3412_OldSalisburyRdCDLF_LOSPermitApp_FID1359017_20191004

hdrinc.com
440 South Church Street Suite 1000 Charlotte, NC 28202
T 704.338.6700

October 4, 2019
Ms. Sherri Stanley
North Carolina Department of Environmental Quality
1646 Mail Service Center
Raleigh, NC 27699-1646
Re: Old Salisbury Road Landfill (OSR), Permit No. 34-12
Permit Amendment
HDR Project No. 10178340
Dear Ms. Stanley,
HDR Engineering Inc. of the Carolinas is submitting, on the behalf of the Winston-Salem/Forsyth
County Utility Commission (City) this permit amendment to allow continued for continued operation
of their Old Salisbury Road (OSR) C&D Landfill. The information contained in this submittal is
intended to fulfill the requirements of North Carolina Solid Waste Management Rule 15A NCAC 13B
.0533(a)(2) for the amendment of the operating permit.
The current Permit to Operate (PTO) expires April 6, 2020. This permit amendment is a vertical
expansion over the existing permitted area. Hard copies of the permit amendment are being mailed
to you.
Should you have any questions regarding this permit amendment, please do not hesitate to call me
at [phone].
Sincerely,
HDR Engineering, Inc. of the Carolinas

Michael D. Plummer, P.E.
Solid Waste Section Manager
MDP/apb
Enclosure
cc: Jan McHargue – City of Winston-Salem
Adam Rickett – City of Winston-Salem

HDR Engineering, Inc. of the Carolinas
440 South Church Street, Suite 1000 Charlotte, NC 28202
License Number F-0116
Old Salisbury Road Construction and
Demolition Landfill
Permit Renewal
City of Winston-Salem City/County Utility
Commission
Winston-Salem, North Carolina
October 2019
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Contents
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Contents
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Contents
1 Introduction ............................................................................................................................ 1
1.1 Background Information ................................................................................................. 1
1.2 Background .................................................................................................................... 1
1.3 Deed/Legal Description .................................................................................................. 1
1.4 Responsible Party .......................................................................................................... 2
1.5 Projected Use After Closure ........................................................................................... 2
2 Engineering Plan ................................................................................................................... 2
2.1 Existing Features ............................................................................................................ 2
2.2 Facility Design ................................................................................................................ 2
2.3 Subgrade ........................................................................................................................ 2
2.4 Cap System .................................................................................................................... 3
2.5 Proposed Top of Waste and Final Grading Plans .......................................................... 3
2.6 Airspace Calculations ..................................................................................................... 4
2.7 Ground-Water Monitoring ............................................................................................... 6
2.8 Gas Monitoring Plan ....................................................................................................... 6
2.9 Erosion Control ............................................................................................................... 6
2.10 Site Access ..................................................................................................................... 7
2.11 Construction Practices .................................................................................................... 7
2.12 Design Hydrogeological Investigation Report ................................................................. 7
3 Construction and Operations ................................................................................................. 8
3.1 Construction and Operations .......................................................................................... 8
3.2 Filling Procedures ........................................................................................................... 8
3.3 Site Development/Proposed Top of Waste Contours ..................................................... 8

Tables
Table 1 History of Permitting at OSR ............................................................................................ 1
Table 2 Vertical Expansion Data for 5-Year Phase and Total Site Operating Capacity................ 4
Table 3 History of Erosion Contol Plans approved by NCDENR .................................................. 6

Figures
Figure A C&D Tonnage History .................................................................................................... 5
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Contents
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Appendices
Appendix A – Related Correspondence
Appendix B – Erosion Control
Appendix C – Operation Plan
Appendix D – Monitoring Plan
Appendix E – Closure/Post-Closure Plan and Cost Estimate
Appendix F – Drawings
Appendix G – Design Hydrogeological Investigation Report
Appendix H – Construction Quality Assurance Plan

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Introduction
1

1 Introduction
1.1 Background Information
The City/County Utility Commission of Forsyth County and Winston-Salem, North Carolina,
(Winston-Salem) is proposing to renew the operations permit for the Old Salisbury Road
Construction and Demolition Debris Landfill (C&DLF) in southern Forsyth County, North
Carolina to allow continued operations under a life of site permit.
The site lies west of Old Salisbury Road (SR 3011) and north of Friedberg Church Road at the
Forsyth/Davidson County Line. The entire property consists of approximately 140 acres.
The information contained in this submittal is intended to fulfill the requirements of North
Carolina Solid Waste Management Rule 15A NCAC 13B .0533(a)(2) for the amendment of the
operating permit.
1.2 Background
The Site Plan Application was submitted to the North Carolina Department of Environment and
Natural Resources (NCDENR) for review on April 6, 1995, and approved. Following approval,
Permit No. 34-12 was issued to Construct and Operate the C&DLF. The following is a history of
the permits received by OSR which can be found in Appendix A.
Table 1 History of Permitting at OSR
Permit Type Date Issued
Permit to Operate Phase I July 3, 1996
Amendment 1 Permit to Construct Phase II October 15, 1999
Amendment 2 Permit to Operate Phase II February 7, 2000
Amendment 3 Permit to Construct Phase III August 2, 2000
Amendment 4 Permit to Operate Phase III April 25, 2001
Amendment 5 Permit to Construct and Permit to Operate
Vertical Expansion over Phases I – III
April 17, 2003
Amendment 6 Permit to Construct Phase IV, V, and VI May 28, 2004
Amendment 7 Permit to Operate for Phase IV October 7, 2004
Amendment 8 Permit to Operate for Phase V February 8, 2008
Amendment 9 Permit to Construct and Permit to Operate
Vertical Expansion over Phases IV – VI
November 20, 2009
Amendment 10 Permit to Continue Operations in Phases IV-VI April 8, 2015

1.3 Deed/Legal Description
The landfill site is comprised of three properties. A copy of the deeds with a legal description of
the properties is included in Appendix A. Following the Phase I Construction Plan Application
submittal, Winston-Salem acquired a property adjacent to the northwest boundary of the
existing site. This property is not intended for C&D disposal and is not part of the facility
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Engineering Plan
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boundary; however, the property has been used for stockpiling soil from excavation of the
phases.
1.4 Responsible Party
The individual responsible for the operation and maintenance of the site is the Assistant Utilities
Director for Winston-Salem:
Assistant Utilities Director / Solid Waste
Winston-Salem/Forsyth County Utilities
PO Box 2511
Winston-Salem, NC 27102
[phone]
1.5 Projected Use After Closure
After closure of the remaining Phases, the site will be maintained and monitored. No post-
closure uses have been identified or are planned for the site at this time however considerations
are being made to convert the site to some future recreational use.
2 Engineering Plan
2.1 Existing Features
A topographic map of the existing features of the site can be found on Drawing 00C-01. This
drawing uses topography compiled by photogrammetric methods by MLA Surveying Company,
dated January 5, 2019.
The United States Geological Survey (USGS) quadrangles for the property, Winston-Salem
West, North Carolina, and Welcome, North Carolina, identify one stream located on the eastern
edge of the property. The property is located on a ridge with drainage swales extending in
several directions.
2.2 Facility Design
This site is required to maintain the following regulatory buffers (per proposed Rule 15A NCAC
13B .0540 (1) :
• A 200-foot buffer between property line and waste.
• A 500-foot buffer from private dwellings and wells to waste.
• A 50-foot buffer from streams and rivers to waste.
The site is also required by the unified development ordinance to maintain a 200-foot buffer
from all property lines to waste. The area within the first 100 feet from the property line is to
remain undisturbed.
2.3 Subgrade
Effective January 1, 2007, regulatory changes were made to 15A NCAC 13B .0531-.0547. The
subgrades of Phases I-VI were constructed prior to 2007 and the amended regulations.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Engineering Plan
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Construction certifications were submitted for all Phases (I through VI) to certify the subgrade
was constructed to the permitted lines and grades.
2.4 Cap System
Compacted soil liners will be incorporated in the cap system design to provide protection
throughout the 30-year post-closure period. The system will consist of two layers (bottom up):
the compacted soil liner and the erosion layer. Per 15A NCAC 13B .0543, the compacted soil
liner will consist of no less than 18 inches of soil having permeability less than or equal to soils
underlying the landfill or no greater than 1.0 x 10-5 cm/sec, whichever is less. In order to assure
that the material meets the permeability criteria, the soil will be tested prior to use and during
placement. It is anticipated that the upper 12 inches of the intermediate cover will be suitable for
compaction and incorporation into the compacted soil layer. Construction methods for the
compacted soil liner shall be based upon the type and quality of the borrow source and shall be
verified in the field by constructing test pad(s). A professional engineer shall certify that the
compacted soil liner installation conforms with the plans approved by the North Carolina
Department of Environmental Quality (NCDEQ) Division of Waste Management.
The erosion layer will consist of no less than 18 inches of earthen material capable of sustaining
native plant growth. It is anticipated that this layer will consist of 18 inches of suitable on-site or
off-site borrow material.
The materials of the erosion layer will be selected considering soil type, nutrient levels, pH,
erodibility, sideslope drainage, and other factors. The vegetation will be selected based upon
the following characteristics.
• Species of grasses which are locally adapted and resistant to drought or temperature
extremes.
• Having roots which will not disrupt the compacted soil liner.
• Ability to thrive in low nutrient soil and develop a good stand to resist erosion.
• Survive and function with little or no maintenance.
All cover material will be free of putrescible material, solid waste, vegetation (prior to
placement), rocks, construction debris, frozen soil, and other deleterious materials.
Please refer to the Closure Plan in Appendix E.
2.5 Proposed Top of Waste and Final Grading Plans
The current proposed top of waste contours (without the cap) for the unclosed portion of the
C&D Landfill can be seen in Drawing 00C-02. Also shown is the area of the stockpile over
Phases I, II, and III permitted by NCDENR on February 20, 2009. The 2002 the proposed final
grades were modified and approved by NCDENR from a 4 horizontal to 1 vertical (4H:1V)
sideslope to 3 horizontal to 1 vertical (3H:1V). The proposed top of waste grades in this
application eliminate one drainage bench on the eastern side of Phases IV, V and VI which is a
modification from the City’s previously approved cap design, which called for 2 benches 30-feet
apart along the sideslope. The change is based on the City’s ability to show they can maintain a
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Engineering Plan
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slope with minimum erosion and good vegetation. The final grade contours for the closed
portions of Phase I, II, and III areas have been previously capped, certified and approved.
2.6 Airspace Calculations
The total site gross volume is approximately 4,030,000 cubic yards. The estimated operating
capacity of the landfill is 3,775,400 cubic yards. Approximately 2,956,680 cubic yards of waste
have been placed as of the January 5, 2019 topography. The total remaining operating capacity
of the landfill is approximately 818,720 cubic yards. The next five (5) year phase is anticipated
to consume approximately 415,000 cubic yards assuming a filling rate of 42,921 tons per year
(based on an average of the last three consecutive years of disposal) at a density of 1,034
pounds per cubic yard. This five (5) year phase is expected to reach capacity at approximately
Elevation 830. The landfill’s total operational life expectancy is approximately 9.75 years
(September 2028) from the date of the January 5, 2019 topographic survey assuming the same
waste disposal rate and density. The estimated soil required for the remaining final cover is
159,500 cubic yards. Detailed information regarding the vertical expansion can be found in the
table below. A graph of the tonnage history for C&D disposal in Winston-Salem can be found in
Figure A. The graph shows the monthly waste stream tonnage and a rolling 12 month waste
stream average tonnage.
Table 2 Vertical Expansion Data for 5-Year Phase and Total Site Operating Capacity
Phase Estimated Waste & Cover Soil Volume (cy)
Final Cover Soil (cy)
Estimated Tonnage Range (tpy)
Estimated Site Life (years)
5-Year Phase 415,000 - 42,921 5.0
Total Site Operating
Capacity
818,720 159,500 42,921 9.5
NOTES:
3 foot final cover thickness over 30.9 acres (Part of Phase III and Phases IV, V, & VI including a 4.3% slope factor)
1,034 lbs/cy waste density (Cumulative Waste Density for OSR August 1996 to January 2019)
Fill Rate is assumed constant over the remaining life of the landfill

012,00024,00036,00048,00060,00072,00084,00096,000108,000120,000132,000144,000156,000168,000180,00001,0002,0003,0004,0005,0006,0007,0008,0009,00010,00011,00012,00013,00014,00015,000Yearly TonnageMonthly TonnageFigure AOld Salisbury Road C&D Tonnage HistoryMonthly C&D Tonnage12 Month Rolling Average (tons)OSR OpensProjected Tonnage
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Engineering Plan
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2.7 Ground-Water Monitoring
A Ground-Water Monitoring Plan was originally prepared by S&ME, Inc. (dated December 2,
1994). A revised plan was prepared by HDR in January 1996 and amended in August 1999,
October 1999, October 2002, April 2003, July 2003, and April 2015. The current approved
ground-water monitoring plan is included in Appendix D.
2.8 Gas Monitoring Plan
This Gas Monitoring Plan has been written in accordance with 15A NCAC 13B .0544(d). The
purpose of this plan is to describe the gas monitoring program at OSR and is included in the
Monitoring Plan in Appendix D.
• The City has implemented a routine methane monitoring program to endeavor that the
standards below are met.
• the concentration of methane gas or other explosive gases generated by the facility does
not exceed 25% of the lower explosive limit in on-site facility structures (excluding gas
control or recovery system components);
• the concentration of methane gas or other explosive gases does not exceed the lower
explosive limit for methane or other explosive gases at the facility property boundary;
and
• the facility does not release methane gas or other explosive gases in any concentration
that can be detected in offsite structures.
If methane or explosive gas levels exceed the limits specified, the City will:
• immediately take all steps necessary to ensure protection of human health and notify the
Division;
• within seven days of detection, place in the operating record the methane or explosive
gas levels detected and a description of the steps taken to protect human health; and
• within 60 days of detection, implement a remediation plan for the methane or explosive
gas releases, place a copy of the plan in the operating record, and notify the Division
that the plan has been implemented. The plan will describe the nature and extent of the
problem and the proposed remedy.
2.9 Erosion Control
A history of Erosion Control Plans submitted and approved by the NCDENR Division of Land
Resources Land Quality Section for the site is listed below:
Table 3 History of Erosion Contol Plans approved by NCDENR
Title Submitted Approved
Phase I and Entrance Road February 1995 revised March
17, 1995
March 30, 1995
Cell 1A Stockpile February 9, 1996 February 21, 1996
Modified Cell 1A Stockpile September 10, 1997 October 9, 1997
North Stockpile November 12, 1997 November 25, 1997
Modified North Stockpile November 10, 1998 November 23, 1998
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Engineering Plan
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Title Submitted Approved
Off-Site Stockpile March 24, 1999 revised
December 27, 1999
January 7, 2000
Modified Off-Site Stockpile October 25, 2000 November 6, 2000
Phases II and III Expansion May 6, 1999 December 1, 1999
Phases IV, V, and VI Expansion July 19, 2002 August 22, 2002*
On-Site Stockpile (East of Phase I and
Southeast of Scalehouse)
November 24, 2003 December 5, 2003
*Final grades were revised after NCDENR Division of Land Resources Land Quality Section approval in the
Construction Permit Application for Phases IV, V, and VI approved by NCDENR Division of Waste Management Solid
Waste Section in 2004.
Included in Appendix B is the Phase IV, V, and VI Expansion Erosion Control Plan as submitted
in the Phase IV, V and VI Construction Permit Application with the revised final grades.
According to the Phase IV, V, and VI Expansion Erosion Control Plan, sediment basin #5 can
handle a 20-acre drainage area, sediment basin #6 can handle a 17.4-acre drainage area and
sediment basin #7 can handle a 14.5-acre drainage area. Refer to Drawing ES-03 in the
Erosion Control Plan to see the proposed drainage divides at closure. This permit renewal does
not intend to make any significant revision to the proposed final grades in the 2014 permit
amendment application or the proposed stockpile grades over Phases I – III permit modification
submitted on February 20, 2009.
2.10 Site Access
The access road to the site is of all-weather construction and will be maintained in good
condition. Potholes, ruts, and debris on the road(s) will receive immediate attention in order to
avoid damage to vehicles.
2.11 Construction Practices
A test pad will be constructed of the soils proposed for use as the soil liner to determine the
construction methods necessary to achieve the design criteria.
Placement will begin by “ramping in” with material from a corner of the cell. Low ground
pressure dozers will be used to spread the material. A minimum thickness of 24 inches will be
maintained between the liner and the tracks of the spreading equipment and 24 inches above
the HDPE pipes. The CCP material will be end-dumped onto previously placed material and
then spread out by the dozer. A spotter assisting the operator will observe placement of
protective cover material to ensure that spreading is not causing excessive wrinkling or other
damage to the synthetic liner, pipes, or geocomposite drainage media. The spotter will measure
the forward edge of material placement to ensure that the proper thickness is being applied. The
contractor will confirm adequate thickness by surveying before and after placement. The
operator shall observe the top of the completed protective cover layer for a smooth, uniform
surface free of depressions or high-spots. Refer to the Technical Specifications and
Construction Quality Assurance (CQA) Plan included in this Permit Application.
2.12 Design Hydrogeological Investigation Report
The subsurface geology and hydrogeology beneath the proposed structural fill is detailed in the
Design Hydrogeological Investigation Report included in this Permit Application (Appendix G).
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Construction and Operations
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3 Construction and Operations
3.1 Construction and Operations
Winston-Salem will continue to develop the landfill in a manner that promotes runoff to the
existing erosion control features. Benches will be graded to drain to sediment basins.
All aspects of the current operation of the facility are anticipated to continue. Operation hours
are currently from 7:00 a.m. to 4:00 p.m., Monday through Friday. The landfill is closed on
Saturdays, Sundays, and holidays. These hours and days of operation are subject to change.
Staff will be stationed in the scalehouse to handle incoming trucks, while an additional staff
person will be responsible for handling the daily placement of waste. Information regarding on-
site equipment and other operational issues is included in the Operations Plan in Appendix C.
The site currently has a lockable gate at the main entrance from Old Salisbury Road, which is
locked at the end of each working day. Fencing has been constructed around the site to further
control access.
3.2 Filling Procedures
Please see the Operation Plan in Appendix C for the filling procedures.
3.3 Site Development/Proposed Top of Waste Contours
An overall Master Plan of the site was developed by HDR. Please refer to Drawing 00C-02 for
the proposed top of waste contours for the entire site. Please refer to Appendix E for the
Closure/Post Closure Plan for this site.

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix A – Related Correspondence

A
Appendix A – Related
Correspondence

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix A – Related Correspondence

Appendix A – Related Correspondence Index
1. November 18, 2002 Board of Aldermen Meeting Minutes Approving Amendments to the OSR
Landfill Permit Application
2. November 18, 2002 Zoning Compliance Memorandum for 2002 Vertical Expansion
3. November 18, 2002 Approval by Board of Aldermen for Addition of Phases IV, V, and VI
4. October 9, 2002 Franchise Agreement Request and Approval
5. November 6, 2002 Request for Documentation for Phases IV, V, VI Application
6. November 20, 2009 Permit to Construct and Operate Vertical Expansion and Phase VI
7. February 6, 2008 :Permit to Operate Phase V
8. October 7, 2004 Permit to Operate Phase IV
9. August 20, 2004 Lower Base Grade Certification Letter for Phases IV, V, and VI from HDR to the
City
10. May 28, 2004 Permit to Construct Phases IV, V, and VI
11. April 17, 2003 Permit to Construct and Permit to Operate Vertical Expansion over Phases I, II,
and III
12. April 25, 2001 Permit to Operate Phase III
13. August 2, 2000 Permit to Construct Phase III
14. February 7, 2000 Permit to Operate Phase II
15. October 15, 1999 Permit to Construct Phase II
16. March 8, 1999 Modification to OSR GW Monitoring Network from HDR to NCDENR
17. August 13, 1998 Permit to Operate C&D Landfill
18. January 12, 1998 Modification to Permit to Operate
19. July 3, 1996 Permit to Operate
20. November 9, 1995 Original Solid Waste Permit for OSR Facility
21. Deeds showing Proof of Ownership of OSR Land

Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 1 of 11

North Carolina Department of Environment and Natural Resources
Division of Waste Management
Beverly Eaves Perdue Dexter R. Matthews Dee Freeman
Governor Director Secretary

1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.wastenotnc.org/swhome
An Equal Opportunity \ Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WASTE MANAGEMENT
SOLID WASTE SECTION

CONSTRUCTION AND DEMOLITION DEBRIS LANDFILL
Permit No. 34-12-CDLF -1995

THE City of Winston-Salem (Owner) and
City/County Utility Commission (Operator)
are hereby issued a

PERMIT TO CONSTRUCT
AND
PERMIT TO OPERATE

VERTICAL EXPANSION AND PHASE VI

Old Salisbury Road Landfill Construction and Demolition Landfill Facility

located on Old Salisbury Road in Forsyth County, North Carolina, in accordance with Article 9, Chapter
130A, of the General Statutes of North Carolina and all rules promulgated thereunder and subject to the
conditions set forth in this permit. The facility is located and described by the legal description found in
the approved application.

_______________________
Edward F. Mussler, III, P.E.,
Permitting Branch Supervisor
Solid Waste Section

Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 2 of 11

ATTACHMENT 1

PART I: PERMITTING HISTORY

Issuance Date
Permit to Operate Phase I 3 July 1996
Amendment 1 Permit to Construct Phase II 15 October 1999
Amendment 2 PTO Phase II 7 February 2000
Amendment 3 PTC Phase III 2 August 2000
Amendment 4 PTO Phase III 25 April 2001
Amendment 5 PTC and PTO Vertical Expansion over Phases I-III 17 April 2003
Amendment 6 PTC Phases IV, V, and VI 28 May 2004
Amendment 7 PTO for Phase IV 7 October 2004
Amendment 8 PTO for Phase V February 8, 2008
Amendment 9 PTC and PTO Vertical Expansion over Phases IV-
VI and Phase VI
November 20, 2009

PART II: LIST OF DOCUMENTS FOR THE APPROVED PLAN

1. Site Plan Application; submitted by HDR Engineering, Inc. April, 1995
2. Construction Plan Application; submitted by HDR Engineering, Inc. June, 1995
3. Legal Description of the Facility
4. Letter dated 17 June 1997 submitted to the Section by HDR Engineering, Inc. certifying the western-
half of Phase 1A.
5. Letter dated 12 January 1998 submitted to the Section by HDR Engineering, Inc. providing
Certification No.3 for Phase I.
6. Letter dated 1 April 1998 submitted to the Section by HDR Engineering, Inc. providing Certification
No. 4 for the Phase 1 Area.
7. Letter dated 30 July 1998 submitted to the Section by HDR Engineering, Inc. providing Certification
No. 5 for the Phase 1 Area.
8. Construction Plan Application Phase II & III; submitted by HDR Engineering, Inc. April 1999
9. Letter dated 11 May 1999 submitted to the Section by HDR Engineering, Inc. providing Certification
No. 6 for Phase I and II Areas.
10. Letter Dated 8 October 1999 submitted to the Section by HDR Engineering, Inc. providing
amendments to the Groundwater Monitoring Plan.
11. Letter dated 30 December 1999 submitted to the Section by HDR Engineering, Inc. providing
Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 3 of 11

Certification No. 7 for Phase I and II Areas.
12. Letter dated 17 April 2000 submitted to the Section by HDR Engineering, Inc. providing revisions to
Document #8 (Construction Plan Application, Phase II & III) for Phase III development.
13. Letter dated 1 February 2001 submitted to the Section by HDR Engineering, Inc. providing
Certification No. 8 for all of Phase III.
14. Document titled, "Old Salisbury Road Construction and Demolition Landfill, Winston- Salem, North
Carolina, Construction Permit Application Phases I, II, III - Vertical Expansion." Prepared for the
City of Winston-Salem City/County Utilities Commission by HDR Engineering, Inc. and dated
December 2002.
15. Document titled, "Old Salisbury Road Construction and Demolition Landfill, Winston- Salem, North
Carolina, Construction Permit Application Phases IV, V, and VI." Prepared for the City of Winston-
Salem City/County Utilities Commission by HDR Engineering, Inc. and dated October 2002 and
revised through December 2003.
16. Letter dated 20 August 2004 submitted to the Section by HDR Engineering, Inc. providing base grade
Certification No. 9 for Phase IV and portions of Phase V and VI. Includes a survey drawing titled
"Forsyth County Landfill, Landfill Expansion Phase IV, V, & VI, Finish Grade As-built Certification"
prepared by MSS Land Consultants.
17. Letter dated 27 July 2007 submitted to the Section by HDR Engineering, Inc. providing revisions to
Document #10 for Phase V and a portion of Phase VI development. (Doc. Id. Nos. 3701 and 3702).
18. Letter dated 31 July 2009 submitted to the Section by HDR Engineering, Inc. providing base grade
Certification No. 11 for Phase VI. Includes a signed and sealed survey drawing titled “As Built
Topographic Survey, Old Salisbury Road Construction and Demolition Landfill, Phase VI”, prepared
by A. N. James Surveying and Mapping, Inc. (Doc. ID No. 8561).
19. Old Salisbury Road Construction and Demolition Landfill, Winston- Salem, North Carolina, Permit
Amendment. Prepared for: City of Winston-Salem City/County Utilities Commission. Prepared by:
HDR Engineering, Inc., Charlotte, NC. June 5, 2009 and revised through June 29, 2009 (Doc. ID No.
7790).

Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 4 of 11

PART III: PROPERTIES APPROVED FOR THE SOLID WASTE FACILITY

Forsyth County, N.C. Register of Deeds
Property Book Page Acreage Grantor Grantee
Original
Permit
(4/07/1994)
2077 4531 108.24 Ruby N. Tesh
(widow)
North Carolina
Municipal Leasing
Corporation
Original
Permit
(4/07/1994)
1820 2071 2.45 Garris E. Edwards
and wife, Judith B.
Edwards
North Carolina
Municipal Leasing
Corporation
Total Site Acreage: 110.69

PART IV: GENERAL CONDITIONS
1. This permit is issued by the North Carolina Department of Environment and Natural Resources,
Division of Waste Management, Solid Waste Section (Section). In accordance with North Carolina
Solid Waste Management Rule 15A NCAC 13B .0201(d), a solid waste management facility permit
shall have two parts: a Permit to Construct and a Permit to Operate. The Permit to Construct shall
expire on February 20, 2011. The Permit to Construct must be implemented in accordance with
Attachment 2 of this permit. The Permit to Operate shall expire on November 20, 2014. The Permit
to Operate must be implemented in accordance with Attachment 3 of this permit.
2. The person(s) to whom this permit is issued (“permittee”) are the owner(s) and operator(s) of the
solid waste management facility.
3. This condition is not applicable for this permit.
4. This condition is not applicable for this permit.
5. By beginning construction or receiving waste at this facility the permittee shall be considered to
have accepted the terms and conditions of this permit.
6. Construction and operation of this solid waste management facility must be in accordance with the
Solid Waste Management Rules, 15A NCAC 13B, Article 9 of Chapter 130A of the North Carolina
General Statutes (NCGS 130A-290, et seq.), the conditions contained in this permit; and the
approved plan. Should the approved plan and the rules conflict, the Solid Waste Management Rules
shall take precedence unless specifically addressed by permit condition.
7. This permit is issued based on the documents submitted in support of the permit application for the
facility including those identified in Attachment 1, “List of Documents for Approved Plan,” and
Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 5 of 11

which constitute the approved plan for the facility. Where discrepancies exist, the most recent
submittals and the Conditions of Permit shall govern.
8. This permit may be transferred only with the approval of the Section and through the issuance of a
new or substantially amended permit in accordance with applicable statutes and rules. In accordance
with NCGS 130A-295.2(g) the permittee must notify the Section thirty (30) days prior to any
significant change in the identity or business structure of either the owner or the operator, including
but not limited to, a proposed transfer of ownership of the facility or a change in the parent company
of the owner or operator of the facility.
9. The permittee is responsible for obtaining all permits and approvals necessary for the development
of this project including approval from appropriate agencies for a General or Individual NPDES
Stormwater Discharge Permit. Issuance of this permit does not remove the permittee’s
responsibilities for compliance with any other local, state or federal rule, regulation or statute.

- End of Section -

ATTACHMENT 2
CONDITIONS OF PERMIT TO CONSTRUCT

PART I: FACILITY SPECIFIC CONDITIONS
1. Pursuant to the NC Solid Waste Management Rules 15A NCAC 13B .0201(c) and (d)(1), this permit
approves the operation of Phase VI consisting of approximately 10 acres with a projected operating
capacity of 415,033 cubic yards of airspace along with the construction of a vertical expansion over
Phases IV-VI with a projected operating capacity of 1,092,796 cubic yards of airspace.

2. The initial, substantial, construction authorized by this Permit to Construct must commence within
18 months from the issuance date of this permit. If substantial construction does not begin within 18
months from the issuance date of this permit, then the permit to construct shall expire. Substantial
construction includes, but is not limited to, issuance of construction contracts, mobilization of
equipment on site, and construction activities including installation of sedimentation and erosion
control structures. The permittee may re-apply for the Permit to Construct prior to the expiration
date. The re-application will be subject to the statutes and rules in effect on that date and may be
subject to additional fees. Since the Permit Amendment is a vertical expansion over the existing
permitted uncapped areas (slopes are being increased from 4:1 to 3:1, but the final top elevation is
not increased), construction is not necessary and this condition is not applicable.

Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 6 of 11

3. Construction of all solid waste management units within this facility must be in accordance with the
pertinent approved plans and only for those phases of development approved for construction as
described in Attachment I, Part II, List of Documents for the Approved Plan.

4. Modifications or revisions of the approved documents or changes during construction of any landfill
unit/cell require approval by the Section, and may constitute a permit modification and be subject to
a permitting fee.

5. The following conditions must be met prior to operation of Phase VI.
a. The Permittee must obtain a Permit to Operate for each phase from the Section in accordance
with 15A NCAC 13B .0201(d).
b. Construction Quality Assurance (CQA) documentation and a certification by the project
engineer that the landfill was built in accordance with approved plans and the conditions of
the permit, must be submitted to the Section for review and approval.
c. The Permittee must contact the appropriate regional environmental specialist and permitting
engineer to determine whether the Section chooses to hold a pre-operative meeting with key
landfill personnel and representatives of the Section.
d. The edge of the waste footprint must be identified with permanent physical markers.

- End of Section-

ATTACHMENT 3
CONDITIONS OF PERMIT TO OPERATE

PART I: OPERATING CONDITIONS

1. The Permit to Operate shall expire November 20, 2014. Pursuant to 15A NCAC 13B .0201(g), no
later than May 20, 2014, the owner or operator must submit a request to the Section for permit
review and must update pertinent facility plans including, but not limited to, the facility operation
and waste screening plans.

2. This permit approves the operation of Phases IV-VI of the C&D Landfill and approves the operation
of the Vertical Expansion, Attachment I, Part II, Document 19 of the Approved Plans, as well as the
onsite environmental management and protection facilities as described in the approved plans. Prior
to operation, the permittee must acquire and maintain all other permits, licenses and authorizations
necessary to properly operate the facility.
Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 7 of 11

3. The landfill has a total permitted disposal capacity of approximately 4,030,000 cubic yards of total
gross capacity in approximately 56 acres. Total gross capacity is defined as the volume measured
from the bottom of waste through the top of final cover.
C&D Unit Gross Capacity
(cubic yards)
Acres Status
Phase I 376,000 12 Closed
Phase II 499,000 9 Closed
Phase III 440,000 10 Closed
Phase IV 517,485 11 Active
Phase V 225,642 4 Active
Phase VI 415,033 10 Active
Vertical Expansion, 2009 1,092,796 0 Active
Total Permitted for Facility 4,030,000 56

4. The permitted annual waste disposal rate is approximately 105,000 tons per year. This rate is
approximately 350 tons per day, 6 days per week. Maximum variance shall be in accordance with
NCGS 130A-294(b1)(1).

5. This facility is permitted to receive solid waste generated within the following county: Forsyth
County, including the municipalities contained within Forsyth County.

6. The landfill is permitted to receive the following waste types:
a. "C&D solid waste" as defined in 15A NCAC 13B, Rule .0532(8) means solid waste
generated solely from the construction, remodeling, repair, or demolition operations on
pavement and buildings or structures. C&D waste does not include municipal and industrial
wastes that may be generated by the on-going operations at buildings or structures.
b. “Inert debris” as defined in G.S. 130A-290 (a)(14) means solid waste that consists solely of
material such as concrete, brick, concrete block, uncontaminated soil, rock, and gravel.

c. “Land-clearing waste” as defined in G.S. 130A-290 (a)(15) means solid waste which is
generated solely from land clearing activities, limited to stumps, trees, limbs, brush, grass,
and other naturally occurring vegetative material.
d. “Asphalt” in accordance with G.S. 130-294(m).

7. Those wastes listed in 15A NCAC 13B .0542 (e) must not be accepted for disposal including, but
not limited to municipal solid waste, liquid wastes, industrial solid waste unless a demonstration has
Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 8 of 11

been approved by the division that the waste meets the requirements of Rule .0503(2)(d)(ii)(A) and
yard trash.

8. Regulated-asbestos containing material must be managed in accordance with 40 CFR 61. Disposal
of asbestos waste must be in accordance with 15 NCAC 13B .0542 (c).

9. Wastewater treatment sludge is not approved for disposal. Wastewater treatment sludge may be
accepted, with the approval of the Section, for utilization as a soil conditioner and incorporated into
or applied onto the vegetative growth layer. The wastewater treatment sludge must not be applied at
greater than agronomic rates or to a depth greater than six inches.

10. The permittee must not knowingly dispose of C&D waste that is generated within the boundaries of
a unit of local government that by ordinance:

a. Prohibits generators or collectors of C&D waste from disposing of that type or form of C&D
waste.

b. Requires generators or collectors of C&D waste to recycle that type or form of C&D waste.

11. The facility operator must complete an approved operator training course in compliance with G.S.
130A-309.25.
a. A responsible individual certified in landfill operations must be on-site during all operating
hours of the facility at all times while open for public use to ensure compliance with
operational requirements.
b. All pertinent landfill-operating personnel must receive training and supervision necessary to
properly operate the landfill units in accordance with G.S. 130A-309.25.

12. The permittee must actively employ a screening program for the C&D unit that detects and prevents
the disposal of MSW, hazardous, liquid or non-permitted wastes. At a minimum, the program must
include:
a. Random inspections of incoming loads or other comparable procedures.
b. Records of all inspections.
c. Training of personnel to recognize hazardous, liquid and other excluded waste types.
d. Development of a contingency plan to properly manage any identified hazardous, liquid,
MSW or other excluded or unauthorized wastes. The plan must address identification,
removal, storage and final disposition of these wastes.

13. The use of alternative periodic cover requires approval, prior to implementation, by the Section.
Requests for alternative periodic cover approval must include a plan detailing the comprehensive use
and a demonstration of the effectiveness of the alternative cover. The plan must be developed
Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 9 of 11

according to Section guidelines. Plans which are approved by the Section will be incorporated into,
and made a part of, the approved documents listed in Attachment 1.

14. The facility must maintain records for all solid waste materials accepted as alternative cover material
and used as alternate periodic cover. The records must include: the date of receipt, weight of
material, general description of the material, identity of the generator and transporter, and county of
origin. Such records must be made available to the Section upon request.

15. All sedimentation and erosion control activities must be conducted in accordance with the
Sedimentation Control Act N.C.G.S. 113A-50, et seq., and rules promulgated under 15A NCAC 4.

Monitoring and Reporting Requirements
16. Groundwater, surface water, and methane monitoring locations must be established and monitored as
identified in the approved plans. Surface water monitoring consists of three sampling locations,
unless otherwise specified by the Section.
17. A licensed geologist must be present to supervise the installation of groundwater monitoring wells.
The exact locations, screened intervals, and nesting of the wells must be established after
consultation with the Section Hydrogeologist at the time of well installation.
18. Ground water monitoring wells and surface water sampling locations must be sampled at least semi-
annually in accordance with 15A NCAC 13B .0544, the approved water quality monitoring plan,
and the current policies and guidelines of the Section in effect at the time of sampling. In
accordance with 15A NCAC 13B .0544(d), methane monitoring must be conducted quarterly, unless
otherwise specified by the Section.
19. Assessment monitoring for groundwater and/or surface water, as applicable, must be performed in
accordance with the 15A NCAC 13B .0545, and the approved plans listed in Attachment 1, Part II,
List of Documents for the Approved Plans.
20. Hydraulic conductivity and effective porosity values must be established for each screened interval
at each monitoring well in order to develop groundwater flow characteristics.

21. Reports of the analytical data for each water quality monitoring sampling event must be submitted to
the Section within 120 days of the respective sampling event, in accordance with 15A NCAC 13B
.0544. The permittee must provide a plan sheet-sized, scaled topographical map, showing the
location and identification of new, existing, and abandoned wells and piezometers after installation
of groundwater monitoring wells. Analytical data must be submitted in a manner prescribed by the
Section. The permittee must maintain a record of all monitoring events and analytical data.
22. The four independent samples which comprise the initial baseline sampling event must be collected
from each groundwater monitoring well and the report must be submitted to the Section within six
months after issuance of the Permit to Operate.
Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 10 of 11

23. A readily accessible unobstructed path must be cleared and maintained so that four-wheel vehicles
may access monitoring well locations at all times.
24. A field log book which details all development, sampling, repair, and all other pertinent activities
associated with each monitoring well and all sampling activities associated with each surface water
and leachate sampling location must be kept as part of the permanent facility record.
25. All well construction records and soil boring logs for new wells must be submitted to the Section
Hydrogeologist for review within 30 days of completion.
26. Within thirty (30) days of the abandonment of any monitoring well/probe, the well abandonment
record (GW-30 form) and any additional information included in the abandonment record must be
submitted to the Section. The well abandonment records must be submitted to the Section consistent
with 15A NCAC 2C .0114(b) and be certified by a Licensed Geologist.

27. All forms, reports, maps, plans, and data submitted to the Section must include an electronic copy.

28. Copies of this permit, the approved plans, and all records required to be maintained by the permittee
must be maintained at the facility, unless otherwise approved by the Section, and made available to
the Section upon request during normal business hours.

29. The owner or operator must maintain a record of the amount of solid waste received at the landfill,
compiled on a monthly basis. Scales must be used to weigh the amount of waste received.

30. On or before August 1 annually, the Permittee must submit an annual facility report to the Section,
on forms prescribed by the Section.

a. The reporting period shall be for the previous year beginning July 1 and ending June 30.
b. The annual facility report must list the amount of waste received in tons and be compiled:

i. On a monthly basis.
ii. By county, city or transfer station of origin.
iii. By specific waste type.
iv. By receiving disposal facility.
v. By diversion to alternative management facilities.

c. A measurement of volume utilized in the landfill cells must be performed during the first or
second quarter of the calendar year. The date and volumes, in cubic yards, must be included
in the report.

d. The amount of waste, in tons from scale records, disposed in landfill cells from July 3, 1996
through the date of the annual volume survey must be included in the report.

Facility Permit No: 34-12
Permit to Construct and Operate
Old Salisbury Road CDLF
November 20, 2009
DIN 8562
Page 11 of 11

e. The tons of C&D waste recycled, recovered or diverted from disposal including a description
of how and where the material was ultimately managed, as applicable, must be included in
the report.

f. The completed report must be forwarded to the Regional Environmental Specialist for the
facility by the date due on the prescribed annual facility report form.

g. A copy of the completed report must be forwarded to each county manager for each county
from which waste was received the facility. Documentation that a copy of the report has
been forwarded to the county managers must be sent to the Regional Environmental
Specialist by the date due on the prescribed annual facility report form.

31. Financial assurance must be continuously maintained for the duration of the facility in accordance
with Rule 15A NCAC 13B .0546 and 15A NCAC 13B .0547 (2). Closure and Post-Closure cost
estimates and financial instruments must be updated annually pursuant to 15A NCAC 13B .0546.
Financial assurance for closure and post-closure costs representing Phase I-VI, as listed in Document
19, Part II, Attachment 1, must be established with proof submitted to the Section no later than
December 15, 2009.

32. A closure and post-closure plan must be submitted for approval at least 90 days prior to closure or
partial closure of any landfill unit. The plan must include all steps and measures necessary to close
and maintain the C&D unit in accordance with all rules in effect at that time. At a minimum, the
plan must address the following:
a. Design of a final cover system in accordance with 15 NCAC 13B .0543(c), or the solid waste
management rules in effect at the time of closure;
b. Construction and maintenance/operation of the final cover system and erosion control
structures;
c. Surface water, ground water, and explosive gas monitoring.

PART II: MISCELLANEOUS SOLID WASTE MANAGEMENT CONDITIONS, (SPECIFY)
Not applicable

- End of Permit Conditions –

City of Winston-Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate C&D Landfill
February 6, 2008
Page 1 of 8
Doc Id No 3707
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Dexter R. Matthews, Director Division of Waste Management Michael F. Easley, Governor William G. Ross Jr., Secretary

1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Telephone [phone] \ Fax [phone] \ Internet http://wastenotnc.org An Equal Opportunity / Affirmative Action Employer – Printed on Dual Purpose Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
DIVISION OF WASTE MANAGEMENT
SOLID WASTE SECTION
MUNICIPAL SOLID WASTE FACILITY PERMIT NO. 34-12

THE City of Winston-Salem (Owner) and City/County Utility Commission (Operator)
are hereby issued a
Permit to Operate

Old Salisbury Road Landfill Construction and Demolition Landfill Facility
Phase V

located on Old Salisbury Road in Forsyth County, North Carolina, in accordance with Article 9,
Chapter 130A, of the General Statutes of North Carolina and all rules promulgated thereunder
and subject to the conditions set forth in this permit. The facility is located and described by
the legal description found in the approved application.

Edward F. Mussler, III, P.E.,
Permitting Branch Supervisor
Solid Waste Section
City of Winston –Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate
February 6, 2008
Page 2 of 8
Doc Id No 3707

H:\Permitting\Boilerplates\Permit.Front.Page.Boilerplate.doc
ATTACHMENT 3

Part A Permitting History
Permit Type Date Issued
Permit to Operate Phase I 3 July 1996
Amendment 1 Permit to Construct Phase II 15 October 1999
Amendment 2 PTO Phase II 7 February 2000
Amendment 3 PTC Phase III 2 August 2000
Amendment 4 PTO Phase III 25 April 2001
Amendment 5 PTC and PTO Vertical Expansion over Phases I-III 17 April 2003
Amendment 6 PTC Phases IV, V, and VI 28 May 2004
Amendment 7 PTO for Phase IV 7 October 2004
Amendment 8 PTO for Phase V February 8, 2008

Part B List of Documents for the Approved Facility Plan
1. Site Plan Application; submitted by HDR Engineering, Inc. April, 1995
2. Construction Plan Application; submitted by HDR Engineering, Inc. June, 1995
3. Legal Description of the Facility
4. Letter dated 17 June 1997 submitted to the Section by HDR Engineering, Inc. certifying the
western-half of Phase 1A.
5. Letter dated 12 January 1998 submitted to the Section by HDR Engineering, Inc. providing
Certification No.3 for Phase I.
6. Letter dated 1 April 1998 submitted to the Section by HDR Engineering, Inc. providing
Certification No. 4 for the Phase 1 Area.
7. Letter dated 30 July 1998 submitted to the Section by HDR Engineering, Inc. providing
Certification No. 5 for the Phase 1 Area.
8. Construction Plan Application Phase II & III; submitted by HDR Engineering, Inc. April 1999
9. Letter dated 11 May 1999 submitted to the Section by HDR Engineering, Inc. providing
Certification No. 6 for Phase I and II Areas.
10. Letter Dated 8 October 1999 submitted to the Section by HDR Engineering, Inc. providing
amendments to the Groundwater Monitoring Plan.
11. Letter dated 30 December 1999 submitted to the Section by HDR Engineering, Inc. providing
Certification No. 7 for Phase I and II Areas.
12. Letter dated 17 April 2000 submitted to the Section by HDR Engineering, Inc. providing revisions
to Document #8 (Construction Plan Application, Phase II & III) for Phase III development.
13. Letter dated 1 February 2001 submitted to the Section by HDR Engineering, Inc. providing
City of Winston –Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate
February 6, 2008
Page 3 of 8
Doc Id No 3707

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Certification No. 8 for all of Phase III.
14. Document titled, "Old Salisbury Road Construction and Demolition Landfill, Winston- Salem,
North Carolina, Construction Permit Application Phases I, II, III - Vertical Expansion." Prepared
for the City of Winston-Salem City/County Utilities Commission by HDR Engineering, Inc. and
dated December 2002.
15. Document titled, "Old Salisbury Road Construction and Demolition Landfill, Winston- Salem,
North Carolina, Construction Permit Application Phases IV, V, and VI." Prepared for the City of
Winston-Salem City/County Utilities Commission by HDR Engineering, Inc. and dated October
2002 and revised through December 2003.
16. Letter dated 20 August 2004 submitted to the Section by HDR Engineering, Inc. providing base
grade Certification No. 9 for Phase IV and portions of Phase V and VI. Includes a survey
drawing titled "Forsyth County Landfill, Landfill Expansion Phase IV, V, & VI, Finish Grade As-
built Certification" prepared by MSS Land Consultants.
17. Letter dated 27 July 2007 submitted to the Section by HDR Engineering, Inc. providing revisions
to Document #10 for Phase V and a portion of Phase VI development. (Doc. Id. Nos. 3701 and
3702)

- End of Section -
City of Winston –Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate
February 6, 2008
Page 4 of 8
Doc Id No 3707

H:\Permitting\Boilerplates\Permit.Front.Page.Boilerplate.doc
ATTACHMENT 4
CONDITIONS OF PERMIT

General Conditions
1. This permit shall expire 7 October 2009. Pursuant to 15A NCAC 13B .0201(e), no later
than 7 June 2009, the permittee must submit an application for amendment or modification
to the permit for review to the North Carolina Department of Environment and Natural
Resources (Department), Division of Waste Management (Division), Solid Waste Section
(Section). The application must be prepared in accordance with 15A NCAC 13B .0533, as
applicable.
2. The person(s) to whom this permit is issued (“permittee”) are the owner(s) and operator(s)
of the solid waste management facility.
3. This condition is not applicable for this permit.
4. This condition is not applicable for this permit.
5. By receiving waste at this facility the permittee shall be considered to have accepted the
terms and conditions of this permit.
6. Operation of this solid waste management facility must be in accordance with the Solid
Waste Management Rules, 15A NCAC 13B, Article 9 of the Chapter 130A of the North
Carolina General Statutes (NCGS 130A-290, et seq.), the conditions contained in this
permit; and the approved plan. Should the approved plan and the rules conflict, the Solid
Waste Management Rules shall take precedence unless specifically addressed by permit
condition.
7. This permit is issued based on the documents submitted in support of the permit
application for the facility including those identified in Attachment 1, “List of Documents for
Approved Plan,” and which constitute the approved plan for the facility. Where
discrepancies exist, the most recent submittals and the Conditions of Permit shall govern.
8. This permit may be transferred only with the approval of the Section and through the
issuance of a new or substantially amended permit in accordance with applicable statutes
and rules.
9. The permittee is responsible for obtaining all permits and approvals necessary for the
development of this project including approval from appropriate agencies for a General or
Individual NPDES Stormwater Discharge Permit. Issuance of this permit does not remove
the permittee’s responsibilities for compliance with any other local, state or federal rule,
regulation or statute.
City of Winston –Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate
February 6, 2008
Page 5 of 8
Doc Id No 3707

H:\Permitting\Boilerplates\Permit.Front.Page.Boilerplate.doc
Permit to Operate
Pre-Operation
1. Authorization to operate the facility shall not be in effect until the permittee demonstrates to
the Section that the facility has been constructed in accordance with the approved
documents shown in Attachment 1.
2. In addition to the other conditions contained in this permit and the NC Solid Waste Rules,
the following requirements must be met prior to the issuance of a Permit to Operate:
a. Site preparation must be in accordance with the approved site plan and the
conditions specified herein, and construction must be certified to be constructed in
accordance with the approved plans.
b. The permittee must arrange with a representative of the Section for a site inspection
with the permittee when facility construction is complete in accordance with this
permit. The permittee must demonstrate during the site inspection that the facility
was constructed in accordance with this permit and approved documents.
3. Prior to operation, the permittee must acquire and maintain all other permits, licenses and
authorizations necessary to properly operate the facility. All other permits, licenses and
authorizations must be maintained current during the term of this Permit to Operate and
subsequent Permits to Operate.
4. This permit approves the operation of Phase V, and the continued operation of Phases I, II,
III and IV. Operation of any C&D landfill future phases or cells requires written approval of
the Section and must be constructed in accordance with the applicable statutes and rules.
5. This facility is permitted to receive solid waste generated within the following counties:
Forsyth County including the municipalities contained within Forsyth County.
6. The landfill has a total permitted disposal capacity of approximately 2,980,000 cubic yards
of total gross capacity in approximately 56 acres. Total gross capacity is defined as the
volume measured from the bottom of waste through the top of final cover.
Phase/Cell Phases I through VI
(Total Capacity)
Phase V
(This Permit)
Size, acres 54 4
Permitted Capacity, cy 2,980,000 225,642

7. The permitted annual waste disposal rate is approximately 105,000 tons per year. This
rate is approximately 350 tons per day, 6 days per week.
8. Financial assurance must be established in accordance with 15A NCAC 13B .0547 (2) and
submitted to the Section by July 1, 2008. The financial assurance must be continuously
maintained for the duration of the facility in accordance with the applicable rules and
statutes and annually updated by November 1 of each year.
City of Winston –Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate
February 6, 2008
Page 6 of 8
Doc Id No 3707

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Operational Conditions
9. The permittee must not knowingly dispose of C&D waste that is generated within the
boundaries of a unit of local government that by ordinance:
a. Prohibits generators or collectors of C&D waste from disposing of that type or form
of C&D waste.
b. Requires generators or collectors of C&D waste to recycle that type or form of C&D
waste.
10. The facility operator must complete an approved operator training course in compliance
with G.S. 130A-309.25.
a. A responsible individual certified in landfill operations must be on-site during all
operating hours of the facility at all times while open for public use to ensure
compliance with operational requirements.
b. All pertinent landfill-operating personnel must receive training and supervision
necessary to properly operate the C&D landfill unit in accordance with G.S. 130A-
309.25.
11. The C&D landfill units are permitted to receive the following waste types:
a. “Construction or demolition debris” as defined in G.S. 130A-290 (a)(4) means solid
waste resulting solely from construction, remodeling, repair or demolition operations
on pavement, buildings, or other structures, but does not include inert debris, land-
clearing debris or yard debris.
b. “Inert debris” as defined in G.S. 130A-290(a)(14) means solid waste that consists
solely of material such as concrete, brick, concrete block, uncontaminated soil, rock,
and gravel.
c. “Land-clearing debris” as defined in G.S. 130A-290(a)(15) means solid waste that is
generated solely from land-clearing activities, such as stumps and tree trunks.
d. “Asphalt” in accordance with G.S. 130-294(m).
12. Those wastes listed in 15A NCAC 13B .0542(e) must not be accepted for disposal including
but not limited to municipal solid waste, liquid or industrial wastes, and yard trash.
13. Asbestos waste must be managed in accordance with 40 CFR 61. Disposal of asbestos
waste must be in accordance with 15 NCAC 13B .0542(c).
14. The Permittee must actively employ a training and screening program at the facility
prepared in accordance with Section .0544(e) for detecting and preventing the disposal of
excluded or unauthorized wastes. At a minimum, the program must include:
a. Random inspections of incoming loads or other comparable procedures.
b. Records of any inspections.
City of Winston –Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate
February 6, 2008
Page 7 of 8
Doc Id No 3707

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c. Training of personnel to recognize hazardous, liquid, and other excluded waste
types.
d. Development of a contingency plan to properly manage any identified hazardous,
liquid, MSW, asbestos, or other excluded or unauthorized wastes. The plan must
address identification, removal, storage and final disposition of these wastes.
15. All sedimentation/erosion control activities must be conducted in accordance with the
Sedimentation Control Act N.C.G.S. 113A-50, et seq., and rules promulgated there under
at 15A NCAC 4.
16. A closure and post-closure plan must be submitted for approval at least 90 days prior to
closure or partial closure of any landfill unit. The plan must include all steps and measures
necessary to close and maintain the C&D unit in accordance with all rules in effect at that
time. At a minimum, the plan must address the following:
a. Design of a final cover system in accordance with 15 NCAC 13B .0543(c), or the
solid waste management rules in effect at the time of closure;
b. Construction and maintenance/operation of the final cover system and erosion
control structures; and
c. Surface water, ground water, and explosive gas monitoring.
Monitoring and Reporting Requirements
17. The following are groundwater monitoring requirements for the C&D landfill facility:
a. Groundwater and surface water monitoring locations must be established as
identified in the approved plans.
b. The owner or operator must sample the monitoring wells semi-annually or as
otherwise directed in writing by the Section Hydrogeologist.
c. A licensed geologist must be present to supervise the installation of groundwater
monitoring wells. The exact locations, screened intervals, and nesting of the wells
must be established after consultation with the SWS Hydrogeologist at the time of
well installation.
d. All well construction records and soil boring logs for new wells must be submitted to
the Section Hydrogeologist for review within 30 days of completion.
18. Copies of this permit, the approved plans, and all records required to be maintained by the
permittee must be maintained at the facility and made available to the Section upon request
during normal business hours.
19. The owner or operator must maintain a record of the amount of solid waste received at the
C&D units compiled on a monthly basis. Scales must be used to weigh the amount of
waste received.
City of Winston –Salem
Old Salisbury Road CDLF
Facility Permit No: 34-12
Permit to Operate
February 6, 2008
Page 8 of 8
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20. On or before August 1 of each year, the Permittee must submit an annual facility report to
the Section, on forms prescribed by the Section.
a. The reporting period shall be for the previous year beginning July 1 and ending June
30.
b. The annual facility report must list the amount of waste received and landfilled in
tons and be compiled:
i. On a monthly basis.
ii. By county, city or transfer station of origin.
iii. By specific waste type.
iv. By disposal location within the facility.
v. By diversion to alternative management facilities.
c. A measurement of the volume utilized in the C&D cells must be performed during
the first or second quarter of the calendar year. The date and volumes in cubic
yards must be included in the report.
d. The amount of C&D waste in tons from scale records disposed in landfill cells since
3 July 1996 through the date of the annual volume survey must be included in the
report.
e. The tons of C&D waste recycled, recovered or diverted from disposal including a
description of how and where the material was ultimately managed.
f. The completed report must be forwarded to the Environmental Senior Specialist for
the facility by the date due on the prescribed annual facility report form.
g. A copy of the completed report must be forwarded to each county manager for each
county from which waste was received at the facility. Documentation that a copy of
the report has been forwarded to the county managers must be sent to the
Environmental Senior Specialist by the date due on the prescribed annual facility
report form.

