HomeMy WebLinkAboutWQ0004972_Monitoring - 12-2022_20230323Monitoring Report Submittal
...................................................
Permit Number#* WQ0004972
Name of Facility:* Forest Lakes Preserve ELS
Month: * December Year: * 2022
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR Forest Lakes_Dec.pdf 2.07MB
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:
/& C6A jot
Date of submittal: 3/23/2023
This will be filled in automatically
Initial Review
Reviewer: Wanda.Gerald
Is the project number correct?* W00004972
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 4/24/2023
Page 1 of 2
NON -DISCHARGE WASTE WATER MONITORING REPORT
PERMIT NUMBER: NY00004972 MONTH: December YEAR: 2022
FACILITY NAME: Forest Lakes Preserve ELS COUNTY: Davie
Flow Monitoring Point: Effluent: Influent:
Parameter Monitoring Point: Effluent: I Influent: Surface Water (SW):
SW Code/Name:
Was There Effluent Flow for this Month Generated At This Facility: Yes: No:
p
A
T
L'
Operator
Arrival
Time
2400
Clwk
Operator
Time on
So,
I{itS
ORC
on
Site?
YIN
50050
00400 1
50060
00310
00610
00530L(Gw-etiric
6
00665
00625
00630
00600
00620
70300
00940
Daily Rate
(Flow) into
Treatment
5cstnn
GPD
pH
UNITS
Raid..]
Chlorine
mgL
cc
BOD-5
20'C
MG,L
font y
NH-3-N
MGA,
not y
TSS
MI:�LL
on; y
al
rm
•)
y
Totat
Ph-
MG/L
ont y
Total
Kjeldhal
Nitrogen
MG11-
ont y
NO2+NO3
MG�L
ont. ly
Total
Nitrogen
%WL
Moat,y
No,=
NO3-`:
MG:1.
-0 y
Tmal
Dissolved
Sohd,
MGL
>e
Chloride
MGL
311car
1
j 1450
j 0.25
B
10,149`
5.7
<0.01
1250
0.25
13
10.033
5.7
<0.01
3
16,422
4
16,422
5
0700
0.25
Y
16,422
5.5
<0.01
6
0705
0.25
Y
12,202
5.6
<0.0I
7
0900
0.25
Y
10,087
5.5
<0.01
s
1025
0.25
B
9,994
5.6
<0.01
9
0905
0.25
B
10,106
5.0
<0.01
10
17,008
I
17.008
12
1540
0.25
B
17,008
5.6
<O.UI
13
0715
0.25
Y
10,221
1 5.5
<0.01
14
0742
11.25
Y
10.595
5.6
<(1.01
15
1520
0.25
B
11008
5.6
<0.01
16
12111
0.25
B
10,810
5.6
<11.01
17
15,991
1g
15,991
19
1515
0.25
B
15991
5.6
<0.01
20
1515
11.25
13
12,802
5.7
<11.01
21
1045
1 0.25
B
11103
5.6
<0.01
1300
0.25
B
20,577
1.6
<0.0I
23
0650
0.50
Y
20 246
5.6
<0.01
2♦
45.201
2s
45.201
26
45,201
llolidac ----- - -- - - - - -- --
- - -
27
0700
0.25
Y
45 201
5.6
<0.01
29
0903
1.75
1-
35,829
5.7
<0.01
34.0
45.8
25.4
2420
6.5
52.1
<0.040
52.1
<0.0410
29
1153
0.75
Y
27 927
5.8
<0.01
30
11(18
0.5(1
I 1'
28,991
5.8
<0.0I
31
Average
19,725
<0.01
34.5
0
6.
<0. 140
5 ,1
<( .040
Daily, laailnuin
45,201
5.8
<11.01
3
2.
2420
6.5
< . 4
52.1
gh(WU
Daily?liniamat
9,994
5.0
<0.01
34.0
45.8
25.4
2420
6.5
52.1
1 <0.040
52.1
<0.040
El
Monthly Limit, (s)
24400
Composite C I Grab ((;)
Operator in Responsible Charge (ORC): Glenn Price Grade: II Phone: 336-996-2841
Check Box if ORC Has Changed
Certified Laboratories (1): Pace Analytical Serivices
ORC Certification Number: 987931120771
(2):
Person(s) Collecting Samples: Glenn Price
Hail ORIGINAL and 7.1vo COPIES to:
ATTN: Non -Discharge Compliance Unit
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, 1 certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALEIGH, NC 27699-1617
DENR Form NDAR-1 (5/2003)
NON DISCHARGE WASTEWATER MONITORING REPORT
FACILITY STATUS:
Please answer the following question: Compliant
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.
