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3412_Forsyth_OldSalisburyRoad_CDLF_PTO_LFGMP_FID1388729_20200129
FEZ Winston-Salem / Forsyth County utfl*4psties Water • Wastewater • Solid Waste III If I t a f as SEAL a i4l O �d • o�+oOes000 ��� This page intentionally left blank. Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Contents Contents 1 Introduction............................................................................................................................1 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..................................................................2 1.3.3 Site Specific Hydrogeology.....................................................................................2 1.4 Monitoring History...........................................................................................................5 2 Monitoring Network................................................................................................................5 2.1 Landfill Gas.....................................................................................................................5 3 Sampling Schedule................................................................................................................5 4 Landfill Gas Monitoring Procedures.......................................................................................5 4.1 Equipment......................................................................................................................6 4.2 Sampling.........................................................................................................................6 5 Data Evaluation.....................................................................................................................6 6 Contingency Plan...................................................................................................................6 7 Data Reporting.......................................................................................................................7 7.1 Report Frequency...........................................................................................................7 Tables Table 1 Well IDs and locations sampled.......................................................................................5 Figures Figure 1 Site map with sampling locations....................................................................................3 Appendices Appendix 1 — Landfill Gas Probe Details Appendix 2 — Landfill Gas Monitoring Data Form Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Contents This page intentionally left blank. Winston-Salem/Forsyth County Utilities i Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Introduction 1 Introduction This Landfill Gas Monitoring Plan for the Old Salisbury Road Construction and Demolition Debris (C&D) Landfill (OSR), is intended to update and replace the plan last approved in April of 2015 as part of the previous permit renewal process. 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 Quality (NCDEQ) 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 North Carolina Solid Waste Management Rule 15A NCAC 13B .0544. This plan addresses the monitoring requirements for landfill gas. Per 15A NCAC 1313.0544 (d), owners or operators of C&D landfill units must ensure that: the concentration of methane or other explosive gases generated by the facility does not exceed 25% of the lower explosive limit (LEL) (1.25% methane; 1 % hydrogen sulfide) in facility structures (excluding gas control or recovery system components); and The concentration of methane or other explosive gases does not exceed the LEL (5% methane; 4% hydrogen sulfide) at the facility property boundary. In addition, owners or operators of C&D landfill units must implement a routine monitoring program and perform monitoring on at least a quarterly basis. If regulatory limits for concentrations of methane or other explosive gases are exceeded, a contingency plan must be implemented for the protection of human health and safety. 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 Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Introduction 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. 