- End of Permit Conditions -

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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix B – Erosion Control

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Appendix B – Erosion Control

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix B – Erosion Control

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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix C – Operation Plan

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Appendix C – Operation Plan

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix C – Operation Plan

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Old Salisbury Road Construction and
Demolition Landfill
Appendix C – Operation
Plan
City of Winston-Salem City/County Utility
Commission
Winston-Salem, North Carolina
October 2019
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX C – OPERATION PLAN
i
Table of Contents
1.0 Introduction.........................................................................................................................1
2.0 Standard Operating Procedures.........................................................................................2
2.1. Hours and Days of Operating .........................................................................................2
2.2. Weighing Procedures......................................................................................................2
2.3. Wastes Accepted............................................................................................................2
2.4. Unacceptable Waste.......................................................................................................2
2.5. Filling Procedures ...........................................................................................................3
2.6. Cover Material Requirements .........................................................................................4
2.7. Equipment.......................................................................................................................4
2.8. Recordkeeping Requirements ........................................................................................4
3.0 Waste Screening Procedures.............................................................................................5
3.1. Waste Receiving and Inspection.....................................................................................5
3.2. Waste Screening Record Keeping Procedures ..............................................................5
4.0 Progression of Fill...............................................................................................................6
5.0 Worker Safety and Training................................................................................................7
5.1. Operations Training ........................................................................................................7
5.2. Safety Equipment............................................................................................................7
5.3. Fires and Natural Disasters ............................................................................................7
5.3.1. Emergency Protocols...............................................................................................7
5.3.2. Follow up Procedures..............................................................................................7
6.0 Miscellaneous Operational .................................................................................................8
6.1. Staffing............................................................................................................................8
6.2. Facility Access ................................................................................................................8
Appendices
Appendix C1 – Figure 1-Site Map
Appendix C2 – Landfill Emergency Action Plan
Appendix C3 – Emergency Flow Chart/Telephone Procedures
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
INTRODUCTION
C-1
1.0 Introduction
The purpose of this document is to identify protocols for the overall operation and maintenance
of the Old Salisbury Road Construction and Demolition Landfill (Landfill), which is owned and
operated by the City of Winston-Salem. This plan provides details of the procedures and
policies, which shall be implemented throughout the life of the Landfill.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
STANDARD OPERATING PROCEDURES
C-2
2.0 Standard Operating Procedures
2.1. Hours and Days of Operating
The Landfill is normally open for operation between the hours of 7:00 am and 4:00 pm, Monday
through Friday. These hours and days of operation may change based upon many factors. The
Landfill is normally closed on Saturdays and Sundays except where prior permission has been
given to receive waste for special instances such as a natural disaster. Normally the landfill is
closed on the following observed holidays : New Years’ Day, Martin Luther King, Jr. Day,
Veterans Days, Good Friday, Memorial Day, Independence Day, Labor Day, Thanksgiving Day
and the day after, and Christmas Day.
Special notices are to be posted at the scalehouse advising users of the observed holidays.
Such notices are posted at least one week in advance of the observed holiday.
2.2. Weighing Procedures
All vehicles entering the Landfill are required to stop at the scalehouse, which is located at the
entrance to the facility. Except for small vehicles, refuse transportation vehicles are weighed on
permanent scales and the content of the load is assessed. The weighmaster requests from the
driver of the vehicle a description of the waste to ensure that unacceptable waste is not entering
the Landfill. The weighmaster then collects payment and visually checks the vehicle as it
crosses the scale.
2.3. Wastes Accepted
This solid waste management facility will accept wastes as stated in it’s permit. Some examples
are:
Land-Clearing Debris as defined in General Statutes 130A-290;
Asphalt in accordance with General Statutes 130A-294(m);
Construction and Demolition Debris defined as solid waste resulting solely from
construction, remodeling, repair or demolition operations on pavement, buildings or other
structures;
Inert Debris defined as soil waste, which is virtually inert, such as brick, concrete, rock,
and uncontaminated soil.
Wooden pallets
NOTE: Yard waste defined as solid waste consisting solely of vegetative matter resulting from landscaping
maintenance (see General Statues 130A-290) is banned from disposal in this facility per NC General
Statutes. Yard waste is to be directed to the Overdale Yard Waste Facility or the Forum 52 Yard Waste
Facility.
2.4. Unacceptable Waste
The following wastes are prohibited from disposal at the Landfill:
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
STANDARD OPERATING PROCEDURES
C-3
Containers such as tubes, drums, barrels, tanks, cans, and bottles unless they are
empty and perforated to ensure that no liquid, hazardous or municipal solid waste is
contained therein in accordance with 15A NCAC 13B .0542 (e) (1).
Garbage
Industrial Waste
Liquid Waste
Polychlorinated biphenyls waste
Radioactive waste
Septage
Sludge
Special wastes as defined in G.S. 130A-290(a)(40)
Municipal Solid Waste
Yard Waste
Hazardous Waste
Antifreeze
Aluminum cans
Oil filters
Oyster shells
Discarded computer equipment
Televisions
The following wastes cannot be received if separate from C&D waste:
Lamps or bulbs
Lighting ballast or fixtures
Thermostats and light switches
Batteries
Lead pipes
Lead roof flashing
Transformers
Capacitors
Copper chrome arsenate
Creosote treated woods
2.5. Filling Procedures
Solid waste transportation vehicles will arrive at the working face in random intervals. There
may be several vehicles unloading waste at one time, while other vehicles are waiting. Solid
waste unloading in the Landfill is controlled to prevent disposal in locations other than those
specified by the site management. This control confines the working face to the minimum area
required which improves the overall landfill aesthetics and minimizes the amount of cover soil
required. Normally, only one working face is active on any given day.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
STANDARD OPERATING PROCEDURES
C-4
2.6. Cover Material Requirements
Waste shall be covered at a minimum of once per week with a suitable cover at least 6 inches
thick or an alternative cover material approved by the North Carolina Department of
Environment and Natural Resources (NC DENR) Division of Waste Management (DWM) Solid
Waste Section (SWS) in the January 7, 2014 guidance document on alternative cover materials.
Areas that will not have additional waste place on them for 3 months or more, but where final
elevations have not been reached, shall be covered with one foot of soil cover. Within six
months of termination of disposal operations, the final cover system shall be installed.
2.7. Equipment
The following is a list of equipment used at the landfill. This list is subject to change based on
the needs of the landfill.
Pick Up Truck
Dozer
Water Truck
Articulated Dump Truck
Excavator
Compactor
2.8. Recordkeeping Requirements
The following records shall be kept either at the landfill or in an alternative location near the
landfill for easy access:
Random waste inspections, monitoring results, certifications of training, and training
procedures;
Amounts by weight of waste received at the facility including information about the
county of generation;
Any demonstration, certification, finding, monitoring, testing or analytical data required
by 15A NCAC 13B .0544 and .0545;
Any closure or post-closure monitoring, testing or analytical data;
Any cost estimates and financial assurance documentation;
Notation and time of placement of cover material; and
All audit records, compliance records, and inspection reports.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
WASTE SCREENING PROCEDURES
C-5
3.0 Waste Screening Procedures
In order to prevent unacceptable waste from entering the Landfill, the following screening
procedures have been implemented; Waste received at the scalehouse entrance and waste
taken to the working face is inspected by a trained personnel. These individuals are trained to
spot indications of suspicious waste that include hazardous placards or markings, liquids,
powders or dusts, sludges, bright or unusual colors, drums or commercial size containers and
chemical odors. Screening procedures for visual and olfactory characteristics of prohibited
wastes are an ongoing part of the Landfill operation.
3.1. Waste Receiving and Inspection
Approximately 10 percent of the Landfill tonnage is selected for screening per quarter. Selected
vehicles are directed to an area that is separate from the working face and the vehicle is
unloaded. Waste is carefully spread using the appropriate equipment. A solid waste division
employee trained to identify unacceptable material will inspect the waste discharged at the
screening site. If unacceptable waste is found, including waste generated outside the service
area, the load will be isolated and secured. For loads in which the entire load is unacceptable,
the Landfill Manager will then notify officials with the Department of Environmental Quality
(NCDEQ), Division of Solid Waste Management within 24 hours of the attempted disposal to
inform them of the unacceptable waste and determine the appropriate course of action. The
hauler is responsible for removing unacceptable waste from the Landfill property.
3.2. Waste Screening Record Keeping Procedures
The following records are kept on-site to document all inspections:
The date and times waste were received for inspection.
Source and type of waste.
Vehicle and driver identification.
All observations made by the inspector.
Final location of waste after inspection.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
PROGRESSION OF FILL
C-6
4.0 Progression of Fill
The boundaries of the phases are shown on Figure 1. The purpose of the boundaries is to
illustrate the general concept and progression of filling. All phases have been excavated to the
designed base grade and certified by survey.
Each phase should be filled from the high end to allow storm water to drain freely into the
sediment basins. Waste should be placed in uniform lifts that are as thin as practical and
compacted to maximize the landfill capacity. The area of the working face will vary depending
on disposal demand but should be kept as small as practical to limit the requirement for cover
soil. Waste should be placed in lifts across a phase and provide adequate maneuvering room
for building subsequent lifts.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
WORKER SAFETY AND TRAINING
C-7
5.0 Worker Safety and Training
All landfill operating personnel shall receive training, safety equipment, and supervision
necessary to carry out their assigned duties.
5.1. Operations Training
The supervisor shall either be a Certified Manager of Landfill Operations (MOLO) by the Solid
Waste Association of North America (SWANA) or a Certified Landfill Operations Specialist
(LOS) by SWANA. In addition, site management will endeavor to require other employees to
become LOS.
The employees will also participate in the waste screening program in order to gain hands on
experience in determining inappropriate wastes.
5.2. Safety Equipment
All employees will be provided necessary safety equipment while on the working face of the
landfill. This may include but does not necessarily require hard hat, safety vest, safety shoes,
and safety glasses. All employees will be trained in the proper use of safety equipment.
Additionally, the City of Winston-Salem regularly offers OSHA approved safety training classes
for their employees.
5.3. Fires and Natural Disasters
5.3.1. Emergency Protocols
In the event of a fire or other natural disaster, all staff should follow the protocols outlined in the
landfill emergency action plan. It is incorporated herein as Appendix C2.
5.3.2. Follow up Procedures
The fire department will be notified in cases of landfill fires. A follow up report detailing the
nature of the fire will be mailed to the section within 15 days of an emergency response.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
MISCELLANEOUS OPERATIONAL
C-8
6.0 Miscellaneous Operational
6.1. Staffing
The facility will be staffed during all operating hours to ensure operational compliance.
6.2. Facility Access
The access road to the working face will be constructed for all-weather use and kept in good
working condition. Dust control and tracked mud will be controlled as needed.
Proper signage directing and informing facility users will be placed in high visibility areas. Signs
shall indicate the types of material allowed in the facility.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX C1 – FIGURE 1-SITE MAP

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Appendix C1 – Figure
1-Site Map

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OVERALL SITE PLAN
00C-01
OSR C&D LANDFILL
PERMIT AMENDMENT
WINSTON-SALEM NORTH CAROLINA
1
A
B
C
2 3 4 5 6 7 8
D
ISSUE DATE DESCRIPTION
PROJECT MANAGER
PROJECT NUMBER
0 1"2"FILENAME
SCALE
SHEET
HDR Engineering, Inc.
440 S Church Street
Charlotte, NC 28202
704.338.6700
of the Carolinas
N.C.B.E.L.S. License Number: F-0116
C:\pwworking\east01\d1176012\00C-01.dwg, Plot, 9/19/2019 5:25:16 PM, EMTUCKER
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX C2 – LANDFILL EMERGENCY ACTION PLAN

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Appendix C2 – Landfill
Emergency Action
Plan

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Old Salisbury Road Construction and
Demolition Landfill
Operation Plan – Appendix C2
Landfill Emergency
Action Plan
City of Winston-Salem City/County Utility
Commission
Winston-Salem, North Carolina
October 2019
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill Operation Plan
LANDFILL EMERGENCY ACTION PLAN
B-i
Table of Contents
I Landfill Emergency Action Plan .............................................................................................1
A. Purpose ..............................................................................................................................1
B. Definitions...........................................................................................................................1
C. Responsible Persons..........................................................................................................1
D. Emergency Response Telephone Numbers.......................................................................1
E. Emergencies.......................................................................................................................2
i Fires and Explosions.......................................................................................................2
ii Tornado and Hurricane...................................................................................................2
iii Evacuation ......................................................................................................................2
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill Operation Plan
LANDFILL EMERGENCY ACTION PLAN
B-1
I Landfill Emergency Action Plan
A. Purpose
The Landfill Emergency Action Plan is to provide all employees with the proper information to
protect themselves, co-workers, and the public in the event of an emergency. This plan is
designed to meet the requirements of OSHA 1910.38(a) and 1910.120.
B. Definitions
i Emergencies shall include such events as serious fires, explosions, tornadoes,
hurricanes, or releases of hazardous or toxic materials. This plan will detail the
appropriate emergency action for each.
ii Severe fires shall be any fire which is extinguishable by a portable fire extinguisher
or a fire within a confined space which would require entering the space to
extinguish it or a fire involving explosive or toxic materials.
iii Assembly Point shall be the area in which all employees gather in the event of an
emergency.
C. Responsible Persons
The following person is responsible for implementing and training employees on the emergency
action plan. If employees have questions, they should contact the supervisor for their section
listed below.
Project Supervisor – 336-650-7659
In the case of emergency evacuation, the supervisor is responsible for accountability of his/her
employees and all visitors.
Every employee is responsible for his/her safety and for preventing job-related accidents or
injuries by complying with all workplace safety policies and related procedures.
D. Emergency Response Telephone Numbers
Contact Number
EMERGENCY (FIRE/POLICE)911
Emergency Response via City Link (Local)[phone]
NC Dept. of Environment Quality (NCDEQ)[phone]
NCDEQ Winston-Salem Regional Office [phone]
National Response Center 1-800-424-8802
N.C. Emergency Management [phone]
Chemtrec 1-800-262-8200
Carolinas Poison Center 1-800-222-1222
*If possible, consult your supervisor before using the numbers listed.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill Operation Plan
LANDFILL EMERGENCY ACTION PLAN
B-2
E. Emergencies
i Fires and Explosions
a. In the event of a fire or explosion, all personnel shall evacuate the area with
caution. There are no specific escape route assignments during the initial
evacuation. The assembly area is the front entrance of the landfill.
ii Tornado and Hurricane
a. In the event of a tornado or hurricane with sufficient warning, all Landfill personnel
shall move with caution to the nearest secure public structure. In the event of a
tornado without warning, personnel should temporarily retreat to the nearest secure
place – heavy equipment or lowest point in a ditch.
There are no specific escape route assignments during the initial evacuation.
iii Evacuation
a. To alert other personnel on the Landfill site, the highest ranking person shall notify
the employees by two-way radio.
b. Under no circumstances shall an employee remain in a hazardous area to operate
equipment. Evacuation is mandatory.
c. Employee Accounting
In the event of an emergency, the Landfill supervisor(s) or in his/her absence, the
senior operator will take charge at the assembly point and account for all persons
at the Landfill site.
The highest ranking supervisor(s) at the assembly point will be responsible for
accounting for all persons onsite. Once everyone has been accounted for, no one
may leave the assembly point without the assembly point supervisor’s permission.
All persons should reach the assembly point within 10 minutes of the alarm. All
persons unaccounted for after this time will be assumed to be down and their
names and last known location will be provided to the fire/rescue personnel by the
assembly point supervisor.
d. Assigned Responsibilities
In the event of an emergency evacuation the following personnel shall have these
responsibilities:
Person discovering the emergency condition:
Shall report the situation to 911.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill Operation Plan
LANDFILL EMERGENCY ACTION PLAN
B-3
Shall take first aid kit to the assembly point.
Report to the assembly point and begin accounting for persons on site.
Coordinate actions with emergency response personnel; report all missing
persons.
e. Employees are not required to administer medical attention but may offer first aid
normally given to any accident victim. Only properly trained personnel shall attempt
rescue of an employee in a hazardous atmosphere.
f.The preferred means of reporting an emergency is by telephone (i.e., call 911). The
next preferred method of reporting is by radio (i.e., call supervisor). The least
preferred method of reporting is by word of mouth. Under these conditions, no
employee shall drive for help until weather conditions are safe for transit by
automobile. Then an employee may seek help via Fire Station located on Peters
Creek Parkway. In all cases, be sure to give emergency personnel an address,
phone number, injuries, if any are known, and type of emergency (see Appendix
C).
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill Operation Plan
LANDFILL EMERGENCY ACTION PLAN
B-4
LANDFILL EMERGENCY ACTION PLAN
Approved by: ____________________________________________________
Ranking Official’s Signature
Title: Project Supervisor
Date: ___________________
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX C3 – EMERGENCY FLOW CHART/TELEPHONE PROCEDURES

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Appendix C3 –
Emergency Flow
Chart/Telephone
Procedures

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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix D – Monitoring Plan

