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Home My WebLink About8602_Surry_MtAiry_MSWLF_CDLF_Jan23LFG_FID1795738_20230523DocuSign Envelope ID: 8FOF9BA4-8300-4B24-A917-D2397AC56EA3 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: Seth C. Rickerts, P.G. E-mail: seth@smithgardnerinc.com 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) Surry County Landfill 237 Landfill Rd. Mt Airy, NC 27030 86-02 .0500 January 31, 2023 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, P.G. Project Geologist 919-828-0577 x135 Facility Representative Name (Print) Title (Area Code) Telephone Number ocuSigned by: Affix NC Licensed/ Professional Geologist Seal Signature 3B8305C978EA4E6_. 14 N Boylan Ave. Raleigh, NC 27603 Facility Representative Address F1370 NC PE Firm License Number (if applicable effective May 1, 2009) Revised 6/2009 Date r1r,,,�y SEA/� 'Y L 1 27 8 5/2 /2i s ` A� �. Ft4o'�..'a DocuSign Envelope ID: 8FOF9BA4-8300-4B24-A917-D2397AC56EA3 This page intentionally left blank. DocuSign Envelope ID: 8FOF9BA4-8300-4B24-A917-D2397AC56EA3 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:Surry County Landfill Permit Number: 86-02 Sampling Date: 1 /31 /2023 NC Landfill Rule (.0500 or .1600): Sample Collector Name & Position: Kyle M. Bonnett - Environmental Technician Gas Meter Type & Serial Number: GEM 5000 Gas Meter Calibration Date: Field Calibration Date & Time: 1 /31 /2023, 0945 Field Calibration Gas Type (15115 or35/50): 35/50 Gas Meter Pump Rate: 0.5 L/min 01 /2023 ield Calibration Gas Canister Expiration Date: 1 2/23 Ambient Air Temperature: 50 F Barometric Pressure (in. or mmHg): 30.05 Weather Conditions: Cloudy 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 o �o LEL Stabilized /o LEL % CH4 (volume) % 02 (volume) % CO2 (volume) % H2S* (volume) NOTES MGP-2R >60s - >60s - - - - - - Inaccessible MGP-3 I >60s 1132 >60s 0.0 0.0 0.0 15.9 1 4.8 0 MGP-4 >60s - >60s - - - - - - watered in MGP-5 >60s 1050 >60s 0.0 0.0 0.0 20.9 0.6 0 MGP-6 >60s 1025 >60s 0.0 0.0 0.0 13.9 14.4 0 MGP-7 >60s 1157 >60s 718 718 35.9 8.4 9.2 0 MGP-8 >60s 1152 >60s 0.0 0.0 0.0 18.3 2.7 0 New Scalehouse >60S 1213 >60S 0.0 0.0 0.0 21.6 0.0 0 Old Scalehouse >60S 1218 >60s 1 0.0 0.0 0.0 1 21.6 0.0 0 Bailing Shed >60s 1222 >60s 0.0 0.0 0.0 21.6 0.0 0 Attendant Building >60S 1220 >60S 0.0 0.0 0.0 21.6 0.0 0 Page 1 of 2 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. DocuSigned by: Environmental Technician SIGNATU TITLE 10B56EEF9EA34ED... Revised - March 6, 2017 DocuSign Envelope ID: 8FOF9BA4-8300-4B24-A917-D2397AC56EA3 NC Division