD Qualifiers
BOD,5 day mg/L 35.4 34.5 3 B2
Results presented on thin 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:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 8 of 17
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.com
(704)977-0481
I
I
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 694257 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services-Eden
Associated Lab Samples: 92601020001
SAMPLE DUPLICATE: 3626504
92601127001 Dup
Parameter Units Result Result RPD Qualifiers
Fecal Coliforms MPN/100mL 2.0 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
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Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelalrs.com
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 694804 Analysis Method: EPA 350.1 Rev 2.0 1993
QC Batch Method: EPA 350.1 Rev 2.0 1993 Analysis Description: 350.1 Ammonia
Laboratory: Pace Analytical Services-Asheville
Associated Lab Samples: 92601020001
METHOD BLANK: 3629088 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Ammonia mg/L ND 0.10 04/29/22 11:20
LABORATORY CONTROL SAMPLE: 3629089
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: 3629090 3629091
MS MSD
92601383004 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Ammonia mg/L 3.1 5 5 8.4 8.4 106 106 90-110 0
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3629092 3629093
MS MSD
92601383005 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Ammonia mg/L 3.1 5 5 8.3 8.3 105 105 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
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Pace Analytical Services,LLC
o
aceAnalytical 1377 South Park Drive
Kemersville,NC 2728.4
www,pacolaba.com
f (704)977-0981
I
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 696152 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: 92601020001
METHOD BLANK: 3635742 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,Kjeldahl,Total mg/L ND 0.50 05/07/22 03:12
LABORATORY CONTROL SAMPLE: 3635743
Spike LCS LCS %Rec
Parameter Units Conc. Result %Rec Limits Qualifiers
Nitrogen,Kjeldahl,Total mg/L 10 9.9 99 90-110
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3635744 3635745
MS MSD
92601020001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec Y.Rec Limits RPD Qual
Nitrogen,Kjeldahl,Total mg/L 93.9 10 10 104 109 102 150 90-110 5 M1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3637176 3637177
MS MSD
92601913004 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Nitrogen,Kjeldahl,Total mg/L 3.4 10 10 14.1 14.1 107 108 90-110 0
Results presented on this page are In the wilts indicated by the'ghats"column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Date:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 11 of 17
Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.paeelabs.etttn
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 696161 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: 92601020001
METHOD BLANK: 3635776 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen,NO2 plus NO3 mg/L ND 0.040 05/06/22 08:38
LABORATORY CONTROL SAMPLE: 3635777
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: 3635778 3635779
MS MSD
92602637005 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 2.5 2.5 2.5 4.7 4.7 89 89 90-110 0 M1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3635780 3635781
MS MSD
92602637006 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 0.15 2.5 2.5 2.5 2.5 93 94 90-110 0
Resu[ts presented on this page are In the units Indicated by the"Units"column except where an altamate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
aceAnalytical 1377 South Park Drive
Kemersville,NC 27284
www.pacelabs.com
(704)977-0981
I
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92601020
QC Batch: 696310 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: 92601020001
METHOD BLANK: 3636463 Matrix: Water
Associated Lab Samples: 92601020001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Phosphorus mg/L ND 0.050 05/06/22 19:23
LABORATORY CONTROL SAMPLE: 3636464
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: 3636465 3636466
MS MSD
92601020001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Phosphorus mg/L 12.4 2.5 2.5 15.4 15.4 117 117 90-110 0 M1
MATRIX SPIKE&MATRIX SPIKE DUPLICATE: 3636467 3636468
MS MSD
92601615001 Spike Spike MS MSD MS MSD %Rec
Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual
Phosphorus mg/L 7.3 2.5 2.5 10.1 10.3 113 121 90-110 2 M1
Results presented on this page are In the unite Indicated by the"Units"column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
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Pace Analytical Services,LLC
v
aceAnalytical 1377 Soule Park Drive
Kemersville,NC 27254
w ,pacelabs.com (704)977-0951
QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92601020
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
"Totar 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
B1 Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is
calculated for the dilution using the least amount of sample.
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.