D
Appendix D – Monitoring
Plan

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix D – Monitoring Plan

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HDR Engineering, Inc. of the Carolinas
440 South Church Street, Suite 1000 Charlotte, NC 28202
License Number F-0116
Old Salisbury Road Construction and
Demolition Landfill
Permit Amendment
Appendix D – Monitoring
Plan
City of Winston-Salem City/County Utility
Commission
Winston-Salem, North Carolina
April 2015
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX D – MONITORING PLAN
i
Table of Contents
1.1. Facility Background.........................................................................................................1
1.2. Regulatory Authority .......................................................................................................1
1.3. Geologic Characteristics.................................................................................................1
1.3.1. Regional Geologic and Hydrogeologic Frame Work................................................1
1.3.2. Site Specific Topography and Drainage ..................................................................3
1.3.3. Site Specific Hydrogeology......................................................................................3
1.4. Monitoring History...........................................................................................................4
2.0 Monitoring Network.............................................................................................................5
2.1. Groundwater ...................................................................................................................6
2.1.1. Naming Conventions ...............................................................................................6
2.1.2. New & Replacement Wells ......................................................................................7
2.1.3. Abandonment of Wells.............................................................................................7
2.2. Surface Water.................................................................................................................7
2.3. Landfill Gas.....................................................................................................................7
3.0 Waste Acceptability ............................................................................................................8
4.0 Sampling Schedule.............................................................................................................9
5.0 Sampling Procedures .......................................................................................................10
5.1. Water ............................................................................................................................10
5.1.1. Static Groundwater Level and Total Depth Measurements...................................10
5.1.2. Well Purging ..........................................................................................................10
5.1.3. Field Analysis.........................................................................................................11
5.1.4. Sample Withdrawal................................................................................................11
5.1.5. Equipment Decontamination..................................................................................12
5.1.6. Sample Preservation and Handling .......................................................................12
5.1.6.1. Sample Containers ................................................................................................12
5.1.6.2. Sample Preservation .............................................................................................12
5.1.7. Chain of Custody Programs...................................................................................13
5.1.7.1. Sample Labels.......................................................................................................14
5.1.7.2. Sample Seal ..........................................................................................................14
5.1.7.3. Field Log Book.......................................................................................................14
5.1.7.4. Chain of Custody Record.......................................................................................14
5.1.8. Field Quality Assurance/Quality Control................................................................15
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX D – MONITORING PLAN
ii
5.1.8.1. Duplicate................................................................................................................15
5.1.8.2. Trip Blank...............................................................................................................15
5.1.8.3. Equipment Blank....................................................................................................15
5.1.8.4. Field Blank.............................................................................................................15
5.1.9. Laboratory Quality Assurance/Quality Control.......................................................15
5.1.10. Visual Inspection....................................................................................................15
5.2. Landfill Gas Monitoring Procedures..............................................................................16
5.2.1. Equipment..............................................................................................................16
5.2.2. Sampling................................................................................................................16
6.0 Data Evaluation ................................................................................................................17
7.0 Data Reporting .................................................................................................................18
7.1. Report Frequency .........................................................................................................18
7.2. Recordkeeping..............................................................................................................18
Appendix D1 Relevant Site Documents
Appendix D2 Groundwater Well Details & Logs
Appendix D3 Landfill Gas Probe Details
Appendix D4 Sample Forms
Appendix D5 NC DENR Groundwater References
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
INTRODUCTION
D-1
1.0 Introduction
On behalf of the Winston-Salem Forsyth County City/County Utilities Commission (CCUC), HDR
Engineering, Inc. of the Carolinas (HDR) submitted this Monitoring Plan for the Old Salisbury
Road (OSR) Landfill, North Carolina Department of Environmental Quality (NCDEQ) Permit No.
34-12, in April of 2015 as part of the 2014 permit renewal process. The monitoring plan was
approved as part of the permit renewal process in 2015.
1.1. Facility Background
The OSR landfill is permitted for 56 acres and is situated within a 140-acre tract north of
Friedberg Church Road and west of Old Salisbury Road in Forsyth County, North Carolina. The
site is accessed via Old Salisbury Road (State Road 3011). The Davidson County line borders
the site to the south. The location of the OSR landfill is illustrated on Figure 1.
1.2. Regulatory Authority
The site is operated under North Carolina Department of Environmental and Natural Resources
(NC DENR) facility permit number 34-12. The facility was first issued a permit to operate on July
3, 1996 and opened in August of the same year. The monitoring requirements for this site are
addressed by NC Solid Waste Management Rule 15A NCAC 13B .0544. Those requirements
address ground water, surface water, landfill gas and waste acceptability in sections (b), (c), (d),
and (e) respectively. This plan addresses the requirements of groundwater, surface water, and
landfill gas. A reference to the separate document that addresses the requirements for waste
acceptability is included in this plan.
1.3. Geologic Characteristics
This section paraphrases the descriptions provided in the July 2003 Ground Water Monitoring
Plan and the 2003 Design Hydrogeologic Investigation Report.
1.3.1. Regional Geologic and Hydrogeologic Frame Work
According to the 1985 Geologic Map of North Carolina, OSR is located in the Charlotte belt of
the Piedmont Physiographic Province. This Province contains metamorphic and igneous
plutonic rocks, which in some areas have been extensively weathered and eroded forming an
undulating and well-dissected topography. The area is underlain by granite rock, which is
commonly megacrystic to equigranular in texture.
The bedrock is typically fractured and is overlain by highly weathered bedrock called saprolite.
The saprolite varies in thickness from a few feet near bedrock outcrops to over 100 feet. The
saprolitic material retains some of the original (relict) structural features of the parent rock. The
nearer surface residual soils are formed by the in-place physical and chemical weathering of the
saprolite and usually do not retain the relict structural features.
Subsurface conditions generally consist of a veneer of topsoil underlain by residual soils,
saprolite, partially weathered rock, and fractured rock. There is generally a gradual transition
from one material type to the next with varying thickness of each.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
INTRODUCTION
D-4
In the Piedmont Physiographic Province, groundwater is present within the openings created by
fractures and joints within the bedrock and within the pore spaces of the overlying-saprolite. The
saprolite/bedrock aquifers are primarily recharged by precipitation in the inter-stream areas,
which infiltrates through the unsaturated zone to the water table. The depth to ground water is
generally deeper beneath uplands than beneath valleys. The water table is commonly close to
the top of bedrock and is more often than not, located within the saprolite. Groundwater moves
laterally and downward through the saprolite and bedrock toward streams, springs, and surface
water bodies. The water table surface is generally a subdued reflection of the surface
topography.
1.3.2. Site Specific Topography and Drainage
Surface drainage at the subject site is primarily controlled by a north-northwesterly trending
ridge within the property. Construction of the landfill generally mimics and replaced the natural
ridge that existed prior to the landfill. This ridge directs runoff northeast, west and southwest into
tributaries of South Fork Muddy Creek. The majority of surface runoff within this site is directed
to South Fork Muddy Creek on the north. A small area in the extreme southeasterly section of
the site appears to drain south into Miller Creek. Both the South Fork Muddy Creek and Miller
Creek flow to the west where they converge with Muddy Creek. Muddy Creek flows to the south
and converges with the Yadkin River.
1.3.3. Site Specific Hydrogeology
As documented in the Design Hydrogeological Investigation Report submitted by HDR on
December 2, 2003, the uppermost unconfined aquifer underlying the facility is comprised of
three units. The stratigraphic downward progression of the three units is saprolite transitioning
into partially weather bedrock, then competent bedrock. Ground water flow through the
saprolite and partially weathered bedrock is through the soil matrix, while groundwater flow
through the bedrock is primarily fracture flow.
The average effective porosity of the saprolite stratum is 17, while the saprolite transition zone
has an effective porosity of 25. The effective porosity of the bedrock is significantly less at 2.
The calculated hydraulic conductivity (K) for the saprolite is 0.259 feet per day (ft/day) (9.1 x 10-5
cm/sec). The calculated average hydraulic conductivity for the transition zone is 0.466 ft/day
(1.65 x 10-4 cm/sec). The calculated hydraulic conductivity of the bedrock aquifer was slower
than either the saprolite or transition zone units with a K value of 0.043 ft/day (1.5 x 10-5
cm/sec). Detailed calculations of the hydraulic conductivity, flow rates, and porosity were
provided in the 2003 Hydrogeological Report.
Based on historical field observations (i.e., soil boring records) and laboratory test results from
the 2003 Hydrogeological Report, the uppermost unconfined aquifer beneath the facility
predominantly exists within the unconsolidated saprolitic soil and transition zone units that have
been classified as micaceous silty sands and sandy silts produced by the in-situ weathering of
the granodiorite parent rock. Groundwater flow within the uppermost aquifer is predominantly
porous flow through the unconsolidated units. There is no evidence of discrete flow patterns
within the saprolite and transition zones of the uppermost aquifer resulting from relict quartz
veins, dikes, healed fractures, or strong preferential alignment of minerals (i.e., foliation). In
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
INTRODUCTION
D-5
general, the flow of groundwater occurs for the facility is from higher elevations onsite to lower
elevations onsite under unconfined (water table) conditions regardless of the unit in which it
resides. As such, the static water table generally mimics the topography.
1.4. Monitoring History
A Ground Water Monitoring Plan was originally prepared by S&ME and submitted by HDR with
the Site Plan Application in 1995. HDR has subsequently revised this plan multiple times by
letter: August 1999, October 1999, October 2002, April 2003, July 2003, and April 2015. The
plan with the amending letters was last submitted to NC DENR in the April 2015 operating
permit amendment.
At the time of this submittal, the site is in assessment monitoring due to detections of
constituents above the protections standards in MW-2R. The assessment Monitoring Plan was
approved on January 17, 2012.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
MONITORING NETWORK
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2.0 Monitoring Network
The monitoring locations are depicted on the Figure 1. Groundwater monitoring well MW-1R is
located hydraulically upgradient of the landfill and is the background well for the site. Upstream
surface water (SW-1) and downstream surface water (SW-2) samples were obtained from the
stream that flows east of the landfill unit. Surface water samples (SW-3 and SW-4) are
intermediate samples obtained from the drainage channel in the vicinity of MW-2R. SW-3 is
located south of the entrance road near MW-2R; SW-4 is located on the north side of the
entrance road, downstream of SW-3.
Table 1 – Locations Sampled
MW-1R MW-2R MW-3R MW-4R MW-5R
MW-7 MW-8 MW-9 MW-10 MW-11Monitoring Wells
MW-12 MW-13 MW-14 MW-15
Surface Water SW-1 SW-2 SW-3 SW-4
MM-1 MM-2s MM-2d MM-3 MM-4s
MM-4d MM-5 MM-6 MM-7 MM-8Landfill Gas
Probes
MM-9 MM-10 MM-11 MM-12
Dedicated QED micropurge pumps were installed in August 2004. Collect samples from each of
the landfill groundwater wells using the dedicated pumps. Evaluate the sampled locations by the
methods and for the analytical parameters listed in the current sampling schedule. Collect field
measurements of pH, conductivity, redox, temperature, turbidity, dissolved oxygen, and depth to
groundwater for each well listed in the current sampling schedule. Table 2 illustrates the
sampling schedule current at the time this plan was prepared. This schedule may be updated
occasionally with written notice to and concurrence of the NC DENR Solid Waste Section
Compliance Hydrogeologist.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
MONITORING NETWORK
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Table 2 –Sampling Schedule
Method Parameter(s)Frequency Monitoring
Wells
Surface
Water
Landfill Gas
Probes
EPA 300.0 Sulfate 2x/year All All
EPA 6010 Trace Metals 2x/year All All
EPA 7470 Mercury 2x/year All All
Pesticides Fall of odd years
(ex. 2015)All None
EPA 8081 Pesticides
(Previously detected, see below)2x/year MW-1R, MW-2R,
MW-4R & MW-15 None
PCB’s Fall of odd years
(ex. 2015)All None
EPA 8082 PCB’s
(Previously detected, see below)2x/year MW-1R, MW-2R,
MW-4R & MW-15 None
Herbicides Fall of odd years
(ex. 2015)All None
EPA 8151 Herbicides
(Previously detected, see below)2x/year MW-1R, MW-2R,
MW-4R & MW-15 None
App I VOCs + Tetrahydrofuran 2x/year All All
EPA 8260 Appendix II Constituents1 Fall of odd years
(ex. 2015)All None
SVOCs Fall of odd years
(ex. 2015)All None
EPA 8270 SVOCs
(Previously detected, see below)2x/year MW-1R, MW-2R,
MW-4R & MW-15 None
SM 2320B Alkalinity 2x/year All All
SM 2540C Total Dissolved Solids 2x/year All All
SM 4500 Chloride, Cyanide, Sulfide 2x/year All All
Field
Temperature, Specific
conductance, Dissolved Oxygen,
Redox, Turbidity, pH
2x/year All All
NA
Field Total well depth and
static water level 2x/year All NA NA
Field
% Methane,
% Carbon Dioxide,
% Oxygen, and
% Balance Gases
4x/year All NA All
Field Hydrogen Sulfide (ppm)
Carbon Monoxide (ppm)4x/year All NA All
1Additional Appendix II constituents detected during these events will be added to the sampling program for subsequent semiannual events
Current Detects for:
EPA Method 8081: 4,4'-DDD, 4,4'-DDT, Aldrin, alpha-BHC, delta-BHC, Endosulfan II, Endrin, Endrin aldehyde, Heptachlor, Methoxychlor
EPA Method 8082: None.
EPA Method 8151: 2,4,5-TP (Silvex), 2,4-DEPA Method 8270: Benzo(a)anthracene, Bis(2-ethylhexyl)phthalate, Chrysene
2.1. Groundwater
2.1.1. Naming Conventions
New wells will be labeled sequentially based on the installation date; however, if several wells
are installed during the same mobilization they may be labeled in the order of the plan. All
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
MONITORING NETWORK
D-8
groundwater wells will be labeled “MW-##” where the ## is the next available number. A suffix of
“R#” will be added for replacement wells, where # is the sequence of replacement. The use of R
and R1 will be considered synonymous.
2.1.2. New & Replacement Wells
New and replacement monitoring wells will be added to the system as needed and will be
installed per NC DENR requirements and rule 15A NCAC 2C. Well labels shall include all
pertinent construction data including name, date and depth. New wells will be sampled on the
same schedule as existing wells.
A well will be considered a replacement wells if the original well is or will be abandoned and the
well will be located in the same vicinity as the well it is replacing. Formerly, the location of the
replacement well was not a criterion for labeling the well as a replacement and wells that were
not in the same vicinity have been labeled as replacement wells. Whenever possible,
replacement wells will be installed before abandonment of the well to be replaced, so that
samples and measurements may be obtained for comparison purposes. Otherwise a well will
be considered new.
2.1.3. Abandonment of Wells
All damaged or replaced wells shall be abandoned in accordance with NC DENR requirements
for well abandonment and rule 15A NCAC 02C .0113.
2.2. Surface Water
The surface water system currently consists of one upstream point (SW-1) and three
downstream points (SW-2, SW-3 and SW-4). Upstream surface water and downstream surface
water samples are obtained from the adjacent stream to the east. Surface water samples (SW-3
and SW-4) were obtained from the drainage channel in the vicinity of MW-2R. SW-3 is located
south of the entrance road near MW-2R; SW-4 is located on the north side of the entrance road,
downstream of SW-3.
2.3. Landfill Gas
A monitoring network of 14 probes in 12 locations has been established at the site. The
network is intended to ensure that:
The concentration of methane gas or other explosive gases generated by the facility
does not exceed 25 percent of the lower explosive limit in on-site facility structures
(excluding gas control or recovery system components);
The concentration of methane gas or other explosive gases does not exceed the lower
explosive limit for methane or other explosive gases at the facility property boundary;
and
The facility does not release methane gas or other explosive gases in any concentration
that can be detected in offsite structures.
In addition, monitoring of the network may be used to identify if landfill gas is impacting
groundwater constituents.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
WASTE ACCEPTABILITY
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3.0 Waste Acceptability
Waste acceptability is addressed in the Permit Application’s Operations Plan (Appendix C).
Please refer to Sections 2.0 Standard Operating Procedures and 3.0 Waste Screening
Procedures of the Operations Plan for further information.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING SCHEDULE
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4.0 Sampling Schedule
Data will be collected from the fourteen (14) on-site groundwater wells, four (4) surface water
sampling locations, and fourteen (14) landfill gas probes. Table 2 provides a list of the sample
locations and the sample frequency for the associated analytical parameters. The sampling
schedule is based on the solid waste list of regulated parameters. Sample the monitoring wells
and surface water sampling locations listed in Table 1 semi-annually. Sample the landfill gas
probes listed in Table 1 quarterly.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING PROCEDURES
D-11
5.0 Sampling Procedures
This section describes standard procedures to be followed during field sampling events.
5.1. Water
5.1.1. Static Groundwater Level and Total Depth Measurements
The depth from the top of the PVC casing to groundwater is measured to the nearest 0.01 foot
prior to purging each well. This depth to water, when subtracted from the reference datum,
provides a groundwater surface elevation.
Record a complete set of water-level measurements within a 24-hour period for use in
generating a potentiometric surface map. Water level measurements should also be recorded
immediately prior to purging, along with a measurement of the total well depth. This data is
required to determine the current hydraulic surface, to calculate the volume of water to be
purged, and to check well integrity. All measurements are to be made in reference to the
surveyed reference notch made on the top of the PVC well casing (TOC), and are recorded in
the field log book to the nearest 1/100th of a foot. In order to avoid any possibility of well
cross-contamination, the water level indicator probe will be rinsed with a laboratory-grade,
phosphate-free detergent, rinsed with tap water, and then finally rinsed with deionized water
after each well is measured.
Perform the measurement to static groundwater using an electronic water level indicator.
Electronic water level indicators generally consist of a probe attached to a spool of dual
conductor wire and an indicator. When the probe is lowered into the well and comes into contact
with the water, it completes the circuit and registers the contact and will light and/or sound.
Total well depth should be determined for each sampling event by lowering a water level
indicator probe until the weighted end is felt to be on the bottom. The total depth can then be
read off the indicator cable.
5.1.2. Well Purging
Purging and sample collections activities will begin at the background well(s) and generally
progress from the upgradient areas to the downgradient areas and from wells that are the least
impacted to those that are the most impacted.
Purge each well to remove any stagnant water that may not be representative of actual
groundwater quality prior to sampling. Purging three well volumes is generally adequate to
reach a stabilized condition as described below. A well volume can be calculated by the
following formula.
𝑉=7.48052𝜋ℎ(𝐷
2)2
Where:V = volume of water (gallons)
7.48052 = the number of gallons in 1 cubic foot
π = 3.14159
h = height of water column (feet)
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING PROCEDURES
D-12
D = inside diameter of pipe (feet)
Wells that are purged dry shall be allowed to recover sufficiently to allow complete sampling of
the required parameters, using the protocol outlined below. The stability of temperature, specific
conductance, and pH will be checked immediately after well recovery against the previous
indicator parameter measurements.
No smoking, use of insect repellents, or the running of motor vehicles should occur in the
immediate vicinity during purging or sampling.
Decontaminate all purging/sampling equipment prior to placement into each well and handle in
a manner to prevent contamination. Equipment shall not be placed in contact with unclean
surfaces. So the placement of sample bottles and field instrumentation do not contact the
ground surface place plastic sheeting on the ground around the well casing to further reduce the
possibility of well contamination. Samplers shall wear a clean pair of new, disposable gloves
each time a different well is sampled, and gloves will be donned immediately prior to purging
and shall be changed prior to sampling, if necessary.
Purge water from wells that had contaminant levels greater than 10 times the maximum
contaminant level (MCL), based on the previous sampling event will be containerized and
disposed to a wastewater treatment plant (WWTP). Purge water from other wells shall be
disposed of upgradient of the well being sampled or to a WWTP.
5.1.3. Field Analysis
Perform the field analyses by using field test meters that are calibrated prior to beginning well
purging, following the calibration procedures specified for each instrument. Carry out calibration
for the pH/temp meter using standard buffer solutions (pH 7 and pH 4) and a laboratory
thermometer. Calibrate the conductivity meter to two standards, which bracket the average
conductivity expected for the Landfill, once the site’s average conductivity has been determined.
In addition measure Redox and turbidity at each well.
Perform field analysis throughout the well purging process to determine temperature (°C), pH,
and specific conductivity (µmhos/cm) as indicators of groundwater quality stabilization. Water
stabilization is achieved when specific conductance and temperature variance is within ±10
percent on three successive measurements and pH variance is within ±0.2 SU over three
successive measurements. Turbidity should be less than 5 NTU or within ±10 percent on three
successive measurements. Redox should be ±10 percent on three successive measurements
and ORP should be ± 10 millivolts on three successive measurements.
Sample Field Data Sheets are provided in Appendix D4.
5.1.4. Sample Withdrawal
Use a variable speed micro-purge pump to evacuate groundwater from each well until
stabilization of measured field parameters (pH, conductivity, redox, temperature, turbidity, and
dissolved oxygen) occurred. Following completion of purging activities, sample the wells using
the same pump and record field parameters (pH, specific conductance, redox, turbidity,
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING PROCEDURES
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dissolved oxygen, and temperature) on field sampling logs. Copies of these logs are provided in
Appendix D2.
Pumping rates should not exceed 500 mL/minute. Sample collection will be performed in a
manner to ensure that agitation and aeration of the groundwater will be minimized. Fill the
containers in the following sequence of decreasing volatility: volatile organics, metals, chloride,
nitrate, pH, and specific conductivity. Place the samples directly into the appropriately prepared
container, as supplied by the laboratory.
Collect sufficient sample volume to perform all required analyses and to provide for quality
control samples. Do not overfill sample bottles containing preservatives. Consult the laboratory
scheduled to perform the analysis prior to the sampling event to confirm volume requirements.
Fill all preserved samples to nearly full so as not to flush the preservative from the bottle. Gently
fill volatile organic compound (VOC) vials to near the top, and then fill the remainder of the vial
by placing a small amount of the groundwater into the vial cap and transferring this water to the
sample vial until a convex meniscus is formed. Once the cap is placed onto the vial, the sample
will be inverted and lightly tapped by hand to verify that air bubbles are not present. Immediately
place the samples on ice for transport to the laboratory.
5.1.5. Equipment Decontamination
Decontaminate the non-dedicated down hole equipment prior to use or reuse. Decontaminate
water level meters and other auxiliary equipment using a laboratory-grade, phosphate-free
detergent, rinsed with tap water, and a final rinse with deionized water. Decontamination
solutions are prepared and transported to the field for cleaning the sampling equipment. The
decontamination procedure for sampling equipment includes the following steps.
Clean equipment with dilute laboratory-grade phosphate-free detergent and tap water using a
brush to remove particulate matter and surface films.
1. Rinse with tap water.
2. Rinse with a 10% nitric acid solution.
3. Rinse thoroughly with deionized water.
4. Rinse twice with isopropanol.
5. Rinse thoroughly with organic-free water and air dry.
6. If organic-free water is not available, allow equipment to air dry, do not rinse again with
deionized or distilled water.
7. Wrap equipment with aluminum foil (shiny side out), if appropriate, to prevent
contamination during storage or transportation.
5.1.6. Sample Preservation and Handling
This section addresses the preservation methods and handling of samples.
5.1.6.1. Sample Containers
Use sample containers supplied by the contracted laboratory based on the analyses required.
Take care to prevent contamination of the containers in the field.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING PROCEDURES
D-14
5.1.6.2. Sample Preservation
Field preservation of samples is generally accomplished by pH control, the addition of
chemicals, temperature control, and protection from light. Sample containers are received from
the laboratory pre-labeled with the analysis to be performed and with preservatives added as
necessary. Once properly capped, the container is inverted once to mix the preservative and
sample. The containers are then securely packed into an insulated cooler with ice packs. Upon
completion of the sampling event, the containers are transported to the laboratory for analysis in
the most efficient manner. Overnight delivery services are typically employed to transport
samples to the laboratory. The laboratory shall be certified by the state of North Carolina.
Maximum holding times prior to analyses can be found in Table 3.
Table 3 Required Containers and Preservation Techniques
Constituent Type of
Containers(1)
Preservative Maximum
Holding Time
Ammonia (as N)P, G Cool 4°C; H2SO4 to pH <2 28 Days
Bicarbonate P, G None 14 Days
Calcium (EPA 6010)P, G HNO3 to pH <2 6 Months
Chloride P None 28 Days
Fluoride P None 28 Days
Iron P, G HNO3 to pH <2 6 Months
Magnesium P, G HNO3 to pH <2 6 Months
Nitrate (as N)T, P, G Cool 4°C 48 Hours
Potassium (EPA 6010)P, G HNO3 to pH <2 6 Months
Sodium P, G HNO3 to pH <2 6 Months
Sulfate P Cool 4°C 28 Days
BOD P Cool 4°C 48 Hours
TOC G Cool 4°C, HCL to pH <2 28 Days
Arsenic P, G HNO3 to pH <2 6 Months
Barium P, G HNO3 to pH <2 6 Months
Cadmium P, G HNO3 to pH <2 6 Months
Chromium P, G HNO3 to pH <2 6 Months
Lead P, G HNO3 to pH <2 6 Months
Nickel P, G HNO3 to pH <2 6 Months
Mercury P, G HNO3 to pH <2 28 Days
Selenium P, G HNO3 to pH <2 6 Months
Silver P, G HNO3 to pH <2 6 Months
Zinc P, G HNO3 to pH <2 6 Months
Cyanide P Sodium Hydroxide pH >12 Cool
4°C
14 Days
Volatile Organics G, T-lined 1+1 HCL, pH <2, Cool 4°C 14 Days
(1) P – Polyethylene; G – Glass; T - Fluorocarbon Resins (PTFE, Teflon, REP, FFA, etc.)
5.1.7. Chain of Custody Programs
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING PROCEDURES
D-15
The chain of custody program has been developed to provide for tracking of individual samples
from the time of the field sampling event through laboratory analysis. Items included in the chain
of custody program are: sample labels, sample seals, field log book, and Chain of Custody
Record.
5.1.7.1. Sample Labels
Each sample container is affixed with a durable label which will be filled out using a waterproof
pen or marker. Information to be shown on the label includes, but is not limited to, the following.
Sample number
Date and time of collection
Location
Name of collector
Parameter to be analyzed
Type of preservative
5.1.7.2. Sample Seal
To ensure that samples have not been disturbed during shipment, place a seal on individual
containers or the entire package.
5.1.7.3. Field Log Book
All observations and field activities will be recorded in a project-dedicated log book or on field
sheets, which are placed into the project files. Field personnel, date, time, weather, results of in
field analysis, and other pertinent data shall be recorded.
5.1.7.4. Chain of Custody Record
Each sample is documented on a Chain of Custody Record; a sample form is provided in
Appendix D4. The form is to be completed in black or blue (reproducible) ink. The following
information shall be recorded.
Project number.
Project name.
All samplers' signatures in the designated block.
The sampling station number, date, and time of sample collection, grab or composite
sample designation, and a brief description of the type of sample and the sampling
location are included on each line (no more than one sample is included on each line
of the sample record).
The total number of sample containers is given in the indicated space for each
sampling location medium. The total number of individual containers is also given for
each type of analysis under the indicated medium or miscellaneous columns. The type
of container and required analyses is circled as indicated on the record.
The tag numbers for each sample and any needed remarks are supplied in the
indicated column.
The remarks column at the bottom of the form is used to record airbill numbers or
registered or certified mail serial numbers or other pertinent information as needed.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING PROCEDURES
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The field investigator and subsequent transferee(s) documents the transfer of the
samples listed on the record in the space provided at the bottom of the record. One of
the samplers documented under the sampler(s) section of the record is the person that
originally relinquished the samples. Usually, the last person receiving the samples or
evidence is a laboratory sample custodian or other evidence clerk.
The Chain of Custody Record is a serialized document. Once the record is completed, it is
maintained in the project file. A completed copy of the Chain of Custody Record is submitted to
NC DENR along with the analytical reports during each routine reporting period.
5.1.8. Field Quality Assurance/Quality Control
To demonstrate the quality of the laboratory data, quality control (QC) samples are collected.
5.1.8.1. Duplicate
A duplicate sample shall be obtained from a different well for each event. The associated well
ID will be noted on the field logs. The sample will only be identified on the CoC and jar labels as
“Duplicate”.
5.1.8.2. Trip Blank
At least one trip blank will be included for each VOC sampling event. The trip blank is prepared
by the contracted laboratory by filling one container with deionized water. This container is then
transported to the sampling site and handled as if it were a collected sample.
5.1.8.3. Equipment Blank
At least one equipment (rinsate) blank shall be collected for each sampling event that requires
field decontamination. The blank shall be collected from the equipment after use on a
contaminated well. The equipment blank is prepared by filling the decontaminated sampling
device with deionized water and then transferring it to an appropriate sample container. This
container is then handled in the same manner as other samples. Equipment decontaminated in
both the field and the office will be utilized as candidates for equipment blanks.
5.1.8.4. Field Blank
A field blank will be collected in the event that weather or environmental conditions are unstable
in the vicinity of the well while it is being sampled (i.e., heavy winds, rain, dust, and heavy
equipment operation).
5.1.9. Laboratory Quality Assurance/Quality Control
The contracted laboratory is given the flexibility to use any QA/QC program appropriate for the
specified analysis. The laboratory shall provide verification of this programs use with the results
of the sample analyses. A North Carolina certified groundwater laboratory shall perform the
required testing.
5.1.10. Visual Inspection
A visual inspection of the wells will be conducted in conjunction with the monitoring events. The
inspection schedule will increase with any increases in the monitoring schedule. Any
abnormalities regarding the condition of the well will be noted on the field log and immediately
addressed. The following elements will be inspected.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
SAMPLING PROCEDURES
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Well label.
Condition of protective cover, concrete pad, and lock.
Well depth.
Well surroundings including access roads, standing water, and vegetation.
5.2. Landfill Gas Monitoring Procedures
5.2.1. Equipment
Readings at the monitoring points will be collected using a handheld landfill gas monitor (i.e.,
CES Landtec GEM 2000 or equivalent). The meter shall be equipped with the applicable filters.
Commonly used filters include moisture, particulate and charcoal. A charcoal filter can be used
to help prevent volatile organic compounds from triggering a false positive reading. The meter
shall be calibrated according to the manufacturer’s instructions.
5.2.2. Sampling
1. Record barometric pressure at the beginning of each event.
2. If necessary, remove the cap from the monitoring point and quickly attach the
appropriately sized adapter to the monitoring point.
3. Attach the gas analyzer tubing to the monitoring point.
4. Record the following gas concentrations once they have stabilized.
% Methane, CH4
% Carbon dioxide, CO2
% Oxygen, O2
ppm of Hydrogen Sulfide, H2S
ppm of Carbon monoxide, CO
% of balance gas as a check
5. Note if gas levels decrease before stabilizing
6. Disconnect the tubing and securely replace the original cap on the monitoring probe,
as necessary.
7. Proceed to the next monitoring point and repeat from step 2.
8. Record barometric pressure at the end of each event.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
DATA EVALUATION
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6.0 Data Evaluation
Groundwater data will be evaluated graphically for consistency with previous results. If
inconsistencies are observed, then the site will begin assessment activities as defined in 15NA
NCAC 13B .0545, otherwise the data will be reported and the site will continue in detection
monitoring.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
DATA REPORTING
D-19
7.0 Data Reporting
Data collected as a result of implementation of this Plan shall be submitted to NC DENR
electronically. Provide the laboratory analysis output in NC DENR’s electronic data deliverable
(EDD) format. Details of the EDD format and other documents related to reporting requirements
are provided in Appendix D5. Include an interpretation of the results in the reports.
The reports shall be sent to:
NCDEQ Environmental Compliance
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646
7.1. Report Frequency
The semiannual report should include methane sampling, groundwater sampling and analysis
results since the last report. This report shall include recommendations for any changes that
should be made to this plan. This report shall be submitted twice a year, within 120 days of
sample collection per 15A NCAC 13B.1632(i) effective April 1, 2011.
7.2. Recordkeeping
The CCUC shall retain the monitoring reports, records and supporting documentation
throughout the post-closure period.
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX D1 RELEVANT SITE DOCUMENTS

D1
Appendix D1 Relevant
Site Documents

Assessment Monitoring Approval, NCDENR to WSCCUC, February 14, 2014
Assessment Monitoring Request, HDR to NCDENR, February 6, 2014
Groundwater Monitoring Plan, S&ME, Inc. December 1994

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North Carolina Department of Environment and Natural Resources
Division of Waste Management
Pat McCrory Dexter R. Matthews John E. Skvarla, III
Governor Director Secretary

1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ Internet: http://portal.ncdenr.org/web/wm/
An Equal Opportunity / Affirmative Action Employer

1

February 14, 2014

Sent Via Email - [e-mail]

Ms. Jan McHargue
Winston-Salem City/County Utility Commission
P.O. Box 2511
Winston-Salem, NC 27102

Re: Assessment Monitoring Request
Old Salisbury Road C&D Landfill
Forsyth County
Solid Waste Permit Number 34-12
DIN 20581

Dear Ms. McHargue:

The Solid Waste Section has completed a technical review of the Assessment Monitoring Report dated
December 20, 2013 (DIN 20378) and the December 2013 Assessment Monitoring Report letter dated
February 6, 2014 (DIN 20550) both submitted by HDR Engineering, Inc. of the Carolinas on behalf of the
Winston-Salem City/County Utilities Commission for the Old Salisbury Road C&D Landfill.

During the May 2011 and June 2011 water quality monitoring events, the volatile organic compounds,
Benzene and Tetrachloroethene (PCE), exceeded the Groundwater Standards within groundwater
monitoring well MW-2R located along the eastern edge of Phase III. Assessment monitoring was
initiated pursuant to 15A NCAC 13B .0545, and the Assessment Monitoring Plan for MW-2R dated
December 12, 2011 (DIN 15819) was then submitted. The Solid Waste Section approved the plan on
January 17, 2012 (DIN 15916). The Winston-Salem City/County Utilities Commission has completed the
Appendix II assessment monitoring baseline, and is requesting a modification to the current assessment
monitoring program at the facility.

The Winston-Salem City/County Utilities Commission is requesting the following:
 Groundwater monitoring wells MW-1R, MW-2R, MW-4R and MW-15 will be sampled
semiannually for Appendix I constituents and those additional constituents in Appendix II that
have been detected in the last two years;
 Groundwater monitoring wells MW-1R, MW-2R, MW-4R and MW-15 will be sampled during
every other Fall event for the entire Appendix II constituent list. The next event for this would
occur in the Fall of 2015. Additional Appendix II constituents detected will be added to the
sampling program for subsequent semiannual events; and
 All of the other remaining groundwater monitoring wells and surface water locations will
continue to be sampled semiannually for the full Appendix I constituent list.

1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ Internet: http://portal.ncdenr.org/web/wm/

An Equal Opportunity / Affirmative Action Employer

2

As a result, the facility will remain in the assessment monitoring program and the assessment monitoring
modifications are approved as described. Please note that these approved modifications may be subject to
change based upon the results of the ongoing groundwater and surface water monitoring at the facility.

If you have any questions or concerns regarding this letter, please feel free to contact me at 919-707-8294
or by email at [e-mail]. Thank you for your continued cooperation with this
matter.

Sincerely,
Jaclynne Drummond
Compliance Hydrogeologist
Solid Waste Section

cc sent via email: Ed Gibson, Winston-Salem City/County Utility Commission
Jason Watkins, Western District Supervisor
Charles Gerstell, Environmental Senior Specialist
Eric Wright, HDR Engineering, Inc. of the Carolinas
Michael Plummer, HDR Engineering, Inc. of the Carolinas

pw:\\PWAPPTPA01:SouthEast_Tampa\Documents\City_of_Winston_Salem\WS_General_Services\3_HDR\04_Corres&Mtgs\NC
DENR\201402 EAW-Drummond OSR GW
February 6, 2014

Ms. Jaclynne Drummond
NCDENR Environmental Compliance
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646

Re: December 2013 Assessment Monitoring Report
Old Salisbury Road Landfill (No. 34-12)
Forsyth County, North Carolina
HDR Project No. 00162-218490-018

Dear Ms. Drummond:
Representatives of HDR Engineering, Inc. of the Carolinas (HDR), the City/County Utility
Commission (Owner) and your office met on February 4, 2014 to discuss the latest results of
groundwater assessment at the Old Salisbury Road landfill and the completed baseline study.
We found the meeting to be very informative and productive.
Based on that meeting, HDR proposes on behalf of the owner, that the assessment monitoring
program continues at the site in the following manner:
o Monitoring wells MW-1R, MW-2R, MW-4R and MW-15 will be sampled semiannually
for Appendix I constituents and those additional constituents in Appendix II that have been
detected in the last two years.
o Monitoring wells MW-1R, MW-2R, MW-4R and MW-15 will be sampled during every
other fall event for the entire Appendix II constituent list. The next event for this would
occur in fall of 2015. Additional Appendix II constituents detected will be added to the
sampling program for subsequent semiannual events.
o All of the other site wells and surface waters will continue to be sampled semiannually for
the full appendix I list of constituents.
o Evaluate this program again when a change in the status of detections occurs, but not later
than in 2019.

Ms. Jaclynne Drummond
February 6, 2014
Page 2 of 2

If you have any questions or comments, please do not hesitate to contact me at [phone].
Sincerely,
HDR Engineering, Inc. of the Carolinas

