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C DENR I I Environmental Monitoring
Division of Waste Management - Solid Waste Reporting Form
Notice: This form and any information attached to it are "Public Records" as defined in NC General Statute 132-1. As such, these documents are
available for inspection and examination by any person upon request (NC General Statute 132-6).
Instructions:
Prepare one form for each individually monitored unit.
Please type or print legibly.
Attach a notification table with values that attain or exceed NC 2L groundwater standards or NC 2B surface water standards. The notification
must include a preliminary analysis of the cause and significance of each value. (e.g. naturally occurring, off -site source, pre-existing
condition, etc.).
Attach a notification table of any groundwater or surface water values that equal or exceed the reporting limits.
Attach a notification table of any methane gas values that attain or exceed explosive gas levels. This includes any structures on or nearby the
facility (NCAC 13B .1629 (4)(a)(i).
Send the original signed and sealed form, any tables, and Electronic Data Deliverable to: Compliance Unit, NCDENR-DWM, Solid Waste
Section, 1646 Mail Service Center, Raleigh, NC 27699-1646.
Solid Waste Monitoring Data Submittal Information
Name of entity submitting data (laboratory, consultant, facility owner):
Golder Associates NC, Inc. (on behalf of Moore County)
Contact for questions about data formatting. Include data preparer's name, telephone number and E-mail address:
Name: Benjamin S. Draper, PG Phone: (336) 852-4903
E-mail: bdraper@golder.com
NC Landfill Rule: Actual sampling dates (e.g..
Facility name: Facility Address: Facility Permit # (.0500 or .1600) October 20-24, 2006)
Moore County Landfill 456 Turning Leaf Way 63-01 .500 April 2 - 4, 2019
Aberdeen, NC 28315
Environmental Status: (Check all that apply)
Initial/Background Monitoring Detection Monitoring �X Assessment Monitoring OX Corrective Action
of data submitted: (Check all that apply)
Groundwater monitoring data from monitoring wells ❑
Groundwater monitoring data from private water supply wells 0
Leachate monitoring data ❑ Surface water monitoring data
Methane gas monitoring data
Corrective action data (specify) Monitored Natural Attenuation Data
Other(specify)
Notification attached?
No. No groundwater or surface water standards were exceeded.
X Yes, a notification of values exceeding a groundwater or surface water standard is attached. It includes a list of groundwater and surface water
monitoring points, dates, analytical values, NC 2L groundwater standard, NC 28 surface water standard or NC Solid Waste GWPS and
preliminary analysis of the cause and significance of any concentration.
Yes, a notification of values exceeding an explosive methane gas limit is attached. It includes the methane monitoring points, dates, sample
values and explosive methane gas limits.
Certification
To the best of my knowledge, the information reported and statements made on this data submittal and attachments are true and correct.
Furthermore, I have attached complete notification of any sampling values meeting or exceeding groundwater standards or explosive gas
levels, and a preliminary analysis of the cause and significance of concentrations exceeding groundwater standards. I am aware that there
are significant penalties for making any false statement, representation, or certification including the possibility of a fine and imprisonment.
Benjamin S. Draper, PG Senior Project Geologist (336) 852-4903
GOLDER
REPORT
First Semi -Annual 2019 Sampling Event
Moore County Landfill, Permit No. 63-01
Moore County, North Carolina
Submitted to:
Solid Waste Section, Division of Waste Management, NC DEQ
2090 US Highway 70
Swannanoa, NC 28778
Submitted by:
Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
On Behalf of:
Moore County, NC
+1 336 852-4903
July 30, 2019
July 30, 2019
Distribution List
0739615018
Jaclynne Drummond, Compliance Hydrogeologist, Solid Waste Section, Division of Waste Management,
NC DEQ, 2090 US Highway 70, Swannanoa, NC 28778, jaclynne.drummond@ncdenr.gov (electronic
copy only)
Randy Gould, P.E., Director, Moore County Public Works, Moore County, NC, 5227 Hwy 15-501, Carthage, NC,
28327, rgould@moorecountync.gov (hard copy & electronic copy)
Chad Beane, Solid Waste and Recycling Division Manager, Moore County, NC, 5227 Hwy 15-501, Carthage, NC,
28327, cbeane@moorecountync.gov (electronic copy)
J.W. Baucom, Landfill Manager, Moore County, NC, 5227 Hwy 15-501, P.O. Box 1927, Carthage, North Carolina,
28327 (hard copy & electronic copy)
6-01 GOLDER