WQ0004972_Monitoring - 09-2023_20231030

Monitoring Report Submittal
...................................................
Permit Number#* WQ0004972
Name of Facility:* Forest Lake RV WWTP
Month: * September Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 2023_September_Monthly Report_WQ0004972 1.58MB
complete.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
Confirmation Email Address: * [e-mail]
Name of Submitter: * Amanda Grenier
Signature:
0501W- KIt<ll (I' W;r 'f
Date of submittal: 10/30/2023
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: 11/1/2023

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED niON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: Q1114972
Facility Name: Forest Lake
D.vie
Month: September1
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this facility'?
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Hourly Rate (in):
Hourly Rate
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Annual Rate (in):
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Field Irrigated?
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12 Month Floating Total (irs
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DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
Did the application rates exceed the limits in Attachment B of your permit? O Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? O Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? O Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? O Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? O Compliant ❑ Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sam Perry
Permittee:
MHC TT, LP
Certification No.: 1014038
Signing Official: George Gudgeon
Grade: SI Phone Number: 919-548-2381
Signing Officials Title: Sr. Vice President
Has the ORC changed since the previous NDAR-1? ❑ Yes ❑ No
Phone Number: 312-279-1400 Permit Exp.: 10/31/27
10 29 2023
al2l"d rem
DocuSigned by:
10/29/2023
Samuel Perry (Oct 29, 2023 1 27 EDT)
Boseanosi=zcaaco
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 all qualified personnel properly gathered and evaluated 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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
Permit No.: WQ0004972
Facility Name: Forest Lake Preserve ELS
County: Davie
Month: September
Year: 2023
PPI: 001
Flow Measuring Point: El Influent 0 Effluent ❑ No flow generated
parameter Monitoring Point: ❑ Influent ❑Effluent ❑Groundwater Lowering El Surface Water
Parameter Code 0
50050
00400
50060
1 70300
00530
00310
31616
00600
00610
00625
00630
00620
00615
00665
00940
U
O
C
O
O
O
Q
O".
'a
N
'0
O.
Um
O
N U
O
LL
�
a
L
C
Z
H
Z
Z
R
Z
.0
Z~sZ
Vl
7
L
(n
a
UO
24-hr
hrs
GPD
su
mg/L
mg/L
mg/L
mg/L
#/100 mL
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
mg/L
1
08:00
5
36,538
5.9
2.7
2
27,617
3
35,177
4
HOLIDAY
HOLIDAY
34,194
5
08:00
5
33,691
6.4
0.2
6
08:00
5
24,552
6.6
4.2
246
16
3.4
440
8.9
3.7
6.8
2.1
2.1
<0.04
7.9
7
08:00
5
36,548
6.5
4.6
8
08:00
5
31,074
6.7
0.6
9
29,057
10
37,598
11
08:00
5
77,127
6.3
0.1
12
08:00
5
39,089
6.1
4.5
13
08:00
5
64,970
6.2
4.3
14
08:00
5
28,412
6.2
4.5
15
08:00
5
24,145
6.1
4.1
16
22,753
17
23,329
18
08:00
5
39,913
7
19
08:00
5
26,707
6.3
4.3
20
08:00
5
27,648
6.2
4.4
21
08:00
5
31,040
6
4.5
22
08:00
5
29,354
6.5
4.4
23
29,214
24
27,276
25
08:00
5
35,478
6.2
0.7
26
08:00
5
27,055
6.8
3.9
27
08:00
5
18,728
6.3
4.1
28
08:00
5
24,245
6
3.4
29
08:00
5
31,497
6.1
4.6
30
30,325
31
Average:
32,812
3.37
246.00
16.00
3.40
440.00
8.90
3.70
6.80
2.10
2.10
0.00
7.90
Daily Maximum:
77,127
7.00
4.60
246.00
16.00
3.40
440.00
8.90
3.70
6.80
2.10
2.10
0.04
7.90
Daily Minimum:
18,728
5.90
0.10
246.00
16.00
3.40
440.00
8.90
3.70
6.80
2.10
2.10
0.04
7.90
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
LSample Frequency:
Continuous
5x/Week
5X/Week
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
3X/year

