4101_Guilford_HighPoint_Seaboard_MSWLF_Dec20LFG_FID1519455_20201222

DocuSign Envelope ID: 51097495-8B2E-4DF3-8637-F7E30A615E12
DENR USE ONLY ❑Paper Report ❑Electronic Data - Email CD (data loaded: Yes / No Doc/Event #:
NC DENR I IEnvironmental Monitoring
Division of Waste Management - Solid Waste Reporting Form
Notice: This form and any information attached to it are "Public Records" as defined in NC General Statute 132-1. As such, these documents are
available for inspection and examination by any person upon request (NC General Statute 132-6).
Instructions:
Prepare one form for each individually monitored unit.
Please type or print legibly.
Attach a notification table with values that attain or exceed NC 2L groundwater standards or NC 2B surface water standards. The notification
must include a preliminary analysis of the cause and significance of each value. (e.g. naturally occurring, off -site source, pre-existing
condition, etc.).
Attach a notification table of any groundwater or surface water values that equal or exceed the reporting limits.
Attach a notification table of any methane gas values that attain or exceed explosive gas levels. This includes any structures on or nearby the
facility (NCAC 13B .1629 (4)(a)(i).
Send the original signed and sealed form, any tables, and Electronic Data Deliverable to: Compliance Unit, NCDENR-DWM, Solid Waste
Section, 1646 Mail Service Center, Raleigh, NC 27699-1646.
Solid Waste Monitoring Data Submittal Information
Name of entity submitting data (laboratory, consultant, facility owner):
Smith Gardner, Inc.
Contact for questions about data formatting. Include data preparer's name, telephone number and E-mail address:
Name: Joan A. Smvth. PG Phone: (919) 828 - 0577 x221
E-mail: [e-mail]
NC Landfill Rule: Actual sampling dates (e.g.,
Facility name: Facility Address: Facility Permit # (.0500 or .1600) October 20-24, 2006)
High Point Riverdale Closed MSW Riverdale Drive, High Point, NC 41-01 .0500 December 17, 2020
Landfill
Environmental Status: (Check all that apply)
Initial/Background Monitoring 0 Detection Monitoring Assessment Monitoring Corrective Action
of data submitted: (Check all that apply)
Groundwater monitoring data from monitoring wells 0
Groundwater monitoring data from private water supply wells El
Leachate monitoring data El
water monitoring data
Methane gas monitoring data
Corrective action data (specify)
Other(specify)
Notification attached?
e No. No groundwater or surface water standards were exceeded.
Yes, a notification of values exceeding a groundwater or surface water standard is attached. It includes a list of groundwater and surface water
monitoring points, dates, analytical values, NC 2L groundwater standard, NC 2B surface water standard or NC Solid Waste GWPS and
preliminary analysis of the cause and significance of any concentration.
FXI Yes, a notification of values exceeding an explosive methane gas limit is attached. It includes the methane monitoring points, dates, sample
values and explosive methane gas limits.
Certification
To the best of my knowledge, the information reported and statements made on this data submittal and attachments are true and correct.
Furthermore, I have attached complete notification of any sampling values meeting or exceeding groundwater standards or explosive gas
levels, and a preliminary analysis of the cause and significance of concentrations exceeding groundwater standards. I am aware that there
are significant penalties for making any false statement, representation, or certification including the possibility of a fine and imprisonment.
Joan A. Smyth, PG Senior Hydrogeologist (919) 828 - 0577 x221
(Print) Title (Area Code) Telephone Number
J 1
711 F488...
14 N. Boylan Ave, Raleigh, NC 27603
Facility Representative Address
F-1370
NC PE Firm License Number (if applicable effective May 1, 2009)
Revised 6/2009
12/21/2020 Affix NC Licensed/ Professional Geologist Seal
Date
C AR
aU31EAILy21 2020
'� A. g

DocuSign Envelope ID: 51097495-8B2E-4DF3-8637-F7E30A615E12
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: �gfig�h�� C��lv�rl�l��f�1411 Permit Number: 41 -A1_ o l
Date of Sampling: 12/17/2020 NC Landfill Rule (.0500 or .1600): .0509500
Name and Position of Sample Collector: Michael J. Liebl - Staff Environmental Technician
Type and Serial Number of Gas Meter: GEM 5000
Date and Time of Field Calibration: 12/17/2020, 0948
Calibration Date of Gas Meter: 12/2020
Type of Field Calibration Gas (15115 or 35/50): 15/15 Expiration Date of Field Calibration Gas Canister: 10/2021
Pump Rate of Gas Meter: 0.5 LPM
Ambient Air Temperature: 45 F Barometric Pressure: 29.12 in Hg General Weather Conditions: Overcast
Instructions: Under "Location or LFG Well" identify the monitoring wells or describe the location for other tests (e.g., inside buildings). A drawing showing the location of test
must be attached. Report methane readings in both % LEL and % methane by volume. A reading in percent methane by volume can be converted to % LEL as follows: % methane
by volume = % LEL/20
LocaEDn or
LFG V4 a ID
Sample Tube
Purge
Time
Time
Pumped (s)
Initial
%LEL
Stabilized
°•oLEL
%CFI4
by
Volume
%02
%oC0-2
Notes
H2 S ppm
1-1
>60s
1052
>60s
6
6
0.3
19.5
0.8
1
LFG 3
>60s
1057
>60s
2
2
0.1
10.7
8.3
1
LFG 4
>60s
1103
>60s
0
0
0.0
18.1
4.4
2
LFG 5
>60s
1109
>60s
0
0
0.0
16.2
3.1
2
LFG 6
>60s
1115
>60s
72
72
3.6
11.4
12.7
1
LFG 7
>60s
1202
>60s
896
896
44.8
2.3
18.2
4
7-1
>60s
1205
>60s
268
268
13.4
5.1
17.5
1
7-2
>60s
1157
>60s
0
0
0.0
20.6
1.4
0
7-3
>60s
1154
>60s
0
0
0.0
20.1
2.5
1
74
>60s
1151
>60s
1210
1210
60.5
0.2
29.8
23
LFG 8
>60s
1144
>60s
402
402
20.1
16.0
8.3
1
LFG 8A
>60s
1146
>60s
868
868
43.4
5.1
17.5
3
LFG 8B
>60s
1147
>60s
274
274
13.7
16.8
6.6
1
8-1
>60s
1141
>60s
1224
1224
61.2
0.0
22.1
26
8-2
>60s
1139
>60s
1234
1234
61.7
0.1
37.8
2
8-3
>60s
1137
>60s
1302
1302
65.1
0.1
32.4
0
8-4
>60s
1127
>60s
1268
1268
63.4
0.7
25.6
12
8-5
>60s
1129
>60s
826
826
41.3
0.1
26.0
0
LFG 9
>60s
1131
>60s
998
998
49.9
0.1
30.0
0
9-1
>60s
1133
>60s
1034
1034
51.7
0.2
38.5
0
LFG 10
>60s
1216
>60s
8
8
0.4
17.3
3.5
0
Old Maint Bldg
>60s
1119
>60s
0
0
0.0
20.1
0.1
0
Electrical Shop
>60s
1117
>60s
0
0
0.0
19.9
0.1
0
If your facility has more gas monitoring locations than there is room on this form, please attach additional sheets listing the same
information as contained on this form.
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.
Staff Environmental Technician
SIGNATURE
TITLE

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