Eric A. Wright, P.E.
Project Engineer

EAW/apb

cc: Jan McHargue, PE, City/County Utility Commission
Ed Gibson, PE, City/County Utility Commission
Michael Plummer, PE, HDR
GROUNDWATER MONITORING PLAN
PROPOSED CONSTRUCTION AND DEMOUTION DEBRIS LANDFILL
---FORSYTH COUNTY, NORTH CAROUNA
S&ME PROJECT NO. 1584-93-143B
Prepared For:
Winston-Salem/Forsyth County Utilities Commission
102 West Third Street, Suite 460
Winston-Salem, North Carolina 27102
Prepared By:
S&ME, Inc.
3718 Old Battleground Road
Greensboro, North Carolina 27410
December . 1994
"S&ME
December 2, 1994
Winston-Salem/Forsyth County Utilities Commission
102 West Third Street, Suite 460
Winston-Salem, North Carolina 27102
Attention: Mr. Dan Miles
Reference: GROUNDWATER MONITORING PLAN
Proposed Construction and Demolition Debris Landfill
Forsyth County, North Carolina
S&ME Project No. 1584-93-143B
Dear Mr. Miles:
S&ME, Inc. (S&ME) has completed the authorized Groundwater Monitoring Plan (ref.
S&ME proposal no. 1584-94-P113) for the proposed construction and demolition debris
landfill in Forsyth County. The enclosed Groundwater Monitoring Plan was completed in
accordance with North Carolina Solid Waste Management Rules (15A NCAC 13B). If you
have any questions regarding the contents of the Groundwater Monitoring Plan or if we
may be of further service to you, please call either of the undersigned at [phone].
Sincerely,
S&ME, Inc.
P/4fttI!!l eu
Scott D. Berg _-_ f'
Project Manager
WHW/SDB/mif
Enclosures
~ S&ME.lnc. 3718 Old GCllTieground Kood. Greensboro. North Corolina 27410. (Q10l2M-7180. Fax ('110) 2M·8Q80
IIclilng oelOres,;: PO. Cox 38728. Gr"",r.sooro. North Caroline 27438-6725
TABLE OF CONTENTS
: .0 INTRODUCTlON ............................................ 1
2.0 PURPOSE ................................................. 2
3.0 GEOLOGIC CHARACTERISTICS ................................. 3
3.1 PHYSIOGRAPHY ....................................... 3
3.2 REGIONAL HYDROLOGY ................................. 3
3.3 SITE GEOLOGY AND HYDROGEOLOGY ...................... 4
3.3.1 Site Geology ..................................... 4
3.3.2 Hydrogeology .................................... 5
4.0 GROUNDWATER MONITORING PLAN ........... : ................ 7
4.1 MONITOR WELL LOCATlONS .............................. 7
4.2__ MONITOR WELL CONSTRUCTlON .......................... 8
4.3 MONITOR WELL INSTALLATION PROCEDURES ........ " ...... 8
4.4 MONITOR WELL DEVELOPMENT ......................... 10
4.5 SAMPLlNG FREQUENCY ................................ 10
4.6 MONITOR WELL SAMPUNG .............................. 11
4.6.1 Groundwater Measurements ......................... 11
4.6.2 Monitor Well Purging .............................. 11
4.6.3 Sample Collection ................................ 12
4.7 LABORATORY CONSIDERATIONS ......................... 12
4.7.1 Laboratory Qualmcations . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
4.7.2 Laboratory Procedures ............................. 13
4.8 EVALUATION OF GROUNDWATER MONITORING DATA ......... 13
4.9 RECORDKEEPING AND REPORTlNG REQUIREMENTS .......... 13
5.0 REFERENCES ............................................. 15
TABL::S
Table 1
Tabie 2
Groundwater Elevation Measurements
ConstituentS For Detection Monitoring
Groundwater Monitoring Plan
Proposed C&D Landfill
1.0 INTRODUCTION
1584-93-1438
December 2, 1994
This Groundwater Monitoring Plan is presented to provide a detection monitoring program
for a proposed construction and demolition debris (C&D) landfill scheduled to be
constructed off Old Salisbury Road in southem Forsyttl County, North Carolina.
The Groundwater Monitoring Plan includes the procedures outlined by the'
North Carolina Department of Environment, Health and Natural Resources, Division of
Solid Waste Management (Division) for a groundwater monitoring plan at a newly
constructed C&D landfill. The information in this plan is 'designed to assist the Division,
the landfill operations personnel and its agents in the evaluation of future groundwater
quality at the landfill cell. Monitor well locations, monitor well construction, monitor well
installation procedures, monitor well development, sampling frequency, monitor well
sampling procedures, laboratory conSiderations, evaluation of groundwater monitoring
data, and recordkeeping and reporting requirements are included in the Groundwater
Monitoring Plan. Monitor well sampling and analytical procedures will be performed in
accordance with the Division's rules and policies.
S&ME completed a Geologic and Hydrological Report (S&ME Project No. 1581-93-052)
for the proposed C&D landfill in June, 1994. Twenty-six soil borings were performed for
the Geologic and Hydrological Report. Permanent groundwater monitor wells were
installed at several of the soil boring locations. One of the monitor wells (8-3jMW-1}
completed for the Geologic and Hydrological Report has been incorporated into the
Groundwater Monitoring Plan and will serve as an upgradient groundwater monitoring
point. Four additional groundwater monitor wells will be installed to serve as
downgradient groundwater monitoring points.
1
Groundwater Monitoring Plan
Proposed C&D Landfill
2.0 PURPOSE
1584-93-1438
December 2, 1994
The Groundwater Monitoring Plan is designed for the purpose of detecting a release of
hazardous constituents from the C&D landfill into the uppermost aquifer at a relevant point
of compliance in order to protect human health and the environment. The Groundwater
Monitoring Plan has been completed in accordance with Division policy and includes
relevant information presented in TItle 15A of the North Caroiina Administrative Code
... (NCAC) S~t:lchapter 138 Section .1604 and Sections .1630 through .1633. The Division
policy for groundwater monitoring at C&D landfills as stated by Mr. 80bby Lutfy,
Hydrogeologist, Solid Waste Section, requires a minimum of one upgradient and three
downgradient groundwater monitoring points. Statistical analyses of groundwater
monitoring data is not required.
2
Groundwater Monitoring Plan
Proposed C&D Landlill
3.0 GEOLOGIC CHARACTERISTICS
3.1 PHYSIOGRAPHY
1584-93-1438
December 2, 1994
The site planned for development. of the C&D landfill is comprised of two contiguous.
tracts, a 29 acre tract and a 108.24 acre tract. The smaller tract is near the intersection
of Old Salisbury Road and Friedberg Road. This tract will not be developed with the
exception of an access road along its northern limits. Access to the proposed landlili site
win be from'Old Salisbury Road. In the southern portion'of the 108.24 acre tract, a 10.3
acre cen is planned for development. The southernmost boundary of the
cell is paranei to the Forsyth/Davidson County line.
Site elevations generany range from a high of 840 feet above mean sea level in the
southeastern portion of the site to a low of 725 feet above mean sea level near the
northernmost section of the site. Surface. drainage at the subject site is primarily
controlled by a north-northwesterly trending ridge within the property. Surface runoff is
directed northeast, west and southwest into tributaries of South Fork Muddy Creek. The
majority of suriace runoff within this site is directed to South Fork Muddy Creek on the
north. A small area in the extreme southeasterly section of the site appears to drain
south into Miller Creek. 80th the South Fork Muddy Creek and Miller Creek flow to the
west where they converge with Muddy Creek. Muddy Creek flows to the south and
converges with the Yadkin River.
3.2 REGIONAL HYDROLOGY
Ridges and hilltops are generany water-table divides in addition to being surface-water
divides. The majority of ridges and hilltops in the region are composed of rocks that were
3
Groundwater Monitoring Plan
Proposed C&D Landfill
1584-93-1438
December 2, 1994
poorly fractured during the immediate past stage of weathering and erosion. Upland
slopes, like the ridges and hilttops, are central recharge areas to the upper aquifer.
Draws, or upland topographic lows, are normally underlain by permealole fracture zones
and may be discharge areas, where groundwater discharges' at the ground surfacs.
Alignment of some draws and surface drainage systems suggest fracture alignment.
However, much of the surface drainage pattern is dendritic and not related to rock
strUctures (LeGrand, 1988).
3.3 SITE GEOLOGY AND HYDROGEOLOGY
3.3.1 Site Geology
According to the GeologiC Map of North Carolina dated 1985, the subject site is in the
Charlotte belt of the Piedmont PhySiographic Province. This Province contains
metamorphic and igneous plutonic rock which in some areas have been extensively
weathered and eroded forming an undulating and well-dissected topography. The area
is underlain by intrusive granite rock which is commonly megacrystic to equigranular in
texture.
The bedrock is typically fractured and is overlain by highly weathered bedrock called
saprolite. The saprolite varies in thickness trom a few feet near bedrock outcrops to over
100 feet. The saprolitic material retains some of the original (relict) structural features of
the parent roel<. The nearer surface residual soils are formed by the in-place physical and
chemical weathering of the saprolite and usually do not retain the relict structural features.
Subsurface conditions as indicated by the Geologie and Hydrological Report (S&ME, Inc.,
1994) generally consist of a veneer of topsoil underlain by residual soils, saprolite, partially
4
Groundwater Monitoring Plan
Proposed C&D Landfill
1584-93-14-38
December 2, 1994
weathered rock, and fractured rock. There is generally a gradual transition from one
material type to the next with varying thickness of each. Generally, the depth to rock in
the area of the proposed cell is greater than 35 feet below land surface.
3.3.2 Hydrogeology
.In the Piedmont Physiographic Province, groundwater is present within the openings
created by fractures and joints within the bedrock and within the pore spaces of the
overlying-saprolite. The saprolite/bedrock aquifers are primarily recharged by
precipitation in the interstream areas which infiltrates through the unsaturated zone to the
water table. The depth to ground water is deeper beneath uplands than beneath valleys.
The water table is commonly close to the top of bedrock and is more otten than not,
located within the saprolite. The seasonal fluctuation of the water table generally ranges
between 1 foot and 6 feet Groundwater moves laterally and downward through the
saprolite and bedrock toward streams, springs and other surface water bodies (discharge
areas) to streams in the adjacent valleys and to bedrock fractures. The water table
surface is generally a subdued reflection of the surface topography.
3.3.2.1 Hydraulic Conductivity
Soil permeabiltty values were determined for the Geologic and Hydrological Report from
field testing using a rising head (slug) test. The results of rising head field permeabiltty
tests performed in the rock indicated hydraulic conductivities in the range of 9.41 x 10.5
cm/sec. to 1.92 x 10.4 cm/sec. The field rising head permeabiltty tests performed in
partially weathered rock indicated hydraulic conductivity values ranging between 2.19 x
10-A and 7.5 x 10'" cm/sec.
5
Groundwater Monitoring Plan
Proposed C&D Landfill
3.:.2.2 Hydraullc Gradient
1584-93-1438
December 2, 1994
The horizontal hydraulic gradient in the area of the proposed landfill cell ranges from
0.033 foot per foot to 0.1 foot per foot (Geologic and Hydrological Report, S&ME, Inc.,
~ 994). Based on the hydraulic conductivity values of the partially weathered rock and an
assumed effective porosity of 0.20, the groundwater flow rate at the site ranges trom 0.1'0
to ,1.1 feet per day (37 to 3...00 feet per year).
6
Groundwater Monitoring Plan
Proposed C&'D Landfill
4.0 GROUNDWATER MONITOR PLAN
4.1 MONITOR WEU LOCATIONS
1584-93-1438
December 2, 1994
At a minimum, one upgradient and three downgradient groundwater monitor wells are
required in a Groundwater Monitoring Plan for a C&'D landfill. However, the plan must
.inciude a sufficient number of wells to adequately measure groundwater quality upgradient
of the landfill cell and at a relevant point of compliance downgradient of the landfill cell.
Monitor wells should not be placed greater than 250 feet from the landfill cell boundary
. or within 50 feet of a property bqundary.
Monitor well locations for the Groundwater MonitOring Plan are based on review of the
Potentiometric Map completed for the Geologic and Hydrological Report.
Based on data contained in the Geologic and Hydrological Report, the area east of the
proposed landfill cell is upgradient. The general direction of groundwater flow from the
landfill cell is to the north toward an unnamed tributary of South Fork Muddy Creek and
to the south and west to an unnamed intermittent tributary of South Fork Muddy Creek.
Groundwater elevations were measured in October, 1994 to verify that
seasonal change in groundwater flow direction were not encountered (see Table 1).
One upgradient monitor well (8-3jMW-1) has been installed during the acquisition of data
for the Geologic and Hydrological Report. Four downgradient monitor wells (MW-2, MW-
3, MW-4 and MW-S) will also be installed. These four monitor well locations ,
were selected to determine groundwater quality downgradient from the landfill cell and are
each iocated within 200 feet of the cell boundary.
7
Groundwater Monitoring Plan
Proposed C&D Landfill
4.2 MONITOR WELL CONSTRUCTION
1584-93-143B
Decsmber 2, 1994
The four downgradient monitor wells will be constructed of 2-inch PVC schedule 40 flush-
joint threaded casing and 0.010-inch slotted screen. All joints will be water-tight. Well
construction materials will be shipped in factory sealed containers. The four monitor wells
to be constructed for the Groundwater Monitoring Plan will be constructed and installed
. according to the requirements of TItle 15A NCAC 2C. Generalized details for the
construction of monitor wells are shown on the Well Schematic included in the Appendix.
The four additional monitor wells will have a screened interval of at least 10 feet. A Well
Log for monitor well B-3jMW-1 is included in the Appendix.
A geologist/ engineer will be present during the installation of the new monitor wells to
record the lithology and document well construction details. The screen interval at each
well will be set· at a depth which intersects the water table throughout the seasonal
ftuctuations of water levels.
4.3 MONITOR WELL INSTALLATION PROCEDURES
Boreholes drilled for well installation and the monitor well construction will be performed
by a licensed drilling contractor. All equipment used for drilling and completion of the
wells will be property cleaned before and alter monitor well installation utilizing high·
pressure steam. Boreholes will be advanced using hollow-stem rotary augers. Once the
boreholes are drilled, tbe monitor well construction will be completed using the following
criteria.
1: The four additional monitor wells will be located at the site by a licensed surveyor.
8
Groundwater Monitoring Plan
Proposed C&'D Landfill
1584-93-1438
December 2, 1994
2. The well screen and casing will be lowered through the hollow-stem augers. The
annular space between the borehole wall and the well screen will be backfilled with
clean, washed sand. The sand will consist of dean sand properly sized to
formation material. The sand pack will extend at least 1 'foot but no more than 2
feet above the well screen. The hollow-stem augers will be incrementalty withdrawn
while the fitter pack is placed. The sand pack level will be frequently sounded and
kept at the base of the augers until the desired length of sand pack is in place.
3. A Z~foot pelletized bentonite seal will be placed above the sand pack and allowed
to hydrate. The augers will be withdrawn to above the top of the bentonite pellets
prior to allowing the bentonite pellet seal to hydrate. Adequate time shall be
provided for the hydration of the bentonite seal prior to grouting the annular space
of the wells.
4. The remainder of the annular space will be filled with a neat cement grout from the
top of the bentonite seal to the ground surface. The grout will be slowly pumped
into a tremmie pipe at a constant rate to fill the annular space. The tremmie pipe
will be slowly raised along with the augers to allow for an eventy distributed
placement. After grouting, no worK will be performed at the wells for a minimum
of 24 hours to allow the grout to set.
5. A 6-inch diameter, steel protective casing with a locking cap will be placed over the
well's riser pipe and into the grout seal. The protective casing will extend from
about 2 feet below the ground surface to slightty above the well casing top. The
protective casing will be primed, painted, and provided with a permanentty affixed
name plate.
9
Groundwater Monitoring Plan
Proposed C&D Landfill
1584-93-143B
December 2. 1994
6. A 6-inch thick concrete pad, which slopes away from the well in all directions. will
be constructed to serve as anchorage and will prevent surface water from
migrating along the wall of the casing.
7. . The location, installation method and construction details of the four additional
wells may be modified. according to site specific conditions. The modifications
must be approved by the Division prior to the construction of any monitor well by
techniques other than those described herein.
Monitor well elevations will be surveyed by a licensed surveyor after installation. The top
of casing and ground surface elevation of each monitor well will be recorded.
4.4 MONITOR WELL DEVELOPMENT
The four downgradient monitor wells will be developed in order to remove clay, silt. sand
and other fines that may have been introduced into the well or sand pack during drilling
and well installation. Monitor well B-3/MW-1 will also be developed. Well development
•
will be continued until the suspenoed solids are removed from the well and turbidity is
minimized. The wells will be developed by removing water from the well with a
decontaminated Tefton bailer or a pneumatic purge pump to facilitate hydraulic
communication with the aquifer.
4.5 SAMPUNG FREQUENCY
Each monitor well inCluded in the Groundwater Monitoring Plan will be sampled semi-
annually .. The first semi-annual sampling event will be performed after construction of the
landfill cell and prior to its use to establish background groundwater quality.
10
Groundwater Monitoring Plan
Proposed C&D l.a11dfill
4.6 MONITOR WELL SAMPUNG
1584-93-1438
December 2., 1994
The primary concem during the collection of groundwater samples is to obtaJn a
representative groundwater sample from the near surface aquifer. Decontaminated Teflon
bailers will be used for monitor well purging and sampling. One equipment blank will. be
collected during each sampling event by filling a decontaminated bailer wtth deionized
water. The water will then be transferred to laboratory prepared containers labeled for
the corresponding laboratory analysis to be performed. After filling, the containers will be
placed into a precleaned cooler containing ice.
4.6.1 Groundwater Measurements
Prior to monitor well sampling, the depth to water and the total well depth will be
measured in each monrtor well from the top of the PVC casing to calculate the amount
of water within the well casing. The depth to water will be measured with a
decontaminated electronic water level indicator. The measurements will be made to the
nearest 0.01 foot. The volume of water in the well will then be calculated and recorded,
along with the static water level.
4.6.2 Monitor Well Purging
FIVe well casing volumes of water will be purged from the monitor wells prior to sampling,
unless the wells are purged to dryness. The monitor wells will be purged utilizing
laboratory decontaminated Teflon bailers. Field measurements of pH, specific
conductance and temperature will be recorded after purging to evaluate the removal of
the stagnant water from the monrtor well.
11
1 •
Groundwater Monitoring Plan
Proposed C&D lNldfiU
4.6.3 Sample Collection
1584-93-1438
December 2, 1994
After purging, a groundwater sample will be collected from each monitor well by slowly
lowering the Teflon bailer into the well to minimize the potential for volatilization. Samples
will be collected from the upper portion of the water column. Samples will be transferred
to laboratory prepared containers labeled for the corresponding laborato~ analyses.
Samples to be analyzed for organic constituents will be collected first followed by samples
to be analyzed for inorganic constituents. Preservatives will be added as necessary (in
accordance with EPA Method SW-84S protocol) to the sample bottles prior to field
operations or by the laboratory prior to shipment. Care will be taken to prevent the bailer
from contacting the sample bottle during sample collection. After filling, the sample
bottles will be securely placed into a precleaned cooler containing ice. A chain of custody
form will be initiated. The Chain of Custody will include the sample number, the sample
collector's signature, the date and time of sample collection, the sample type, the number
of containers, signature of person(s) in the chain of possession, inclusive dates of
possession, and temperature of shipping container upon opening in the laboratory. Each
monitor well will be secured after sample collection.
Samples will be shipped to the lab within 1 day of sample collection by courier. Samples
will be shipped in a cooler containing ice to maintain a sample temperature at or belOW
4 degrees celsius. The Chain of Custody form will accompany sample shipment inside
the cooler.
4.7 LABORATORY CONSIDERATIONS
4.7.1 Laboratory Qualifications
Sample analyses will be performed by a North Carolina certified/qualified laboratory using
EPA methods acceptable to the Division.
12
Groundwater Monitoring Plan
Proposed C&D Landfill
4.7.2 Laboratory Procedures
1584-93-1438
December 2, 1994
Each groundwater sample will be analyzed for the constituents listed in 40 CFR Part 258
Appendix I (see Table 2) using EPA methods acceptable to the Division. The laboratory
reports will contain the referenced methodologies, the constituent concentratJons, the
meth,od detection limits, DA/OC data,and corresponding Chain of Custody forms.
4.8 EVALUATION OF GROUNDWATER MONITORING DATA
'The laboratory analyses included in the Groundwater Monitoring Plan are based on the
Detection Monitoring Program requirementsoutiined in TItle 15A NCAC Subchapter 138
Section .1633. 8ackground groundwater quality will be established in the surficial aquifer
by performing one sampling event prior to placement of waste into the landfill cell. Semi-
annual monitoring will subsequently be used to evaluate the quality of groundwater at the
C&D landfill cell. The evaluatlon of groundwater quality will be based on the North
Carolina Groundwater Classifications and Standards as defined in Trtle 15A NCAC
Subchapter 2L Section .0202 and on the resutts of the initial (background) sampling event
which will be completed before the placement of materials into the landfill cell.
4.9 RECORDKEEPING AND REPORTING REQUIREMENTS
All field and laboratory data will be maintained on file during the active life of the landfill
and during the post-closure period. The sample collector will maintain a field log to
record all pertinent information regarding the purging and sampling of the monitor wells.
The information to be recorded will include .the following.
13
Groundwater MonitOring Plan
Proposed C&D Landfill
1. Collectors name, date and time,
2. Site name and location,
3. Well identification,
4. Well depth,
5. Depth to water measured from top of casing,
6. Well casing inside diameter,
1584-93-143 B
December 2, 1994
7. Well volume (the amount of water occupying the casing prior to purging),
8. Time that purging was initiated and completed,
9.'--Reason for sampling,
10. Sample pH, temperatures and specific conductivity,
11. Sample volume, containers, preservatives,
12. Sample observations, color, turbidity,
13. Analyses to be performed on each sample,
14. Weather conditions at the time of sampling,
15. Additional comments.
A report will be submitted to the Division within 30 days of receipt of the results of the
laboratory analyses. The report will include an oulline of the field procedures used, the
results of the laboratory analyses, OA/OC documentation, chain of custOdy, analytical
methods, and groundwater analyte concentrations. If the laboratory test data reports an
analyte concentration above the background concentration, the Division will be notified
in writing by the operator within 14 days of receipt of the results of the laboratory
analyses.
14
I
I
Boring
Number
B-1 I
B-2 I -
&-3 I
B-4
B-5
B-B
B-7
B-8
B-9
B-12 I
8-13 I
B-14 I
B-15A
8-16A I
B-168
8-17 I
8-22 I
8-23 I
NM -
Date
Drilled
12/29
12/30
03/23
04/04
03/30
03/24
03/30
03/31
03/31
03/31
03/31
04/04
03/24
03/28
03/28
04/11
03/30
04/07
TABLE 1
GROUNDWATER ELEVATION MEASUREMENTS
PROPOSED C&D LANDFIll.
I
I
I
I
I
I
I
FORSYTH COUNTY, NORTH CAROUNA
S&ME PROJECT NO. 1584-93-143B
Elevation Elevation Groundwater Groundwater
Ground Bottom Elevation Elevation
Surtace of Boring 04/14/94 05/04/94
841.25 794.15 NM NM
838.66 787.46 NM I NM
833.67 783.77 796.90 I 797.02
822.85 I 774.25 Dry Dry
818.45 769.45 777.12 777.21
824.46 774.46 777.46 777.42
814.61 764.61 I 773.50 773.69
791.64 742.84 761.59 761.60
820.98 772.08 I 774.10 774.15
826.93 778.33 780.46 I 780.56
814.05 779.05 783.95 I 784.12
804.22 755.62 I 787.59 I 787.70
780.93 735.93 I 772.13 \ 772.19
762.17 717.17 I 751.42 I 751.17
761.07 732.07 752.34 751.70
762.19 713.49 756.99 756.99
817.34 768.74 Dry I Dry
811.68 763.08 777.59 I 777.94
Not Measured
See Figure 2 for boring locations
Groundwater
Elevation
10/06/94
Dry
I Dry
\ 796.55
I Dry
I 776.67
I 777.12
772.97
I 759.76
773.59
780.07
783.08
787.60
771.35
749.13
I 750.95
754.12
Dry
777.21
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX D2 GROUNDWATER WELL DETAILS & LOGS

D2
Appendix D2
Groundwater Well
Details & Logs

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-it • • • • .. .. .. .. .. .. .. .. .. .. .-.-.. .. .. .. .. ..
""'-.-.. .. .. .. .. • • • • • • • • • --~ .. ~ ~ ~
WELL CONSTRUCTION RECORD
North Carolina -Department. of Environment and Natural Resources -Division of Water Quality -Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (PrintF-0nald Barron CERTIFICATION 11 2091
WELL CONTRACTOR COMPANY NAME Engineering Tectonics PHONE # J..C _'--__ _
STATE WELL CONSTRUCTION PERMITII ________ ~ASSOCIATED WQ Permit #-_________ _
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): ResidcntialD MunicipallPublic 0 Industrial 0 Agricultural
Monitoring jg! Recovery 0 I-leat Pump water InjectIon D other 0 If other, hst use: .:;M::..:.W:..-..:l.::.3 _____ _
D
2. WELL LOCA nON:
Nearest Town: Winston-Salem
3336 Old Salisbmy Road
CountyForsyth
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER City of Winston-Salem
Address 325 Hanes Md! Road
(Street or Route No)
Winston-Salem N.C.
( ~~'N7lown Scate
27105
Zip code
AreifCode-Phone number1() 04 4. DATE DRILLED'",~",-;r:--'-___ _
5. TOTAL DEPTH20.0
6. DOES WELL RE~PL'::'A~C-E-E-X-I-S-n-N-G-' W-ELL? YES 0 NO ~
7. STATIC WATER LEVEL BelQw To.p QfCasing: FT.
, (Use "+" IT-Above Top of casllig)
8. TOP OF CASING IS 3.0 FT. Above Land Surface
Top of casing terminated at/or below land surf:'lce requires a
variance in accordance with 15A NCAC 2C.0118.
9. YIELD (gpm): nia METHOD OF TESTnia
10. WATER ZONES (depth): Unconfined Aqnifer='-----
11. DISINFECTION: Typ"'eni;;.,;a::--___ Amount ... ni::a'--__ _
12. CASING: Wall Thickness
Deplth Diameter
From+3.0 TQ5'.D Ft2"
From __ ----,:TQ'----Ft __ _
From To. Ft
13. GROUT: Degth '--M-a-te-rial
From 0 1'0.2.0 Ft Portland
or WeightlFt. Material schAD PVC ':"':"':'---
Method Trentie
From TO Ft. '-------
14. SCREEN Depth !)iameter Slot Size Material
From::.5::,: .. O_-:TQ20.0 Ft. 2" in. ~ ill. PVC
15. FSANDIGRAVlLQ'-P""'A"'C""K-Ft==in --tn. "'-'--"--
Depth
From 4.0 TQ20.0
From-T2.7TO--iTQ 4.0
Size
Ft #3
Ft 318
Material Saner
Beniomie
Topographicl Land setting o Ridge Dslope ~ valley 0 Flat
(check appropriate box)
Latitude/Longitude ofwelllocatioll
N/A
(degrees/minutes/seconds)
LatitlldeiLongitllde source: 0 GPSDTopographic map
(check box)
DEPTH DRILLING LOG
From To see attached log
Formation Description
LOCA TION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
l6.REMARKS ____________________________________________________________ _
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CO T~UC'~IW iffANp;RDS, AND THAT A COPY OF THIS RECORD HAS I3EEN PROVIDED TO THE WELL OWNER
) ld!.J.d1 (:1:X ~ wVl 8-10-04
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Sectioll, 1636 Mail Service Center -Raleigh, NC
27699-1636 Phonc No. [phone], within 30 days. GW-I REV. 07/2001
• • • • .-
!JIll' .-
!JIll'
!JIll' .-
'" '" '" .-.-.. • --.. .. • .. .. .. .. .. .. .. ,.. ,..
• • ,..
• ..... ~ ,.. -.•••.•••••. ~ • .. • • " • ~
Geologist Log: MW-14
Project: Old Salisbury Road
Client: City of Winston-Salem
Location: Winston-Salem
SUBSURFACE PROFILE
Description 0 .c ..0 C. E Q) >-a (f)
,q-
45-:
46-:
47-:
48-:
Project No: 00162-15029
Ground Elevation: 781 ,44
Geologist: C. Randazzo
SAMPLE
c 0 ~ i!;: Q) ~ ..0 <Il
> E Q) ;: t"-Q) ::0 ~ 0 W z 10
c:-Q) > 0 " Q)
0:
9 60 100%
49 . -......................................... j-!7iil32Fii.4!..j--j"rI--+--l Same, moist 49.0
· "" ... " .......
~ I ...... ~
eo 1il Remarks Shear Strength a blowslft Qi 20 40 60 80 3:
.~ ...
;
.. _ .... .."
,., ~'.: Sand Pack
50-:
51-::
52~
_10-+.I...I+_56-+1_0_
0
0-jYO \ ~
.......•... \;. 2~inch Diameter
SCH 40 PVC
O.OlO-inch Slot 53-
54C . ........................... _ ........ _ ..... f-'7~2,,7.;c-4+---I....,rl--_+_+ Same, wet 54.0
55-
56c
57~
58':
59~
60 End of Borehole
61-:
62~
63-:
64~
65-:
66..,
67~
Drilled By: Engineering Tectonics
Drill Method: HSA
Drill Date: 8/11/2004
11 100 100%
721.4
6Q.0
Hole Size: 8"
Top of Casing: 783.88
Sheet: 3 of 3
';" , ... , .. _ .....
. ;
HDR Engineering, Inc. of the Carolinas
128 S. Tryon Street
Suite 1400
Charlotte, NC 28202
Phone: [phone]
Fax: [phone]
www.hdrinc.com
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX D3 LANDFILL GAS PROBE DETAILS

D3
Appendix D3 Landfill
Gas Probe Details

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.. ,.
lie .. • .. • .. .. .. • ..
"" ,. ,. ,. ,. .. ,. ,. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
Geologist Log: MM·10
Project: Old Salisbury Road Project No: 00162-15029
Client: City of Winston-Salem Ground Elevation: NA
Location: Winston-Salem Geologist: C. Randazzo
SUBSURFACE PROFILE SAMPLE
c ~ a 0 Q) i!;: .c -" Description ~ -" U)
1i E > E Q) :;: c. Q) >-Q) :J >-0
0 (j) [jJ Z I-1iS
-2-
-1-
Ground Surtace
TOPSOIL 0.0
Tan, organic rich, grassed, moist
1 I.U
2-::
3': SAND
Gray, fine to medium grained, silty, clayey, wet
-
4-::
:
: End of Borehole 5.0
6':
:
7-::
-
S': :
9-::
10~
11-
Drilled By: Engineering Tectonics Hole Size: 6"
Drill Method: HSA Top of Casing: NA
Drill Date: 8/10/2004 Sheet: 1 of 1
.. .. T -~ to ~ to
~ ~ Remarks Q) Shear Strength > 0 0 blowsltt " a; Q) 20 40 6,0 SO cr: $
I::: Locking well
cover and
cement pad
. I ,0~:~e~rpe I
Bentonite Seal
: 1:::
: H ::: Sand Pack : I::'
: •. H ::: 1::: 1 ~inch : 1::: SCH 40 P':'.C I< ::: 0.010-inch Slot,
: 1::: ::: ::: . :
HDR Engineering, Inc. of the Carolinas
128 S. Tryon Street
Suite 1400
Charlotte, NC 28202
Phone: [phone]
Fax: [phone]
www.hdrinc.com
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX D4 SAMPLE FORMS

D4
Appendix D4 Sample
Forms

Field Data Sheet
Chain of Custody Form
Environmental Monitoring Reporting Form

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Sample
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CHAIN-OF-CUSTODY / Analytical Request DocumentThe Chain-of-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.Section ASection BSection CRequired Client Information:RequiredProject Information:Invoice Information:REGULATORY AGENCYPhone:Fax: Y/ NDATE TIMEDATETIME UnpreservedH2SO4HNO3HCINaOHNa2S2O3MethanolOtherAnalysis TestResidual Chlorine (Y/N)123456789101112Requested Due Date/TAT:Page: of NPDES GROUND WATER DRINKING WATER UST RCRA OTHERCompany:Address:Email To:Attention:Company Name:Address:Report To:Copy To:Pace Quote Reference:Purchase Order No.:TIMEDATEADDITIONAL COMMENTS RELINQUISHED BY / AFFILIATIONSite Location STATE:DATE ACCEPTED BY / AFFILIATIONPRINT Name of SAMPLER: SAMPLER NAME AND SIGNATUREDATE Signed (MM/DD/YY):SIGNATURE of SAMPLER: SAMPLE TYPE (G=GRAB C=COMP)#OFCONTAINERSPreservativesTIMEMatrix Codes MATRIX / CODESAMPLE ID (A-Z, 0-9 / ,-)Sample IDs MUST BE UNIQUEReceived onIce (Y/N)Temp in °CCustodySealed Cooler(Y/N)Samples Intact(Y/N)SAMPLE CONDITIONS ITEM #MATRIX CODE(see valid codes to left)Section D Required Client InformationRequested Analysis Filtered (Y/N)Pace Project No./ Lab I.D. SAMPLE TEMP AT COLLECTIONCOLLECTEDProject Name:Project Number: Pace Project Manager:Pace Profile #:COMPOSITE START COMPOSITE END/GRABDrinking Water DWWater WTWaste Water WWProduct PSoil/Solid SLOil OLWipe WPAir ARTissue TSOther OT*Important Note: By signing this form you are accepting Pace's NET 30 day payment terms and agreeing to late charges of 1.5% per month for any invoices not paid within 30 days. F-ALL-Q-020rev.07, 15-May-2007®www.pacelabs.com
Instructions for completing Chain of Custody (COC) 1.Section A and B:Complete all Client information at top of sheet: company name, address, phone, fax, contact (the person to contact if there are questions, and who will receive the final report.), e-mail address (if available), PO#, Project Name and/or Project Number as you would like to see it appear on the report. 2.Section C: Invoice Information: Billing information is included in this section. This information should include the name and address of the person receiving the invoice. 3. Quote Reference should be completed if a quotation was provided by Pace Analytical. The Project Manager, and Profile No. will be completed by Pace Analytical Services. 4.Site Location:A separate COC must be filled out for each day of sample collection. Record the two letter postal code for the US state in which the samples were collected. 5. Regulatory Agency:List the program that is guiding the work to ensure proper regulations are followed. 6.Section D:Complete a Sample Description in the “SAMPLE ID’ section as you would like it to appear on the laboratory report. The following information should also be included: the sample matrix, sample type (G (grab) or C (composite). When collecting a composite, the start time and end time should be documented in the respective boxes. The collection time for a grab (G) sample should be entered in the boxes marked ‘Composite End/Grab’), Sample temp at collection (if required by state), the total number of containers, and preservative used. 7. Mark if the sample was filtered in the field by marking Y or N in ‘Filtered’ row by the Analysis requested. 8. Requested Analysis: List the required analysis and methods on the lines provided and place a check in the column for the samples requiring the analysis. Additional comments should be referenced in the bottom left hand corner or include attachments for extended lists of parameters. 9. The sampler should print their name in the space provided and sign their name followed by the date of the sampling event at the bottom of the COC in the spaces designated for ‘SAMPLER NAME AND SIGNATURE’. 10. When relinquishing custody of the samples to a representative of the laboratory or other organization, indicate the Item Numbers of those samples being transferred; sign relinquished by, date and time, and include your affiliation. *Important Note: Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date due unless other arrangements have been made with your project manager. Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included on the chain of custody in the Additional Comments section.
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX D5 NC DEQ GROUNDWATER REFERENCES

D5
Appendix D5 NC DEQ
Groundwater
References

Environmental Monitoring Data Memo October 16, 2007
Addendum to October 2006 Memo February 23, 2007
Guidelines for electronic submittal Memo October 27, 2006
EDD Spreadsheet Format Info May 5, 2010
Appendix I Constituent List
Appendix II Constituent List
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1646 Mail Service Center, Raleigh, North Carolina 27699-1646 Phone [phone] \ FAX [phone] \ Internet http://wastenotnc.org An Equal Opportunity / Affirmative Action Employer – Printed on Dual Purpose Recycled Paper
1

North Carolina Department of Environment and Natural Resources

October 16, 2007
EMORANDUM
Dexter R. Matthews, Director Division of Wa e Management st Michael F. Easley, Governor
William G. Ross Jr., Secretary

M
To: Operators, North Carolina Certified
Laboratories, and Consultants
rom: North Carolina Division of Waste Management, Solid Waste Section
Re: ring Data for North Carolina Solid Waste
Management Facilities
and provide a reminder of formats for environmental monitoring data
bmittals.
ese changes was to improve the protection of public health and the
nvironment.
reported to the North Carolina Solid Waste Section. The PQLs will no
nger be used.
ted can be directed to the North Carolina Department of Health
nd Human Services.