"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."
�Z� .3CJ " > 3 Baron Neal McDuffie
(Signature of Pe 7vor
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, II 60606
(Permittee Address)
01002 Arsenic
01022 Boron
00310 BOD5
01027 Cadmium
00916 Calcium
00940 Chloride
50060 Chlorine, Total
Residual
01034 Chromium
00340 COD
31504
Coliform, Total
00094
Conductivity
01042
Copper
00300
Dissolved Oxygen
31616
Fecal Coliform
01051
Lead
00927
Magnesium
71900
Mercury
00610
NH3 as N
01067
Nickel
Field Services Director (Pace Analytical Services)
(Position or Title)
3/31/21
(Permit Exp. Date)
00600 Nitrogen, Total
00630 NO2 & NO3
00620 NO3
00556 Oil & Grease
W 09 PAN Plant Available
00400 pH
32730 Phenols
00665 Phosphorus, Total
00937 Potassium
00545 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 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 Permiuce, 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: W00004972 _MONTH: December YEAR: 2022
FACILITYNAME: Forest Lakes Preserve ELS. COUNTY: Davie
Formulas:
Daily Loading (inches) = (Volume Applied (gallons) x 0.1336 (Cubic feet/gallon) x 12 (inches/toot)) / (Area Sprayed (acres) x 43,560 (square feetlacre) or
= [Volume Applied (gallons) / (Area Sprayed (acres) x 27.152 (gallons/acre-inch).
Maximum Hourly Loading (inches) = Daily Loading (inches) / (rime irrigated (minutes) / 60 (minutesAwur)) Monthly Loading (inches) =Sum of Daily Loading (inches)
12 Month Floating Total (inches) = Sum of this month's Monthly Loading (inches) and previous 11 month's Monthly Loadings (inches)
Average Weekly Loading (inches) = (Monthly Loading (inchesimonth) / Number of days in the month (days/month )) x 7 (daysAveek)
•. Irrigation •
. ■
•. IrrigationOccur On
: .wW NO: ti
•. Irrigation Occur On
.. ■
Id Number
.r
Permitted No—urty
Rate (inches):
Permitted Aoudy Rate (inches):
• • •Permitted
Yeady
Rate (inches):
Permitted Yearly
Rate (inches):
-rvr.-:ra+ctax—
...,_....-. _..-._....«.r--,..
'Weather Codes: C-clear, PC-purtly cloudy, CI-clmuly, It -rain, So -snow, Sl-steel
Spray Irrigation Operator in Responsible Charge (ORC): Glenn Price Phone: 336-996-2841
ORC Certification Number: 987931/20771
Mail ORIGINAL and Two COPIES to:
ATTN• Non-Dischar c Compliance Unit X
Check Box if ORC 11;! Changed: 0
g _
DENR (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
Division of Water Quality By this signature, I certify that this report is accurate and
1617 Mail Service Center complete to the best of my knowledge.
RALF.IGH, 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.
2. 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. C�
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.
(�� �Gew �LC/7sdr[�tC DCG d/'/�a-� `Yk� f' /i�tcrt �i4s ttiL�✓S I w C.Cvt�AV
. Q�1lN C P
eel ,yam /
Ade.4irs,-� -0,[ce_ed_6( also elk/2�2Ss ^ "736
"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."
(Signature of Perms ee)* Date
Baron Neal McDuffie (Authorized Aeent)
(Permittee-Please print or type)
2N. Riverside Plaza, Suite 800
Chicago, Il 60606
(Permittee Address)
Baron Neal McDuffie
(Name of Signing Official -Please print or type)
Field Services Director (Pace Analytical Services)
(Position or Title)
3/31/2021
(Permit Exp. Date)
* If signed by other than the Permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
laneAnalyfical
www.pacelabs.com
January 06, 2023
Tracy Overdurf
Forest Lake
192 Thousand Trails Dr.
Advance, NC 27006
RE: Project: Forest Lakes
Pace Project No.: 92644103
Dear Tracy Overdurf:
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
Enclosed are the analytical results for sample(s) received by the laboratory on December 28, 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,
Arnie Ferguson for
Stephanie Knott
stephanie.knott@pacelabs.com
704-977-0981
Project Manager
Enclosures
acc
_•` ...... \ REPORT OF LABORATORY ANALYSIS
k, r This report shall not be reproduced, except in full,
K without the written consent of Pace Analytical Services, I.L.C.
