3402_Forsyth_HanesMill_MSWLF_WellInstall_FID1261976_20181227

G GOLDER
December 27, 2018
Ms. Jackie Drummond, Hydrogeologist
Department of Environmental Quality
Division of Waste Management
Solid Waste Section
2090 US Highway 70, Swannanoa, NC 28778
[phone]
Project No. 0939668718.400
INSTALLATION REPORT FOR ADDITIONAL BACKGROUND GROUNDWATER MONITORING WELLS
HANES MILL ROAD LANDFILL, PERMIT NO. 34-02
WINSTON-SALEM, NORTH CAROLINA
Dear Jackie:
On behalf of Winston-Salem/Forsyth County City/County Utilities Commission (CCUC), Golder Associates NC,
Inc. (Golder) is submitting the enclosed letter report summarizing the installation of background groundwater
monitoring wells MW-23 and MW-24 at the Hanes Mill Road Landfill as proposed in the Update on Addressing
Inorganic Exceedances; Request to Install Additional Background Groundwater Monitoring Wells and approved by
the North Carolina (NC) Department of Environmental Quality (DEQ) on September 17, 2018. The groundwater
monitoring wells were installed in accordance with the Title 15A of the North Carolina Administrative Code
(NCAC), Subchapter 2C Section .0100 (the North Carolina Well Construction Standards).
Between November 21 and 27, 2018, a Golder licensed geologist provided oversight for the installation of
groundwater monitoring wells MW-23 and MW-24. The monitoring wells were installed by South Atlantic
Environmental Drilling and Construction Company, Inc. (SAEDACCO) of Fort Mill, South Carolina, a NC -licensed
driller. The drilling equipment consisted of a Diedrich D-50 drilling rig utilizing 4.25-inch inner diameter (ID) hollow
stem augers (HSAs).
The boring for MW-23 was advanced with HSAs to a depth of approximately 42 feet below ground surface (bgs).
The monitoring well was constructed with 2-inch schedule 40 polyvinyl -chloride (PVC) screen and riser pipe. The
0.010-inch slotted screen was installed from approximately 32 to 42 feet bgs. The filter pack consisted of Driller
Service Inc. (DSI) #2 sand from approximately 30 to 42 feet bgs. A filter pack seal was installed from
approximately 28 to 30 feet bgs and consisted of 3/8-inch bentonite chips. The remaining annular space was
backfilled with Type I Portland cement.
The boring for MW-24 was advanced with HSAs to a depth of approximately 15 feet bgs. The monitoring well was
constructed with 2-inch schedule 40 PVC screen and riser pipe. The 0.010-inch slotted screen was installed from
approximately 5 to 15 feet bgs. The filter pack consisted of DSI #2 sand from approximately 4 to 15 feet bgs. A
Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407 T: [phone] F: [phone]
Engineering Lic. No. C-2862/Geology Lic. No. C-399
Golder Associates NC, Inc. is a licensed user of the Golder trademark, and an associated operating entity.
Golder and the G logo are trademarks of Golder Associates Corporation. golder.com

Ms. Jackie Drummond, Hydrogeologist
Department of Environmental Quality
Project No. 0939668718.400
December 27. 2018
filter pack seal was installed from approximately 3 to 4 feet bgs and consisted of 3/8-inch bentonite chips. The
remaining annular space was backfilled with Type I Portland cement.
The surface completions for these two wells consist of lockable aluminum protective casings, engraved tags, and
3-foot by 3-foot by 0.5-foot concrete aprons. The boring / well construction logs and Form GW 1 Rev. 8/13 are
provided as Attachment A. The monitoring well construction data are summarized on Table 1.
The wells were developed on December 14, 17, and 19, 2018. Water was purged from the wells until field
parameters stabilized and/or relatively sediment -free water was obtained. Well MW-23 was developed utilizing
the combination of a QED Well Wizard° well development pump and a rigid, dedicated bailer due to the low yield
of the well. Monitoring well MW-23 was developed for approximately 4 hours and approximately 67 gallons of
water were removed to achieve a turbidity of less than 200 nephelometric turbidity units (NTUs). Samples with
turbidity measurements of less than 10 NTU were collected on December 21, 2018.
Well MW-24 was developed utilizing a QED Well Wizard° well development pump. Monitoring well MW-24 was
developed for approximately 5.75 hours and approximately 200 gallons of water were removed to achieve a
turbidity of less than 50 NTUs. The well development forms are provided as Attachment B.
The monitoring wells were surveyed by Regional Land Surveyors, Inc. on December 13, 2018, a NC -licensed
surveyor. A sealed survey data table is provided as Attachment C. The locations of the replacement monitoring
wells are shown on Drawing 1.
Should you have any questions or require additional information, please do not hesitate to contact the
undersigned at [phone]. We appreciate your assistance with this project.
Sincerely,
Golder Associates NC, Inc.
FME
David "Dusty" Y. Reedy 11, PG
Senior Hydrogeologist
Rachel P. Kirkman, PG
Associate and Senior Consultant
GOLDER