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. Based on historical field observations (i.e., soil boring records) and laboratory test results from the 2003 Design Hydrogeological Investigation 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 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. 2 7 8 PROJECTMANAGER M. PLUMMER, P.E. P. BROWNSON, P.E. E. TUCKER, E.I. HDR Engineenng, Inc. 5 JAN. 2020 REVISED PER NO DEQ SWS COMMENTS i — of the Carolinas — - 4 NOV. 2019 REVISED PER NO DIED SWS COMMENTS 440 S Church Street 3 OCT. 3, 2019 SUBMITTED FOR PERMIT APPROVAL Charlotte, NC 28202 2 MAY 22, 2014 REVISED TITLE BLOCK 704.338.6700 N.cs.e.rs.r���xmee�Fans 1 MAY 2014 ISSUED FOR APPROVAL ISSUE DATE DESCRIPTION PROJECT NUMBER 10178340 OSR C&D LANDFILL PERMIT AMENDMENT WINSTON-SALEM NORTH CAROLINA N ]ON FOR ALL PHASESOF THE E PROVIDED BY MLA SURVEYING 2019. TOPOGRAPHY OF THE -D BY CARTOGRAPHIC AERIAL iLRVEYING COMPANY DATED JAN. 3, TOPOGRAPHIC INFORMATION PROVIDED APPING INC. FOR BRADY SURVEYING ]I. TAKEN FROM DATA SUPPLIED BY ED MARCH 15, 1994. !G STOCKPILE OBTAINED FROM CITY -ED DECEMBER 2018. WORKING FACE NOR ON THE ILL PROCESSED CAB IS UTILIZED AT AND PROCESSED WASTES WILL BE :RE CONCRETE, ASPHALT, & BRICK SSED AND PROCESSED WASTES WILL PER RULE 15A NCAC 13B S STORAGE SITE (TDDSS) BOUNDARY OUNDARY BASED ON NO DEC SWS 020. PROPERTY LINE FACILITY LIMITS/PROPERTY LINE COMPLIANCE BOUNDARY PHASING LIMITS ACTIVE LANDFILL LIMITS — — — PHASES I, II, & III CLOSURE LIMITS CONCRETE, ASPHALT, & BRICK (CAB) AREA 2019 TOPOGRAPHY BOUNDARY G POINTS RING WELLS (MW & OW) E PROBES (MM) E WATER HURCH RD. SITE MAP WITH MONITORING LOCATIONS AND COMPLIANCE BOUNDARY 0 1" 2• FILENAME OOC-01.dwg SHEET SCALE 1• zoo• FIGURE 1 D C B A This page intentionally left blank. Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Monitoring Network 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, including adding a landfill gas monitoring plan 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. . 2 Monitoring Network The 15 landfill gas monitoring locations are listed in Tablet and depicted on the Figure 1. Table 1 Well IDs and locations sampled MM-1 MM-2s MM-2d MM-3 MM-4s MM-4d MM-5 MM-6 MM-7 MM-8 MM-9 MM-10 MM-11 MM-12 Landfill Scalehouse 2.1 Landfill Gas A monitoring network of 14 probes in 12 locations and one structure 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. 3 Sampling Schedule Data will be collected from the fourteen (14) landfill gas probes and from within and around the landfill scalehouse quarterly. 4 Landfill Gas Monitoring Procedures This section describes standard procedures to be followed during field sampling events. Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Data Evaluation 4.1 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. 4.2 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, CHa • % Carbon dioxide, CO2 • % Oxygen, 02 • 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. 5 Data Evaluation Landfill gas data will be evaluated graphically for consistency with previous results. If exceedances are observed, then the site will initiate the Contingency Plan activities detailed below in Section 7. 6 Contingency Plan If allowable maximum limits for landfill gas are exceeded at the facility property boundary or in on -site structures, the City will take the following steps: • Step 1: Immediately take all necessary steps to ensure protection of human health and notify NCDEQ. • Step 2: Within seven days of detection, place the gas levels detected and a description of the steps taken to protect human health in the operating record. In addition, landfill gas levels shall be retested. • Step 3: Within 60 days of detection, develop and implement a remediation plan that describes the nature and extent of the problem and proposed remedy for the landfill gas Winston-Salem/Forsyth County Utilities i Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Data Reporting releases, place a copy of the plan in the operating record, and notify NCDEQ that the plan has been implemented. 7 Data Reporting Data collected as a result of implementation of this plan shall be submitted to NCDEQ electronically. The laboratory analysis output shall be provided in NCDEQ's electronic data deliverable (EDD) format. Details of the EDD format and other documents related to reporting requirements are provided in Appendix. An interpretation of the results shall be included 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 monitoring report should include methane sampling, groundwater sampling and analysis results since the last report. The report shall include recommendations for any changes that should be made to this monitoring plan. OSR shall retain the monitoring reports, records and supporting documentation in the facility operating record throughout the post -closure period. These records will be made available for review by NCDEQ personnel on request. Documentation of any contingency plan actions will also be kept in the operating record. Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Data Reporting This page intentionally left blank. Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Appendix 1 — Landfill Gas Probe Details Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Appendix 1 — Landfill Gas Probe Details This page intentionally left blank. in N N O 0 0 N 0 N KAinkr- of the Cerokm S 1. 14M tie S. Tre Slrr t Clw t., K 25i02-iNl (70.) .-teee 4" DIA. SQUARE STEEL PROTECTIVE COVER WITH I.D. AND LOCKABLE LID CEMENTED IN GROUND 0 N NO SCALE THREADED PVC CAP '(NO GLUE) 1 " DIA. SCH 40 PVC PIPE CONCRETE (2.0'x2.0') EXISTING GROUND PORTLAND TYPE I CEMENT BENTONITE SEAL ALL JOINTS FLUSH THREADED (NO GLUE) #3 WASHED COARSE SILICA SAND 1" DIA. SCH 40 PVC PIPE 0.01" SLOTTED SCREEN 1 " DIA. PVC CAP OLD SALISBURY ROAD C & D LANDFILL METHANE MONITORING PROBE DETAIL MM-1 F;/, 999 Figure 1 Li 11 4" DIA. SQUARE STEEL PROTECTIVE COVER WITH I.D. AND LOCKABLE LID CEMENTED IN GROUND THREADED PVC CAP (NO GLUE) 1" DIA. SCH 40 PVC PIPE in CONCRETE .(2.0'x2.0') ° EXISTING 6 ° GROUND PORTLAND TYPE I CEMENT 0 Q N Fr cb BENTONITE SEAL 77 O N N i O li o L6 oqgq ALL JOINTS FLUSH THREADED (NO GLUE) 0 N „; I' ':• , . #3 WASHED COARSE SILICA SAND 1 " DIA. SCH 40 PVC PIPE n 0.01" SLOTTED SCREEN O N N N 1 " DIA. PVC CAP ¢i 4 6" im HDRtubr- of ttm Carokm �,,,. ,.w 108 s. T7 St• ' Ceernit., "0 M01-SOOT (]N) NO SCALE OLD SALISBURY ROAD C & D LANDFILL METHANE MONITORING PROBE DETAIL MM-2S/2D ate 9/1999 Figure 2 4" DIA. SQUARE STEEL PROTECTIVE COVER WITH I.D. AND LOCKABLE LID CEMENTED IN GROUND Ln D D. O > n < o 0 00 z N 00 00 00 0� Ln it N � III I � II III I I Lo IaM FM Bvkwwkig6 k� Suit. I4M IQe S. Tryon St.( CM.it.. K zezoz-soot H NO SCALE THREADED PVC CAP (NO GLUE) 1 " DIA. SCH 40 PVC PIPE CONCRETE (2.0'x2.0') EXISTING GROUND PORTLAND TYPE I CEMENT BENTONITE SEAL ALL JOINTS FLUSH THREADED (NO GLUE) #3 WASHED COARSE SILICA SAND 1 " DIA. SCH 40 PVC PIPE 0.01" SLOTTED SCREEN . 1 " DIA. PVC CAP OLD SALISBURY ROAD C & D LANDFILL METHANE MONITORING PROBE DETAIL 0 N. Ln 0 0 0 N 0 O N N 0 �i 4" DIA. SQUARE STEEL PROTECTIVE COVER WITH I.D. AND LOCKABLE LID CEMENTED IN GROUND THREADED PVC CAP (NO GLUE) 1 DIA. SCH 40 PVC PIPE ( CONCRETE XI:0'x2:0') jj) a EXISTING GROUND C. I Ij \. 7-7 �I ill `• 0 III, I I _ I 'i HER FUR DVkw kn W- Oi the cwokm � t' Tryon Strw nc 2e202-w l r-1 NO SCALE Lo N N ffbi I PORTLAND TYPE I CEMENT BENTONITE SEAL ALL JOINTS FLUSH THREADED (NO GLUE) #3 WASHED COARSE SILICA SAND 1 " DIA. SCH 40 PVC PIPE 0.01" SLOTTED SCREEN 1 " DIA. PVC CAP OLD SALISBURY ROAD C & D LANDFILL METHANE MONITORING PROBE DETAIL MM-4S/4D Date 9/1999 figure 4 4" DIA. SQUARE STEEL PROTECTIVE COVER WITH I.D. AND LOCKABLE LID CEMENTED IN GROUND I THREADED PVC CAP (NO GLUE) I n `� 1" DIA. SCH 40 PVC PIPE CONCRETE (2.0'x2.0') EXISTING GROUND N PORTLAND TYPE I CEMENT v v N0ap OC� BENTONITE SEAL ALL JOINTS FLUSH THREADED (NO GLUE) 0 #3 WASHED COARSE SILICA SAND o 1" DIA. SCH 40 PVC PIPE 0 0.01" SLOTTED SCREEN tn II I 1 " DIA. PVC CAP O F 0f the Carokm W1. „aa Ise S. r7 si..a C-1., xC aesas-�i p> ) . -,. 21 NO SCALE OLD SALISBURY ROAD C & D LANDFILL METHANE MONITORING PROBE 'DETAIL liM �u� of the Cwokm =r,,. ,.00 ,�e s. r,—w sb«, 125 5i.., NC ]E'1pY-SeDi (rw) .ue-,eoo 4" DIA. SQUARE STEEL PROTECTIVE COVER WITH I.D. AND LOCKABLE LID CEMENTED IN GROUND THREADED PVC CAP (NO GLUE) 1" A. SCH 40 PVC PIPE CONCRETE (2.0'x2.0') EXISTING GROUND PORT TYPE I CEMENT BENT SEAL ALL JOINTS FLUSH THREADED (NO GLUE) #3 WASHED COARSE SILICA SAND 1 " DIA. SCH 40 PVC PIPE 0.01" SLOTTED SCREEN 1 " DIA. PVC CAP NO SCALE OLD SALISBURY ROAD C & D LANDFILL METHANE MONITORING PROBE DETAIL MM-6 IT 999 Figure 6 Geologist Log: MM-7 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 Shear Strength CZRemarks ° ID Description 7 q> 0 blows/ft Q ( W Z h m cc 20 40 fi0 80 -2 Locking well 1 cover and cement pad Ground Surface TOPSOIL 0.0 Portland I ype Cement 1 Tan, organic rich, grassed, moist