9205_TownofWakeForestCAPapplication_DIN26256_20160512

GWCA .0500 Application - Page 1 of 3
North Carolina Department of Environment and Natural Resources
Division of Waste Management
Solid Waste Section
North Carolina Solid Waste .0500 Groundwater Corrective Action Application
Post closure care monitoring of this .0500 solid waste management facility is required pursuant to the rules codified at 15A NCAC
13B Section .0500, et. seq., .0600, et. seq., and N.C.G.S. 130A-309.27. Groundwater quality at this solid waste management facility
is also subject to the "Classifications and Water Quality Standards Applicable to the Groundwaters of North Carolina," 15A NCAC
2L.

Due to the detections of groundwater exceedances at this solid waste management facility, pursuant to 15A NCAC 2L .0106(d)(2),
any person conducting or controlling an activity under the authority of a permit which results in an increase in concentration of a
substance in excess of the standards at or beyond the compliance boundary is required to assess the nature and extent of the
contamination and submit the results of the investigation and a plan for corrective action to the Division. In accordance with 15A
NCAC 2L .0107, a compliance boundary (the relevant point of compliance) shall be established 250 feet from the waste boundary, or
50 feet within the property boundary, whichever point is closer to the source.

As a result, groundwater corrective action is required to be implemented at this solid waste management facility, and a remedy must
be selected. Once the Division approves the selected remedy, a Corrective Action Plan (CAP) is required to be submitted. The
Division highly recommends conducting a public meeting to discuss the selected remedy. Please complete the North Carolina Solid
Waste .0500 Groundwater Corrective Action Application and please attach the following:

(1) a signed resolution/proclamation/document adopting the selected remedy,
(2) a site map designating the locations of the groundwater monitoring wells and surface water monitoring locations that will or
may be impacted by the selected remedy,
(3) any draft conceptual schematics/figures/plans relating to the selected remedy,
(4) a list of any required registrations, permits, and approvals,
(5) a copy of the facility's permit issued by the Solid Waste Section,
(6) a copy of the facility's closure letter/permit issued by the Solid Waste Section, and
(7) a copy of the minutes from the public meeting discussing the selected remedy(if applicable)

Please send or email the completed application and the attachments to NCDENR-DWM, Solid Waste Section, Compliance Unit, 1646
Mail Service Center, Raleigh, NC 27699-1646. This application and any documents attached to this application 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).

Please type all information.
I. Site Identification
Permit Number:
Facility Name:
Facility Physical Address:
City:Zip:
County:
Waste Type:
9205-MSWLF-1980
North White Street Landfill
North White Street (S.R. 1941)
Wake Forest 27587
Wake
Closed MSWLF
GWCA .0500 Application - Page 2 of 3
III. Groundwater Corrective Action
Selected remedy (include additional lines if needed):
(1)
(2)
(3)
Contingency Plan A:
Contingency Plan B:
IV. Project Schedule (upon Division approval)
Approximate Date of Remedy Construction Completion (if applicable):
Approximate Date of Implementation of Remedy:
Approximate Date of MNA Baseline Sampling Completion (if applicable):
Approximate Date of Submittal of the Corrective Action Evaluation Report:
V. Environmental Consultant
Consulting Company:
Address:
Phone Number:
II. Owner and Operator Information
Check box, if owner and operator are the same.
Owner
Name:
Address:
Phone Number:
Operator
Name:
Address:
Phone Number:
Monitored Natural Attenuation
Aerobic Biodegradation
Air Sparge/Soil Vapor Extraction
n/a
n/a
awaiting approval
awaiting approval
awaiting approval
awaiting approval
Froehling & Robertson, Inc.
310 Hubert Street, Raleigh, NC 27603
919-828-3441
Town of Wake Forest - Public Works Department
234 Friendship Chapel Road
919-556-1331
GWCA .0500 Application - Page 3 of 3
VI. Signatures
To the best of my knowledge, the information reported and statements made in this North Carolina Solid Waste .0500
Groundwater Corrective Action Application are true and correct. I am aware that there are significant penalties for making any
false statement, representation, or certification including the possibility of fine and imprisonment.

If Owner and Operator are the same, please sign for Owner and type or write SAME for Operator.
OwnerOwner Name (Printed or Typed):
Owner Signature:Date:
OperatorOperator Name (Printed or Typed):
Operator Signature:Date:
NC Professional Geologist or NC Professional EngineerName (Printed or Typed):
Signature:Date:
Affix NC Professional Geologist or Engineer Seal:
Mike Barton
05/11/2016
Same
Benjamin A. Whitley, P.E.