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
Sampling Person(s)
Certified Laboratories
Name: Sam Perry
Name:
Name: Greener EHS Solutions, LLC
Name: Pace Analytical
Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? ❑ Compliant O Non -Compliant
If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective
action(s) taken. Attach additional sheets if necessary.
The Monthly average flow exceeded the permitted flow of 24,400 gpd. The permitted application rate was not exceeded. The flow meter was calibrated on June 27, 2023 and the meter was reading significantly
low before the calibration. This was noted on the June 2023 NDMR. The plant is in the process of an upgrade to increase the capacity as well as investigating extraneous flow for 1/1 and leaking fixtures. Lab
Qualifiers, September 6, 2023 - BOD, 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. Phosphorus and TKN, M1 - Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery and R1 - RPD value was outside control limits.
Operator in Responsible Charge (ORC) Certification
Permittee Certification
ORC: Sam Perry
Permittee: MHC TT, LP
Certification No.: 1014038
Signing Official: George Gudgeon
Grade: SI Phone Number: 919-548-2381
Signing Officials Title: Sr. Vice President
Has the ORC changed since the previous NDMR? ❑ Yes ❑ No
Phone Number: 312-279-1400 Permit Expiration: 10/31/2027
sawar Tem 10/29/2023
uSigned by:
Lcr�t,jvu10/29/2023
Samuel Perry (Oct 29, 2023 1 27 EDT)v
Signature Date
Signature Date
By this signature, I certify that this report is accurrate and complete to the best of my knowledge.
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 all qualified personnel properly gathered and evaluated 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.
Mail Original and Two Copies to:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
September 19, 2023
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
Dear Amanda Grenier:
Enclosed are the analytical results for sample(s) received by the laboratory on September 06, 2023. 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 - Charlotte
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Matthew Brainard
[e-mail]
[phone]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
Pace Analytical Services Charlotte
South Carolina Laboratory ID: 99006
9800 Kincey Ave. Ste 100, Huntersville, NC 28078
North Carolina Drinking Water Certification #: 37706
North Carolina Field Services Certification #: 5342
North Carolina Wastewater Certification #: 12
South Carolina Laboratory ID: 99006
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
CERTIFICATIONS
South Carolina Certification #: 99006001
South Carolina Drinking Water Cert. #: 99006003
Florida/NELAP Certification #: E87627
Kentucky UST Certification #: 84
Louisiana DoH Drinking Water #: LA029
VirginiaNELAP Certification #: 460221
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
VirginiaNELAP Certification #: 460222
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

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92686316001 EFFLUENT GRAB
SM 9222D-2015
KDF
1
PASI-C
SM 2540C-2015
JMH1
1
PASI-A
SM 2540D-2015
JMH1
1
PASI-A
SM 521OB-2016
MDM
1
PASI-A
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
MDW
1
PASI-A
EPA 353.2 Rev 2.0 1993
NCF
1
PASI-A
EPA 365.1 Rev 2.0 1993
Zip
1
PASI-A
PASI-A = Pace Analytical Services - Asheville
PASI-C = Pace Analytical Services - Charlotte
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

