WQ0004972_Monitoring - 11-2023_20231223

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * November
Report Information
WQ0004972
Forest Lake RV WWTP
Type *
NDMR, NDAR-1, NDAR-2, NDMLR
Confirmation Email Address: *
Name of Submitter: *
Signature:
Date of submittal:
Initial Review
Year:* 2023
Upload Document*
2023_November_Monthly_WQ0004972 1.53M B
complete.pdf
PDF Only
Please upload one PDF containing all applicable monitoring reports
(i.e., NDMR, NDAR-1, NDAR-2, NDMLR, GW-59).
[e-mail]
Amanda Grenier
Gf•,�"a e*~Ot
12/23/2023
This will be filled in automatically
Reviewer: Wanda.Gerald

Is the project number correct?* WQ0004972
Is the monitoring report accepted?* Yes No
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 1/10/2024

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
Permit No.: WQ0004972
Facility Name: Forest Lake Preserve ELS
County: Davie
Month: November
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
oR
QVdE
o
C
H£
O
O
c
O
�
>
O O
N
La co
'o
a
CL
F- N !n
rnn
O
m
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W )
a
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R
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a
t
y
Q
w
az
0
zz
z
Z
WO
3L
U)�
0
s
a
:2
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
08:00
5
38,079
7.2
2.6
2
08:00
5
34,220
7.1
2.7
3
08:00
5
37,694
6.9
0.9
4
31,952
5
22,156
6
08:00
5
28,973
6.9
0.3
7
08:00
5
22,382
7
2.4
8
08:00
5
21,784
6.8
2.6
9
08:00
5
26,498
6.8
4.1
10
HOLIDAY
17,651
H
H
11
3,064
12
28,523
13
08:00
5
26,591
6.9
2
14
08:00
5
20,969
6.2
1.4
15
08:00
5
17,499
6
0.7
402
50.5
8.5
3200
33.8
0.64
6.7
27.1
27.1
<0.4
11.6
58.5
16
08:00
5
20,849
6.2
2.6
17
08:00
5
21,856
6.2
0.7
18
24,780
19
21,486
20
08:00
5
24,697
6.4
0.4
21
08:00
5
27,994
6.3
1.7
22
08:00
5
40,440
6.1
1.3
23
HOLIDAY
31,196
H
H
24
Holiday
24,722
H
H
25
29,598
26
29,638
27
08:00
5
31,049
6.4
1.2
28
08:00
5
30,446
6.2
1.7
29
08:00
5
33,429
5.9
1.4
30
08:00
5
32,277
6.4
1.6
31
Average:
26,750
1.47
402.00
50.50
8.50
3,200.00
33.80
0.64
6.70
27.10
27.10
0.00
11.60
58.50
Daily Maximum:
40,440
7.20
4.10
402.00
50.50
8.50
3,200.00
33.80
0.64
6.70
27.10
27.10
0.40
11.60
58.50
Daily Minimum:
3,064
5.90
0.30
402.00
50.50
8.50
3,200.00
33.80
0.64
6.70
27.10
27.10
0.40
11.60
58.50
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: 4D01AB77-3CCC-4F66-A065-C201147C2550
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. Lab
Qualifiers, 11/15/23 on Phosphorus, TKN, and Chloride, M1 - Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. Also on Phosphorus, 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 El No
Phone Number: 312-279-1400 Permit Expiration: 10/31/2027
' 12/22/23
�=-- 12/21/2023 I 2
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
19

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
I-- IVON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: Q11149
•
D.vie
Month: November1
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?
loll
mmmm'mmm
mmm
mmmm
I
in
in
Monthly •.• .
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111�j���j�/�j���j�%
1 11j���j���j����j
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12 Month Floating Total (irs

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
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
' 12/22/23
12/21/2023
Sa erry (D 22, 2023 11:12 EST)
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
2:

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
December 01, 2023
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
Dear Amanda Grenier:
Enclosed are the analytical results for sample(s) received by the laboratory on November 15, 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]
704-977-0942
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 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
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
Virginia/VELAP Certification #: 460221
South Carolina Laboratory ID: 99030
South Carolina Certification #: 99030001
Virginia/VELAP 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 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92698903001 EFFLUENT GRAB
SM 9222D-2015
KDF
1
PASI-C
SM 2540C-2015
JAY
1
PASI-A
SM 2540D-2015
JAY
1
PASI-A
SM 521OB-2016
ABB
1
PASI-A
TKN+NO3+NO2 Calculation
KDF1
1
PASI-A
EPA 350.1 Rev 2.0 1993
NCF
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 365.1 Rev 2.0 1993
MFO
1
PASI-A
SM 4500-CI-E-2011
KDF1
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 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
Sample: EFFLUENT GRAB
Lab ID: 92698903001 Collected: 11/15/23
12:00
Received: 11/15/23 12:15 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
3200 CFU/100 mL 1.0
1
11/15/23 16:34 11/16/23 14:55
2540C Total Dissolved Solids
Analytical Method: SM 254OC-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
402 mg/L 25.0
1
11/17/23 10:33
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services -Asheville
Total Suspended Solids
50.5 mg/L 12.5
1
11/20/23 12:51
5210B BOD, 5 day
Analytical Method: SM 521OB-2016
Pace Analytical Services -Asheville
BOD, 5 day
8.5 mg/L 2.0
1
11/16/23 16:54 11/21/23 12:09
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
33.8 mg/L 0.040
1
11/30/23 14:15
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
0.64 mg/L 0.10
1
11/30/23 05:39 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
6.7 mg/L 0.50
1
11/29/23 16:58 11/30/23 05:52 7727-37-9
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
27.1 mg/L 0.40
10
11/16/23 00:04 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
11.6 mg/L 0.25
5
11/30/23 19:23 12/01/23 01:25 7723-14-0
4500 Chloride
Analytical Method: SM 4500-CI-E-2011
Pace Analytical Services -Asheville
Chloride
58.5 mg/L 3.0
3
11/29/2313:59 16887-00-6 M1
Date: 12/01 /2023 08:27 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 4 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 813569 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: 92698903001
METHOD BLANK: 4212334 Matrix: Water
Associated Lab Samples: 92698903001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 11/16/23 14:55
SAMPLE DUPLICATE: 4212335
Parameter
Fecal Coliforms
92698901004 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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC.
Page 5 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 814024 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: 92698903001
METHOD BLANK: 4214348
Associated Lab Samples: 92698903001
Parameter
Units
Total Dissolved Solids
mg/L
LABORATORY CONTROL SAMPLE:
4214349
Parameter
Units
Total Dissolved Solids
mg/L
SAMPLE DUPLICATE: 4214350
Parameter
Units
Total Dissolved Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 11 /17/23 10:30
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 252 101 90-110
92698683014 Dup
Result Result RPD Qualifiers
708 707 0
SAMPLE DUPLICATE: 4214351
92699055002 Dup
Parameter Units Result Result
Total Dissolved Solids mg/L 808 808
RPD Qualifiers
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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 814296 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: 92698903001
METHOD BLANK: 4216181
Associated Lab Samples: 92698903001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
4216182
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 4216792
Parameter
Units
Total Suspended Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 11 /20/23 12:48
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 238 95 90-110
92698825003 Dup
Result Result RPD Qualifiers
2740 2640 4
SAMPLE DUPLICATE: 4216793
92698931001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 4170 4130
RPD Qualifiers
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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 813829 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: 92698903001
METHOD BLANK: 4213532
Associated Lab Samples: 92698903001
Parameter Units
BOD, 5 day mg/L
LABORATORY CONTROL SAMPLE: 4213534