6p _/
Page 1 of 15
laceAnalytical"
www.paoalabstam
Project: Forest Lakes
Pace Project No.: 92644103
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
VirginiaNELAP Certification #: 460222
North Carolina Wastewater Certification #: 633
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.
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Page 2 of 15
(�IaceAnalytical"
www weletw.earp
SAMPLE ANALYTE COUNT
Project: Forest Lakes
Pace Project No.: 92644103
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Analytes
Lab ID Sample ID Method
Analysts
Reported
Laboratory
92644103001 Effluent SM 254OD-2015
VLG
1
PASI-E
EPA353.2 Rev 2.0 1993
SRS
2
PASI-E
SM 521OB-2016
AED
1
PASI-E
Colilerl-18
SRS
1
PASI-E
TKN+NO3+NO2 Calculation
MDW
1
PASI-A
EPA 350.1 Rev 2.0 1993
ARJ
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA365.1 Rev 2.01993
KDF1
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-E = Pace Analytical Services - Eden
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC. Page 3 of 15
�Iacl
PAO
Analytical
www.WA&bs.C=
ANALYTICAL RESULTS
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
Project: Forest Lakes
Pace Project No.: 92644103
Sample: Effluent Lab ID: 92644103001 Collected: 12/28/22 10:03 Received: 12128/22 11:00 Matrix: Water
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No.
2540D Total Suspended Solids
Analytical Method: SM 254OD-2015
Pace Analytical Services - Eden
Total Suspended Solids
25.4 mg/L 10.4 1 12/29/22 12:27
353.2 N021NO3 unpres EDN
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services - Eden
Nitrogen, NO2 plus NO3
ND mg/L 0.040 1 12/28/22 16:54
Nitrogen, Nitrate
ND mg/L 0.040 1 12/28/22 16:54 14797-55-8
5210E BOD, 5 day EDN
Analytical Method: SM 521OB-2016 Preparation Method: SM 521 OB-2016
Pace Analytical Services - Eden
BOD, 5 day
34.0 mg/L 2.0 1 12/29/22 11:47 01/03/23 11:32
Colilert•18 Fecal Coliform EDN
Analytical Method: Colilert-18 Preparation Method: Colilert-18
Pace Analytical Services - Eden
Fecal Coliforms
2420 MPN1100mL 1.0 1 12/28/22 16:02 12/29/22 10:04
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
52.1 mg/L 0.040 1 01/05/23 18:55
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
45.8 mg/L 0.60 8 01/06/2310:33 766441-7
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
52.1 mg/L 2.5 5 01/04/23 14:10 01/05/23 04:45 7727-37-9
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
6.5 mg/L 0.15 3 01/05/2312:50 01/06/2310:09 7723-14-0
Date: 01/06/2023 03:59 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Qua[
El
M1
Page 4 of 15
aceAnalytical
www.pscllabs.com
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92644103
Pace Analytical Services, LLC
1377 South Park Drive
Kernersville, NC 27284
(704)977-0981
QC Batch: 746302
Analysis Method:
SM 254OD-2015
QC Batch Method: SM 254OD-2015
Analysis Description:
2540D Total Suspended Solids
Laboratory:
Pace Analytical Services - Eden
Associated Lab Samples: 92644103001
METHOD BLANK: 3881304
Matrix: Water
Associated Lab Samples: 92644103001
Blank Reporting
Parameter
Units
Result Limit
Analyzed Qualifiers
Total Suspended Solids
mg/L
ND
2.5 12/29/22 12:25
LABORATORY CONTROL SAMPLE: 3881305
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Total Suspended Solids
mg/L
250 246
98 90-110
SAMPLE DUPLICATE: 3881306
92644050004 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
9.7
10.2 5
SAMPLE DUPLICATE: 3881307
92644145001 Dup
Parameter
Units
Result Result
RPD Qualifiers
Total Suspended Solids
mg/L
2330 2370 2
Results presented on this page are in the unlis 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: 01/06/2023 03:59 PM without the written consent of Pace Analytical Services, I.I.C. Page 5 of 15
lacieAnalyfical"
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92644103
QC Batch: 746148 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: 92644103001
METHOD BLANK: 3880642 Matrix: Water
Associated Lab Samples: 92644103001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Nitrate mg/L ND 0.040 12/28/22 13:19
Nitrogen, NO2 plus NO3 mg/L NO 0.040 12/28/22 13:19
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE:
3880643
Spike LCS
LCS % Rec
Parameter
Units
Conc. Result
% Rec Limits Qualifiers
Nitrogen, Nitrate
mg/L
1.5 1.5
99 90-110
Nitrogen, NO2 plus NO3
mg/L
2.5 2.4
98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
3880644
3880645
MS
MSD
92643996007 Spike
Spike
MS
MSD MS MSD % Rec
Parameter Units
Result Conc.
