4101_Guilford_HighPoint_MSWLF_Seaboard_June22LFG_FID1739086_20221010

DocuSign Envelope ID: ABDAA95E-94F0-421 E-BE84-479BA5232FAD
DENR USE ONLY ❑Paper Report ❑Electronic Data - Email CD (data loaded: Yes / No Doc/Event #:
NC DENR I I Environmental Monitoring
Division of Waste Management - Solid Waste Reporting Form
Notice: This form and any information attached to it are "Public Records" as defined in NC General Statute 132-1. As such, these documents are
available for inspection and examination by any person upon request (NC General Statute 132-6).
Instructions:
Prepare one form for each individually monitored unit.
Please type or print legibly.
Attach a notification table with values that attain or exceed NC 2L groundwater standards or NC 2B surface water standards. The notification
must include a preliminary analysis of the cause and significance of each value. (e.g. naturally occurring, off -site source, pre-existing
condition, etc.).
Attach a notification table of any groundwater or surface water values that equal or exceed the reporting limits.
Attach a notification table of any methane gas values that attain or exceed explosive gas levels. This includes any structures on or nearby the
facility (NCAC 13B .1629 (4)(a)(i).
Send the original signed and sealed form, any tables, and Electronic Data Deliverable to: Compliance Unit, NCDENR-DWM, Solid Waste
Section, 1646 Mail Service Center, Raleigh, NC 27699-1646.
Solid Waste Monitoring Data Submittal Information
Name of entity submitting data (laboratory, consultant, facility owner):
Smith Gardner, Inc.
Contact for questions about data formatting. Include data preparer's name, telephone number and E-mail address:
Name: Seth C. Rickerts, PG
E-mail: [e-mail]
Phone: (919) 828 - 0577 x135
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 June 16, 2022
Landfill
Environmental Status: (Check all that apply)
❑ Initial/Background Monitoring ❑X Detection Monitoring ❑ Assessment Monitoring Corrective Action
of data submitted: (Check all that apply)
Groundwater monitoring data from monitoring wells ❑X
Groundwater monitoring data from private water supply wells ❑
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.
❑X 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.
Seth C. Rickerts, PG Project Geologist (919) 828 - 0577 x135
Facility Representative Name (Print)
Title
10/10/2022
S�D.SiG.e Q�V A,
Signature 3B81-178EA0E6 Date
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
(Area Code) Telephone Number
Affix NC Licensed/ Professional Geologist Seal
�y, G Po
` r EN$ 4
EA 101 OA2022
C,KC''''

DocuSign Envelope ID: ABDAA95E-94F0-421E-BE84-479BA5232FAD
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: City of High Point Closed Riverdale Landfill
Date of Sampling: 6/16/2022
Name and Position of Sample Collector:
Permit Number: 41-01
_ NC Landfill Rule (.0500 or .1600): .0500
Kyle M. Bonnett - Staff Environmental Technician
Type and Serial Number of Gas Meter: GEM 5000, R8200045
Date and Time of Field Calibration: 6/16/2022, 1039
Calibration Date of Gas Meter: 12/2021
Type of Field Calibration Gas (15115 or 35/50): 15/15 Expiration Date of Field Calibration Gas Canister: N/A
Pump Rate of Gas Meter: 0.5 LPM
Ambient Air Temperature: 89 F Barometric Pressure: 30.15 in Hg General Weather Conditions: Sunny
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
Location or
LFG Well ID
Sainple Tube
Purge
Time
Time
Pumped (s)
Initial
°,ZEL
Stablzed
°,,ZEL
Of4CH4
by
N"ohlme
%02
%CO2
Notes
H2 S ppm
1-1
>60s
1212
>60s
0
0
0.0
12.8
7.6
5
LFG 3
>60s
1204
>60s
0
0
0.0
10.3
6.4
5
LFG 4
>60s
1222
>60s
0
0
0.0
17.6
2.7
5
LFG 5
>60s
1228
>60s
0
0
0.0
15.0
3.5
6
LFG 6
>60s
1233
>60s
98
98
4.9
4.9
19.2
6
LFG 7
>60s
1317
>60s
960
960
48.0
1.9
20.4
7
7-1
>60s
1319
>60s
660
660
33.0
4.7
25.4
7
7-2
>60s
1313
>60s
0
0
0.0
19.1
0.0
7
7-3
>60s
1311
>60s
0
0
0.0
19.4
0.0
7
7-4
>60s
1309
>60s
860
860
43.0
5.3
22.2
7
LFG 8
>60s
1302
>60s
1114
1114
55.7
0.5
39.7
10
LFG 8A
>60s
1305
>60s
1370
1370
68.5
0.1
28.4
8
LFG 8B
>60s
1307
>60s
746
746
37.3
11.0
24.2
7
8-1
>60s
1254
>60s
1194
1194
59.7
1.4
29.2
7
8-2
>60s
1252
>60s
1122
1122
56.1
1.4
36.1
7
8-3
>60s
1250
>60s
1012
1012
50.6
1.2
41.0
7
8-4
>60s
1324
>60s
594
594
29.7
2.6
22.6
7
8-5
>60s
1326
>60s
202
202
10.1
10.8
9.3
7
LFG 9
>60s
1329
>60s
982
982
49.1
1.9
30.1
9
9-1
>60s
1331
>60s
632
632
31.6
4.7
28.7
8
LFG 10
>60s
1334
>60s
0
0
0.0
14.7
3.3
8
Old Maint Bldg
>60s
1346
>60s
0
0
0.0
17.3
0.0
8
Electrical Shop
>60s
1343
>60s
0
0
0.0
17.4
0.0
7
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.
DocuSigned by:
r
.1t $o#-4.W
SIGNATURE
Staff Environmental Technician
TITLE

DocuSign Envelope ID: ABDAA95E-94F0-421 E-BE84-479BA5232FAD
G
Q
O
M
O
M
O
O
N
N
N
x
E
0_
U
c
•O
LL
I
L
i
U)
N
i
O
Z
O
U
z
C
O
a_
L
Ln
U
N
0
d_
T
dr
err
-a
tit
! N
s � r. }•� * �y j1��t r�fw?.,,:,+�`i' _ � ",ty 4.�.. � � ", • �;, 1s ,� � s,; � �,t- ��
• 1
t� Y
Mb
IP
+ YY 4
110-
W41V LFG-5
Iry
LFG-3
LFG-4
+ 5
O LFG Probes
300 150 0 300
Feet
. K r ��• "�}TiR�i •�.
�RVL--
d �... r .
7-3 7-4 LFG-8 8-1 8-3 °
8B 8-2 � � � 8-5
_ �
7-1 LFG-7 7-2 8A8-4
LFG-9
PAL—
rJt-*
LFG-10
0
II:
h e '
cn
Z
O
J
J
U
In
O
za
Z
Q
Z
w
J
O
m
J
IL
a
o
O
a
p�
=
tU
Z
>
0
O
O
Q
O
L
Z
�
V
2
O
LIA LL
J
r