Solid Waste Directors, Landfill

F

Environmental Monito

The purpose of this memorandum is to provide a reiteration of the use of the Solid Waste
Section Limits (SWSLs), provide new information on the Groundwater Protection
Standards,
su

The updated guidelines are in large part due to questions and concerns from laboratories,
consultants, and the regulated community regarding the detection of constituents in
groundwater at levels below the previous Practical Quantitation Limits (PQLs). The
North Carolina Solid Waste Section solicited feedback from the regulated community,
and, in conjunction with the regulated community, developed new limits. The primary
purpose of th
e

Data must be reported to the laboratory specific method detection limits and must be
quantifiable at or below the SWSLs. The SWSLs must be used for both groundwater and
surface water data
lo

In June 2007, we received new information regarding changes to the Groundwater
Protection Standards. If a North Carolina 2L Groundwater Standard does not exist, then
a designated Groundwater Protection Standard is used pursuant to 15A NCAC 13B
.1634. Toxicologists with the North Carolina Department of Health and Human Services
calculated these new Groundwater Protection Standards. Questions regarding how the
standards were calcula
a

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2
every year or sooner if new scientific and toxicological data become available.
lease review our website periodically for any changes to the 2L NC Standards,
ic updates will be noted on our
ebsite.
wastenotnc.org/sw/swenvmonitoringlist.asp

We have reviewed the new results from the North Carolina Department of Public Health
and have updated our webpage accordingly. The list of Groundwater Protection
Standards, North Carolina 2L Standards and SWSLs are subject to change and will be
reviewed
P
Groundwater Protection Standards, or SWSLs. Specif
w

http://www.

ental monitoring data

In addition, the following should be included with environm
submittals:
1. Environmental Monitoring Data Form as a cover sheet:
http://www.wastenotnc.org/swhome/EnvMonitoring/NCEnvMonRptForm.pdf
2. Copy of original laboratory results.
3. Table of detections and discussion of 2L exceedances.
4. Electronic files on CD or sent by email. These files should include the written report as
Portable Document Format (PDF) file and the laboratory data as an excel file following a
the format of the updated Electronic Data Deliverable (EDD) template on our website:
http://www.wastenotnc.org/swhome/enviro_monitoring.asp

If you have any questions or concerns, please feel free to contact Donald Herndon (919-
08-8502), Ervin Lane (919-508-8520) or Jaclynne Drummond (919-508-8500).
Thank you for your continued cooperation with these matters.

5

1646 Mail Service Center, Raleigh, North Carolina 27699-1646 Phone [phone] \ FAX [phone] \ Internet http://wastenotnc.org An Equal Opportunity / Affirmative Action Employer – Printed on Dual Purpose Recycled Paper
1

North Carolina Department of Environment and Natural Resources
Dexter R. Matthews, Director Division of Waste Management Michael F. Easley, Governor William G. Ross Jr., Secretary
February 23, 2007
EMORANDUM

M
o: Solid Waste Directors, Landfill Operators, North Carolina Certified Laboratories, and Consultants
rom: North Carolina Division of Waste Management, Solid Waste Section
Re: ste Section Memorandum Regarding New
Guidelines for Electronic Submittal of Environmental Data.

arolina Solid Waste Section memo titled, “New Guidelines for Electronic Submittal of Environmental Data.”
adily available laboratory analytical methodology and current health-based groundwater protection standards.
efinitions

T

F

Addendum to October 27, 2006, North Carolina Solid Wa

The purpose of this addendum memorandum is to provide further clarification to the October 27, 2006, North
C

The updated guidelines is in large part due to questions and concerns from laboratories, consultants, and the
regulated community regarding the detection of constituents in groundwater at levels below the previous
practical quantitation limits (PQLs). The North Carolina Solid Waste Section solicited feedback from the
regulated community, and, in conjunction with the regulated community, developed new limits. The primary
purpose of these changes was to improve the protection of public health and the environment. The North
Carolina Solid Waste Section is concerned about analytical data at these low levels because the earliest possible
detection of toxic or potentially carcinogenic chemicals in the environment is paramount in the North Carolina
Solid Waste Section’s mission to protect human health and the environment. Low level analytical data are
critical for making the correct choices when designing site remediation strategies, alerting the public to health
threats, and protecting the environment from toxic contaminants. The revised limits were updated based on
re

D
s are also an attempt to clarify the meaning of these
rms as used by the North Carolina Solid Waste Section.
e that can be measured and
ported with 99% confidence that the analyte concentration is greater than zero.
is the minimum concentration of a
target analyte that can be accurately determined by the referenced method.

Many definitions relating to detection limits and quantitation limits are used in the literature and by government
agencies, and commonly accepted procedures for calculating these limits exist. Except for the Solid Waste
Section Limit and the North Carolina 2L Standards, the definitions listed below are referenced from the
Environmental Protection Agency (EPA). The definition
te

Method Detection Limit (MDL) is the minimum concentration of a substanc
re

Method Reporting Limit or Method Quantitation Limit (MRL or MQL)

Practical Quantitation Limit (PQL) is a quantitation limit that represents a practical and routinely achievable
quantitation limit with a high degree of certainty (>99.9% confidence) in the results. Per EPA Publication
Number SW-846, the PQL is the lowest concentration that can be reliably measured within specified limits of
precision and accuracy for a specific laboratory analytical method during routine laboratory operating
conditions in accordance with "Test Methods for Evaluating Solid Wastes, Physical/Chemical Methods. The
PQL appears in
1646 Mail Service Center, Raleigh, North Carolina 27699-1646 Phone [phone] \ FAX [phone] \ Internet http://wastenotnc.org An Equal Opportunity / Affirmative Action Employer – Printed on Dual Purpose Recycled Paper
2
older NCDENR literature; however, it is no longer being used by the North Carolina Solid
aste Section.
n. The nomenclature of the SWRL described in the October
7, 2006, memorandum has changed to the SWSL.
C 2L .0200, Classifications and Water Quality Standards Applicable to the
roundwaters of North Carolina.
ethod Detection Limits (MDLs)
W

Solid Waste Section Limit (SWSL) is the lowest amount of analyte in a sample that can be quantitatively
determined with suitable precision and accuracy. The SWSL is the concentration below which reported
analytical results must be qualified as estimated. The SWSL is the updated version of the PQL that appears in
older North Carolina Solid Waste Section literature. The SWSL is the limit established by the laboratory survey
conducted by the North Carolina Solid Waste Sectio
2

North Carolina 2L Standards (2L) are water quality standards for the protection of groundwaters of North
Carolina as specified in 15A NCA
G

M
he North Carolina Solid Waste Section is now
quiring laboratories to report to the method detection limit.
atories generally report the highest method detection limit for all the instruments
sed for a specific method.
ata below unspecified or non-statistical reporting limits severely biases data sets and restricts their usefulness.
olid Waste Section Limits (SWSLs)

Clarification of detection limits referenced in the October 27, 2006, memorandum needed to be addressed
because of concerns raised by the regulated community. T
re

Method detection limits are statistically determined values that define the concentration at which measurements
of a substance by a specific analytical protocol can be distinguished from measurements of a blank (background
noise). Method detection limits are matrix-specific and require a well defined analytical method. In the course
of routine operations, labor
u

In many instances, the North Carolina Solid Waste Section gathers data from many sources prior to evaluating
the data or making a compliance decision. Standardization in data reporting significantly enhances the ability to
interpret and review data because the reporting formats are comparable. Reporting a method detection limit
alerts data users of the known uncertainties and limitations associated with using the data. Data users must
understand these limitations in order to minimize the risk of making poor environmental decisions. Censoring
d

S
nd surface water data reported to the North Carolina Solid Waste
ection. The PQLs will no longer be used.

Due to comments from the regulated community, the North Carolina Solid Waste Section has changed the
nomenclature of the new limits referenced on Page 2 of the October 27, 2006, memorandum, from the North
Carolina Solid Waste Reporting Limits (SWRL) to the Solid Waste Section Limits (SWSL). Data must be
reported to the laboratory specific method detection limits and must be quantifiable at or below the SWSL. The
SWSLs must be used for both groundwater a
S

The North Carolina Solid Waste Section has considered further feedback from laboratories and the regulated
community and ha
1646 Mail Service Center, Raleigh, North Carolina 27699-1646 Phone [phone] \ FAX [phone] \ Internet http://wastenotnc.org An Equal Opportunity / Affirmative Action Employer – Printed on Dual Purpose Recycled Paper
3
s made some additional changes to the values of the SWSLs. These changes may be viewed
ttp://www.wastenotnc.org/sw/swenvmonitoringlist.asp
nalytical Data Reporting Requirements
on our webpage:
h

A
al
boratory method detection limit with all analytical laboratory results along with the following requirements:
oncentration, compliance action may not be taken unless it is statistically significant
crease over background.
hese analytical results may require additional confirmation.
he possibility that a constituent concentration may exceed the North Carolina 2L Standards in the
ture.
hese analytical results may be used for compliance without further confirmation.
will be returned and deemed unacceptable. Submittal of unacceptable data may lead to

lectronic Data Deliverable (EDD) Submittal

The strategy for implementing the new analytical data reporting requirements involves reporting the actu
la

1) Any analyte detected at a concentration greater than the MDL but less than the SWSL is known to be present,
but the uncertainty in the value is higher than a value reported above the SWSL. As a result, the actual
concentration is estimated. The estimated concentration is reported along with a qualifier (“J” flag) to alert data
users that the result is between the MDL and the SWSL. Any analytical data below quantifiable levels should
be examined closely to evaluate whether the analytical data should be included in any statistical analysis. A
statistician should make this determination. If an analyte is detected below the North Carolina 2L Standards,
even if it is a quantifiable c
in

T

2) Any analyte detected at a concentration greater than the SWSL is present, and the quantitated value can be
reported with a high degree of confidence. These analytes are reported without estimated qualification. The
laboratory’s MDL and SWSL must be included in the analytical laboratory report. Any reported concentration
of an organic or inorganic constituent at or above the North Carolina 2L Standards will be used for compliance
purposes, unless the inorganic constituent is not statistically significant). Exceedance of the North Carolina 2L
Standards or a statistically significant increase over background concentrations define when a violation has
occurred. Any reported concentration of an organic or inorganic constituent at or above the SWSL that is not
above an North Carolina 2L Standard will be used as a tool to assess the integrity of the landfill system and
predict t
fu

T

Failure to comply with the requirements described in the October 27, 2006, memorandum and this addendum to
the October 27, 2006, memorandum will constitute a violation of 15A NCAC 13B .0601, .0602, or .1632(b),
and the analytical data
enforcement action.

E
he analytical laboratory data. This option is intended to save resources
r both the public and private sectors.

The North Carolina Solid Waste Section would also like to take this opportunity to encourage electronic
submittal of the reports in addition to t
fo

The North Carolina Solid Waste Section will accept the entire report including narrative text, figures, tables,
and maps on CD-ROM. Please separate the figures and tables from the report when saving in order to keep the

size of the files smaller. The CD-ROM submittal shall contain a CD-ROM case and both CD
1646 Mail Service Center, Raleigh, North Carolina 27699-1646 Phone [phone] \ FAX [phone] \ Internet http://wastenotnc.org An Equal Opportunity / Affirmative Action Employer – Printed on Dual Purpose Recycled Paper
4
-ROM and the
ase shall be labeled with the site name, site address, permit number, and the monitoring event date
ab data and field data. This template is available on our webpage:
ttp://www.wastenotnc.org/swhome/enviro_monitoring.asp. Methane monitoring data may also be submitted
ry or exceeds 25% of the LEL
facility structures (excluding gas control or recovery system components), include the exceedance(s) on the
you have any questions or concerns, please feel free to contact Jaclynne Drummond (919-508-8500) or Ervin
Thank you for your continued cooperation with this matter.

c
(MM/DD/YYYY). The reporting files may be submitted as a .pdf, .txt, .csv, .xls,. or .doc type.

Also, analytical lab data and field data should be reported in .xls files. The North Carolina Solid Waste Section
has a template for analytical l
h
electronically in this format.

Pursuant to the October 27, 2006, memorandum, please remember to submit a Solid Waste Section
Environmental Monitoring Reporting Form in addition to your environmental monitoring data report. This
form should be sealed by a geologist or engineer licensed in North Carolina if hydrogeologic or geologic
calculations, maps, or interpretations are included with the report. Otherwise, any representative that the
facility owner chooses may sign and submit the form. Also, if the concentration of methane generated by the
facility exceeds 100% of the lower explosive limits (LEL) at the property bounda
in
North Carolina Solid Waste Section Environmental Monitoring Reporting Form.

If
Lane (919-508-8520).

North Carolina Department of Environment and Natural Resources
Dexter R. Matthews, Director Division of Waste Management Michael F. Easley, Governor William G. Ross Jr., Secretary

1646 Mail Service Center, Raleigh, North Carolina 27699-1646 Phone: [phone] \ FAX: [phone] \ Internet http://wastenotnc.org An Equal Opportunity / Affirmative Action Employer – Printed on Dual Purpose Recycled Paper
October 27, 2006

To: SW Director/County Manager/Consultant/Laboratory

From: NC DENR-DWM, Solid Waste Section

Re: New Guidelines for Electronic Submittal of Environmental Monitoring Data

The Solid Waste Section receives and reviews a wide variety of environmental monitoring data from permitted
solid waste management facilities, including the results from groundwater and surface water analyses, leachate
samples, methane gas readings, potentiometric measurements, and corrective action data. We are in the process
of developing a database to capture the large volume of data submitted by facilities.

To maintain the integrity of the database, it is critical that facilities, consultants, and laboratories work with the
Solid Waste Section to ensure that environmental samples are collected and analyzed properly with the resulting
data transferred to the Solid Waste Section in an accurate manner.

In order to better serve the public and to expedite our review process, the Solid Waste Section is requesting
specific formatting for environmental monitoring data submittals for all solid waste management facilities.

Effective, December 1, 2006, please submit a Solid Waste Environmental Monitoring Data Form in
addition to your environmental monitoring data report. This form will be sent in lieu of your current cover
letter to the Solid Waste Section. The Solid Waste Environmental Monitoring Data Form must be filled out
completely, signed, and stamped with a Board Certified North Carolina Geologist License Seal.

The solid waste environmental monitoring data form will include the following:
1. Contact Information
2. Facility Name
3. Facility Permit Number
4. Facility Address
5. Monitoring Event Date (MM/DD/YYYY)
6. Water Quality Status: Monitoring, Detection Monitoring, or Assessment Monitoring
7. Type of Data Submitted: Groundwater Monitoring Wells, Groundwater Potable Wells, Leachate,
Methane Gas, or Corrective Action Data
8. Notification of Exceedance of Groundwater, Surface Water, or Methane Gas (in table form)
9. Signature
10. North Carolina Geologist Seal
Page 2 of 2

Most of these criteria are already being included or can be added with little effort. The Solid Waste
Environmental Monitoring Data Form can be downloaded from our website:
http://www.wastenotnc.org/swhome/enviro_monitoring.asp.

The Solid Waste Section is also requesting a new format for monitoring wells, potable wells, surface water
sampling locations, and methane probes. This format is essential in the development and maintenance of the
database. The Solid Waste Section is requesting that each sampling location at all North Carolina solid waste
management facilities have its own unique identification number. We are simply asking for the permit number
to be placed directly in front of the sampling location number (example: 9901-MW1 = Permit Number 99-01
and Monitoring Well MW-1). No changes will need to be made to the well tags, etc. This unique identification
system will enable us to accurately report data not only to NCDENR, but to the public as well. We understand
that this new identification system will take some time to implement, but we feel that this will be beneficial to
everyone involved in the long term.

Additionally, effective December 1, 2006, the Practical Quantitation Limits (PQLs) established in 1994
will change. The Solid Waste Section is requiring that all solid waste management facilities use the new Solid
Waste Reporting Limits (SWRL) for all groundwater analyses by a North Carolina Certified Laboratory.
Laboratories must also report any detection of a constituent even it is detected below the new SWRL (e.g., J
values where the constituent was detected above the detection limit, but below the quantitation limit).

PQLs are technology-based analytical levels that are considered achievable using the referenced analytical
method. The PQL is considered the lowest concentration of a contaminant that the lab can accurately detect and
quantify. PQLs provided consistency and available numbers that were achievable by the given analytical
method. However, PQLs are not health-based, and analytical instruments have improved over the years
resulting in lower achievable PQLs for many of the constituents. As a result, the Solid Waste Section has
established the SWRLs as the new reporting limits eliminating the use of the PQLs.

We would also like to take this opportunity to encourage electronic submittal of the reports. This option is
intended to save resources for both the public and private sectors. The Solid Waste Section will accept the
entire report including narrative text, figures, tables, and maps on CD-ROM. The CD-ROM submittal shall
contain a CD-ROM case and both CD-ROM and the case shall be labeled with the site name, site address,
permit number, and the monitoring event date (MM/DD/YYYY). The files may be a .pdf, .txt, .csv, .xls, or .doc
type. Also, analytical lab data should be reported in an .xls file. We have a template for analytical lab data
available on the web at the address listed above.

If you have any questions or concerns, please call [phone]. Thank you for your anticipated cooperation
in this matter.