Conc.
Result
Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L
0.093 1.5
1.5
1.6
1.6 98 98 90-110 0
Nitrogen, NO2 plus NO3 mg/L
0.093 2.5
2.5
2.6
2.5 99 98 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3881387
MS
92643996008 Spike
Parameter Units Result Conc.
Nitrogen, Nitrate mg/L NO 1
Nitrogen, NO2 plus NO3 mg/L NO
3881388
MSD
Spike
MS MSD
MS MSD
% Rec
Conc.
Result Result
% Rec % Rec
Limits RPD Qual
1.5
1.5 1.5
100 100
90-110 0
2.5
2.5 2.5
100 100
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,
Dale: 01/06/2023 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 6 of 15
(�IacI 6Analytical
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Project: Forest Lakes
Pace Project No.: 92644103
QC Batch: 746394
QC Batch Method: SM 521OB-2016
Associated Lab Samples: 92644103001
METHOD BLANK: 3881562
Associated Lab Samples: 92644103001
Parameter Units
BOO, 5 day mg/L
QUALITY CONTROL DATA
Analysis Method: SM 521OB-2016
Analysis Description: 5210E BOD, 5 day Final EDN
Laboratory: Pace Analytical Services - Eden
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
NO 2.0 01/03/2310:39 B3
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3881563
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
BOD, 5 day mg/L 198 208 105 84.6-115
SAMPLE DUPLICATE: 3881565
92644197002 Oup
Parameter Units Result Result RPD Qualifiers
BOD, 5 day mg/L 92.7 85.5 8
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: 01/06/2023 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 7 of 15
aceAnalytical
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QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92644103
QC Batch: 746265 Analysis Method: Colilert-18
QC Batch Method: Colilert-18 Analysis Description: Colilert-18 Fecal Coliform EDN
Laboratory: Pace Analytical Services - Eden
Associated Lab Samples: 92644103001
SAMPLE DUPLICATE: 3881202
Parameter Units
Fecal Coliforms MPN/100mL
92644106001 Dup
Result Result RPD Qualifiers
3.1 ND
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 full,
Date: 01/06/2023 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 8 of 15
aceAnalytical a
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Pace Analytical Services, LLC
1377 South Park Drive
Kemersviile, NC 27284
(704)977-0981
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92644103
QC Batch: 747457 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: 92644103001
METHOD BLANK: 3885894
Associated Lab Samples: 92644103001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 3885895
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 01/06/2310:09
Spike LCS LCS % Rec
Cone. Result % Rec Limits Qualifiers
5 5.0 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3885896 3885897
MS MSD
92643352001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 1810 5 5 1870 1870 1150 1200 90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3885898 3885899
MS MSD
92644817001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg1L 0.41 5 5 5.6 5.6 103 104 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: 01/06/2023 03:59 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 15
(�Ia'oeAnalyfical
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Project: Forest Lakes
Pace Project No.: 92644103
QC Batch: 747133
QC Batch Method: EPA 351.2 Rev 2.0 1993
Associated Lab Samples: 92644103001
QUALITY CONTROL DATA
Analysis Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Laboratory: Pace Analytical Services - Asheville
METHOD BLANK: 3884430 Matrix: Water
Associated Lab Samples: 92644103001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Nitrogen, Kjeldahl, Total mg/L ND 0.50 01/05/23 03:48
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
LABORATORY CONTROL SAMPLE: 3884431
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/L 10 10.3 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3884432 3884433
MS MSD
92644094003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L NO 10 10 10.2 10 99 97 90-110 2
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3884434
MS
92644094004 Spike
Parameter Units Result Conc.