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
Sample: EFFLUENT GRAB Lab ID: 92686316001 Collected: 09/06/23 11:00 Received: 09/06/23 14:48 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
MBIO 9222D Fecal Coliform CHT Analytical Method: SM 9222D-2015 Preparation Method: SM 9222D-2015
Pace Analytical Services - Charlotte
Fecal Coliforms
440 CFU/100 mL 1.0
1
09/06/23 15:35 09/07/23 14:13
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
246 mg/L 25.0
1
09/07/23 12:49
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services -Asheville
Total Suspended Solids
16.0 mg/L 5.9
1
09/07/23 12:39
5210B BOD, 5 day
Analytical Method: SM 521OB-2016
Pace Analytical Services -Asheville
BOD, 5 day
3.4 mg/L 2.0
1
09/08/23 03:30 09/13/23 00:53
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
8.9 mg/L 0.040
1
09/19/23 16:04
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
3.7 mg/L 0.10
1
09/16/23 12:08 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
6.8 mg/L 0.50
1
09/18/23 16:09 09/19/23 04:54 7727-37-9
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
2.1 mg/L 0.040
1
09/07/23 00:56 14797-55-8
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
7.9 mg/L 0.15
3
09/15/2318:14 09/18/2313:41 7723-14-0
Date: 09/19/2023 04:06 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
B2
Page 4 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 798130 Analysis Method: SM 9222D-2015
QC Batch Method: SM 9222D-2015 Analysis Description: 9222D Fecal Coliform(MF) - CHT
Laboratory: Pace Analytical Services - Charlotte
Associated Lab Samples: 92686316001
METHOD BLANK: 4134028 Matrix: Water
Associated Lab Samples: 92686316001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 09/07/23 14:13
SAMPLE DUPLICATE: 4134029
Parameter
Fecal Coliforms
92686248005 Dup
Units Result Result RPD Qualifiers
CFU/100 mL ND ND
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 798255 Analysis Method: SM 2540C-2015
QC Batch Method: SM 2540C-2015 Analysis Description: 2540C Total Dissolved Solids
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92686316001
METHOD BLANK: 4134451
Associated Lab Samples: 92686316001
Parameter
Units
Total Dissolved Solids
mg/L
LABORATORY CONTROL SAMPLE:
4134452
Parameter
Units
Total Dissolved Solids
mg/L
SAMPLE DUPLICATE: 4134453
Parameter
Units
Total Dissolved Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 09/07/23 12:47
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 266 106 90-110
92686339001 Dup
Result Result RPD Qualifiers
33.0 33.0 0
SAMPLE DUPLICATE: 4135298
92686469001 Dup
Parameter Units Result Result
Total Dissolved Solids mg/L 744 723
RPD Qualifiers
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: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 798259 Analysis Method: SM 2540D-2015
QC Batch Method: SM 2540D-2015 Analysis Description: 2540D Total Suspended Solids
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92686316001
METHOD BLANK: 4134460
Associated Lab Samples: 92686316001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
4134461
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 4134690
Parameter
Units
Total Suspended Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 09/07/23 12:36
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 250 100 90-110
92686307003 Dup
Result Result RPD Qualifiers
7900 7500 5
SAMPLE DUPLICATE: 4134691
92686394003 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 75.0 78.0
RPD Qualifiers
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: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 798313 Analysis Method: SM 521 OB-2016
QC Batch Method: SM 521OB-2016 Analysis Description: 5210E BOD, 5 day
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92686316001
METHOD BLANK: 4134876
Associated Lab Samples: 92686316001
Parameter
Units
BOD, 5 day
mg/L
LABORATORY CONTROL SAMPLE:
4134878
Parameter
Units
BOD, 5 day
mg/L
SAMPLE DUPLICATE: 4134879
Parameter
Units
BOD, 5 day
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 09/12/23 23:33
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 189 96 84.6-115
92686373001 Dup
Result Result RPD Qualifiers
199 188 6
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 799900 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: 92686316001
METHOD BLANK: 4143292
Associated Lab Samples: 92686316001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 4143293
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 09/16/2311:57
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 5.0 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4143294 4143295
MS MSD
92686582002 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 5.1 5.2 103 103 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4143296 4143297
MS MSD
92686582003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 4.0 5 5 9.0 9.1 100 102 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: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 799689 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: 92686316001
METHOD BLANK: 4141962
Associated Lab Samples: 92686316001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
LABORATORY CONTROL SAMPLE: 4141963
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 09/19/23 04:40
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
10 10.3 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4145494 4145495
MS MSD
92686373001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 26.0 10 10 34.6 36.1 86 101 90-110 4 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4145496 4145497
MS MSD
92686380001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 19.6 10 10 29.5 29.9 98 103 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: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC.
Page 10 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 798162 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.
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92686316001
METHOD BLANK: 4134153
Associated Lab Samples: 92686316001
Parameter Units
Nitrogen, Nitrate mg/L
LABORATORY CONTROL SAMPLE: 4134154
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 09/07/23 00:43
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
1.5 1.5 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4134155 4134156
MS MSD
92686303001 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 1.5 1.5 98 98 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: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
QC Batch: 799958 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: 92686316001
METHOD BLANK: 4143496
Associated Lab Samples: 92686316001
Parameter Units
Phosphorus mg/L
LABORATORY CONTROL SAMPLE: 4143497
Parameter Units
Phosphorus mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.050 09/18/2313:30
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.4 96 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4143498 4143499
MS MSD
92686244001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 5.6 2.5 2.5 7.7 5.4 84 -8 90-110 35 M1,R1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4143500 4143501
MS MSD
92686296003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.037J 2.5 2.5 2.6 2.4 101 96 90-110 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: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC.
Page 12 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92686316
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.
TN -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.
R1 RPD value was outside control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 09/19/2023 04:06 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 17

DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project:
Pace Project No.:
FOREST LAKE -MONTHLY
92686316
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92686316001
EFFLUENT GRAB
SM 9222D-2015
798130
SM 9222D-2015
798131
92686316001
EFFLUENT GRAB
SM 254OC-2015
798255
92686316001
EFFLUENT GRAB
SM 2540D-2015
798259
92686316001
EFFLUENT GRAB
SM 521 OB-2016
798313
SM 521 OB-2016
798456
92686316001
EFFLUENT GRAB
TKN+NO3+NO2
800571
Calculation
92686316001
EFFLUENT GRAB
EPA 350.1 Rev 2.0 1993
799900
92686316001
EFFLUENT GRAB
EPA 351.2 Rev 2.0 1993
799689
EPA 351.2 Rev 2.0 1993
800538
92686316001
EFFLUENT GRAB
EPA 353.2 Rev 2.0 1993
798162
92686316001
EFFLUENT GRAB
EPA 365.1 Rev 2.0 1993
799958
EPA 365.1 Rev 2.0 1993
800235
Date: 09/19/2023 04:06 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 14 of 17

