WQ0004972_Monitoring - 12-2023_20240130

Monitoring Report Submittal
Permit Number#*
Name of Facility:*
Month: * December
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_December_Monthly_Report_WQ004972 1.55M 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
ollow ada e*Aw t
1 /30/2024
This will be filled in automatically
Reviewer: Wanda.Gerald

Is the project number correct?* W00004972
Is the monitoring report accepted?* Yes NO
Regional Office* Winston-Salem
Reviewer: _anonymous
Review Date: 2/26/2024

DocuSign Envelope ID: 84-7C2B-4F01-AFB9-9D154DCFD7B2 I Uo-IniON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of
Permit No.: Q11149
• -
D.
December
irrigation
• occur
at this facility?
. ..
. ..Cover
Crop:.
..
NO
1Hourly
Rate (in):
Hourly Rate (in):,
Hourly Rate (in):
Annual Rate (in):.:Annual
Rate (in):
Annual Rate (in):
Annual Rate (in):
Field Irrigated?
Field Irrigated?
Field Irrigated?
Field Irrigated?
in
Monthly Loading:12
Month Floating Total (in):

DocuSign Envelope ID: 84-7C2B-4F01-AFB9-9D154DCFD7B2 I uo-IniON-DISCHARGE APPLICATION REPORT (NDAR-1) Page of

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
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? ❑ 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.
Freeboard was 1.5 ft on 12/28/2023 and 1.2 ft on 12/29/23 due to high flows and rainfall. The permit owner was notified and irrigation was done once the fields dried out to bring the freeboard back to above 2 ft.
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 0 No
Phone Number: 312-279-1400 Permit Exp.: 10/31/27
1/30/2024r�t.
CAJepv, 1/30/2024 1 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
M

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
Permit No.: WQ0004972
Facility Name: Forest Lake Preserve ELS
County: Davie
Month: December
Year: 2023
PPI: 001
Flow Measuring Point: ❑ Influent 0 Effluent El No flow generated
Parameter Monitoring Point: Influent O Effluent El Groundwater Lowering El Surface Water
Parameter Code - 0
50050
00400
50060
70300
00530
00310
31616
00600
00610
00625
00630
00620
00615
00665
00940
Q
V6 ~m
~OO
E a
0
LLCL
h U
y Z
a
2
Lnn
f
a
cc a
c
N <n
p
CO
_
LL
U
Z
0
E
Q
t
°
aa
Y
Z
o
F-
R
_
Z
m
° �Oac
NVl
sO
a
ULd
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
21,564
6.2
1.8
2
28,771
3
23,778
4
07:00
5
33,248
6.45
1.6
5
08:00
5
18,226
6.21
0.6
6
08:00
5
30,746
6.43
0.5
7
08:00
5
26,357
6.11
0.6
8
08:00
5
22,680
6.14
1.2
9
17,507
10
25,638
11
08:00
5
70,243
6.25
0.6
12
08:00
5
31,603
6.16
1.9
13
08:00
5
25,991
6.18
1.2
14
08:00
5
27,930
6.15
1.4
15
08:00
5
28,971
6.05
0.2
16
23,337
17
28,888
18
08:00
5
59,442
6.27
0.2
19
08:00
5
6,539
6.34
1.4
20
08:00
5
25,562
6.11
0.3
21
08:00
5
31,564
6.26
1.8
269
115
23.5
10
52.8
14
24.4
28.4
7.3
22
08:00
5
23,805
6.24
2.1
23
23,718
24
17,384
25
Holiday
31,070
Holiday
26
Holiday
23,011
Holiday
27
Holiday
76,019
Holiday
28
08:00
5
50,521
6.69
1.6
29
08:00
5
29,570
6.35
1.4
30
25,239
31
31,370
Average:
30,332
1.13
269.00
115.00
23.50
10.00
52.80
14.00
24.40
28.40
7.30
Daily Maximum:
76,019
6.69
2.10
269.00
115.00
23.50
10.00
52.80
14.00
24.40
28.40
7.30
Daily Minimum:
6,539
6.05
0.20
269.00
115.00
23.50
10.00
52.80
14.00
24.40
28.40
7.30
Sampling Type:
Monthly Avg. Limit:
Daily Limit:
Sample Frequency:
Continuous
5x/Week
5X/Week
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
3X/year