of Waste Management - Solid Waste Section Landfill Gas Monitoring Data Form Notice. Thisform and any information attached to it are 'Tublic 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). Surry County Landfill 86-02 Facility Name: Permit Number: Sampling Date: 1 /31 /2023 NC Landfill Rule (.0500 or .1600): Sample collector Name & Position: Kyle M. Bonnett - Environmental Technician Gas Meter Type & Serial Number: G EM 5000 Gas Meter Calibration Date: Field Calibration Date & Time: 1 /31 /2023, 0945 01 /2023 Field Calibration Gas Type (15115 or 35/50): 15/15 Field Calibration Gas Canister Expiration Date: 12/23 Gas Meter Pump Rate: 0.5 L/min Ambient Air Temperature: 50 F Barometric Pressure (in. or mm Hg): 30.05 Weather Conditions: Cloudy 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 (volume) % 02 (volume) % CO2 (volume) % H2S* (volume) NOTES Page 2 of 2 Attendant Building 3 >60s 1215 >60s 0.0 0.0 0.0 21.7 0.0 0 New Shop >60s 1209 >60s 0.0 0.0 0.0 21.6 0.0 0 Shop Shed >60s 1208 >60s 0.0 0.0 0.0 21.6 0.0 0 Shop >60s 1211 >60s 0.0 0.0 0.0 21.6 0.0 0 LFGE Office >60s 1206 >60s 0.0 0.0 0.0 21.6 0.0 0 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. Signed by: Docu $0"M Environmental Technician SIGNATURE 101356EEFKA34ED... TITLE Revised - March 6, 2017 DocuSign Envelope ID: 8FOF9BA4-8300-4B24-A917-D2397AC56EA3 NEW SCALEHOUS OLD SCALEHOUSI BAILING SHED(W 0k/ / \ � 0 / l l \ 1 ATTENDANT BUILDING/ 1❑ \ \ IIII ATTENDANT BUILDING 3i 1 ' 1 I / LFCLOSED BEFORE I I lh I ) MW-8 \\ \ Vim- If' 1 4111 opMGP=8 It MGP=7 w A \\I� ///= _:Z, _CLOSED MSWLF / 1 I \ / - - ' I I "a- / _ l l / IIII IIII III/ I /1/I cJ II IIII I I // %/ /II r\` \ JJ% 1; 110 11111/.11 1 a\ f / I I \ \NN\ \ \ // \\\�/ \\\\\\\\\/'Ill i \ / ////////// IIIII,IltI/I IIIII;\\\ 1 I \ \ b II \\,//llll�111161111 /1//// ///II\ 1 I _ ,\\\\\�/, I / \ /// / / Ill ill / /= h / ll \, / / //r /ii// I l l 0/ ' / / // c�� ll ll/ ,rlillll I \ /JI//I/ ll l®r 1� / � \ C \\\\ I 1I MGP=6 /,/////rr///l !l \\�%�//111III I \ ' / //' / I I/ I` /// /�/ ///� i�l 1 % 1/jlIN IIII I�1\\\\ \\\ I\\ /j/// %%/�,�// `11\l \ \\ \11 / // l / (! , / / \ I 1 1 \ \\\\ \\ \ \ I I 1 / // l// //j l 1 /l /l/ / / / 1 / �lII 111 #}Ir l /111I11/l Ill //ll / \�CLOSEDX&q/OVERCLO EpMSW U111111 ,// //// / / it 'IS III/ 1 /// STOPPED R C"EIVINfG C&D 13EF itE JUNE 1, 2008 v 1// 1 I Ir / // I I / / lJ Ili \\�\ \\\\1 1 ) \\ \\\\ \\\ - / // //„ /,, III 1 !k) I l,/ STOPPED CEIVII�G MSW BY ANUARY 1, 1999 / I \Q\ \� \ \ \` \\ — \ l I I / , 11 / , / /,l I (/ / / \ — //�\�\ \ \\\\\\\\\�� ,^ \ / I I //ll /ll llj 1j�14.