4101_Guilford_CityHighPoint_Riverdale_MSWLF_Seaboard_Sept23LFG_FID1819484_20231024

DocuSign Envelope ID: 64E5DF4C-3B3C-4CC8-92BC-B8834D2217C6
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 September 28, 2023
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
10/23/2023
[ Si5:_ i C_ 2.-v e,
Signature 3111-178EA0E6 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
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275$ 10/ 3/2023
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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: 09/28/2023
Name and Position of Sample Collector:
Permit Number: 41-01
NC Landfill Rule (.0500 or .1600): .0500
Kyle M. Bonnett - Environmental Technician
Type and Serial Number of Gas Meter: GEM 5000, G506472
Date and Time of Field Calibration: 09/28/2023, 1155
Calibration Date of Gas Meter: 01 /2023
Type of Field Calibration Gas (15115 or 35/50): 35/50 Expiration Date of Field Calibration Gas Canister: 10/2023
Pump Rate of Gas Meter: 0.5 LPM
Ambient Air Temperature: 70 F Barometric Pressure: 29.33 in Hg General Weather Conditions: Partly Cloudy
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
Sample Tube
Purge
Time
Time
Pumped (s)
Initial
gZEL
Stabilized
°,,ZEL
df4CH4
by
Vohlme
%02
%CO2
Notes
H2 S ppm
1-1
>60s
1254
>60s
0
0
0.0
14.1
7.0
1
LFG 3
-
-
-
-
-
-
-
LFG 4
>60s
1301
>60s
0
0
0.0
17.6
2.5
2
LFG 5
>60s
1303
>60s
0
0
0.0
16.5
3.3
2
LFG 6
>60s
1306
>60s
50
50
2.5
10.0
12.5
2
LFG 7
>60s
1329
>60s
848
848
42.4
0.6
26.4
2
7-1
>60s
1327
>60s
640
640
32.0
5.2
26.6
2
7-2
>60s
1324
>60s
0
0
0.0
17.6
2.5
1
7-3
>60s
1323
>60s
262
262
13.1
1.0
31.3
2
7-4
>60s
1321
>60s
876
876
43.8
3.7
26.5
2
LFG 8
>60s
1317
>60s
1074
1074
53.7
2.4
32.6
3
LFG 8A
>60S
1318
>60S
1178
1178
58.9
0.1
36.1
10
LFG 8B
>60s
1319
>60s
678
678
33.9
7.5
25.9
4
8-1
>60s
1315
>60s
1030
1030
51.5
2.1
37.7
2
8-2
>60s
1314
>60s
1108
1108
55.4
0.2
43.3
6
8-3
>60s
1313
>60s
966
966
48.3
1.6
39.2
2
8-4
>60s
1332
>60s
1112
1112
55.6
0.4
39.4
4
8-5
>60s
1335
>60s
914
914
45.7
1.7
36.1
2
LFG 9
>60s
1336
>60s
960
960
48.0
2.4
29.6
2
9-1
>60s
1337
>60s
628
628
31.4
2.5
31.2
2
LFG 10
>60s
1339
>60s
0
0
0.0
16.4
5.0
2
Old Maint Bldg
>60s
1308
>60s
0
0
0.0
19.9
0.0
0
Electrical Shop
>60s
1310
>60s
0
0
0.0
19.9
0.0
0
4 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:
$o"m
E10B56EEF9EA34ED...
SIGNATURE
Environmental Technician
TITLE

DocuSign Envelope ID: 64E5DF4C-3B3C-4CC8-92BC-B8834D2217C6
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DocuSign Envelope ID: 64E5DF4C-3B3C-4CC8-92BC-B8834D2217C6
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