Nitrogen, Kjeldahl, Total mg/L ND 10
3884435
MSD
Spike MS MSD MS MSD % Rec
Conc. Result Result % Rec % Rec Limits RPD Oual
10 10.1 10.2 99 100 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: 01/06/2023 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 15
aceAnalytical
www.paeelabs.com
QUALITY CONTROL DATA
Project: Forest Lakes
Pace Project No.: 92644103
Pace Analytical Services, LLC
1377 South Park Drive
Kemersville, NC 27284
(704)977-0981
QC Batch: 747478
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: 92644103001
METHOD BLANK: 3885962
Matrix: Water
Associated Lab Samples: 92644103001
Blank Reporting
Parameter Units
Result Limit
Analyzed Qualifiers
Phosphorus mg/L
ND 0.050
01/06/23 09:41
LABORATORY CONTROL SAMPLE: 3885963
Spike LCS
LCS % Rec
Parameter Units
Cone. Result
% Rec Limits Qualifiers
Phosphorus mg/L
2.5 2.5
101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3885964 3885965
MS MSD
92643352001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone. Cone. Result
Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 210
25 25 208
215 -6 20
90-110 3 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 3885966 3885967
MS MSD
92644103001
Spike Spike MS
MSD MS MSD
% Rec
Parameter Units Result
Cone. Conc. Result
Result % Rec % Rec
Limits RPD Qual
Phosphorus mg/L 6.5
2.5 2.5 9.2
9.1 111 106
90-110 1 M1
Resutts 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: 01/06/2023 03:59 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 15
aceAnalyticai
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QUALIFIERS
Project: Forest Lakes
Pace Project No.: 92644103
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot.
ND - Not Detected at or above adjusted reporting limit.
TNTC -Too Numerous To Count
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
Pace Analytical Services, LLC
t377 South Park Drive
Kemersville, NC 27284
(704)977-0981
PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix.
S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is
a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
Acid preservation may not be appropriate for 2 Chloroethylvinyl ether.
A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA
Method 8260.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
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
B3 The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L.
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.
Date: 01/06/2023 03:59 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 12 of 15
Iac
(
eAnalidical
www.patcNrtCtt.eom
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Forest Lakes
Pace Project No.: 92644103
Pace Analytical Services, LLC
1377 South Park Drive
Kemersvifle, NC 272B4
(704)977-0981
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
92644103001
Effluent
SM 2540D-2015
746302
92644103001
Effluent
EPA 353.2 Rev 2.0 1993
746146
92644103001
Effluent
SM 521OB-2016
746394
SM 521OB-2016
746524
92644103001
Effluent
Colilert-18
746265
Colilert-18
746266
92644103001
Effluent
TKN+NO3+NO2
747682
Calculation
92644103001
Effluent
EPA 350.1 Rev 2.0 1993
747457
92644103001
Effluent
EPA 351.2 Rev 2.0 1993
747133
EPA 351.2 Rev 2.0 1993
747431
92644103001
Effluent
EPA 365.1 Rev 2.0 1993
747478
EPA 365.1 Rev 2.0 1993
747603
Date: 01/06/2023 03:59 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
without the written consent of Pace Analytical Services, LLC.
Page 13 of 15
CHAIN -OF -CUSTODY Analytical Request Document
11�ace Analytical
Chain-of-Custodyis a LEGAL DOCUMENT -Complete all relevant fields
Company: Forest Lakes I Billing Information:
Address:
Report To: Email To:
Copy To: Site Collection Info/Address:
Customer Project Name/Number: State: County/City: Time Zone Collected:
/ [ IPT[ ]MT[ ]CT ( ]ET
Phone: Site/Facility ID #: Compliance Monitoring?