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 11/21/2311:01
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 188 95 84.6-115
SAMPLE DUPLICATE: 4213535
92698823002 Dup
Parameter Units Result Result
BOD, 5 day mg/L ND ND
RPD Qualifiers
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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 816226 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: 92698903001
METHOD BLANK: 4224999
Associated Lab Samples: 92698903001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 4225000
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 11 /30/23 04:37
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 4.9 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4225001 4225002
MS MSD
92698901003 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 4.6 4.6 92 92 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4225003 4225004
MS MSD
92698901004 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 4.7 4.7 94 94 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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC.
Page 9 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 816054 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: 92698903001
METHOD BLANK: 4223818
Associated Lab Samples: 92698903001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
LABORATORY CONTROL SAMPLE: 4223819
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 11 /30/23 05:48
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
10 10.4 104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4223820 4223821
MS MSD
92699840003 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 0.68 10 10 12.3 11.7 117 111 90-110 5 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4223822 4223823
MS MSD
92699840004 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 0.82 10 10 11.6 11.5 107 107 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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC.
Page 10 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 813618 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: 92698903001
METHOD BLANK: 4212596
Associated Lab Samples: 92698903001
Parameter Units
Nitrogen, Nitrate mg/L
LABORATORY CONTROL SAMPLE: 4212597
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 11 /15/23 23:43
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
1.5 1.5 100 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4212598 4212599
MS MSD
92698744001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 0.074 1.5 1.5 1.5 1.5 98 98 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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC.
Page 11 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 816370 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: 92698903001
METHOD BLANK: 4225495
Associated Lab Samples: 92698903001
Parameter Units
Phosphorus mg/L
LABORATORY CONTROL SAMPLE: 4225496
Parameter Units
Phosphorus mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.050 11 /30/23 23:50
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.6 104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4225497 4225498
MS MSD
92698901001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.11 2.5 2.5 2.6 2.6 99 98 90-110 1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4225499 4225500
MS MSD
92698901002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 0.071 2.5 2.5 2.6 2.3 99 89 90-110 11 M1,R1
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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC.
Page 12 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
QC Batch: 815974 Analysis Method: SM 4500-CI-E-2011
QC Batch Method: SM 4500-CI-E-2011 Analysis Description: 4500 Chloride
Laboratory: Pace Analytical Services -Asheville
Associated Lab Samples: 92698903001
METHOD BLANK: 4223384
Associated Lab Samples: 92698903001
Parameter Units
Chloride mg/L
LABORATORY CONTROL SAMPLE: 4223385
Parameter Units
Chloride mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 1.0 11 /29/23 13:56
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
20 20.1 101 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4223386 4223387
MS MSD
92698903001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 58.5 10 10 64.9 65.2 63 66 90-110 0 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4223388 4223389
MS MSD
92699488001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Chloride mg/L 25.8 10 10 35.0 35.1 92 93 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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC.