Ms. Jackie Drummond, Hydrogeologist
Department of Environmental Quality
CC: Micah Johnson, Senior Civil Engineer, Winston-Salem/Forsyth City/County
Utilities Commission, 325 Hanes Mill Road, Winston-Salem, NC 27105.
336-734-1502.
Jan McHargue, PE, Assistant Utilities Director, Solid Waste, Winston-
Salem/Forsyth City/County Utilities Commission, 336-747-7310. (electronic
copy)
Mike Plummer, PE, HDR, 440 South Church Street, 10th Floor, Charlotte,
NC 28202, 704 338 6719. (electronic copy)
Attachments: Table 1 Summary of Monitoring Well Construction Information
Drawing 1 Newly Installed Background Monitoring Well Location Map
Attachment A Boring and Well Construction Records
Attachment B Well Development Forms
Attachment C Survey Data
g:\projects\winston-salem-Forsyth county\0939668718\phase 400 - well installation\200 deliverables\252 final issued\0939668718.400-r-001-rev0-
well_inst_rpt.docx
Project No. 0939668718.400
December 27. 2018
GOLDER 3

December 2018
TABLE 1
Summary of Monitoring Well Construction Information
Hanes Mill Road Landfill, Permit No. 34-02
0939668718.400
Landfill Gas
Monitoring Well
Identification
Date Installed
Casing
Diameter
(inches)
Northing
Easting
Elevations
Total Depth Drilled
Groundwater Surface
Screened Interval
Lithology of Screened Interval
STATUS
Ground
Surface
TOC
Depth
(ft bgs)
Elevation
(ft AMSL)
Depth
(ft TOC)
Elevation
(ft AMSL)
Depth (ft bgs)
Elevation (ft AMSL)
ft AMSL
from
to
from
to
MW-23
11/27/18
2
892,005.2300
11,620,008.33001
880.00
1 883.40
1 42.00
838.00
39.12
844.28
32.00
42.00
848.00
838.00
silty CLAY to sandy SILT
Background Well
MW-24
11/27/18
2
891,530.4000
11,616,933.96001
826.60
1 829.19
1 15.00
811.60
4.50
824.69
5.00
15.00
821.60
811.60
silty SAND to sandy CLAY
Background Well
Notes:
1. ft AMSL = feet above mean sea level
2. bgs = below ground surface
3. TOC = top of casing
_.' G 0 L D E R
1 of 1