Email: I,(Yes ( ] No
Collect4 B print): / Purchase Order #: DW PWS ID #:
LAB USE ONLY -Affix Workorder/Login Label Here or List Pace Workorder Number or
WO#:92644103
ALL SN
Container Preservativ
u 1 z 1 8 j 1 —(— 92644103
— Preservative Types: (1) nitric acid, (2) sununc acne, t3l nyu:ue...
(6) methanol, (7) sodium bisulfate, (8) sodium thiosulfate, (9) hexane, (A) ascorbic add, (B) ammonium sulfate,
(C) ammonium hydroxide, (D) TSP, (U) Unpresenred, (0) Other
Quote #.
DW Location Code:
I Z
Col]Lrded By (signature
Turnaround Date Required:
Immediately Packed on Ire:
m
[ ] Yes [ ) No
O
Sample Disposal:
Rush:
Field Filtered (if applicable):
li
( ) Dispose as appropriate I J Return
[ ) Same Day [ J Next Day
I J Yes ( J No
[ J Archive:
[ 12 Day [ ] 3 Day [ 14 Day [ ] 5 Day
Analysis:
o
F—
( J Hold: _
(Expedite Charges Apply)
Z
` 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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Collected (or
Composite End
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Customer Sample ID
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Time
Date
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Customer Remarks / Special Conditions / Possible Hazards: Type of Ice Used: We Blue Dry None
Packing Material Used:
Radchem sample(s) screened (<500 cpm): Y N NA
Relinquished np ny: (Sign i IDale/y(m� Re ved by/Company: (Signature)
LLB// 7iZ ✓t/1.tM_
ginquished by/Compan)((Si[nature) Date/Time: Received by/lympart✓. (Signature)
A
�rnquished by/Company: (Signature) Date/Time: Received by/Company: (Signature)
cn
SHORT HOLDS PRESENT (<72 hours) N N/A
Lab Tracking #:
Lae sample Receipt CheCALIOU:
Custody Seale Precer,t/Intact A
Custody Signature PresentIN
NA
Collector Sigunture PresentNA
Rottlec Intact NA
Correct Bottlen NA
Suffic'_ent Volume NA
Samples Received on Ice NA
VDA - lteadspaee Acceptable Y N
USDA Regulated Soila v N
Samples in holding Time ON NA
Residua] Chlorine Pr oQnt Y MA
C1 Gtripl, D (
Sample pH Acceptable Y N NA
pH Stripe: .�-�/.t
Sulfide Present �— � ' Y N �
Lead Acetate Stripe:
LAH USE ONLY:
Lab Sample, # / Comments:
ples received via:
FEDEX UPS Client Courier el Pace Courier
Date/Time:
MTJL LA SE t7F1r�
'1-/L t/Z Z ((o o
Table #:
Acctnum:
Template:
Date/Time:
Prelogin:
PM:
Date/Time:
PB:
Lab Sample Temperature Info:
Temp Blank Received: Y N NA
Therm ID#: o o Z
Cooler 1 Temp Upon Receipt: C . 2 oC
Cooler 1 Therm Corr. Factor: -- 2 oC
Cooler 1 Corrected Temp: i"• o oC
Comments:
Trip Blank Received: Y N NA
HCL McOH TSP other
Non Conformance(s): Page:
YES / NO of:
/ vucument Name; I Document Issued: November 15, 2D.1
Bottle Identification Form (BIF) Page 1 of 1
ttt c?CBf�(ic?;;Cc7i Document tin
Lsatn3 Autfionfy;
F-CAR-CS-043-Rev,01 Pace Carolinas Quality Office
*Check mark top half of box if pH and/or dechlorination is Project #
verified and within the acceptance range for preservation
samples. d Y e4
Exceptions: VGA, Ccliform, TOC, Oil and Grease, Dn0/8015 (water) DOC, LLHg L a r"
"Bottom half of box is to list number of bottles
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pH Adjustment Log for Preserved Samples
Sample 10 Type of Preservative pH upon receipt Oate preservation adjusted Time preservation Amount of Preservative
Lot M
adjus I added
I I I I
Note: Whenever there Is a discreoancv affectine North rarnllna , .L:_
��••• •� •� r!� Out of hold, incorrect preservative, out of temp, Incorrect containers. U, �drunnd UMNK Lertitication Office (I.e.
Page 15 of 15