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
Sampling Person(s)
Certified Laboratories
Name: Amanda Grenier
Name: Sam Perry
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 El 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, December 21 , 2023 - Phosphorus, TKN, and Ammonia, M1 - Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.TSS, D6 -
The precision between the sample and sample duplicate exceeded laboratory 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
fir' t. �w 4 1/30/2024
1/30/2024
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: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
January 09, 2024
Amanda D. Grenier
Greener EHS Solutions
21 Selby Ct.
Holly Springs, NC 27540
RE: Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
Dear Amanda Grenier:
Enclosed are the analytical results for sample(s) received by the laboratory on December 21, 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 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
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: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
Analytes
Lab ID Sample ID
Method
Analysts
Reported
Laboratory
92705282001 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
KO
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
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: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
Sample: EFFLUENT GRAB Lab ID: 92705282001 Collected: 12/21/23 12:35 Received: 12/21/23 14:55 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
10.0 CFU/100 mL 1.0
1
12/21/23 15:57 12/22/23 14:08
2540C Total Dissolved Solids
Analytical Method: SM 2540C-2015
Pace Analytical Services -Asheville
Total Dissolved Solids
269 mg/L 25.0
1
12/22/23 10:38
2540D Total Suspended Solids
Analytical Method: SM 2540D-2015
Pace Analytical Services -Asheville
Total Suspended Solids
115 mg/L 31.2
1
12/27/23 12:08
5210B BOD, 5 day
Analytical Method: SM 521OB-2016
Pace Analytical Services -Asheville
BOD, 5 day
23.5 mg/L 2.0
1
12/22/23 14:37 12/27/23 11:40
Total Nitrogen Calculation
Analytical Method: TKN+NO3+NO2 Calculation
Pace Analytical Services -Asheville
Total Nitrogen
52.8 mg/L 0.040
1
01/09/24 08:20
350.1 Ammonia
Analytical Method: EPA 350.1 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Ammonia
14.0 mg/L 0.50
5
01/06/24 06:19 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
24.4 mg/L 2.5
5
01/08/24 14:51 01/09/24 05:25 7727-37-9
353.2 Nitrogen, NO2/NO3 unpres
Analytical Method: EPA 353.2 Rev 2.0 1993
Pace Analytical Services -Asheville
Nitrogen, Nitrate
28.4 mg/L 0.40
10
12/21/23 23:29 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
7.3 mg/L 0.15
3
01/05/2413:40 01/08/2411:01 7723-14-0
Date: 01/09/2024 08:22 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 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 821311 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: 92705282001
METHOD BLANK: 4250844 Matrix: Water
Associated Lab Samples: 92705282001
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Fecal Coliforms CFU/100 mL ND 1.0 12/22/23 14:08
SAMPLE DUPLICATE: 4250845
Parameter
Fecal Coliforms
92705282001 Dup
Units Result Result RPD Qualifiers
CFU/100 mL 10.0 ND
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC.
Page 5 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 821398 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: 92705282001
METHOD BLANK: 4251194
Associated Lab Samples: 92705282001
Parameter
Units
Total Dissolved Solids
mg/L
LABORATORY CONTROL SAMPLE:
4251195
Parameter
Units
Total Dissolved Solids
mg/L
SAMPLE DUPLICATE: 4251341
Parameter
Units
Total Dissolved Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 25.0 12/22/23 10:36
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 262 105 90-110
92705156001 Dup
Result Result RPD Qualifiers
61.0 56.0 9
SAMPLE DUPLICATE: 4251342
92705282001 Dup
Parameter Units Result Result
Total Dissolved Solids mg/L 269 269
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: 01 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 821952 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: 92705282001
METHOD BLANK: 4253573
Associated Lab Samples: 92705282001
Parameter
Units
Total Suspended Solids
mg/L
LABORATORY CONTROL SAMPLE:
4253574
Parameter
Units
Total Suspended Solids
mg/L
SAMPLE DUPLICATE: 4253691
Parameter
Units
Total Suspended Solids
mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.5 12/27/23 11:55
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
250 226 90 90-110
92705218003 Dup
Result Result RPD Qualifiers
2960 2980 1
SAMPLE DUPLICATE: 4253692
92705227001 Dup
Parameter Units Result Result
Total Suspended Solids mg/L 1050 585
RPD Qualifiers
57 D6
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 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 821467 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: 92705282001
METHOD BLANK: 4251449
Associated Lab Samples: 92705282001
Parameter Units
BOD, 5 day mg/L
LABORATORY CONTROL SAMPLE: 4251451
Parameter Units
BOD, 5 day mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 2.0 12/27/23 11:09
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
198 210 106 84.6-115
SAMPLE DUPLICATE: 4251452
92705305002 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: 01 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 823864 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: 92705282001
METHOD BLANK: 4262034
Associated Lab Samples: 92705282001
Parameter Units
Nitrogen, Ammonia mg/L
LABORATORY CONTROL SAMPLE: 4262035
Parameter Units
Nitrogen, Ammonia mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.10 01 /06/24 04:12
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
5 4.9 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4262036 4262037
MS MSD
92706635001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 38.5 5 5 43.0 43.4 89 97 90-110 1 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4262038 4262039
MS MSD
92706635002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Ammonia mg/L 27.2 5 5 31.8 31.9 92 94 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 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC.
Page 9 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 824033 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: 92705282001
METHOD BLANK: 4262523
Associated Lab Samples: 92705282001
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
LABORATORY CONTROL SAMPLE: 4262524
Parameter Units
Nitrogen, Kjeldahl, Total mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.50 01 /09/24 03:54
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
10 9.5 95 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4262525 4262526
MS MSD
92705349001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 24.3 10 10 36.4 34.2 121 99 90-110 6 M1
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4262527 4262528
MS MSD
92705351001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/L 2.5 10 10 12.9 13.2 104 108 90-110 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: 01 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC.
Page 10 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 821342 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: 92705282001
METHOD BLANK: 4251049
Associated Lab Samples: 92705282001
Parameter Units
Nitrogen, Nitrate mg/L
LABORATORY CONTROL SAMPLE: 4251050
Parameter Units
Nitrogen, Nitrate mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.040 12/21 /23 23:04
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
1.5 1.5 98 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4251051 4251052
MS MSD
92705238001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Nitrate mg/L 23.7 1.5 1.5 25.6 26.3 124 175 90-110 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: 01 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC.
Page 11 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2 Pace Analytical Services, LLC
�aceo 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
QC Batch: 823702 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: 92705282001
METHOD BLANK: 4260934
Associated Lab Samples: 92705282001
Parameter Units
Phosphorus mg/L
LABORATORY CONTROL SAMPLE: 4260935
Parameter Units
Phosphorus mg/L
Matrix: Water
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.050 01 /08/24 10:40
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
2.5 2.6 103 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4260936 4260937
MS MSD
92704967001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 7.8 2.5 2.5 10.3 10.3 98 99 90-110 0
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 4260938 4260939
MS MSD
92705130001 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/L 6.7 2.5 2.5 8.3 8.8 65 83 90-110 5 M1
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 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC.
Page 12 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
aceo
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
QUALIFIERS
Project: FOREST LAKE -MONTHLY
Pace Project No.: 92705282
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
D6 The precision between the sample and sample duplicate exceeded laboratory control limits.
M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 01 /09/2024 08:22 AM without the written consent of Pace Analytical Services, LLC. Page 13 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
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
92705282
Analytical
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Batch
92705282001
EFFLUENT GRAB
SM 9222D-2015
821311
SM 9222D-2015
821312
92705282001
EFFLUENT GRAB
SM 254OC-2015
821398
92705282001
EFFLUENT GRAB
SM 2540D-2015
821952
92705282001
EFFLUENT GRAB
SM 521 OB-2016
821467
SM 521 OB-2016
821563
92705282001
EFFLUENT GRAB
TKN+NO3+NO2
824212
Calculation
92705282001
EFFLUENT GRAB
EPA 350.1 Rev 2.0 1993
823864
92705282001
EFFLUENT GRAB
EPA 351.2 Rev 2.0 1993
824033
EPA 351.2 Rev 2.0 1993
824187
92705282001
EFFLUENT GRAB
EPA 353.2 Rev 2.0 1993
821342
92705282001
EFFLUENT GRAB
EPA 365.1 Rev 2.0 1993
823702
EPA 365.1 Rev 2.0 1993
823767
Date: 01/09/2024 08:22 AM
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