Bentonite Seal 2 3 4 SAND Sand Pack 4,0 5 Tan, fine to medium grained, clayey, silty, dry 7 1-inch Diameter SCH 40 PVC 8 .... ............... ;::: ;:; 0.010-inch Slot 9 10 11 12 13 14 15 17 End of Borehole 7.0 18 Drilled By: engineering Tectonics Hole Size: 6° HDR Engineering, Inc. of the Carolinas 128 S. Tryon Street Suite 1400 Drill Method: HSA Top of Casing: NA Charlotte, NC 28202 Phone: (704)338-6700 Fox: (704)338-6760 Drill Date: 8/12/2004 Sheet: 1 of 1 .hd inc.com www.hdrinC.com WELL CONSTRUCTION RECORD North Carolina - Department. of Environment and Natural Resources - Division of Water Quality - Groundwater Section wii:I.I. CONTRACTOR (INDIVIDUAL) NAME (prin,Eonald Baron CERTIFICATION e72Q91 wI:LL CONTRACTOR CONMANY NAME Engineering Tectonics _PHON I, r, STATE WEI.L CON3'rRUCI'ION PERMIT# ASSOCIATED WQ Permit q (if applicable) (if applicable) nrm �wr�wri�rwrw� n� 1. WELL USE�Check Applicable Box): Residential El Municipal/Public ❑ Industrial Monitoring Itccoveryll Heat Pump water Injection other® Ifother, list use 2. WELL LOCATION: Nearest Town: Winston-Salem CountyForsyth 3336 Old Salisbury Road Street Name, Numbers, C T ( Community, Subdivision, Lot No., Zip Code) 3. OWNERCity of Winston-Salem Address 32 Hwies Will 166ad (Street or Route No) Winston-Salem N.C. 27105 ( Citm_ ' Town State Zip code Area Codc- Phone nun er 4. DATE DRILLED-13-04 5. TOTAL DEPTH 8- 6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO 7. STATIC WATER LEVEL Below To�pp of Casin FT. (Use'Y it -Above Top of astllg 8. TOP OF CASING IS 3.0' FT. Above Land Surface Top of casing terminated at/or below land surface requires a variance in accordance with 15A NCAC 2C.0118. 9. YIELD (gptn): n/a METHOD OF TESTr/a 10, WATER ZONES (depth): Unconfined Aquifer 11. DISINFECTION: Typ n/a Amount n/a 12. CASING: Wall Thickness. ntlt To'-L.0 Diameter or Wei ht/Ft. Material From+3.0 Ftln sch.10 PVC From -----To Ft Fromo Ft — - 13. GROUT: Depth Material Method From 0 To1.0 Ft,Portland _ Tremie From TO Ft. 14, SCREf: Depth Diameter Slot Size Material From To18.0 Ft. V in, .010 i11, PVC From To 15. SAND/GRAV L PACK Ft. —in, ^` -in. Depth Size From 1'6" To 18,0 Ft #3 Material San FrOmIU —To��FO/8 en omte 16. REMARKS ❑ Agricultural] MM-7/Metllarle Well Topo raplvc/ Land setting ❑ Ridge 0slope ® valley ❑ Flat (check appropriate box) NIA Latitude/Longitude of well location (degrees/minuteslseconds) Latitude/Longitude source: ❑ GPS❑Topographic neap (check box) DEPTH DRILLING LOG From 'I'o Formation Description see attached log LOCATION SKETCH Show direction and distance in miles from at least two State Roads or County Roads. Include the road numbers and common road names. I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL C TRUC N(T�IDARDS, AND THAT A COPY OFT HIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER V1C%A 8-13-04 SIGNATURE OF PERSON CONSTRUCTING THE WELL. DATE Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC 27699-1636 Phone No. (919) 133-3221, within 30 days, GW-1 REV. 07/2001 Geologist Log: MM-8 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 Shear Strength © Remarks c o Description ° co(D a� .,o j, a) E � a o o m blowslft 20 40 60 80 ❑ U) W Z ♦— M M -2 Locking well 1 cover and cement pad Ground Surface 4Bentonit TOPSOIL o.0 orfland Type Tan, organic rich, grassed, moist Cement Seal 1 1.0 2 3 4— SAND Sand Pack 4.0 Tan, fine to medium grained, clayey, silty, dry 5 6 7 1-inch Diameter SCH 40 PVC 0.010-inch Slot 9 11 12 _. _ .,.. ... 13 End of Borehole 13,0 Drilled By: Engineering Tectonics Hole Size: 6° HDR Englneering, Inc. of the Carolinas 128 S. Tryon Street Suite 1400 Drill Method: HSA Top of Casing: NA Charlotte, NC 28202 Phone: (704)338-6700 Fox Drill Date: 8/11/2004 Sheet: 1 of 1 (704) www.hdrinc.co 0 nc.com WELL CONSTRUCTION RECORD North Carolina - Department. of Environment and Natural Resources - Division of Water Quality - Groundwater Section fork-dd Barron CERTIFICATJON #20 11 WF:LI, CONTI2AC"rOR (INDNIDLFAL) NAME.(prim, WELL CONTRACTOIZ COMPANY NAME Engineering Tectonics PHONE STATE WELL CONSTRUCTION PERMIT{I ASSOCIATED WQ Permit # (if applicable) (if applicable) M��IIIIIII�A�IIIIXIIIIIMII I M II III IXI I IXI @X� 1. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ industrial ❑ Agricultural ❑ Monitoring Recovery ❑ Heat Pump water Injection ❑ other® If other, list use: MM-8/Metlmc Well WELL LOCATION: Nearest Town: Winston-Salem County Foisyth 3336 Old Salisbury Road (Street Name, Numbers, Community, Subdivision, Lot No., .Zip Code) 3. OWNERCitY of Winston-Salem Address 325 Hanes Mill Road (Street or Route No) Winston-Salem N.C. 27105 City ( Nor State Zip code ART Code- Phone numbe 13-44 4. DATE DRILLED 5, TOTAL DEPTH13.0 6. DOES WELL REPLACE EXISTING WELL7 YES ❑ NO 7. STATIC WATER LEVEL Below Top of Casing: FT. (Use'I+I' if"Above Top of �am 8. TOP OF CASING IS 3.0' FT. Above I. and Surface Top of casing terminated at/or below land surface requires a variance in accordance with 15A NCAC 2C.0118, 9. YIELD (gpm): n/a METHOD OF TESTn/a 10. WATER ZONES (depth): Unconflned A uifer 11. DISINFECTION: Typen/a Amount n/a 12. CASING: Wall Thickness. hh �To '•D Diameter or Weight/Ft. Material From+3.0 RE sch.40 PVC From To Ft Frolnro Ft 13. GROUP: Depth Material Method From 0 Tol.0 Ft Portland Trea-ie From To Ft. Depth 14. SCREfl Diameter. Slot Size Material From Tol Ft. I" n ,U10 in. PVC Fro15, Ft. in. SANDY RA ELo PACK Depth Size From 1'6" To13.0 Ft #3 Material San FromT7T To=Ft'3/8 �13entorute 16. REMARKS Topographic{ Land setting ❑ Ridge ❑slope 0 valley [] Flat (check appropriate box) NIA de/Longitude of well location (degreeslminuteslseconds) Latitude/Longitude source: ❑ 0PS❑Topographic map (check box) DEPTH DRILLING LOG From To Formation Description see attached log LOCATION SKETCH Show direction and distance in miles from at least two State Roads or County Roads. Include the road numbers and common road names. I DO HEREBY CERTIFY THAT THIS WELT. WAS CONSTRUCTED IN ACCORDANCE WITH I SA NCAC 2C, WELL CONSTRUC"aON,STAXI)ARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER 8-13-04 SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC 27699-1636 Phone No. (919) 133-3221, within 30 days. GW-1 REV. 0712001 Geologist Log: MM-9 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 Shear Strength o Remarks Description Q � o blows/ft — a� /, Fu Z di � 20 40 60 80 -2 Locking well t cover and cement pad Ground Surface TOPSOIL o. o an ype Cent 1 Tan, organic rich, grassed, moist Bentonite Seal 0 2 ... 3 4 SAND 0 ,... _ . :::: Sand Pack 5 Tan, fine to medium grained, clayey, silty, dry 6 7 1-inch Diameter SCH 40 PVC 0.010-inch Slot 9 � 10 11 12 _.... _..... 13 14 15 16 17 Drilled By: Engineering Tectonics Hole Size: 6" HDR Engineering, Inc. of the Carolinas 128 S. Tryon Street Sulte 1400 Drill Method: HSA Top of Casing: NA Charlotte, NC 28202 Phone:(704>338-6700 ()4)338-6760 Drill Date: 8/12/2004 Sheet: 1 of 2 Fax: (7hd(inc.com +r�rw,hdrinc.corn Geologist Log: MM-9 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 Shear Strength Remarks o Description o -w, m m > a m >, Li Z v o o N M blows/ft 20 40 60 80 ❑ U) F- W 19 20 _ i 21 22 23 24 25 26 27 End of Borehole 7.0 28 29 30 31 32 .. .... 33 34 35 36 37 38 Drilled By: Engineering Tectonics Hole Size. 6" HpR Engineering, inc. of the Carolinas 128 S. Tryon Street Suite 1400 Drill Method: HSA Top of Casing: NA Charlotte, NC 28202 Phone: (704)33"700 04)338-6760 Drill Date: 8/12/2004 Sheet: 2 of 2 Fax: (7hdrinC.com www.hdrinc.corn WELL CONSTRUCTION RECORD North Carolina - Department. of Environment and Natural Resources - Division of Water Quality - Groundwater Section CONTRACTOR (INDIV[D W1t� onaldBarrori CERTIFICATIONr�209WELLtJAL) NAME: (prrtr. WELL CONTRACTOR COMPANY NAME: Englneertrig Tectonics PHONE # j ) STATE WELL, CONSTRUCTION PERMIT# _ ASSOCIATED WQ Permit N (if applicable) (if applicable) Mwr Nwr 1. WELL USE (Check Applicable Box): Residential Municipal/Public ❑ Industrial ❑ Agricultural ❑ Monitoring Reeovery ❑ Heat Pump water Injection ❑ other® If other, list use: NIM-9/Methane Well 2. WELL LOCATION: Topo raphic/ Land setting Nearest Town: Winston-Salem County Forsyth ® Ridge )lope ❑ valley ❑ Flat 3336 Old_Sali±M Road_ (check appropriate box) (Street ?tame, Numbers, Community, Subdivision, Lot No., Zip Code) LNa� t de/Longitude of well location 3. OWNER._City of Winston-Salem (degreeslminuteslseconds) - Address 325 Hanes Mill Roa Latitude/Longitude source: ❑ GPS❑Topographic map (Street or Route No) (check bas) Winston-Salem N.C. 27105 DEPTH DRILLING LOG Cityor Town 810le Zip code `N/A From To Formation Description ( ) see attached log Area —Code- Phonenum erl2-04 4. DATE DRILLED 5. TOTAL DEPTH30.0 6. DOES WELL REPLACE EXISTING WELL? YE S ❑ NO 7. STATIC WATER LEVEL Below To of Casin : FT. (Use "+" irAbove Top taste of 8. TOP OF CASING IS 3•0' FT. Above Land Surface Top of easing terminated at/or below land surface requires a variance in accordance with 15A NCAC 2C.0118. 