7407_Pitt_CandDLandfillInc_20190927_LFG_FID1358626

DENR USE ONLY [:]Paper Report ❑Electronic Data - Email CD (data loaded: Yes / No Doc/Event #:
NC DENR 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):
Wood Environment & Infrastructure Solutions, Inc
Contact for questions about data formatting. Include data preparer's name, telephone number and E-mail address:
Name: Stephen Jeltema Phone: [phone]
E-mail: Stephen. leltema(a)woodplc.com
NC Landfill Rule: Actual sampling dates (e.g.,
Facility name: Facility Address: Facility Permit # (.0500 or .1600) October 20-24, 2006)
C&D Landfill, inc. 802 Recycling Lane 7407-CDLF-200 .0500 September 26, 2019
Greenville, NC 27834 9
Environmental Status: (Check all that apply)
Initial/Background Monitoring ❑X Detection Monitoring Assessment Monitoring Corrective Action
T e of data submitted: (Check all that apply)
Groundwater monitoring data from monitoring wells ❑X Methane gas monitoring data
Groundwater monitoring data from private water supply wells ❑ Corrective action data (specify)
Leachate monitoring data
Surface water monitoring data Other(specify)
Notification attached?
eX No. No groundwater or surface water standards were exceeded.
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 2B 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.
Sheri Knox Project Manager 919.381.9913 ,,
Facility Representative Name (Print) Title (Area Code) Telephoo u e
rZd ` Affix` is •~(S ogist Seal
Signature Date
:2 SEAL <
4021 Stirrup Creek Drive, Suite 100, Durham NC 27703 5-85
Facility Representative Address N 0, /7/0 �I
y `� .GINE�,'' o
F-1253
NC PE Firm License Number if applicable effective May 1, 2009)
Revised 6/2009

NC Division of Waste Management - Solid Waste Section
Landfill Gas Monitoring Data 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).
Facility Name: G,06,b L.IZ, l Permit Number:
Sampling Date: 1NC Landfill Rule (.0500 or. 1600):
Sample Collector Name & Position: chi -0 k- 7ee�r ; e er�
Gas Meter Type & Serial Number: Gas Meter Calibration Date: 41?1!n1
Field Calibration Date & Time:
Field Calibration Gas Type (15115or 35/50): /� Field Calibration Gas Canister Expiration Date:
Gas Meter Pump Rate: lZ 4
Ambient Air Temperature: t%` Barometric Pressure (in. or mm Hg): �G Weather Conditions: _
Instructions: Under "Location or LFG Well", list monitoring well # or describe monitoring location (e.g., inside field office).
Attach a test location map or drawing. Report methane readings as both % LEL and % CH4 by volume.
Convert % CH4 (by volume) to % LEL as follows: % methane (by volume)/20 = % LEL.
*Hydrogen Sulfide (H2S) gas monitoring may be required for Construction & Demolition Landfills (CDLFs). See
individual permit conditions and/or Facility LFG monitoring plan.
Location or
LFG Well ID
Sample
Tube
Purge
Time of
Day
Time
Pumped
(sec)
Initial
% LEL
Stabilized
% LEL
% CH4
(volume)
% 02
(volume)
% CO2
(volume)
% H2S#
(volume)
NOTES
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NOTE: If needed, attach additional data fornis to include additional LFG monitoring data locations for the facility.
ACTION LEVELS: Methane: >1.25% by volume (inside structures) AND >5% by volume (at facility boundary)
Hydrogen Sulfide: >1 % by volume (inside structures) AND >4% by volume (at facility boundary)
Certification
To the best of my knowledge, the information reported and statements made on this data submittal and attachments
are true and correct. I am aware that there are significant penalties for making any false statement, representation,
or certification incl ing the possibility of a fine and imprisonment.
SIGNATURE TITLE
Revised — March 6, 2017

NC Division of Waste Management - Solid Waste Section
Landfill Gas Monitoring Data 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).
Facility Name: 412,-1b 40661 Permit Number:
Sampling Date: Zal NC Landfill Rule (.0500 or.1600): •'Dc5 D�
Sample Collector Name & Position: rS, ae 1,464-e, 21 K.2�tCyu��
Gas Meter Type & Serial Number:1tft� Gas Meter Calibration Date:
Field Calibration Date & Time: M&,// l Sys
Field Calibration Gas Type (15/15 or 35/50): /S� Field Calibration Gas Canister Expiration Date:
Gas Meter Pump Rate: ?7 /Gr
Ambient Air Temperature: '*`� Barometric Pressure (in. or mm Hg):I Weather Conditions: c4elj
Instructions: Under "Location or LFG Well", list monitoring well # or describe monitoring location (e.g., inside field office).
Attach a test location map or drawing. Report methane readings as both % LEL and % CH4 by volume.
Convert % CH4 (by volume) to % LEL as follows: % methane (by volume)/20 = % LEL.
*Hydrogen Sulfide (H2S) gas monitoring may be required for Construction & Demolition Landfills (CDLFs). See
individual permit conditions and/or Facility LFG monitoring plan.
Location or
LFG Well ID
Sample
Tube
Purge
Time of
Day
Time
Pumped
(sec)
Initial
% LEL
Stabilized
% LEL
% CH4
(volume)
% 02
(volume)
% CO2
(volume)
% H2S"
(volume)
NOTES
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410
NOTE: If needed, attach additional data forms to include additional LFG monitoring data locations for the facility.
ACTIONLEVELS: Methane: >1.25% by volume (inside structures) AND >5% by volume (at facility boundary)
Hydrogen Sulfide: >1 % by volume (inside structures) AND >4% by volume (at facility boundary)
Certification
To the best of my knowledge, the information reported and statements made on this data submittal and attachments
are true and correct. I am aware that there are significant penalties for making any false statement, representation,
or certification incl ing the possibility of a fine and imprisonment.
SIGNATURE TITLE
Revised — March 6, 2017

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