�J I DG#_Title: ENV-PRIM-HUN1-UU83 vU3_5ample Condition Upon Kecelpt
DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
NvvI Effective Date: 11/29/2023 4:16:30 PM
Laboratory receiving samples:
Asheville ❑ Eden❑ Greenwood ❑ Huntersville Raleigh❑ Mechanicsville❑ Atlanta) —I kor..o-�••;�I^n
ConditionSample Client LC
NamWO#:92705282
Upon Receipt U-\e'�A� ������(�S Project #:
Courier. LJ Fed Ex Li UPS U USPS Client III II' II III II I IIIII III
❑ Commercial DPace ❑ Other: 92705282
I
Custody Seal Present? ❑Yes '23No Seals Intact? ❑Yes [SNo ❑N/A 1
Date/Initials Person Examining Contents:
Packing Material: Bubble Wrap ❑ Bubble Bags ❑ None ❑ Other Biologi 1 Tissue Frozen?
Thermometer: ( ❑Yes KNo ❑N/A
❑ IR Gun ID: ' ZIvo Type of Ice: [ .Net ❑Blue ❑None
Correction Factor:
Cooler Temp: �O 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 ( 09 N/A, water sample)
Did samples originate in a quarantine zone within the United States: CA, NY, or SC Did samples originate from a foreign source (internationally,
Irhrrk man%1?F— YPc Fa No includine Hawaii and Puerto Ricol? ❑Yes �iINo
Comments/Discrepancy:
Chain of Custody Present?
'SYes
❑ No
3 N/A
1.
Samples Arrived within Hold Time?
13Yes
❑ No
❑ N/A
2.
Short Hold Time Analysis (<72 hr.)?
Yes
❑ No
❑ N/A
3.
Rush Turn Around Time Requested?
❑ Yes
Q)No
❑ N/A
4.
Sufficient Volume?
I&Yes
❑ No
❑ N/A
5.
Correct Containers Used?
-Pace Containers Used?
0Yes
Yes
❑No
❑ No
❑N/A
❑ N/A
6.
Containers Intact?
B-Nes
❑ No
❑ N/A
7.
Dissolved analysis: Samples Field Filtered?
❑Yes
[I No
/A
8.
Sample Labels Match COC?
-Includes Date/-rime/ID/Analysis Matrix:
`'F3Yes
W
❑No
[I N/A
9.
Headspace in VOA Vials (>5-6mm)?
❑ Yes
❑ No
N/A
10.
Trip Blank Present?
Trip Blank Custody Seals Present?
❑Yes
❑ Yes
El No
❑ No
TN/A
/A
11.
COMMENTS/SAMPLE DISCREPANCY
CLIENT NOTIFICATION/RESOLUTION
Person contacted:
Project Manager SCURF Review:
Project Manager SRF Review:
Lot ID of split containers:
Date/Time:
Date:
Date:
Field Data Required? U Yes U No
Qualtrax ID: 69614 Paae 1 of 2
Page 15 of 17