9. YIELD {gpm}: n/a METHOD OI' TESTn/a 10. WATER ZONES (de�Inconfined Aquifer LOCATION SKETCH 11. DISINFECTION: Typen/a Amount n/a Show direction and distance in miles from at least 12, CASING: Wail Thickness. two State Roads or County Roads. Include the road n� Diameter or WeightlFt, Material Do`3 � numbers and common road names. From+3.0 F 1t sch.40 PVC _- From To Ft From Ta Fes_ 13. GROUT: Depth Material Method From 0 To1.0 Ft Portland Tremie From TO —Ft._ 14. SCREff Depth Diameter Slot Size Material From Tc3().0 Ft. I" in. .010 in. PVC From To Ft. 15. SANUMR—AVEL PACK Depth Size Material From 2.0 T030-0 Ft t4'3 Sand From—Tom—Ft�— entonite 16. REMARKS I DO HERE?BY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL CO TRUCI' N TAVDARDS, AND THAT A COPY OF THIS RECORD 11AS BEEN PROVIDED TO THE WELL, OWNER 8-12-04 SIGNATURE OF PERSON CONSTRUCTING THE WELL DAIT Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC 27699-1636 Phone No. (919) 133-3221, within 30 days, Gw-t x>uv. 07/2001 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 Shear Strength o Remarks -0 Description ° 2 �, m o blowsltt 20 40 60 80 CD l0 cc -2 Locking well cover and 1 cement pad Ground Surface TOPSOIL 0.0 Portland Type I Tan, organic rich, grassed, moist Cement Bentonite Sea[ � 1.0 2 Sand Pack SAND Gray, fine to medium grained, silty, clayey, wet :: 1-inch Diameter SCH 40 PVC 0,010-inch Slot 4 5 End of Borehole 5 7 g 9 10 11 Drilled By: Engineering Tectonics Hole Size: 6" HDR Engineering, Inc. of the Carolinas 128 S. Tryon Street Suite 1400 Drill Method: HSA Top of Casing: NA Charlotte, NC 28202 Phone: (704)33"700 Fox: (70 Drill Date: 8/10/2004 Sheet: 1 of 1 www.hdrinc.comrincom WELL CONSTRUCTION RECORD North Carolina - Department. of Environment and Natural Resources - Division of Water Quality - Groundwater Section WELL CONTRACTOR (INDIVIDUAL) NAME (prin onald BmTon CERTIFICATION a?2091 WELL CONTRACTOR COMPANY NAME Engineering Tectonics PHONE N ( } STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ Permit # if a livable (if applicable) ].WELL USE�Check Applicable Box): Residential Municipal/Public El Industrial ❑ Agricultural ❑ Monitoring Recovery ❑ Heat Pump water Injection ❑ other ® If other, list use: MM` IO/Metllarle Well 2, WELL LOCATION: Nearest Town: Winston-Salem COuntVForsyth 3336 Old Salisbury Road (Street Name, Numbers, Community, Subdivision, Lot No., zip Code) 3. OWNERCity of Winston-Salem Address 5 Hanes Mill Road (Street or Route No) Winston-Salem N.C. 27105 ( jity_ r Town Stale Zip code Area Code- Phone nurn erl 1-04 4. DATE DRILLED 5. TOTAL DEPTH5.0 6. DOES WELL, REPLACE EXISTING WELL? YES ❑ NO 7. STATIC WATER LEVEL Below To of Casing: FT, (Use'Y' ifpAbove Top of Caster 8. `FOP OF CASING IS 3.0' FT. Above Land Surface Top of casing terminated at/or below land surface requires a variance in accordance with 15A NCAC 2C.0118. 9. YII LD (gpm): n/a METIIOD OF TE.STn/a 10. WATER ZONES (depth): Unconfined AquL 11, DISINFECTION: Typen/a Amount Wa 12. CASING: Wali Thickness. DCp��y Diameter or WeigghtlFt. Material From+3.0 To` r t) Ft 1 sch.40 PVC From -----To Ft From—'£o Ft 13. GROUT: Depth Material Method From 0 T66" Ft Portland Tremie From To Ft. 14. SCREW,, Depth Diameter. Slot Size Material From To5.0 Ft.l" in. .010 PVC in, From To 15. SAND7 R7V�EL PACE, Ft._in, in. Depth; Size Material From 1'3" To #3 Sand FrOm�"�To - Ft/8 17 ntomte e 16. REMARKS Topographic/ Land setting ❑Ridge ❑slope ® valley ❑ Fiat (check appropriate box) NIA deJLongitude of well location (degreesltninutes/seconds) Latitude/Longitude source: ❑ GPS❑Topographic map (check box) DEPTH DRILLING LOG From To Formation Description see attached log LOCATION SKETCH Show direction and distance in miles from at least two State Roads or Cottttty Roads. Include the road numbers and common road names. I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 1 SA NCAC 2C, WELL CONSTRUCTION XTANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER 8-11-04 SIGNATURE. OF PERSON CONSTRUCTING THE WELL DATE Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC 27699-1636 Phone No. (919) 133-3221, within 30 days. GW-1 REV. 0712001 Geologist Log: NIM-11 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 Shear Strength o Remarks o Description ID 0) >, � � Q a a o w cc blows/ft 20 40 60 80 aD © cA lul Z l-_ [a -2 Locking well cover and 1 cement pad Ground Surface TOPSOIL 0.0 Portland Type I Tan, organic rich, grassed, moist Cement Bentonite Seal t 0 Sand Pack 2 SAND . 