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Home My WebLink About8602_Surry_MtAiry_MSWLF_CDLF_Jan24LFG_FID1827854_20240202DocuSign Envelope ID: 33B2A2CB-934E-4887-85D5-BBD31 BOF3BDC 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, 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, 2024 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 2/2/2024 .............. Signature Date 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 Affix NC Licensed/ Professional Geologist Seal DocuSign Envelope ID: 33B2A2CB-934E-4887-85D5-BBD31 BOF3BDC This page intentionally left blank. DocuSign Envelope ID: 33B2A2CB-934E-4887-85D5-BBD31 BOF3BDC 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: 01 /31 /2024 NC Landfill Rule (.0500 or .1600): Sample Collector Name & Position: Kyle M. Bonnett - Environmental Technician Gas Meter Type & Serial Number: GEM 5000, G506472 Gas Meter Calibration Date: Field Calibration Date & Time: 01 /31 /2024, 1201 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: 02/26 Ambient Air Temperature: 51 F Barometric Pressure (in. or mm Hg): 29.01 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 g �o LEL Stabilized /o LEL % CH4 (volume) Duo 02 (volume) % CO2 (volume) % H2S* (volume) NOTES MGP-2R >60s 1439 >60s 0.0 0.0 0.0 21.0 0.5 0 MGP-3 I >60s 1411 >60s 0.0 0.0 0.0 15.6 1 3.9 0 MGP-4 >60s 1414 >60s 190 190 9.5 15.0 4.9 0 MGP-5 >60s 1422 >60s 0.0 0.0 0.0 19.8 1.0 0 MGP-6 >60s 1419 >60s 32 32 1.6 0.6 15.4 0 MGP-7 >60s 1500 >60s 742 742 37.1 7.9 14.3 0 MGP-8 >60s 1458 >60s 0.0 0.0 0.0 19.0 1.1 0 New Scalehouse >60S 1514 >60S 0.0 0.0 0.0 21.2 0.0 0 Old Scalehouse >60S 1519 >60S 0.0 0.0 0.0 21.2 0.0 0 Bailing Shed >60s 1525 >60s 0.0 0.0 0.0 21.2 0.0 0 Attendant Building >60S 1522 >60S 0.0 0.0 0.0 21.2 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. D-Sig.. by: SIGNATURE Environmental Technician TITLE Revised - March 6, 2017 DocuSign Envelope ID: 33B2A2CB-934E-4887-85D5-BBD31BOF3BDC 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: 01 /31 /2024 NC Landfill Rule (.0500 or .1600): Sample collector Name & Position: Kyle M. Bonnett - Environmental Technician Gas Meter Type & Serial Number: GEM 5000, G506472 Gas Meter Calibration Date: Field Calibration Date & Time: 01 /31 /2024, 1201 01 /2023 Field Calibration Gas Type (15115 or 35/50): 35/50 Field Calibration Gas Canister Expiration Date: 02/26 Gas Meter Pump Rate: 0.5 L/min Ambient Air Temperature: 51 F Barometric Pressure (in. or mm Hg): 29.01 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 1516 >60s 0.0 0.0 0.0 21.2 0.0 0 New Shop >60s 1509 >60s 0.0 0.0 0.0 21.3 0.0 0 Shop Shed >60s 1508 >60s 0.0 0.0 0.0 21.3 0.0 0 Shop >60s 1511 >60s 0.0 0.0 0.0 21.3 0.0 0 LFGE Office >60s 1506 >60s 0.0 0.0 0.0 21.3 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. 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BY: E. LAMBERT CHKD. BY: J. PFOHL PROJECT NUMBER G20032.0 DRAWING NO. SHEET NO. SHEET 1 1 OF 1