DocuSign Envelope ID: FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
I I
`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
Prniact9 WO# : 92705282
PM: MWB Due Date: 01/09/24
CLIENT: 92—Greener
Z
u
W
Z
v
V
1
Z
v
0
a
1'
u
_
v
a
O
v
C
O
*a
r7
u
iu
�
` I
!
v �_
Z
V
Z
W
v G
v
—
Z
v
Z
2
J
-_ r
r7 Z
12
r
ZVVvim.
�
Z
Z
Z
n
�
'
y
Z
v
ii
7
a.
a
O
o
c
0.
E
C
N
E
O
2
a
E
¢
Z
N
E
O
Z��
7
E
10
v
C
D
?
V
D
E
C
O O
E .O
Q E
,,
N
x
C
E
S 17
Z
D
E
?
i,J
Q
O
>
£
O
N
m
q
O
c
6
c
C
O
>
E
O
m
C
O
>
E
=
7
x
> q
a
m y
a yr
`°
S
a
ry
Z
=
aJr
E
Q
o
A
-E
O
E
E
.NiN
as
a
m
V1
a
m
,`a,
eiN
7
a
m
In
a
m
Z
a
m
N
s
m
r0
a
m
W
3
::
(-NVI
t.7
¢
°:
=
r7
a
p a!
7 N
.i
t7 t?
a a
Vf
rn
t0
a
E
O
M
l9
o
OO
=
Cr
L9
o
!-
�
t7
>
7
M
>
O
>jrn
M
o
E
O
a
x
E
a
> In
[-E
Nej
a
m
ID
Q
E
vvii�m
>
E
n
�
`\
2
N\N
3
5
I
\
N
1:
\\-
_VN6
�
N\NN
\
I
\j
E
Nv
i
-
-
-\
N
I I
I
Nj
I
10
11
t�
\\
Nil
`.-_I
L\
I
\
_
NN
..
-
5ample ID I Type of Preservative
pH Adjustment Log for Preserved Samples
eceipt Date preservation adjusted Time preservalicn Amount of Preservative Lot p
adjusted I added T —
Note whenever there Is a discrepancy affecting ?forth Carolina consoliance 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.
Qualtrax ID 69,314
Page 2 of 2
Page 16 of 17