1-inch Diameter Gray, fine to medium grained, silty, clayey, wet SCH 40 PVC 0.010 inch Slot 311114 ' End of Borehole 0 4 5 7 9 10 Drilled lay: Engineering Tectonics Nole Size: 6" HDR Engineering, Inc. of the Carolinas 128 S. Tryon Street Suite 1400 Drill Method: HSA Top of Casing: NA Charlotte, No28202 Phone:(MV38-6700 Fax: (704 Drill Date: 8/10/2004 Sheet: 1 of 1 rM www.hdlnc,calnc,Gm WELL CONSTRUCTION RECORD North Carolina - Department. of Environment and Natural Resources - Division of Water Quality - Groundwater Section Donald Barron CERTIFICATION f12091 WELL CONTRACTOR (INDIVIDUAL) NAME (prat? WELL CONTRACTOR COMPANY NAME En glneerin Tectonics PHONE # f ) STATE WELL CONSTRUCTION PERMTT11 ASSOCIATED WQ Permit it if applicable) (if applicable) 1. WELL USE (Check Applicable Box): Residential Municipal/Public ❑ Industrial ❑ Agricultural ❑ Monitoring ❑ Reoovery ❑ heat Pump water Injection ❑ other ® If other, list use: MM-I I/Methane Well 2. WELL LOCATION: Topo raphiel Land setting Nearest Town: Winston -,Salem CoaptvForsyth ❑Ridge LJslope ®valley ❑plat 3336 Old Salisbu Road (cheek appropriate box) (Street Name, Numbers, Community, Subdivision, Lot No., Zip Code) LNatiittude/Longilude of well location 3. OWNERCity of Winston-Salem (degreeslminuteslseconds) Address 775 Hanes Mill RoadLatitude/Longitude source: ❑ GPS❑Topographic map (Street or Route No) (check box) Winston-Salem N.C. 27105 DEPTH DRILLING LOG City or Town Slate Zip code From To Formation Description ( ) N/A see attached log Apia Code- Phone numlte 10-04 4. DATE DRILLED - 5, TOTAL DEPTH3.0 6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO ® — 7. STATIC WATER LEVEL Below To of Cas, : FT. ifpAbovc Top of asIV 8. TOP OF CASING IS 3.0' FT. Above Land Surface Top of casing terminated at/or below land surface requires a variance in accordance with 15A NCAC 2C.0118. 9. YIELD (gpm): n/a METHOD OF TESTn/a 10. WATER ZONES (depth): Unconfined Aquifer LOCATION SKETCH 11, DISINFECTION: Typell/a_ - Amount n/a Show direction and distance in miles from at least 12, CASING: Wall Thickness. two State Roads or County Roads. Include the road ., Diameter or Weight/Ft. Material �To numbers and common road names. From+3.0 NJ" sch.40 PVC From----'ro Ft Fram-----To Ft•.• 13. GROUT: Depth Material Method From 0 To6" Ft Portland Tremie From TO —Ft. 14. SCRE 1„ Depth Diameter Slot Size Material To3 Froth Ft. V in. .010 in. PVC From To Ft in, lil. 15, SAND7MV L PACK Depth Size aterial From 11" To3.0 Ft #3 San Froln7—To7T 'Ft' Bentorate 16. REMARKS I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL. CO UCTTII�AN" S, AND TLiA'I A COPY 01 `1'IiIS RECORD HAS BEEN PROVIDER TO THE WELL OWNER Ct Iuc-?11 8-10-04 SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC 27699-1636 Phone No. (919) 133-3221, within 30 days. Gw-1 REV. 07r2001 Geologist Log: MM-12 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 Shear Strength � Remarks ° o Description ,n y 'o blows ft oz 20 40 so sa -2 Locking well cover and 1 cement pad Ground Surface TOPSOIL.0 Portland Type I Tan, organic rich, grassed, moist Cement Benton€te Seat 1 SAND 1,0 Tan, fine to medium grained, clayey, silty, dry 2 - 3 4 :::: ::: Sand Pack g .. 1-inch Diameter SCH 40 PVC 0.010-inch Slat 7 8 _ 9 End of Borehole 10.0 Drilled By: Engineering Tectonics Hole Size: 6"DR Engineering, Inc. of the Carolinas 126 S. Tryon Street Suite 1400 Drill Method: BSA Top of Casing: NA Charlotte, NC 26202 Phone: (704)33M700 Fax: (704)338. Drill Date: 8/9/2004 Sheet: 1 of 1 www.hdrinc.comcorn WELL CONSTRUCTION RECORD North Carolina - Department. of Environment and Natural Resources - Division of Water Quality - Groundwater Section WELT. CONTRACTOR (INDIVIDUAL) NAME (prim onald Barron CERTIFICATION f�2091 WELL CONTRACTOR COMPANY NAME Engineering ,,,�, „Tectonics PHONE N C STA'£E WELL CONS'1'RUC'£ION P1,1WHI1 ASSOCIATED WQ Permit it if a licable) (if applicable) 1. WELL USE (Check Applicable Box): Residential El Municipal/Public ❑ Industrial ❑ .Agricultural Monitoring U Recovery ❑ I-Ieat Pump water Inrection❑ other ® if other, list use: MM- I 2/Methane Well 2. WELL LOCATION: Topo_g_raphic/ Land setting Nearest Town: Winston-Salem CountyForsytlt ❑Ridge Slope ® valley ❑ Fiat 3336 Old Salisbury Road (check appropriate box) (Street Name, Numbers, Community, Subdivision, Lot No., 'Lip Code) LatitudelLongitude of well location NIA 3. OWNERCity of Winston-Salem (degrees/minutes/seconds) Address 325 Hanes Mill Road Latitude/Longitude source: ❑ GPS❑Topographic Wrap (Street or Route No) (check box) Winston-Salem N.C. 27105 DEPTH DRILLING LOG Ci or1,own State Zip code UA From To Formation Description ( ) see attached log Area Codc- Phone numGer10 04 4. DATE DRILLED 5. TOTAL DEPTH6.0 6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO 7. STATIC WATER LEVEL Below Top of Casing: FT.