Appendix = Appendix I or Appendix II
Other = Field Parameters, other commonly reported constituents, etc.
GROUP CAS_NUM SWS_ID NAME
Appendix 630-20-6 190 1,1,1,2-Tetrachloroethane
Appendix 71-55-6 200 1,1,1-Trichloroethane; Methylchloroform
Appendix 79-34-5 191 1,1,2,2-Tetrachloroethane
Appendix 79-00-5 202 1,1,2-Trichloroethane
Other 76-13-1 398 1,1,2-Trichlorotrifluoroethane
Appendix 75-34-3 75 1,1-Dichloroethane; Ethyldidene chloride
Appendix 75-35-4 77 1,1-Dichloroethylene; 1,1-Dichloroethene;
Appendix 563-58-6 85 1,1-Dichloropropene
Appendix 96-18-4 206 1,2,3-Trichloropropane
Appendix 95-94-3 189 1,2,4,5-Tetrachlorobenzene
Appendix 120-82-1 199 1,2,4-Trichlorobenzene
Other 226-36-8 385 1,2,5,6-Dibenzacridine
Appendix 96-12-8 67 1,2-Dibromo-3-chloropropane; DBCP
Appendix 106-93-4 68 1,2-Dibromoethane; Ethylene dibromide; EDB
Appendix 107-06-2 76 1,2-Dichloroethane; Ethylene dichloride
Appendix 78-87-5 82 1,2-Dichloropropane
Other 122-66-7 394 1,2-Diphenylhydrazine
Appendix 142-28-9 83 1,3-Dichloropropane; Trimethylene dichloride
Appendix 130-15-4 149 1,4-Naphthoquinone
Other 87-61-6 371 1-2-3-Trichlorobenzene
Appendix 134-32-7 150 1-Naphthylamine
Other 120-36-5 352 2-(2-4-dichlorophenoxy)propionic acid
Appendix 594-20-7 84 2,2-Dichloropropane; Isopropylidene chloride
Appendix 58-90-2 193 2,3,4,6-Tetrachlorophenol
Appendix 93-76-5 188 2,4,5-T; 2,4,5-Trichlorophenoxyacetic acid
Appendix 95-95-4 204 2,4,5-Trichlorophenol
Appendix 88-06-2 205 2,4,6-Trichlorophenol
Appendix 94-75-7 59 2,4-D; 2,4-Dichlorophenoxyacetic acid
Appendix 120-83-2 80 2,4-Dichlorophenol
Appendix 105-67-9 95 2,4-Dimethylphenol; m-Xylenol
Appendix 51-28-5 99 2,4-Dinitrophenol
Appendix 121-14-2 100 2,4-Dinitrotoluene
Appendix 87-65-0 81 2,6-Dichlorophenol
Appendix 606-20-2 101 2,6-Dinitrotoluene
Other 94-82-6 350 2-4 DB
Appendix 53-96-3 6 2-Acetylaminofluorene; 2-AAF
Other 110-75-8 358 2-Chloroethylvinyl ether
Appendix 91-58-7 47 2-Chloronaphthalene
Appendix 95-57-8 48 2-Chlorophenol
Appendix 591-78-6 124 2-Hexanone; Methyl butyl ketone
Appendix 91-57-6 145 2-Methylnaphthalene
Appendix 91-59-8 151 2-Naphthylamine
Other 109-06-8 390 2-Picoline
Appendix 91-94-1 72 3,3'-Dichlorobenzidine
Appendix 119-93-7 94 3,3'-Dimethylbenzidine
Appendix 56-49-5 138 3-Methylcholanthrene
Appendix 72-54-8 60 4,4'-DDD
Appendix 72-55-9 61 4,4'-DDE
Appendix 50-29-3 62 4,4'-DDT
Appendix 534-52-1 98 4,6-Dinitro-o-cresol; 4,6-Dinitro-2-methylphenol
Appendix 92-67-1 11 4-Aminobiphenyl
Appendix 101-55-3 31 4-Bromophenyl phenyl ether
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Appendix 7005-72-3 49 4-Chlorophenyl phenyl ether
Appendix 108-10-1 147 4-Methyl-2-pentanone; Methyl isobutyl ketone
Other 56-57-5 388 4-nitroquinoline-1-oxide
Appendix 99-55-8 157 5-Nitro-o-toluidine
Appendix 57-97-6 93 7,12-Dimethylbenz[a]anthracene
Appendix 83-32-9 1 Acenaphthene
Appendix 208-96-8 2 Acenaphthylene
Appendix 67-64-1 3 Acetone
Appendix 75-05-8 4 Acetonitrile; Methyl cyanide
Appendix 98-86-2 5 Acetophenone
Appendix 107-02-8 7 Acrolein
Appendix 107-13-1 8 Acrylonitrile
Appendix 309-00-2 9 Aldrin
Other SW337 337 Alkalinity
Appendix 107-05-1 10 Allyl chloride
Appendix 319-84-6 24 alpha-BHC
Other 62-53-3 381 Aniline
Appendix 120-12-7 12 Anthracene
Appendix 7440-36-0 13 Antimony
Other 140-57-8 382 Aramite
Other 12674-11-2 401 Aroclor 1016
Other 11104-28-2 402 Aroclor 1221
Other 11141-16-5 403 Aroclor 1232
Other 53469-21-9 404 Aroclor 1242
Other 12672-29-6 405 Aroclor 1248
Other 11097-69-1 406 Aroclor 1254
Other 11096-82-5 407 Aroclor 1260
Appendix 7440-38-2 14 Arsenic
Appendix 7440-39-3 15 Barium
Appendix 71-43-2 16 Benzene
Other 122-09-8 386 Benzeneethanamine, alpha,alpha-dimethyl-
Other 92-87-5 383 Benzidine
Appendix 56-55-3 17 Benzo[a]anthracene; Benzanthracene
Appendix 50-32-8 21 Benzo[a]pyrene
Appendix 205-99-2 18 Benzo[b]fluoranthene
Appendix 191-24-2 20 Benzo[ghi]perylene
Appendix 207-08-9 19 Benzo[k]fluoranthene
Other 65-85-0 395 Benzoic Acid
Appendix 100-51-6 22 Benzyl alcohol
Appendix 7440-41-7 23 Beryllium
Appendix 319-85-7 25 beta-BHC
Other SW347 347 Bicarbonate (as CaCO3)
Other SW316 316 Biological Oxygen Demand
Appendix 108-60-1 46
Bis(2-chloro-1-methylethyl) ether; 2,2'-
Dichlorodiisopropyl ether; DCIP, See footnote 4
Appendix 111-91-1 42 Bis(2-chloroethoxy)methane
Appendix 111-44-4 43 Bis(2-chloroethyl)ether; Dichloroethyl ether
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Other 39638-32-9 384 Bis(2-chloroisopropyl) ether
Appendix 117-81-7 111 Bis(2-ethylhexyl) phthalate
Other 108-86-1 360 Bromobenzene
Appendix 74-97-5 28 Bromochloromethane; Chlorobromethane
Appendix 75-27-4 29 Bromodichloromethane; Dibromochloromethane
Appendix 75-25-2 30 Bromoform; Tribromomethane
Appendix 85-68-7 32 Butyl benzyl phthalate; Benzyl butyl phthalate
Appendix 7440-43-9 34 Cadmium
Other 7440-70-2 375 Calcium
Appendix 75-15-0 35 Carbon disulfide
Appendix 56-23-5 36 Carbon tetrachloride
Other SW348 348 Carbonate (as CaCO3)
Other SW317 317 Chemical Oxygen Demand
Appendix 57-74-9 339 Chlordane
Other 12789-03-6 400 Chlordane (constituents)
Other 5103-71-9 379 Chlordane, alpha
Other 5103-74-2 378 Chlordane, beta
Other 5566-34-7 399 Chlordane, gamma
Other SW301 301 Chloride
Appendix 108-90-7 39 Chlorobenzene
Appendix 510-15-6 40 Chlorobenzilate
Appendix 75-00-3 41 Chloroethane; Ethyl chloride
Appendix 67-66-3 44 Chloroform; Trichloromethane
Appendix 126-99-8 50 Chloroprene
Appendix 7440-47-3 51 Chromium
Appendix 218-01-9 52 Chrysene
Appendix 10061-01-5 86 cis-1,3-Dichloropropene
Appendix 7440-48-4 53 Cobalt
Other SW309 309 Coliform (total)
Other SW310 310 Color (color units)
Appendix 7440-50-8 54 Copper
Appendix 57-12-5 58 Cyanide
Other 75-99-0 355 Dalapon
Appendix 319-86-8 26 delta-BHC
Other SW318 318 Depth To Water (ft)
Appendix 2303-16-4 63 Diallate
Appendix 53-70-3 64 Dibenz[a,h]anthracene
Appendix 132-64-9 65 Dibenzofuran
Appendix 124-48-1 66 Dibromochloromethane; Chlorodibromomethane
Other 1918-00-9 353 Dicamba
Appendix 75-71-8 74 Dichlorodifluoromethane; CFC 12
Appendix 60-57-1 88 Dieldrin
Appendix 84-66-2 90 Diethyl phthalate
Appendix 60-51-5 91 Dimethoate
Appendix 131-11-3 96 Dimethyl phthalate
Appendix 84-74-2 33 Di-n-butyl phthalate
Appendix 117-84-0 168 Di-n-octyl phthalate
Appendix 88-85-7 102 Dinoseb; DNBP; 2-sec-Butyl-4,6-dinitrophenol
Appendix 122-39-4 103 Diphenylamine
Other SW356 356 Dissolved Oxygen
Appendix 298-04-4 104 Disulfoton
Appendix 959-98-8 105 Endosulfan I
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Appendix 33213-65-9 106 Endosulfan II
Appendix 1031-07-8 107 Endosulfan sulfate
Appendix 72-20-8 108 Endrin
Appendix 7421-93-4 109 Endrin aldehyde
Other SW331 331 Ethane- Dissolved
Other SW332 332 Ethene- Dissolved
Appendix 97-63-2 112 Ethyl methacrylate
Appendix 62-50-0 113 Ethyl methanesulfonate
Appendix 100-41-4 110 Ethylbenzene
Appendix 52-85-7 114 Famphur
Other SW334 334 Ferrous Iron- Dissolved
Appendix 206-44-0 115 Fluoranthene
Appendix 86-73-7 116 Fluorene
Other SW312 312 Fluoride
Other SW313 313 Foaming Agents
Appendix 58-89-9 27 gamma-BHC; Lindane
Other SW314 314 Gross Alpha
Other SW319 319 Head (ft mean sea level)
Appendix 76-44-8 117 Heptachlor
Appendix 1024-57-3 118 Heptachlor epoxide
Appendix 118-74-1 119 Hexachlorobenzene
Appendix 87-68-3 120 Hexachlorobutadiene
Appendix 77-47-4 121 Hexachlorocyclopentadiene
Appendix 67-72-1 122 Hexachloroethane
Other 70-30-4 387 Hexachlorophene
Appendix 1888-71-7 123 Hexachloropropene
Other SW338 338 Hydrogen Sulfide
Appendix 193-39-5 125 Indeno(1,2,3-cd)pyrene
Other 7439-89-6 340 Iron
Appendix 78-83-1 126 Isobutyl alcohol
Appendix 465-73-6 127 Isodrin
Appendix 78-59-1 128 Isophorone
Other 108-20-3 366 Isopropyl ether
Other 98-82-8 367 Isopropylbenzene
Appendix 120-58-1 129 Isosafrole
Appendix 143-50-0 130 Kepone
Other SW329 329 Landfill Gas
Appendix 7439-92-1 131 Lead
Other SW374 374 m-&p-Cresol (combined)
Other SW359 359 m-&p-Xylene (combined)
Other 7439-95-4 376 Magnesium
Other 7439-96-5 342 Manganese
Other SW335 335 Manganese- Dissolved
Other 94-74-6 351 MCPA
Appendix 108-39-4 345 m-Cresol; 3-Methylphenol
Appendix 541-73-1 70 m-Dichlorobenzene; 1,3-Dichlorobenzene
Appendix 99-65-0 97 m-Dinitrobenzene
Other 93-65-2 354 Mecopop, MCPP
Appendix 7439-97-6 132 Mercury
Other 108-67-8 373 Mesitylene (1-3-5-trimethylbenzene)
Appendix 126-98-7 133 Methacrylonitrile
Other SW333 333 Methane- Dissolved
Appendix 91-80-5 134 Methapyrilene
Appendix 72-43-5 135 Methoxychlor
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Appendix 74-83-9 136 Methyl bromide; Bromomethane
Appendix 74-87-3 137 Methyl chloride; Chloromethane
Appendix 78-93-3 141 Methyl ethyl ketone; MEK; 2-Butanone
Appendix 74-88-4 142 Methyl iodide; Iodomethane
Appendix 80-62-6 143 Methyl methacrylate
Appendix 66-27-3 144 Methyl methanesulfonate
Appendix 298-00-0 146 Methyl parathion; Parathion methyl
Appendix 74-95-3 139 Methylene bromide; Dibromomethane
Appendix 75-09-2 140 Methylene chloride; Dichloromethane
Other 1634-04-4 369 Methyl-tert-butyl ether (MTBE)
Appendix 99-09-2 153 m-Nitroaniline; 3-Nitroaniline
Other 7439-98-7 397 Molybdenum
Other 108-38-3 409 m-Xylene
Appendix 91-20-3 148 Naphthalene
Other 104-51-8 361 n-Butylbenzene
Appendix 7440-02-0 152 Nickel
Other SW303 303 Nitrate (as N)
Other SW304 304 Nitrite (as N)
Appendix 98-95-3 156 Nitrobenzene
Appendix 55-18-5 160 N-Nitrosodiethylamine
Appendix 62-75-9 161 N-Nitrosodimethylamine
Appendix 924-16-3 162 N-Nitrosodi-n-butylamine
Appendix 86-30-6 163 N-Nitrosodiphenylamine
Appendix 621-64-7 164
N-Nitrosodipropylamine; N-Nitroso-N-dipropylamine;
Di-n-propylnitrosamine
Appendix 10595-95-6 165 N-Nitrosomethylethalamine
Other 59-89-2 389 N-Nitrosomorpholine
Appendix 100-75-4 166 N-Nitrosopiperidine
Appendix 930-55-2 167 N-Nitrosopyrrolidine
Other 103-65-1 370 n-Propylbenzene
Appendix 126-68-1 207 O,O,O-Triethyl phosphorothioate
Appendix 297-97-2 89
O,O-Diethyl O-2-pyrazinyl phosphorothioate;
Thionazin
Other 95-49-8 364 o-Chlorotoluene
Appendix 95-48-7 56 o-Cresol; 2-Methylphenol
Appendix 95-50-1 69 o-Dichlorobenzene; 1,2-Dichlorobenzene
Appendix 88-74-4 154 o-Nitroaniline; 2-Nitroaniline
Appendix 88-75-5 158 o-Nitrophenol; 2-Nitrophenol
Appendix 95-53-4 197 o-Toluidine
Other SW336 336 Oxygen Reduction Potential (mV)
Other 95-47-6 408 o-Xylene
Appendix 60-11-7 92 p-(Dimethylamino)azobenzene
Appendix 56-38-2 169 Parathion
Appendix 106-47-8 38 p-Chloroaniline
Appendix 59-50-7 45 p-Chloro-m-cresol; 4-Chloro-3-methylphenol
Other 106-43-4 365 p-Chlorotoluene
Appendix 106-44-5 344 p-Cresol; 4-Methylphenol
Other 99-87-6 368 p-Cymene
Appendix 106-46-7 71 p-Dichlorobenzene; 1,4-Dichlorobenzene
Appendix 608-93-5 171 Pentachlorobenzene
Other 76-01-7 380 Pentachloroethane
Appendix 82-68-8 172 Pentachloronitrobenzene
Appendix 87-86-5 173 Pentachlorophenol
5 of 9
Other SW307 307 petroleum aliphatic carbon fraction class C19 - C36
Other SW305 305 petroleum aliphatic carbon fraction class C5 - C8
Other SW306 306 petroleum aliphatic carbon fraction class C9 - C18
Other SW308 308 petroleum aromatics carbon fraction class C9 - C22
Other SW320 320 pH (field)
Other SW321 321 pH (lab)
Appendix 62-44-2 174 Phenacetin
Appendix 85-01-8 175 Phenanthrene
Appendix 108-95-2 177 Phenol
Appendix 298-02-2 178 Phorate
Appendix 100-01-6 155 p-Nitroaniline; 4-Nitroaniline
Appendix 100-02-7 159 p-Nitrophenol; 4-Nitrophenol
Appendix 1336-36-3 170 Polychlorinated biphenyls; PCBs
Other 7440-09-7 377 Potassium
Appendix 106-50-3 176 p-Phenylenediamine
Appendix 23950-58-5 179 Pronamide
Appendix 107-12-0 180 Propionitrile; Ethyl cyanide
Other 95-63-6 372 Pseudocumene (1-2-4-trimethylbenzene)
Other 106-42-3 410 p-Xylene
Appendix 129-00-0 181 Pyrene
Other 110-86-1 391 Pyridine
Appendix 94-59-7 182 Safrole
Other 135-98-8 362 sec-Butylbenzene
Appendix 7782-49-2 183 Selenium
Appendix 7440-22-4 184 Silver
Appendix 93-72-1 185 Silvex; 2,4,5-TP
Other 7440-23-5 322 Sodium
Other SW323 323 SpecCond (field)
Other SW324 324 SpecCond (lab)
Appendix 100-42-5 186 Styrene
Other 14808-79-8 315 Sulfate
Appendix 18496-25-8 187 Sulfide
Other 3689-24-5 392 Sulfotep
Appendix 99-35-4 208 sym-Trinitrobenzene
Other SW325 325 Temp (oC)
Other 98-06-6 363 tert-Butylbenzene
Appendix 127-18-4 192
Tetrachloroethylene; Tetrachloroethene;
Perchloroethylene
Appendix 7440-28-0 194 Thallium
Appendix 7440-31-5 195 Tin
Appendix 108-88-3 196 Toluene
Other SW328 328 Top Of Casing (ft mean sea level)
Other SW311 311 Total Dissolved Solids
Other E-10195 357 Total Organic Carbon
Other SW396 396 Total Organic Halides
Other SW343 343 Total Suspended Solids
Other SW411 411 Total Well Depth (ft)
Appendix 8001-35-2 198 Toxaphene
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Appendix 156-60-5 79
trans-1,2-Dichloroethylene; trans-1,2-
Dichloroethene
Appendix 10061-02-6 87 trans-1,3-Dichloropropene
Appendix 110-57-6 73 trans-1,4-Dichloro-2-butene
Appendix 79-01-6 201 Trichloroethylene; Trichloroethene
Appendix 75-69-4 203 Trichlorofluoromethane; CFC-11
Other SW330 330 Turbidity
Appendix 7440-62-2 209 Vanadium
Appendix 108-05-4 210 Vinyl acetate
Appendix 75-01-4 211 Vinyl chloride; Chloroethene
Appendix 156-59-2 78
Vinylidene chloride cis-1,2-Dichloroethylene; cis-1,2-
Dichloroethene
Appendix 1330-20-7 346 Xylene (total)
Appendix 7440-66-6 213 Zinc
Appendix SW412 412 Total Phosphorus
Other SW413 413 Carbon Dioxide (CO2)
Other SW414 414 Pyruvic Acid
Other SW415 415 Lactic Acid
Other SW416 416 Acetic Acid
Other SW417 417 Propionic Acid
Other SW418 418 Butyric Acid
Other SW419 419 No2/No3 (nitrate & nitrite reported together)
Other SW420 420 Hydrogen Gas
Appendix 92-52-4 421 1,1-biphenyl
Appendix 123-91-1 422 1,4-dioxane
Appendix 101-84-8 423 biphenyl ether
Appendix 107-21-1 424 ethylene glycol
Appendix SW425 425 Total BHC
Appendix SW426 426 N-nitrosodiphenylamine/diphenylamine
Other SW427 427 Groundwater Elevation (feet)
Appendix 7440-42-8 428 Boron
Appendix 79-06-1 429 Acrylamide
Appendix 1563-66-2 430 Carbofuran
Appendix 117-81-7 431 Di(2-ethylhexyl)phthalate
Appendix 142-82-5 432 Heptane
Other SW436 436 Total Fatty Acids
Other SW437 437 Orthophosphate Phosphorus
Appendix SW438 438 Aluminum
Other SW439 439 N-Nitrosodiphenylamine/Diphenylamine
7 of 9
Electronic Data need to be in the following format such that they can be uploaded into the Solid Waste Section database.Please see the "Data Format Explanation" tab at the bottom of this sheet for an explanation of each column.FACILITY PERMITWELL IDCAS NumberSWS ID PARAMETER RESULT UNITS QUALIFIER METHOD MDL MRL SWSLDILUTION FACTORCOLLECT DATEEXTRACTION DATEANALYSIS DATENC LABORATORY CERTIFICATION NUMBER12-34 1234-MW3A74-87-3137 Chloromethane 0.18 ug/L U SW846 8260B 0.18 1 1 1 08/03/2009 08/04/2009 08/05/2009 12312-34 1234-MW3A 325 Temperature 19.1 oC 08/03/200912-34 1234-MW5 74-83-9 136 Bromomethane 35 ug/L SW846 8260B 0.26 1 10 1 08/03/2009 08/04/2009 08/05/2009 12312-34 1234-MW5 7440-39-3 15 Barium 50 ug/L J SW846 6020 0.04 10 100 1 08/03/2009 08/05/2009 12312-34 1234-MW5 411 Total Well Depth 54.3 ft 08/03/2009ALL DATA SHOULD INCLUDE THE PERMIT NUMBER. If unsure, contact the operator/owner of the facility.The unit of concentration should be ug/L for ALL constituents.8 of 9
File Naming Standard 1234Dec2009
Facility Number followed by the month of sampling (e.g. Jan, Feb, Mar, etc.) and
then the year of sampling (e.g. 2009).
Column Description Example(s) DATA FORMAT
A FACILITY #12-34 Facility permit number assigned by the State
B WELL ID #1234-MW3A
Number assigned to each sampling location. Format=Facility permit number-
well name.
C CAS Number 74-87-3
CAS number for the parameter/analyte. If no CAS number exists or grouping
more than one analyte together (e.g. m & p-Xylene) then leave this field blank,
but SWS ID# must be filled in.
D SWS ID #137
Number assigned to each parameter/analyte by the Solid Waste Section. This
field should never be blank.
E PARAMETER Chloromethane Name of Parameter/analyte.
F RESULT 10
Result of analysis as reported by the laboratory in units of Micrograms per liter.
Micrograms will be expressed as ug/L. Results will be expressed as a number
without less than (<) or greater than (>) symbols.
G UNITS ug/L
Unit of measure in which the results are reported (i.e. ug/L DO NOT USE
"MU'S" for this designation.) The preferred units for concentration is ug/L, even
for metals. For other parameters such as pH and specific conductance, there
are no preferred units.
H QUALIFIER U
Laboratory data qualifier or "flag"; Use qualifiers as defined by CLP standards
(e.g. "U" for analyzed, but not detected above laboratory MDL, "J" for estimated
results, "B" for Lab blank contamination, etc.
I METHOD EPA8260B Analytical method used to analyze the constituents.
J MDL 0.18
Method Detection Limit (MDL) is the minimum concentration of a substance that
can be measured and reported with 99% confidence that the analyte
concentration is greater than zero
K MRL 1
The minimum concentration of a target analyte that can be accurately
determined by the referenced method.
L SWSL 1
Solid Waste Section Limit (SWSL) is the lowest amount of analyte in a sample
that can be quantitatively determined with suitable precision and accuracy. The
SWSL is the concentration below which reported analytical results must be
qualified as estimated ("J" flagged results).
M DILUTION FACTOR 1
Reported as single number indicating dilution performed prior to analysis;
calculated as: (volume of sample used plus volume of dilutant) divided by
volume of sample used; if no dilution is performed, the dilution factor will be
reported as 1. WHEN A SAMPLE IS DILUTED, THE RESULT MUST INCLUDE
THIS DILUTION. I.E. If there a non-detect (U) is reported on a diluted sample,
the result must reflect the diluted non-detect limit.
N COLLECT DATE 07/23/2007
The date on which the sample was collected in the field. Reported as
mm/dd/yyyy.
O EXTRACTION DATE 07/23/2007
The date on which the sample was prepared/extracted for analysis. Reported
as mm/dd/yyyy.
P ANALYSIS DATE 07/23/2007
The date on which the sample was analyzed by the lab. Reported as
mm/dd/yyyy.
Q
NC LABORATORY
CERTIFICATION
NUMBER 123 Pursuant to 15A NCAC 02H .0800
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Constituents for Detection Monitoring
(40 CFR 258, Appendix I)
Common name CAS RN
Antimony (Total)
Arsenic (Total)
Barium (Total)
Beryllium (Total)
Cadmium (Total)
Chromium (Total)
Cobalt (Total)
Copper (Total)
Lead (Total)
Nickel (Total)
Selenium (Total)
Silver (Total)
Thallium (Total)
Vanadium (Total)
Zinc (Total)
Acetone 67-64-1
Acrylonitrile 107-13-1
Benzene 71-43-2
Bromochloromethane 74-97-5
Bromodichloromethane 75-27-4
Bromoform; Tribromomethane 75-25-2
Carbon disulfide 75-15-0
Carbon tetrachloride 56-23-5
Chlorobenzene 108-90-7
Chloroethane; Ethyl chloride 75-00-3
Chloroform; Trichloromethane 67-66-3
Dibromochloromethane; Chlorodibromomethane 124-48-1
1,2-Dibromo-3-chlorpropane; DBCP 96-12-8
1,2-Dibromoethane; Ethylene dibromide; EDB 106-93-4
o-Dichlorobenzene; 1,2-Dichlorobenzene 95-50-1
p-Dichlorobenzene; 1,4-Dichlorobenzene 106-46-7
trans-1,4-Dichloro-2-butene 110-57-6
1,1-Dichloroethane; Ethylidene chloride 75-34-3
1,2-Dichloroethane; Ethlyene dichloride 107-06-2
1,1-Dichloroethylene; 1-1-Dichloroethene; Vinylidene
chloride
75-35-4
cis-1,2-Dichloroethylene; cis-1,2-Dichloroethene 156-59-2
trans-1,2-Dichloroethylene; trans-1,2-Dichloroethene 156-60-5
1,2-Dichlorpropane; Propylene dichloride 78-87-5
cis-1,3-Dichlorpropene 10061-01-5
trans-1,3-Dichlorpropene 10061-02-6
Ethylbenzene 100-41-4
2-hexanone; Methyl butyl ketone 591-78-6
Methyl bromide; Bromomethane 74-83-9
Methyl chloride; Chloromethane 74-87-3
Methylene bromide Dibromomethane 74-95-3
Methylene chloride; Dichloromethane 75-09-2
Methyl ethyl ketone; MEK; 2-Butanone 78-93-3
Methyl iodide; Iodomethane 74-88-4
4-Methyl-2-pentanone; Methyl isobutyl isobutyl
ketone
108-10-1
Styrene 100-42-5
1,1,1,2-Tetrachloroethane 630-20-6
1,1,2,2-Tetrachloroethane 79-34-5
Tetrachloroethylene; Tetracholorethene;
Perchloroethylene
127-18-4
Toluene 108-88-3
1,1,1-Trochlorethane; Methylchloroform 71-55-6
1,1,2-Trichloroethane 79-00-5
Trichloroethylene; Trichlorethene 79-01-6
Trichlorofluoromethane; CFC-11 75-69-4
1,2,3-Trichloropropane 96-18-4
Vinyl acetate 108-05-4
Vinyl chloride 75-01-4
Xylenes 1330-20-7
Common Name CAS RN
Acenaphthene 83-32-9
Acenaphthylene 208-96-8
Acetone 67-64-1
Acetonitrile; Methyl cyanide 75-05-8
Acetophenone 98-86-2
2-Acetylaminofluorene; 2-AAF 53-96-3
Acrolein 107-02-8
Acrylonitrile 107-13-1
Aldrin 309-00-2
Allyl chloride 107-05-1
4-Aminobiphenyl 92-67-1
Anthracene 120-12-7
Antimony (Total)
Arsenic (Total)
Barium (Total)
Benzene 71-43-2
Benzo[a]anthracene; Benzanthracene 56-55-3
Benzo[b]fluoranthene 205-99-2
Benzo[k]fluoranthene 207-08-9
Benzo[ghi]perylene 191-24-2
Benzo[a]pyrene 50-32-8
Benyl alcohol 100-51-5
Beryllium (Total)
alpha-BHC 319-84-6
beta-BHC 319-85-7
delta-BHC 319-86-8
gamma-BHC; Lindane 58-89-9
Bis(2-chloroethoxy)methane 111-91-1
Bis(2-chloroethyl)ether; Dichloroethyl ether 111-44-4
Bis-(2-chlor-1-methyl) ether; 2, 2-Dichloro-
diisopropyl ether; DCIP, See note 6
108-60-1
Bis(2-ethylhexyl) phthalate 117-81-7
Bromochloromethane; Chlorobromomethane 74-97-5
Bromodichloromethane; Dibromochloromethane 75-27-4
Bromoform; Tribromomethane 75-25-2
4-Bromophenyl phenyl ether 101-55-3
Butyl benzyl phthalate; Benzyl butyl phthalate 85-68-7
Cadmium (Total)
Carbon disulfide 75-15-0
Carbon tetrachloride 56-23-5
Chlordane See NOTE 1
p-Chloroaniline 106-47-8
Chlorobenzene 108-90-7
Chlorobenzilate 510-15-6
p-Chloro-m-cresol; 4-Chloro-3-methylphenol 59-50-7
Constituents for Assessment Monitoring
(40 CFR 258, Appendix II)
Chloroethane; Ethyl chloride 75-00-3
Chloroform; Trichloromethane 67-66-3
2-Chloronaphthalene 91-58-7
2-Chlorophenol 95-57-8
4-Chlorophenyl phenyl ether 7005-72-3
Chloroprene 126-99-8
Chromium (Total)
Chrysene 218-01-9
Cobalt 218-01-9
Copper (Total)
m-Cresol; 3-methylphenol 108-39-4
o-Cresol; 2-methlphenol 95-48-7
p-Cresol; 4-methylphenol 106-44-5
Cyanide 57-12-5
2,4-D; 2,4-Dichlorophenoxyacetic acid 94-75-7
4,4-DDD 72-54-8
4,4-DDE 72-55-9
4,4-DDT 50-29-3
Diallate 2303-16-4
aDibenz[a,h]anthracene 53-70-3
Dibenzofuran 132-64-9
Dibromochloromethane; Chlorodibromomethane 124-48-1
1,2-Dibromo-30chloropropane; DBCP 96-12-8
1,2-Dibromoethane; Ethylene dibromide; EDB 106-93-4
Di-n-butyl phthalate 84-74-2
o-Dichlorobenzene; 1,2-Dichlorobenzene 95-50-1
m-Dichlorobenzene; 1,3-Dichlorobenzene 541-73-1
p-Dichlorobenzene; 1,4-Dichlorobenzene 106-46-7
3,3-Dichlorobenzidine 91-94-1
trans-1,4-Dichloro-2-butene 110-57-6
Dichlorodifluoromethane; CFC 12;75-71-8
1,1-Dichloroethane chloride 75-34-3
1,2-Dichloroethane; Ethylene dichloride 107-06-2
1,1-Dichloroethylene; 1,1-Dichloroethane;
Vinylidene
75-35-4
chloride (Total)
cis-1,2-Dichloroethylene; cis-1,2-Dichloroethene 156-59-2
trans-1,2-Dichloroethylene trans-1,2-Dichloroethene 156-60-5
2,4-Dichlorophenol 120-83-2
2,6-Dichlorophenol 87-65-0
1,2-Dichloropropane; Propylene dichloride 78-87-5
1,3-Dichloropropane; Trimethylene dichloride 142-28-9
2,2-Dichloropropane; Isopropylidene chloride 594-20-7
1,1-Dichloropropene 563-58-6
cis-1,3-Dichloropropene 10061-01-5
trans-1,3-Dichloropropene 10061-02-6
Dieldrin 60-57-1
Diethyl phthalate 84-66-2
0,0-Diethyl 0-2-pyrazinyl phosphorothioate;
thionazin
297-97-2
Dimethoate 60-51-5
p-(Dimethylamino)azobenzene 60-11-7
7,12-Dimethylbenxz[a]anthracene 57-97-6
3,3-Dimethylbenzidine 119-93-7
2,4-Dimethlphenol; m-Xylenol 105-67-9
Dimethyl phthalate 131-11-3
m-Dinitrobenzene 99-65-0
4,6-Dinitro-o-cresol 4,6-Dinitro-2-methylphenol 534-52-1
2,4-Dinitrophenol 51-28-5
2,4-Dinitrotoluene 121-14-2
2,6-Dinitrotoluene 606-20-2
Dinoseb; DNBP; 2-sec-Butyl-4,6-dinitrophenol 88-85-7
Di-n-octyl phthalate 117-84-0
Diphenylamine 122-39-4
Disulfoton 298-04-4
Endosulfan I 959-98-8
Endosulfan II 33213-65-9
Endodulfan sulfate 1031-07-8
Endrin 72-20-8
Endrin aldehyde 7421-93-4
Ethylbenzene 100-41-4
Ethyl methacrylate 97-63-2
Ethyl methanesulfonate 62-50-0
Famphur 52-85-7
Fluoranthene 206-44-0
Fluorene 86-73-7
Heptachlor 76-44-8
Heptachlor epoxide 1024-57-3
Hexachlorobenzene 118-74-1
Hexachlorobutadiene 87-68-3
Hexachlorocyclopentadiene 77-47-4
Hexachloroethane 67-72-1
Hexachloropropene 188-71-7
2-Hexanone; Methyl butyl ketone 591-78-6
Indenol(1,2,3-cd)pyrene 193-39-5
Isopbutyl alcohol 78-83-1
Isodrin 465-73-6
Isophorone 78-59-1
Isosafrole 120-58-1
Kepone 143-50-0
Lead (Total)
Mercury (Total)
Methacrylonitrile 126-98-7
Methapyrilene 91-80-5
Methoxychlor 72-43-5
Methyl bromide; Bromomethane 74-83-9
Methyl chloride; Chloromethane 74-87-3
3-Methylcholanthrene 56-49-5
Methyl ethyl ketone; MEK; 2-Butanone 78-93-3
Methyl iodide; lodomethane 74-88-4
Methyl methacrylate 80-62-6
Methyl methanesulfonate 66-27-3
2-Methylnaphthalene 91-57-6
Methyl parathion; Parathion methyl 298-00-0
4-Methyl-2-pentanone; Methyl isobutyl ketone 108-10-1
Methylene bromide; Dibromomethane 74-95-3
Methylene chloride; Dichloromethane 75-09-2
Naphthalene 91-20-3
1,4-Naphthoquinone 130-15-4
1-Naphthylamine 134-32-7
2-Naphthylamine 91-59-8
Nickel (Total)
o-Nitroaniline; 2-Nitroaniline 88-74-4
m-Nitroaniline; 3-Nitroanile 99-09-2
p-Nitroaniline; 4-Nitroaniline 100-01-6
Nitrobenzene 98-95-3
o-Nitrophenol; 2-Nitrophenol 88-75-5
p-Nitrophenol; 4-Nitrophenol 100-02-7
N-Nitrosodi-n-butylamine 924-16-3
N-Nitrosodiethylamine 55-18-5
N-Nitrosodimethylamine 62-75-9
N-Nitrosodiphenylamine, N-Nitroso-N-Di-n-
propylnitrosamine
86-30-6
N-Nitrosodipropylamine; dipropylamine; 621-64-7
N-Nitrosomethylethalamine 10595-95-6
N-Nitrosopiperidine 100-75-4
N-Nitrosopyrrolidine 930-55-2
5-Nitro-o-toluidine 99-55-8
Parathion 56-38-2
Pentachlorobenzene 608-93-5
Pentachloronitrobenzene 82-68-8
Pentachlorophenol 87-86-5
Phenacetin 62-44-2
Phenanthrene 85-01-8
Phenol 108-95-2
p-Phenylenediamine 106-50-3
Phorate 298-02-2
Polychlorinated biphenyls (PCBs); Aroclors see NOTE 2
Pronamide 23950-58-5
Propionitrile; Ethyl cyanide 107-12-0
Pyrene 129-00-0
Safrole 94-59-7
Selenium (Total)
Silver (Total)
Silvex; 2,4,5-TP 93-72-1
Styrene 100-42-5
Sulfide 18496-25-8
2,4,5-T; 2,4,5-Trichlorophenoxyacetic acid 93-76-5
1,2,4,5-Tetrachlorobenzene 95-94-3
1,1,1,2-Tetrachloroethane 630-20-6
1,1,2,2-Tetrachloroethane 79-34-5
Tetrachloroethylene; Tetrachloroethene;
Perchloroethylene
127-18-4
2,3,4,6-Tetrachlorophenol 58-90-2
Thallium (Total)
Tin (Total)
Toluene 108-88-3
o-Toluidine 95-53-4
Toxaphene See NOTE 3
1,2,4-Trichlorobenzene 120-82-1
1,1,1-Trichloroethane; Methylchloroform 71-55-6
1,1,2-Trichloroethane 79-00-5
Trichloroethylene; Trichloroethene 79-01-6
Trichlorrofluoromethane; CFC-11 75-69-4
2,4,5-Trichlorophenol 95-95-4
2,4,6-Trichlorophenol 88-06-2
1,2,3-Trichloropropane 96-18-4
0,0,0-Triethyl phosphorothioate 126-68-1
sym-Trinitrobenzene 99-35-4
Vanadium (Total)
Vinyl acetate 108-05-4
Vinyl chloride; Chloroethene 75-01-4
Xylene (total)See NOTE 4
Zinc (Total)
1. Chlordane: This entry includes alpha-chlordane (CAS RN 5103-71-9), beta-chlordane
(CAS RN 5103-74-2), gamma-chlordane (CAS RN 5566-34-7), and constituents of chlordane
(CAS RN 57-74-9 and CAS RN 12789-03-6)
2. Polychlorinated biphenyls (CAS RN 1336-36-3); this category contains congener chemicals, including
constituents of Aroclor-1016 (CAS RN 12674-11-2), Aroclor-1221 (CAS RN 11104-28-2),
Aroclor-1232 (CAS RN 11141-16-5), Aroclor-1242 (CAS RN 53469-21-9), Aroclor-1248
(CAS RN 12672-29-6), Aroclor-1254 (CAS RN 11097-69-1), and Aroclor-1260
(CAS RN 11096-82-5)
3. Toxaphene: This entry includes congener chemicals contained in technical toxaphene
(CAS RN 8001-35-2), ie, chlorinated camphene
4. Xylene (total): This entry includes o-xylene (CAS RN 96-47-6), m- xylene (CAS RN 108-38-3),
p-xylene (CAS RN 106-42-3), and unspecified xylenes (dimethylbenzenes) (CAS RN 1330-20-7)
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix E – Closure/Post-Closure Plan and Cost Estimate

E
Appendix E – Closure/Post-
Closure Plan and Cost Estimate

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix E – Closure/Post-Closure Plan and Cost Estimate

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Old Salisbury Road Construction and
Demolition Landfill
Permit Amendment
Appendix E –
Closure/Post-Closure
Plan
City of Winston-Salem City/County Utility
Commission
Winston-Salem, North Carolina
October 2019

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX E – CLOSURE/POST-CLOSURE PLAN

i

Table of Contents
1.0 Closure Plan .................................................................................................................... 1
1.1. Cap System Background ............................................................................................. 1
1.2. Cap System Design ..................................................................................................... 1
1.3. Final Contour Requirements ........................................................................................ 2
1.4. Cap System Material Requirements ............................................................................. 2
1.5. Erosion Control Measures ............................................................................................ 2
1.6. Settlement Subsidence and Displacement ................................................................... 2
1.7. Gas Collection/Venting System .................................................................................... 3
1.8. Schedule for Closure ................................................................................................... 3
1.9. Notice of Closure and Date of Final Waste Acceptance ............................................... 3
1.10. Closure Verification .................................................................................................. 3
1.11. Cost Estimate of Closure Activities ........................................................................... 4
2.0 Post-closure Plan ............................................................................................................ 5
2.1. Introduction .................................................................................................................. 5
2.2. Post-Closure Contact ................................................................................................... 5
2.3. Description of Use........................................................................................................ 5
2.4. Maintenance ................................................................................................................ 5
2.4.1. Repair of Security Control Devices ........................................................................... 5
2.4.2. Erosion Damage Repair ........................................................................................... 6
2.4.3. Correction of Settlement, Subsidence, and Displacement ........................................ 6
2.4.4. Repair of Run-On/Run-Off Control Structures .......................................................... 6
2.4.5. Gas Collection/Venting System ................................................................................ 6
2.4.6. Groundwater Monitoring System .............................................................................. 6
2.5. Monitoring Plan ............................................................................................................ 6
2.5.1. Inspection Frequencies ............................................................................................ 6
2.5.2. Quarterly Inspections................................................................................................ 7
2.5.3. Semiannual Inspections ........................................................................................... 7
2.6. Engineering Certification .............................................................................................. 7
2.7. Cost Estimate of Post Closure Care Activities .............................................................. 8
Appendices
Appendix E1 – Closure/Post Closure Cost Estimate
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
CLOSURE PLAN