(' hJ / 1 ( /// I Ijf IIII 'I,,Ga / \l IIII /IIII / ��\\\\\ \`�� \\\\\�_— ✓/ //// /I 11� \ \ / ll IIII // lj///JlllJllll IIIII\ \` / _ �//I`IW- 8 1 \\\\ \\ \\\\ \\\\N,\\\\ 1 , �;\\m \ MW-� %/� \ \ \\\ \\\ \\ \ \� — — ^ \ \\\ \ \ 1 III Il a , \ \\\ \\\\\\ // \\ \\\\ \\�\\ \� \ I II 1 / (A \ l//'f' / / // l l — _—_ �'\ ✓///\� \ Ijl IIII \I�hlllll�—�� _ ^\\\ z��- _/ / ��))�I \IJ,�l1�� \ \ys�/ ► ///// //� ///I I /' 'i /,i'% '� /—/. NEW SH SHOP SHD SHOP LFGE OFICE MGP-2 MGP=3 Al \��\ , ///r/// j/// /l/ %/'// \ \/1 /� \�1J1 IIII IIlY%,�= =�`� /� /ir /r/rr/_ l ll!/i//ii/ /J-. \/ r / /�------/I I IIII Ill_ ��`\�T`�j///%/, /%// ////j/�/ 1 ll r ///%// IIII, // // IIII/// /I MW-15 / / / / ' / MGP=4IIII O \.�"� O It \\\\\ \ \\ \\ \\ // / , / \\\ \ _,� \\ _ ,J/ MGP=5 ` ML \\\l \ \ �\\\\ //// / / I \\\\\ 1\ 111_ \\ \� \� \ \ / / I ctyTZ,\ \\� / i// \ ///1//\ \\\ \ \ \ WE /I^ II / 111 I/ ! /(f I I II IIII IIII I I l J ' ��AS >) 11 \\ \\\�� \ \ ✓ \/ l /` — �/ I r \—� / ,/ I/Ill \ r\\ II \ \11 \\\\\ \ � [� ��=� / I I 1 \ i / f I \\—� \ \�� II► III IIII I I \\ \__/��;�, / (� 1 I'� �\ �\1 \\\" It II l\l\ 1 \I \• \ � Ill( \ \ \ 11I \\ / J (!!/ A1►/ --� \ /1 (P�� 8 • rr f%%%� I I I I LAGOON � �� — — / / �// / / / 1/ I (1 �--�—'��/JJ/ �NE�\\ 1 \\\\\ \\ \ \\\\\\\\\ \ \\ \ \ \\ \ / 11lJ .� \ \ \(@1J)} ` 1 \ \ \ J 11 I111� \\\\\ / /, / n\ \�� \\` �\ �� \��\ ✓/\ \I \ \\ \\\ \ ��\\ \ �o• �, / // j / �j/��\ A( / \ \\ cA s-\\//� \ \\\ \ /i \\' \ \ \ \ \ \\ /1 /l / IIII / / /�� \\ — J I \\\ 1 \\ \ s Ill(// \1 I \\ \\` \if\\\ /III1t \\\�\\\y \�' \N` � \� �� ____/ w��!�c/%IllIR�`\lam\\\\\�III\\ jjll 40 Tp F —__��: _; --- -9II _— r—�`��p�ip�eximate)----=6r, III\\V\\\\\ -_---:�'/' i ! \\\\\\ \\\\\ J II I JJ[ 11 r MW-10 WATER MONITORING WELL or PIEZOMETER MGP-l@ LANDFILL GAS MONITORING PROBE (APPROXIMATE) EXISTING TOPOGRAPHIC CONTOURS (CONTOUR INTERVAL = 5 FEET) PERENIAL STREAM (LFG HYDRAULIC BARRIER) ESTIMATED EXTENT OF WASTE PROPERTY LINE ® SEDIMENT BASIN GRAPHIC SCALE 300 0 300 600 ( IN FEET ) 1 inch = 300 ft. 1200 SHEET 1 L ■ l'7 01 Z l'7 T N L., 0 L� CL■ 0� N t0 W � �Cb N W W Z� N Z z 04a ° = W o 00 _ L9a (1) = a N 1_I z � N '� � ❑ U W W O N L3 t0 00 co 2 L3 Z N L3 Z11 Z J � w Z Z wrn Q � g W Z Z w W wm °U_� °J UIY _ o 0) Z> m a X ° a_ m W ❑ in 00 a 0 0 J '0 v, J V Z O ti C) w C) z C) PZ 0 z 0 0 CO J J Q Q J O O uj LLI W Q SCALE: 1 = 300' DATE: 111112021 DRWN. BY: E. LAMBERT CHKD. BY: J. PFOHL PROJECT NUMBER G20032.0 DRAWING NO. SHEET NO. SHEET 1 1 OF 1 DocuSign Envelope ID: 8FOF9BA4-8300-4B24-A917-D2397AC56EA3 This Page Intentionally Left Blank