Doc uSic
S'
d
a
O
n
n
0
a
a
m
z
5
3
O
A
0
0
I�
to
o
N
W
O
n Envelope
ID:
FOAF6A84-7C2B-4F01-AFB9-9D154DCFD7B2
"
o
I
'o w
O
o
-+ n
p
o
A
n
3
n
3
n
3
3
3. =
n M
-
_
.. 0 3
oCb
n
N
v
.�.
g
x D
v
n
o
g
a
2
f
<
<
_
F
a
G1
°c
$
n
ti
C •
•
r
F
o
a
5
- c
goo
v
o
v
v
\
v
o
_ o_ _
m 3
3
3
3
c
�
=
_ a
>v m m
=
D
m
m
D
�p
O
—_
= ..
9p
S z
1
3 0
-
°
m
w
"-
o
a
c
•
O C
—
e
g
71
c
N
n
D n
S 1Cn
4
° -
> v
D
0 7
A
R
_ 2 n
°
° °fu
s
z
O
i
o
n
3
n
3
3
3
3
71
o
o
o Ol
_
_
n
3
0
ii
a z
` _
"
3
m
S
I
Ammonia/ T. Phos
r
a �a
BOD 5-day
D
n
Fecal Coliform MF, M-FC
NitrateQ.
i
p
TDS
d
q
n
N3
m
.ma
TSS
3
N
-
Co m
Total Nitrogen & TKN
C
rt
a
_
y
>
lS
g
`S1
0 0
o
N �
O
O
ro
n O.
z
m
^1
3
Lab
Use Only
g
K 3°
o-
O
3
V
?
v 1
3
y ,°.,
m o
`
Preservation non.c°nformance
identirted for
- -_
sample.

2023_December Monthly_Report_WQ004972
for signature
Final Audit Report 2024-01-30
Created: 2024-01-30
By: Amanda Grenier ([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAAz1xhC2rQalc_68X581OUjgXOgzNdQmmh
"2023_December_Monthly_Report_WQ004972 for signature" Hi
story
Document created by Amanda Grenier ([e-mail])
2024-01-30 - 10:37:54 PM GMT
Document emailed to Sam Perry ([e-mail]) for signature
2024-01-30 - 10:38:00 PM GMT
Email viewed by Sam Perry ([e-mail])
2024-01-30 - 10:39:54 PM GMT
Document e-signed by Sam Perry ([e-mail])
Signature Date: 2024-01-30 - 10:43:52 PM GMT - Time Source: server
Agreement completed.
2024-01-30 - 10:43:52 PM GMT
a Adobe Acrobat Sign