REPORT OF LABORATORY ANALYSIS
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Date:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 14 of 17
Pace Analytical Services,LLC
1377 South Park Drive
aceAnalytical Kemersville,NC 27284
www.pacelabuam
(704)977-0981
i
i
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92601020
Analytical
Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch
92601020001 Effluent SM 2540C-2015 695358
92601020001 Effluent SM 2540D-2015 694366
92601020001 Effluent EPA 353.2 Rev 2.0 1993 694238
92601020001 Effluent SM 5210B-2016 694378 SM 5210B-2016 694497
92601020001 Effluent Colilert-18 694257 Colilert-18 694258
92601020001 Effluent TKN+NO3+NO2 696839
Calculation
92601020001 Effluent EPA 350.1 Rev 2.0 1993 694804
92601020001 Effluent EPA 351.2 Rev 2.0 1993 696152 EPA 351.2 Rev 2.0 1993 696718
92601020001 Effluent EPA 353.2 Rev 2.0 1993 696161
92601020001 Effluent EPA 365.1 Rev 2.0 1993 696310 EPA 365.1 Rev 2.0 1993 696616
REPORT OF LABORATORY ANALYSIS
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Date:05/09/2022 10:50 AM without the written consent of Pace Analytical Services,LLC. Page 15 of 17
CHAIN-OF-CUSTODY Analytical Request Document LAB USE ONLY-Affixworkorder/L, WO# : 92601020
• MTiI
aceAnalytical Chain-of-Custody is a LEGAL DOCUMENT-Complete all relevent fields
ALL SHADED Al 111111 1111111111111 III
92601020
Company: Forest Lakes Billing Information: —
Address: Container Preservative Type"
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Report To: Email To: ••Preservative Types:(1)nitric acid,(2)sulfuric acid,(3)hydrochloric acid,(4)sodium hydroxide,(5):Inc acetate,
(6)methanol,(7)sodium bisulfate,(8)sodium thiosulfate,(9)hexane,(A)ascorbic acid,(B)ammonium sulfate,
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: _ ' 1 Lab Sample Receipt Checklist;
/ I PT) POT ]Cr I JET
Custody Seals Present/Intact Y(tlNA
Phone: Site/Facility ID N: Compliance Monitoring? Custody Signatures Present dr NA
Email: I"Yes ( J No Collector Signature Prevent N NA
Bottles Intact N 11A
Calie y(print): Purchase Order N: DW PWS ID e: Correct Bottles >N NA
Quote It DW Location Code: Sufficient Volume N NA
/1/•CA
Z Samples Received on Ice N N
Collected (signatur : Turnaround Dare Required: Immediately Packed on Ice: von - Headepaco Acceptable Y N(FtAJ
,`,,,� ( )Yes I )No H USDA Regulated soils ,-]j N
Samples in Holding Time t,,,Y N NA
Sample Disposal: Rush: Field Filtered(if applicable): d Residual Chlorine Present Y NQA
1 I Dispose as appropriate I I Return I I Same Day ( l Next Day [ ]Yes [ )No To Cl Strips:
I )Archive: ( J 2 Day I J 3 Day [ ]4 Day [ 15 Day o Sample pit Acceptable Y N gp
1 IHold: (Expedite charges Apply) Analysis: I- pH Stripe;
Z Sulfide Prevent Y N
'Matrix Codes(Insert In Matrix box below):Drinking Water(DW),Ground Water(GW),Wastewater(W W), rl Lead Acntate Strips r
Product(P),Soil/Solid(SL),Oil(OL),Wipe(WP),Air(AR),Tissue(TS),Bioassay(B),Vapor(V),Other(OT) rn Z
coLAB uBis ONLYI
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Comp/ Collected(or Res Po( I— Z Lab sample i / comments:
Composite End
Customer Sample ID Matrix' Grab Composite Start) CI Ctns L] rh o
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Effluent WW G r ZO 4 —. I
Customer Remarks/Special Conditions/Possible Hazards: Type of Ice Used: We Blue Dry None SHORT HOLDS PRESENT(c72 hours):(Y N N/A lab Sample Temperature Info:
Packing Material Used: 4�- Lab Tracking N: Temp Blank Recei d: Y N NA
Therm IN: r V U 2
Cooler 1 Temp Upon Receipt: f )oC
Samples received via: Cooler 1 Therm Corr.Factor: U oC
Radchem sample(s)screened(<500 cpm): Y N NA •
FEDEX UPS Client Courier Pace Courier Cooler I Corrected Temp: /2 oC
Relinquished by/C pany:(Signs re Da Ttm �Reee ved by/Company:(Signature) Date/Time: MTJL LAB USE ONLY Comments:
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Re squished by/Company:(Signature) Date/Time: Received by/Company:(Signature) Date/Time: PM: Non Conformance(s): Page:
PB: YES / NO of:
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