Page 13 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: FOREST LAKE-NOVEMBER
Pace Project No.: 92698903
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
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: 12/01 /2023 08:27 AM without the written consent of Pace Analytical Services, LLC. Page 14 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
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-NOVEMBER
92698903
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92698903001
EFFLUENT GRAB
SM 9222D-2015
813569
SM 9222D-2015
813570
92698903001
EFFLUENT GRAB
SM 254OC-2015
814024
92698903001
EFFLUENT GRAB
SM 2540D-2015
814296
92698903001
EFFLUENT GRAB
SM 521 OB-2016
813829
SM 521 OB-2016
813899
92698903001
EFFLUENT GRAB
TKN+NO3+NO2
816444
Calculation
92698903001
EFFLUENT GRAB
EPA 350.1 Rev 2.0 1993
816226
92698903001
EFFLUENT GRAB
EPA 351.2 Rev 2.0 1993
816054
EPA 351.2 Rev 2.0 1993
816244
92698903001
EFFLUENT GRAB
EPA 353.2 Rev 2.0 1993
813618
92698903001
EFFLUENT GRAB
EPA 365.1 Rev 2.0 1993
816370
EPA 365.1 Rev 2.0 1993
816576
92698903001
EFFLUENT GRAB
SM 4500-CI-E-2011
815974
Date: 12/01 /2023 08:27 AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 15 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550 , )2 -$ample Condition Upon Receipt
'pace - - - - ---
Effective Date: 11/14/2022
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Huntersville0 Raleigh❑ Mechanicsville❑ Atlanta❑ Kernersvillel—I
SampleClient Name: /' ; i
Upon
• l e �( r_ 145 )CI I Project tt: W0# : 92698903
Courier: [—]Fed Ex ❑UPS [:]LISPS ❑Client IIIIII III II'lll II'I III
❑ Commercial []Pace ❑Other:
92696903 ,
Custody Seal Present? ❑Yes pNo Seals Intact? []Yes ❑No
Packing Material: ❑Bubble Wrap ❑Bubble Bags ❑None ❑ Other
Thermometer: (�
❑ IR Gun 10: �V 7U Type of Ice: cowet
(� Correction Factor:
Cooler Temp: 1 Add/Subtract ('C)
Cooler Temp Corrected (°C):
USDA Regulated Soil ( Q N/A, water sample)
Did samples originate in a quarantine zone within the United States: CA. NY, or SC
Date/initials Person Examining Contents:'/ r//z
Biological Tissue Frozen? r
[-]Yes ❑No ❑N/A
❑[clue ❑None
Temp should be above freezing to 6°C
❑Samples out of temp criteria. Samples on ice, cooling process
has begun
Did samnles oticinatp from a Fnrpivn cnurrp tintprnatinnally
(check maps)? ❑Yes ❑No
including Hawaii and Puerto Rico)? []Yes []No
Comments/Discrepancy:
Chain of Custody Present?
ZYes
❑No
❑N/A
1.
Samples Arrived within Hold Time?
E)Yes
❑No
❑N/A
2.
Short Hold Time Analysis (<72 hr.)?
QLYes
(:]No
❑N/A
3.
Rush Turn Around Time Requested?
❑Yes
PNo
[]N/A
4.
Sufficient Volume?
bYes
❑No
❑N/A
5.
Correct Containers Used?
-Pace Containers Used?
byes
PYes
[]NO
[:]No
❑N/A
❑N/A
6.
Containers Intact?
Yes
❑No
❑N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
❑No
❑$ /A
R.
Sample Labels Match COC?
-Includes Oate/Time/ID/Analysis Matrix:
Pyes
,ill.'
❑No
❑N/A
9.
Headspace in VOA Vials (>5.6mm)?
❑Yes
[]No
jjN/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
Des
[]NO
[]No
❑N/A
A
N/A
11.
COMMENTS/SAMPLE DISCREPANCY
Lot ID of split containers:
CLIENT NOT
Person contacted: Date/Time:
Project Manager SCURF Review: Date:
Project Manager SRF Review: Date:
Field Data Required? ❑Yes "No
Qualtrax ID: 69614 Page 1 of 2 Page 16 of 18

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550_ .J2 Sample Condition Upon Receipt
ace -
Effective Date: 11/14/2022
*Check mark top half of box if pH and/or dechlorination is verified and Project I
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
WO#:92698903
PM: MWB Due Date: 12/01/23
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 f1
NOW. vvnerlevel u1e1e is a discrepancy anecung North Carouna compuance samples, a copy of this form will be sent to the North Carolina DENR Certification Office (i.e.
Out of hold, incorrect preservative, out of temp, incorrect containers.
Page 17 of 18
Qualtrax ID: 69614 Page 2 of 2

DocuSign Envelope ID: 4D01AB77-3CCC-4F66-A065-C201147C2550
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—
—
Page 18 of 1
sample.
—

2023_November Monthly Report for signature
Final Audit Report 2023-12-22
Created: 2023-12-22
By: Amanda Grenier ([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAT523KPWcGOBQPpk2LVVYZVlo2tvzS31e
"2023_November_Monthly Report for signature" History
Document created by Amanda Grenier ([e-mail])
2023-12-22 - 3:42:54 PM GMT
Document emailed to Sam Perry ([e-mail]) for signature
2023-12-22 - 3:42:59 PM GMT
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2023-12-22 - 4:10:57 PM GMT
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