I .-,W _ _ I u%.ff i ttie: r_trv-rmm nun, t uutss vuz ,Jampfe uonattion upon Kecelpt
DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
Effective Date: 11/14/2022
1
Laboratory receiving samples:
—
Asheville ❑ Eden❑ Greenwood ❑
Huntersvill�Raleigh❑
Mechanicsvillen Atlant- 71
SampleClient Name:
16
Upon Receipt �
L� �
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Project
"/�o;s
tt:Wo#:926863
Courier: ❑Fed Ex ❑UPS
❑USPS
[]Client
I IIIII I IIIII IIIIII I III
❑ Commercial ,Pace
❑Other:
316
82686 J
Custody Seal Present? ❑Yes _P - Seals
Intact? ❑Yes
0-No
T /
Date/Initials Person Examining Contents:
Packing Material: [-]Bubble Wrap ❑Bubble Bags JLAicrne
❑ Other
Biological Tissue F oxen?
Thermometer:
❑Yes ❑No �9
RGun ID: t'V N Type of Ice: �t ❑Blue ❑None
Cooler Temp: A, Correction Factor: U
Add/Subtract (°C) Temp should be above freezing to 6°C
❑Samples out of temp criteria. Samples on ice, cooling process
Cooler Temp Corrected (°C): has begun
USDA Regulated Soil (J2N/A, water sample)
Did samples originate in a quarantine zone .vithm the United States: CA, NY, or SC Did samples originate from a foreign source (interna . nally,
(check maosl? MYes No ��� •d �e u,,,,,ii � 4 D,,, "_ o , w rlv-. .._
Comments/Discrepancy: —�
Chain of Custody Present?
Ycs
❑No
❑N/A
1.
Samples Arrived within Hold Time?
es
ONO
❑N/A
2.
Short Hold Time Analysis (02 hr.)?
. —Yes
[]No
❑N/A
3.
Rush Turn Around Time Requested?
❑Yes
❑No
-2tq-/A
4.
Sufficient Volume?
es
❑No
❑N/A
S.
Correct Containers Used?
-Pace Containers Used?
-In-yes
es
❑Na
❑No
❑N/A
❑N/A
6.
Containers Intact?
,,E5Yes
[]No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
[:)No
I�ntA
B.
Sample Labels Match COC?
-Includes Date/Time/ID/Analysis Matrix:
Yes
W—T
❑No
❑N/A
9.
in VOA Vials (>S-6mm)?
[]Yes[-]NoIQry1A
10.
rHeadspace
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
❑Yes
[]No
[]No
N/A
/n
11.
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Qualtrax ID: 69614
Lot ID of split containers:
Date/Time.
Field Data Required? ❑Yes ❑No
Date:
Date:
Page 1 of 2
Page 15 of 17

1 /fry _ _ I "`'ff—i itte: Ctvv-rmm-nury i-uuo3 vuc_zi,ample conaltfon upon Kecelpt
DocuSign Envelope ID: 1AC346DE-6112-480C-AF72-160AB0096CED
Effective Date: 11/14/2022
`Check mark top half of box if pH and/or dechlorination is verified and
within the acceptance range for preservation samples.
Exceptions: VOA, Coliform, TOC, Oil and Grease, DRO/8015 (water) DOC. LLHg
"Bottom half of box is to list number of bottles
***Check all unpreserved Nitrates for chlorine
Project t# ^ WO# : 92686316
PM: MWB Due Date: 09/21/23
CLIENT: 92-Greener
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pH Adjustment Log for Preserved Samples
Sample ID
Type of Preservative
pH upon receipt
Date preservation adjusted
Time preservation
adjusted
Amount of Preservative
added
lot #
>• �N�• �x o ,c�uug n�, u1 a1 Vnno cvnlpndnce 5dmples, d copy or cnls Corm will oe sent to the North Carolina DENR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Qualtrax ID. 69614 Page 2 of 2 Page 16 of 17

CHAIN -OF -CUSTODY 1 Analytical Request Document
ace The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Submitting a sample via this chain of custody constitutes acknowledgment and acceptance of the Pace Terms and Conditions found at https://info.pacclabs-com/hubfs/pas-standard-terms.pdf,
Section A Section B Section C
Required Client Information: Required Project Information: Invoice Information: Page : 1 Of 1
Company: Greener EHS Solutions Report To: Amanda Grenier Attention:
Address: 338 Pea Ridge Road Copy To: Company Name:
New Hill. NC 27562
Address:
Regulatory Agency
Email: [e-mail] Purchase
Order k:
Pace Quote:
Phone: [phone] JFax Project
Name: Forest Lake- Monthly
Pace Project Manager: [e-mail],
State! Location
Requested Due Date: Project
#:
Pace Profile It: 14849-8
NC
Requested
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