(Use 'Y' Vast if Above Top of S. TOP OF CASING IS 3•0' FT. Above Land Surface Top of casing terminated at/or below land surface requires a variance in aocordanee with 15A NCAC 2C.0118. 9. YIELD (gpm): n/a METHOD OF TESTn/a 10. WATER ZONES (dept�Jrt oQ1ned Aquifer LOCATION SKETCH 11, DISINFECTION: Type'Va Amount n/a Show direction and distance in miles from at least 12. CASING: Wall Thickness. two State Roads or County Roads. Include the road De�nt Diameter or Weight/Ft. Material numbers and common road names. From+3.0 Tq- Ft i" seb.40 PVC From To Y't From To Fes_ 13. GROUT: Depth Material Method From 0 Tol.0 Ft Portland Tren-& From I'0 Ft. 14. SCRLJ2.N Depth Diameter. Slot Size Material From To6.0 Ft. I" jn..010 in.PVC From To Ft. in, itt. 15. SANGR L PACK Depth Size aterial From. 1'6" To6.0 Ft 43 Sany FromIU—Tol=Ft Bentowte 16. REMARKS I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL CONnRUCTION S;4ANDARDS, AND THAT A COPY OF 'PHIS RECORD HAS BEEN PROVIDED 7'6THE WELL OWNER 5-10-04 SIGNATURE OF PERSON CONSTRUCTING TIIE WELL DATE Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC 27699-1636 Phone No, (919) 133-3221, within 30 days. GW-I REV. 0712001 This page intentionally left blank. Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Appendix 2 — Landfill Gas Monitoring Data Form Winston-Salem/Forsyth County Utilities I Landfill Gas Monitoring Plan: Old Salisbury Road C&D Landfill ��� Appendix 2 — Landfill Gas Monitoring Data Form This page intentionally left blank. NC Division of Waste Management - Solid Waste Section Landfill Gas Monitoring Data Form Notice: This form and any information attached to it are 'Public Records" as defined in NC General Statute 132-1. As such, these documents are available for inspection and examination by any person upon request (NC General Statute 132-6). Facility Name: Permit Number: Sampling Date: NC Landfill Rule (.0500 or.1600): Sample Collector Name & Position: Gas Meter Type & Serial Number: Field Calibration Date & Time: Field Calibration Gas Type (15115 or 35/5 Gas Meter Pump Rate: Gas Meter Calibration Date: eld Calibration Gas Canister Expiration Date: Ambient Air Temperature: Barometric Pressure (in. or mm Hg): Weather Conditions: Instructions: Under "Location or LFG Well", list monitoring well # or describe monitoring location (e.g., inside field office). Attach a test location map or drawing. Report methane readings as both % LEL and % CH4 by volume. Convert % CH4 (by volume) to % LEL as follows: % methane (by volume)/20 = % LEL. *Hydrogen Sulfide (H2S) gas monitoring may be required for Construction & Demolition Landfills (CDLFs). See individual permit conditions and/or Facility LFG monitoring plan. Location or LFG Well ID S ample Tube Purge Time of Day Time Pumped (sec) Initial % LEL Stabilized % LEL % CH4 ( volume ) % 02 (volume) % CO2 (volume) % H2S* (volume) NOTES NOTE: If needed, attach additional data forms to include additional LFG monitoring data locations for the facility. ACTION LEVELS: Methane: >1.25% by volume (inside structures) AND >5% by volume (at facility boundary) Hydrogen Sulfide: >1% by volume (inside structures) AND >4% by volume (at facility boundary) Certification To the best of my knowledge, the information reported and statements made on this data submittal and attachments are true and correct. I am aware that there are significant penalties for making any false statement, representation, or certification including the possibility of a fine and imprisonment. SIGNATURE TITLE Revised — March 6, 2017 This page intentionally left blank. FN HDR Engineering, Inc. of the Carolinas 440 S Church Street, Suite 1000 Charlotte, NC 28202-2075 704.338.6700 NC License F0116 hdrinc.com © 2020 HDR, Inc., all rights reserved