WQ0004972_Monitoring - 10-2023_20231201

Monitoring Report Submittal
Permit Number#* WQ0004972
Name of Facility:* Forest Lake RV WWTP
Month: * October Year: * 2023
Report Information
Type* Upload Document*
NDMR, NDAR-1, NDAR-2, NDMLR 2023_October_Monthly_ Report_WQ0004972.pdf 502.32KB
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:
Date of submittal: 12/1/2023
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: 12/5/2023

DocuSign Envelope ID: 6COE6728-OA08-44E1-B870-CCC3DE3F3C75
I-- IVON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: •11149
•
D.
October
1
irrigation
• occur
at this facility'?
. ..
. ..
. ..
. ..
■ NO
Hourly Rate (in):
Hourly Rate (in):
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
Field Irrigated?
111111MIN
Nil
Nil
mill
in
in
in
Monthly ..• .®'��j��������j��j���j��j
12 Month Floating Total (irs
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DocuSign Envelope ID: 6COE6728-OA08-44E1-B870-CCC3DE3F3C75
Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant
Were adequate measures taken to prevent effluent ponding in or runoff from the sites? E Compliant ❑ Non -Compliant
Was a suitable vegetative cover maintained on all sites as specified in your permit? E Compliant ❑ Non -Compliant
Were all setbacks listed in your permit maintained for every application to each permitted site? E Compliant ❑ Non -Compliant
Were all freeboards maintained in accordance with the specified freeboard heights in your permit? E 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 O No
Phone Number: 312-279-1400 Permit Exp.: 10/31/27
12/1/23
12/1/2023 I
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
is

DocuSign Envelope ID: 6COE6728-OA08-44E1-B870-CCC3DE3F3C75
Permit No.: WQ0004972
Facility Name: Forest Lake Preserve ELS
County: Davie
Month: October
Year: 2023
PPI: 001
Flow Measuring Point: ❑ Influent 0 Effluent ❑ No flow generated
Parameter Monitoring Point: ❑ Influent ❑ Effluent ElGroundwater Lowering El Surface Water
Parameter Code 0
50050
00400
50060
1 70300
00530
00310
31616
00600
00610
00625
00630
00620
00615
00665
00940
f7R
QV dE
C
H£
O
O
ca
O N
F-
>
yO O
N
a CO
'0
a
CL
F- N !n
O
CO
c
LL
W )
a
O
R
O
E
t
y
YQ
zo
0
z
WO
3
`L
U)F-
sz
a
:L2
OQ
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
25,739
2
08:00
5
32,845
6.4
0.7
3
08:00
5
23,187
6.2
1.3
4
08:00
5
23,889
6
2.7
5
08:00
5
24,021
6.8
3.1
6
08:00
5
22,264
6.2
3.5
7
26,275
8
24,323
9
08:00
5
22,487
6.5
0.3
10
08:00
5
23,818
6.6
4
381
15.4
2.9
19
23.9
0.23
2.9
21
21
<0.4
12.6
11
08:00
5
19,521
6.9
3.4
12
10:45
2
18,256
6
0.2
13
09:15
1.25
24,901
6.8
0.2
14
23,344
15
36,476
16
08:00
5
32,989
6.7
0.6
17
08:00
5
23,660
6.6
1.3
18
08:00
5
19,923
5.9
1.7
19
08:00
5
31,750
6.3
2.3
20
08:00
5
21,123
6
3.4
21
34,896
22
23,585
23
08:00
5
25,301
6.1
1.2
24
08:00
5
26,690
6
1.4
25
08:00
5
20,341
6.3
2.6
26
08:00
5
21,535
6.4
2.3
27
08:00
5
25,068
7
3.1
28
24,765
29
25,814
30
32,139
7.2
1.4
311
08:00
5
28,862
7.3
2.3
Average:
25,477
1.95
381.00
15.40
2.90
19.00
23.90
0.23
2.90
21.00
21.00
0.00
12.60
Daily Maximum:
36,476
7.30
4.00
381.00
15.40
2.90
19.00
23.90
0.23
2.90
21.00
21.00
0.40
12.60
Daily Minimum:
18,256
5.90
0.20
381.00
15.40
2.90
19.00
23.90
0.23
2.90
21.00
21.00
0.40
12.60
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: 6COE6728-OA08-44E1-B870-CCC3DE3F3C75
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 0 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.
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 El No
Phone Number: 312-279-1400 Permit Expiration: 10/31/2027
air
12/1/2023 1 6
12�1�23
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
By,