E-1
1.0 Closure Plan
1.1. Cap System Background
In compliance with the State Solid Waste Management Rule .0543, the Old Salisbury Road
(OSR) Landfill will place a final cap system over all waste placed in the approximately 30.9 acre
footprint of a portion of Phase III and Phases IV, V, and VI of the landfill. Phases I and II and a
portion of Phase III were closed before June 30, 2008 under regulation 15A NCAC 13B .0505
(3)(c). The remaining areas to be capped will have a cap that consists of a low permeable layer
under an erosion layer. It is estimated that the total landfill volume at completion will be
4,030,000 CY (gross capacity). The maximum area requiring a cap at any one time shall be
30.9 acres.
1.2. Cap System Design
Compacted soil liners will be incorporated in the cap system design to provide protection
throughout the 30-year post-closure period. The system will consist of two layers (bottom up):
the compacted soil liner and the erosion layer. The compacted soil liner forms a composite
barrier designed to reduce infiltration into the Landfill, thus minimizing leachate and the potential
for groundwater contamination. The erosion layer is designed to sustain vegetation and
minimize erosion.
The Landfill may use on- or off-site borrow material for the compacted soil layer and erosion
layer. The compacted soil liner will consist of no less than 18 inches of soil having permeability
less than or equal to soils underlying the landfill or no greater than 1.0 x 10-5 cm/sec, whichever
is less. In order to assure that the material meets the permeability criteria, the soil will be tested
prior to use and during placement. It is anticipated that the upper 12 inches of the intermediate
cover will be suitable for compaction and incorporation into the compacted soil layer.
Construction methods for the compacted soil liner shall be based upon the type and quality of
the borrow source and shall be verified in the field by constructing test pad(s). A professional
engineer shall certify that the compacted soil liner installation conforms with the plans approved
by the North Carolina Department of Environmental Quality (NCDEQ) Division of Waste
Management.
The erosion layer will consist of no less than 18 inches of earthen material capable of sustaining
native plant growth. It is anticipated that this layer will consist of 18 inches of suitable on-site or
off-site borrow material.
The materials of the erosion layer will be selected considering soil type, nutrient levels, pH,
erodibility, sideslope drainage, and other factors. The vegetation will be selected based upon
the following characteristics.
• Species of grasses which are locally adapted and resistant to drought or temperature
extremes.
• Having roots which will not disrupt the compacted soil liner.
• Ability to thrive in low nutrient soil and develop a good stand to resist erosion.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
CLOSURE PLAN

E-2
• Survive and function with little or no maintenance.
All cover material will be free of putrescible material, solid waste, vegetation (prior to
placement), rocks, construction debris, frozen soil, and other deleterious materials.
1.3. Final Contour Requirements
The Landfill is designed to have top slopes of eight percent and side slopes of 3H:1V. These
grades were modified and approved by NCDENR through previous submittals in 2002. Final
contours have been established to allow the Landfill’s surface water to drain off the final cover
while limiting erosion potential and maintaining post settlement slopes greater than five percent.
A system of sideslope diversion channels, slope drains, and perimeter channels are designed to
convey the runoff to one of seven adjacent sedimentation basins.
1.4. Cap System Material Requirements
Based on 18 inches of compacted soil liner placed over the areas that require final closure,
77,000 CY of compacted soil will be required for the first layer of the cap system. A minimum of
77,000 CY will be required for the erosion layer. The following table summarizes the cap
system requirements for OSR C&D Landfill.
Table 1 Cap System Requirements
Cap System Requirements
18 inch Compacted Soil Liner
18 inch Erosion Layer
77,000 CY
77,000 CY

1.5. Erosion Control Measures
Vegetation will be established once the final grades of the erosion layer are complete to prevent
erosion of the final cover. The sedimentation basins were designed to control the 24-hour 25-
year storm event. The sedimentation basin design calculations for sediment basins 5, 6, and 7
may be found in the OSR Phases IV, V, and VI Construction Permit Application.
1.6. Settlement Subsidence and Displacement
Landfill compaction methods, which include the use of compaction equipment to spread and
compact in layers, combined with an adequate number of passes over each layer of waste, will
be utilized to reduce voids and minimize differential settlement. Proper placement of weekly,
intermediate, and final cover will reduce the moisture content of the waste prior to site closure
and further reduce settlement. Final slopes of the landfill have been developed to allow for this
anticipated subsidence so that long-term positive drainage of the fill will not be hindered.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
CLOSURE PLAN

E-3
1.7. Gas Collection/Venting System
It is anticipated that passive gas venting system will be installed to allow movement of gas
generated from the completed fill area. The gas collection system will be designed prior to
closure.
1.8. Schedule for Closure
According to Rule .0543(c)(5), closure is required to begin either 30 days after the final known
receipt of waste, 30 days after a 10 acre area or greater is within 15 feet of final design grades
or within a year of the most recent receipt of waste. The City of Winston-Salem will request an
extension from the NCDENR Division of Waste Management to begin closure activities no later
than 30 days after the known final receipt of waste in accordance with Rule .0543(c)(5).
Closure activities will be completed within 180 days of the start of closure unless an extension
has been requested and received in accordance with Rule .0543(c)(6).
1.9. Notice of Closure and Date of Final Waste Acceptance
A sign indicating the anticipated date of closure and the date of final waste acceptance will be
conspicuously posted at the facility at least 30 days in advance. Prior to beginning closure of
the unit or portions thereof, the NCDENR Department of Solid Waste Management will be
notified that a notice of intent to close has been placed in the operating record.
1.10. Closure Verification
The following procedures will be implemented following closure.
• A Construction Quality Assurance (CQA) report shall be submitted to the NCDENR
Division of Solid Waste Management. This CQA report shall describe the
observations and tests used before, during, and upon completion of construction to
ensure that the construction materials meet the cap design specifications and the
construction and certification requirements. The CQA report shall contain as-built
drawings.
• A signed certification from an independent registered professional engineer verifying
that closure has been completed in accordance with the closure plan will be
submitted to the NCDENR Division of Waste Management and a copy will be placed
in the operating record.
• Within 90 days, a survey plat prepared by a professional land surveyor registered by
the State, indicating the location and dimensions of landfill disposal areas, will be
recorded in the RMC office.
• A notation shall be recorded on the deed notifying any potential purchaser of the
property that the land has been used as a solid waste management unit and that
future use is restricted under Paragraph (8) of Rule .0543(c). A copy of the deed
notation as recorded shall be filed with the operating record.

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
CLOSURE PLAN

E-4
1.11. Cost Estimate of Closure Activities
The cost estimate of closure activities as received from the City of Winston-Salem/ Forsyth
County Utilities Department is provided in Appendix E1. The estimate is in 2019 dollars and will
be updated in the next financial assurance cycle. The cost estimate is subject to change prior to
the closure of the landfill and as the closure design is finalized. Design of items such as the gas
collection system will be completed and approved just prior to the beginning of closure activities.

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
POST-CLOSURE PLAN

E-5
2.0 Post-closure Plan
2.1. Introduction
This Post-Closure Plan has been developed to outline steps to be taken to ensure the
environmental soundness of the Landfill Phases I through VI during its post-closure care period.
The post-closure care period will last at least 30 years after closure completion and at a
minimum will consist of the following.
• Maintaining integrity and effectiveness of final cover system.
• Performing groundwater and surface water monitoring.
• Maintaining and operating a gas monitoring system.
• Maintaining run-on/run-off controls.
No wastes will remain exposed after closure of the unit. Access to the closed site by the public
will be restricted. Any proposed use will be evaluated to determine its potential for posing a
significant health hazard.
2.2. Post-Closure Contact
All correspondence and questions concerning the post-closure care of the unit should be
directed to:
Solid Waste Administrator
City/County Utility Commission
City of Winston-Salem
PO Box 2511
Winston – Salem, NC 27102
[phone]
2.3. Description of Use
After the unit is officially closed in accordance with the Closure Plan, the area will be allowed to
return to a natural vegetative state. The City will maintain control of the property and prevent
public access to it during the post-closure period.
There will be an access road on the cap to allow proper maintenance during post-closure. Final
location of the access will be determined as a part of operations and Closure Plan.
2.4. Maintenance
2.4.1. Repair of Security Control Devices
All security control devices will be inspected and maintained as necessary to ensure access to
the site is controlled. Locks, vehicular gates, and fencing will be replaced if functioning
improperly. Warning signs will be kept legible at all times and will be replaced if damaged by
inclement weather or vandalism.

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
POST-CLOSURE PLAN

E-6
2.4.2. Erosion Damage Repair
If erosion of the final cover occurs during post-closure, the affected area will be repaired and re-
seeded as necessary. Excessive slopes will be flattened if possible by adding clean fill material.
If necessary, erosion control fabrics will be used to expedite rapid revegetation of slopes and to
secure topsoil in place. Rough surfaces, which cause isolated erosion areas will be smooth and
re-seeded as necessary.
2.4.3. Correction of Settlement, Subsidence, and Displacement
Minimum slopes of five percent will be maintained in order to prevent ponding and allow for
proper drainage without infiltration. If vertical or horizontal displacement occurs due to
differential settlement, cracks will be filled with appropriate material and final cover will be
reestablished.
2.4.4. Repair of Run-On/Run-Off Control Structures
All side slope terraces, ditches, and perimeter channels will be repaired, cleaned or realigned in
order to maintain original condition. Any culverts that are damaged will be replaced.
2.4.5. Gas Collection/Venting System
The landfill gas collection and venting system will be inspected and maintained. Proper
operation of the systems is verified through testing at the landfill gas monitoring wells and
probes.
2.4.6. Groundwater Monitoring System
Groundwater wells will be inspected regularly (at the time of sampling) to ensure integrity.
Persons inspecting a well should look for signs of well tampering, cracking or degradation, and
determine whether the well needs to be replaced. If the decision is made to replace and
abandon a well, the replacement well should be installed 5 to 10 feet from the abandoned well
in accordance with previous well specifications. Well abandonment should be accomplished by
pulling the casing out and grouting the hole.
2.5. Monitoring Plan
The closed unit shall be monitored for 30 years. A series of inspections shall be scheduled to
ensure the integrity and effectiveness of the cap system, storm water control system,
groundwater monitoring system, gas collection system, and to protect human health and the
environment.
2.5.1. Inspection Frequencies
Inspections to be conducted during the post-closure care period will occur regularly as follows:

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
POST-CLOSURE PLAN

E-7
Table 2.5-1
Post-Closure Inspection Frequencies
Inspection Activity Years 1-3 Years 4-30
Security Control Devices Quarterly Quarterly
Cover Drainage System Functioning Quarterly Semiannually
Gas Collection/Venting System Quarterly Semiannually
Groundwater Monitoring System Semiannually Semiannually
Erosion Damage Quarterly Semiannually
Cover Settlement, Subsidence, and
Displacement
Quarterly Semiannually
Vegetative Cover Condition Quarterly Semiannually
Stormwater Control System Quarterly Semiannually
Benchmark Integrity Annually Annually

2.5.2. Quarterly Inspections
Quarterly inspections of the closed site will include examination of the security control devices
for signs of deterioration or vandalism to ensure access to the site is limited to authorized
persons.
2.5.3. Semiannual Inspections
Semiannual inspections of the site during the post-closure period will be conducted by the
Owner or Owner’s representative with attention paid to the integrity of the final cover system.
This includes inspection for erosion damage, a good stand of vegetative cover, and cover
settlement, subsidence, and displacement. Drainage ditches will be cleared of litter and debris,
benchmark integrity will be noted and maintained as well as the integrity of the groundwater and
gas monitoring systems.
Groundwater monitoring will continue on a regular basis throughout the post-closure care
period. The parameters chosen for analysis will be no less than the requirements of regulatory
agencies. Groundwater monitoring wells will be inspected in accordance with the post-closure
inspection protocol. A report of findings will be made to the responsible party via the Post-
Closure Inspection Checklist, including any recommendations for actions necessary to ensure
the site continues to meet the closure performance standard. The engineer will also receive
copies of the quarterly inspection reports and respond to any comments that demand immediate
attention.
2.6. Engineering Certification
Based on the monitoring reports and semiannual site visits, annual certifications by the owner or
owner’s representative will be placed in the operating record. They will certify that the post
closure plan is being followed, noting discrepancies along with the corrective actions
undertaken. At the end of the post-closure period, the individual certifications will be compiled
into a final document and forwarded to NCDEQ.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
POST-CLOSURE PLAN

E-8
2.7. Cost Estimate of Post Closure Care Activities
The cost estimate of post-closure care activities as received from the City of Winston-Salem/
Forsyth County Utilities Department is provided in Appendix E1. The estimate is in 2019 dollars
and will be updated in the next financial assurance cycle.
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
APPENDIX E1 – CLOSURE/POST CLOSURE COST ESTIMATE

E1
Appendix E1 –
Closure/Post Closure
Cost Estimate

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31.8 Acres to be closed (4.3% slope-factor)
Item Description Quantity Unit Unit Price Total
Mobilization, CQC, Project Admin., Bonds 4%Items 2 - 13 177,000$ 177,000$
Surveying and Control 31.8 AC 3,700$ 117,660$
Erosion and Sediment Control and Maintenance 31.8 AC 6,100$ 193,980$
Grading Preparation 31.8 AC 5,200$ 165,360$
Miscellaneous Structural Fill 35,000 CY 4.30$ 150,500$
Construct Compacted Soil Liner (18" thick)77,000 CY 22.10$ 1,701,700$
Construct Erosion Layer (18" thick)77,000 CY 4.60$ 354,200$
Construct Gas Collection System 31.8 AC 42,900$ 1,364,220$
Toe Drain 2,100 LF 14.70$ 30,870$
Construct Drainage Berms 2,400 LF 14.70$ 35,280$
Perimeter Rip Rap Channel 3,200 Tons 55.20$ 176,640$
Construct Downchutes 2,000 LF 39.10$ 78,200$
Furnish & Install Seeding and Mulching 31.8 AC 1,700$ 54,060$
Subtotal 4,599,670$
Contingency 5%of Subtotal 230,000$
Construction Management 2%of Subtotal 92,000$
Engineering 31.8 AC 2,500$ 79,500$
CQA 31.8 AC 6,100$ 193,980$
Total Cost 5,195,150$
Cost Per Acre 170,333$
City/County Utility Commission
OSR Landfill Closure Construction Cost
30.5 Acres (A portion of Phase III and Phases IV - VI)
Item Description Quantity Unit Unit Price Total
Security Fence Repair 30 Year 2,500$ 75,000$
Eroson, Settlement Repair & Revegetation
Years 0 - 5 5 Year 49,000$ 245,000$
Years 6 - 10 5 Year 25,000$ 125,000$
Years 11 - 30 20 Year 6,000$ 120,000$
Sediment Basin Cleanout 1,080 Hours 123$ 132,840$
(20 hours/basin, 9 basins, cleaned once/5 years)
Seeding 60 AC 1,700$ 102,000$
(2 acres per year for 30 years)
Mowing 3,360 AC 49$ 164,640$
(2 times per year over 56 acres for 30 years)
Gas Monitoring 60 Semiannually 6,000$ 360,000$
Groundwater & Surface Water Monitoring 60 Semiannually 18,000$ 1,080,000$
Site Inspections
Years 0 - 5 20 Quarterly 2,000$ 40,000$
Years 6 - 30 50 Semiannually 2,000$ 100,000$
Electricity 30 Year 5,000$ 150,000$
Post Closure Certification 1 Each 31,000$ 31,000$
30-year Total Cost 2,725,480$
Average Annual Cost 90,849$
Phase I, II, and partial III Post Clsoure Cost 1,241,067$
Phase IV, V, VI, and partial III Post Clsoure Cost 1,484,413$
City/County Utility Commission
Engineering Opinion of Probable Post-Closure Cost
Table 2.7-2
56 acres, 30-year term
OSR Landfill
City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix F – Drawings

F
Appendix F – Drawings

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix F – Drawings

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OVERALL SITE PLAN
00C-01
OSR C&D LANDFILL
PERMIT AMENDMENT
WINSTON-SALEM NORTH CAROLINA
1
A
B
C
2 3 4 5 6 7 8
D
ISSUE DATE DESCRIPTION
PROJECT MANAGER
PROJECT NUMBER
0 1"2"FILENAME
SCALE
SHEET
HDR Engineering, Inc.
440 S Church Street
Charlotte, NC 28202
704.338.6700
of the Carolinas
N.C.B.E.L.S. License Number: F-0116
C:\pwworking\east01\d1176012\00C-01.dwg, Plot, 9/19/2019 5:25:16 PM, EMTUCKER
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840830820810800840830820810800790842844846848842844846848830820810800790840830820810840848848PROPOSED TOP OF WASTE (TOW) CONTOURS
FOR FULL SITE CAPACITY
00C-02
OSR C&D LANDFILL
PERMIT AMENDMENT
WINSTON-SALEM NORTH CAROLINA
1
A
B
C
2 3 4 5 6 7 8
D
ISSUE DATE DESCRIPTION
PROJECT MANAGER
PROJECT NUMBER
0 1"2"FILENAME
SCALE
SHEET
HDR Engineering, Inc.
440 S Church Street
Charlotte, NC 28202
704.338.6700
of the Carolinas
N.C.B.E.L.S. License Number: F-0116
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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix G – Design Hydrogeological Investigation Report

G
Appendix G – Design
Hydrogeological Investigation Report

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix G – Design Hydrogeological Investigation Report

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City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix H – Construction Quality Assurance Plan

H
Appendix H – Construction
Quality Assurance Plan

City of Winston-Salem City/County Utility Commission | Old Salisbury Road C&D Landfill
Appendix H – Construction Quality Assurance Plan

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i

Old Salisbury Road Construction and
Demolition Landfill

Permit Amendment
Appendix H -
Construction Quality
Assurance Plan
City of Winston-Salem City/County Utility
Commission
Winston-Salem, North Carolina
October 2019

City of Winston-Salem | OSR - CQA Plan
Table of Contents

ii

Table of Contents
1 General ............................................................................................................................... 1
1.1 Scope of Construction Quality Assurance Plan ............................................................ 1
1.2 Definitions .................................................................................................................... 1
1.2.1 Construction Quality Assurance ............................................................................ 1
1.2.2 Construction Quality Control ................................................................................. 2
1.2.3 Minimum Average Roll Value (MARV) .................................................................. 2
1.2.4 CQA/CQC Certification Document ........................................................................ 2
1.2.5 Units ..................................................................................................................... 2
1.2.6 References ........................................................................................................... 2
1.3 Governance between Documents ................................................................................ 2
1.4 Parties to Construction Quality Assurance ................................................................... 2
1.4.1 Owner ................................................................................................................... 3
1.4.2 Project Manager ................................................................................................... 3
1.4.3 Design Engineer ................................................................................................... 3
1.4.4 Contractor ............................................................................................................. 3
1.4.5 Geosynthetics Manufacturer ................................................................................. 4
1.4.6 Geosynthetics Installer .......................................................................................... 4
1.4.7 Construction Quality Assurance Consultant .......................................................... 4
1.4.8 Geosynthetics Construction Quality Assurance Laboratory ................................... 4
1.4.9 Soils Construction Quality Assurance Laboratory ................................................. 4
1.4.10 Construction Quality Control Consultant ............................................................... 4
1.5 Qualifications of the Parties ......................................................................................... 5
1.5.1 Contractor ............................................................................................................. 5
1.5.2 Geosynthetics Manufacturers ............................................................................... 5
1.5.3 Geosynthetic Installer(s) ....................................................................................... 5
1.5.4 Construction Quality Assurance Consultant .......................................................... 5
1.5.5 Construction Quality Control Consultant ............................................................... 5
1.5.6 Geosynthetics Construction Quality Control Laboratory ........................................ 6
1.6 Site and Project Control ............................................................................................... 6
1.6.1 CQA/CQC Resolution Meeting .............................................................................. 6
1.6.2 Preconstruction Meeting ....................................................................................... 7
City of Winston-Salem | OSR - CQA Plan
Table of Contents

iii

1.6.3 Weekly Progress Meetings ................................................................................... 7
1.6.4 Problem or Work Deficiency Meetings .................................................................. 8
2 Soil Liner ............................................................................................................................. 8
2.1 Earthwork Construction ................................................................................................ 8
2.1.1 Subgrade .............................................................................................................. 8
2.1.2 Structural/Controlled Fill ........................................................................................ 8
2.2 Soil Liner System ......................................................................................................... 8
2.2.1 Soil Liner Subgrade .............................................................................................. 8
2.2.2 Soil Liner Material ................................................................................................. 9
2.3 Soils Testing ................................................................................................................ 9
2.3.1 Test Methods ........................................................................................................ 9
2.3.2 Soils Testing Requirements .................................................................................. 9
2.4 Soils Construction Quality Assurance .......................................................................... 9
2.4.1 Monitoring ............................................................................................................. 9
2.4.2 Construction Quality Assurance Judgmental Testing ...........................................10
2.4.3 Perforations in Soil Liner ......................................................................................10
2.4.4 Deficiencies .........................................................................................................10
3 Geosynthetic Clay Liner (GCL) ..........................................................................................11
3.1 Manufacturing .............................................................................................................11
3.2 Labeling ......................................................................................................................11
3.3 Shipment and Storage ................................................................................................11
3.4 Handling and Placement .............................................................................................11
3.5 Seams and Overlaps ..................................................................................................11
3.6 Repair .........................................................................................................................12
3.7 Placement and Materials.............................................................................................12
4 Geomembrane Liner ..........................................................................................................12
4.1 Geomembrane Manufacturer's Certification ................................................................12
4.1.1 Raw Material ........................................................................................................12
4.1.2 Rolls and Sheets ..................................................................................................12
4.2 Conformance Testing ..................................................................................................12
4.3 Handling, and Storage ................................................................................................13
4.3.1 Handling ..............................................................................................................13
4.3.2 Storage ................................................................................................................13
City of Winston-Salem | OSR - CQA Plan
Table of Contents

iv

4.4 Geomembrane Installation ..........................................................................................13
4.4.1 Earthwork ............................................................................................................13
4.4.2 Geomembrane Placement ...................................................................................14
4.4.3 Field Seaming ......................................................................................................15
4.4.4 Defects and Repairs ............................................................................................16
4.4.5 Backfilling of Anchor Trench ................................................................................16
4.4.6 Materials in Contact with Geomembranes ............................................................17
5 Drainage Geocomposite ....................................................................................................17
5.1 Material Requirements ................................................................................................17
5.2 Manufacturing .............................................................................................................18
5.3 Labeling ......................................................................................................................18
5.4 Shipment and Storage ................................................................................................18
5.5 Handling and Placement .............................................................................................18
5.6 Stacking and Joining ...................................................................................................18
5.7 Repair .........................................................................................................................19
5.8 Placement of Soil Materials .........................................................................................19
6 Earthen Drainage & Protective Components ......................................................................19
6.1 Introduction .................................................................................................................19
6.2 General Placement .....................................................................................................19
6.2.1 Wrinkles and Folds in Geosynthetics ...................................................................19
6.2.2 Abrasion and Puncture of Geosynthetics .............................................................19
6.2.3 Equipment Separation .........................................................................................20
6.2.4 Exposure .............................................................................................................20
6.3 Soil and Gravel (granular) Drainage Material ..............................................................20
6.4 Soil Buffer Layer Material ............................................................................................20
6.5 Erosion Layer Material ................................................................................................20
6.6 Topsoil Layer Material .................................................................................................21
6.7 Materials Testing ........................................................................................................21
6.7.1 Test Methods .......................................................................................................21
6.7.2 Material Testing Requirements ............................................................................21
6.8 Deficiencies ................................................................................................................21
6.8.1 Notification ...........................................................................................................21
6.8.2 Repairs and Retesting .........................................................................................21
City of Winston-Salem | OSR - CQA Plan
Table of Contents

v

7 Geotextile...........................................................................................................................22
7.1 Manufacturing .............................................................................................................22
7.2 Labeling ......................................................................................................................22
7.3 Shipment and Storage ................................................................................................22
7.4 Handling .....................................................................................................................22
7.5 Seams and Overlaps ..................................................................................................22
7.6 Repair .........................................................................................................................23
7.7 Exposure ....................................................................................................................23
8 High Density Polyethylene Pipe, Manholes, and Fittings ....................................................23
8.1 Material Requirements ................................................................................................23
8.2 Quality Control ............................................................................................................23
8.2.1 Manufacturer........................................................................................................23
8.2.2 Verification and Identification ...............................................................................23
8.3 Nondestructive Testing ...............................................................................................24
8.3.1 Pressure Testing ..................................................................................................24
8.3.2 Video Surveying ...................................................................................................24
9 Surveying ...........................................................................................................................24
9.1 Introduction .................................................................................................................24
9.2 Goals ..........................................................................................................................24
9.3 Survey Control ............................................................................................................24
9.4 Surveying Personnel ...................................................................................................24
9.5 Precision and Accuracy ..............................................................................................25
9.6 Lines and Grades .......................................................................................................25
9.7 Thickness Measurements ...........................................................................................25
9.7.1 Tabular verification...............................................................................................26
9.7.2 Drawing verification..............................................................................................26
9.8 Tolerances ..................................................................................................................26
9.9 Documentation ............................................................................................................26
10 Documentation ...............................................................................................................27
10.1 Recordkeeping ............................................................................................................27
10.1.1 Memorandum of Discussion with CQC Consultant or Geosynthetic Installer ........28
10.1.2 CQA Observation Logs and Testing Data Sheets ................................................28
10.1.3 CQA Construction Problem and Solution Data Sheets .........................................28
City of Winston-Salem | OSR - CQA Plan
Table of Contents

vi

10.2 CQA Photographic Reporting Data Sheets .................................................................29
10.3 Design and/or Project Technical Specification Changes .............................................29
10.4 CQA Progress Reports ...............................................................................................29
10.5 Signature and Final Report .........................................................................................30
10.6 Storage of Records .....................................................................................................30

Figure 1 CQA/CQC Lines of Authority and Communication........................................................ 3

City of Winston-Salem | OSR - CQA Plan
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City of Winston-Salem | OSR - CQA Plan
General

1

City of Winston-Salem | OSR - CQA Plan
General

2

City of Winston-Salem | OSR - CQA Plan
General

3

City of Winston-Salem | OSR - CQA Plan
General

4

City of Winston-Salem | OSR - CQA Plan
General

5

City of Winston-Salem | OSR - CQA Plan
General

6

City of Winston-Salem | OSR - CQA Plan
General

7

City of Winston-Salem | OSR - CQA Plan
Soil Liner

8

City of Winston-Salem | OSR - CQA Plan
Soil Liner

9

City of Winston-Salem | OSR - CQA Plan
Soil Liner

10

City of Winston-Salem | OSR - CQA Plan
Geosynthetic Clay Liner (GCL)

11

City of Winston-Salem | OSR - CQA Plan
Geomembrane Liner

12

City of Winston-Salem | OSR - CQA Plan
Geomembrane Liner

13

City of Winston-Salem | OSR - CQA Plan
Geomembrane Liner

14

City of Winston-Salem | OSR - CQA Plan
Geomembrane Liner

15

City of Winston-Salem | OSR - CQA Plan
Geomembrane Liner

16

City of Winston-Salem | OSR - CQA Plan
Drainage Geocomposite

17

City of Winston-Salem | OSR - CQA Plan
Drainage Geocomposite

18

City of Winston-Salem | OSR - CQA Plan
Earthen Drainage & Protective Components

19

City of Winston-Salem | OSR - CQA Plan
Earthen Drainage & Protective Components

20

City of Winston-Salem | OSR - CQA Plan
Earthen Drainage & Protective Components

21

City of Winston-Salem | OSR - CQA Plan
Geotextile

22

City of Winston-Salem | OSR - CQA Plan
High Density Polyethylene Pipe, Manholes, and Fittings

23

City of Winston-Salem | OSR - CQA Plan
Surveying

24

City of Winston-Salem | OSR - CQA Plan
Surveying

25

City of Winston-Salem | OSR - CQA Plan
Surveying

26

City of Winston-Salem | OSR - CQA Plan
Documentation

27

City of Winston-Salem | OSR - CQA Plan
Documentation

28

City of Winston-Salem | OSR - CQA Plan
Documentation

29

City of Winston-Salem | OSR - CQA Plan
Documentation

30

440 S Church Street , Suite 1000
Charlotte, NC 28202-2075
704.338.6700

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