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I,
r�
14 W-I 1 0 �00
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:a �s n�.i.���_ w
\ 1111 1111 1111
\.
NNW
..AAA,.,,.,._-_- , �f � - • � �>t �,;
:1 71 � •
1
f
J
oW-
794.
OW-7DA OWN
796.03
OW-3
O 811.79
SW-1
H
NM
MW-23
EXISTING 10-FOOT GROUND SURFACE CONTOUR
EXISTING 2-FOOT GROUND SURFACE CONTOUR
APPROXIMATE LIMITS OF WASTE
PROPERTY LINE
EXISTING ROAD
GROUNDWATER ELEVATION 5 FT CONTOURS
GROUNDWATER FLOW ARROW
MONITORING WELL AND IDENTIFICATION
SURFACE WATER MONITORING POINT
METHANE MONITORING POINT
NOT MEASURED
NEWLY INSTALLED BACKGROUND MONITORING WELL
a
NOTES
GRASSY CREEK 1. TOPOGRAPHIC CONTOUR INTERVAL = 2 FEET
6
J 2 GROUNDWATER SURFACE CONTOUR INTERVAL = 10 FEET
SW 3. GROUNDWATER ELEVATIONS MEASURED ON MARCH 5, 2018.
4. GROUNDWATER CONTOURS BASED ON LINEAR INTERPOLATION BETWEEN AND EXTRAPOLATION
FROM KNOWN DATA, TOPOGRAPHIC CONTOURS, AND KNOWN FIELD CONDITIONS. THEREFORE,
_ — GROUNDWATER CONTOURS MAY NOT REFLECT ACTUAL CONDITIONS.
/ 5. GROUNDWATER CONTOUR LINES SHOW THE WATER TABLE SHAPE AND ELEVATION. THESE
CONTOURS ARE INFERRED LINES FOLLOWING THE GROUNDWATER SURFACE AT A CONSTANT
ELEVATION ABOVE SEA LEVEL. THE GROUNDWATER FLOW DIRECTION IS GENERALLY
PERPENDICULAR TO THE GROUNDWATER SURFACE CONTOURS, SIMILAR TO THE RELATIONSHIP
BETWEEN SURFACE WATER FLOW AND TOPOGRAPHIC CONTOURS.
6. BASE MAP PROVIDED BY BRADY SURVEYING COMPANY BASED ON JANUARY 4, 2013 AERIAL SURVEY.
TOPOGRAPHY AND OTHER EXISTING SITE FEATURES INSIDE OF DASHED LINE UPDATED BASED ON c
1 JANUARY 6, 2016 AERIAL SURVEY.
L
1 I 7. COORDINATE SYSTEM IS N.C. STATE PLANE GRID.
il))) -
a' II I 250 250 500 i
L
7 3 SCALE FEET c
�—
• °�% CLIENT � c
WINSTON SALEM / FORSYTH COUNTY CITY /
COUNTY UTILITIES COMMISSION
F
TOPOGRAPHY AND OTHER
EXISTING SITE FEATURES INSIDE PROJECT
OF DASHED LINE BASED ON HANES MILL ROAD LANDFILL `
JANUARY 6, 2016 AERIAL SURVEY. `-
EXISTING CONDITIONS OUTSIDE
OF DASHED LINE BASED ON PERMIT NO. 34-02
I1 JANUARY 4, 2014 AERIAL SURVEY. FORSYTH COUNTY, NORTH CAROLINA
NEWLY INSTALLED BACKGROUND MONITORING WELL
�(
LOCATION MAP
L
CONSULTANT YYYY-MM-DD 2018-12-21 �
L
PREPARED KL
\ `
GO L D E R DESIGN DYR �
REVIEW DYR
GOLDER ASSOCIATES INC, INC. APPROVED R P K
IV
Jill
PROJECT No.
PHASE
Rev.
DRAWING
-
0939668718
400
0
9
0

RECORD OF BOREHOLE MW-23 SHEET 1 of 1
PROJECT: Hanes Mill Road Landfill DRILL RIG: Deidrich D-50 Turbo NORTHING: 892,005.23 DEPTH W.L.: 39.12
PROJECT NUMBER: 0939668718.400 DATE STARTED: 11/21/18 EASTING: 1,620,008.33 ELEVATION W.L.: 844.28
DRILLED DEPTH: 42.00 ft DATE COMPLETED: 11/27/18 GS ELEVATION: 880 DATE W.L.: 11/17/18
LOCATION: Winston-Salem, NC TOC ELEVATION: 883.40 ft TIME W.L.: 10:33
SOIL PROFILE
SAMPLES
Z
9
ELEV.
z
w
a
O
¢
MONITORING WELL/
WELL
w
)
n
2 0
w
w
BLOWS
v
PIEZOMETER
CONSTRUCTION
o
w
DESCRIPTION
a 0
a
a
per 6 in
j
DIAGRAM and NOTES
DETAILS
w
DEPTH
2
eft%
140 lb hammer
Z
0
880
30 inch drop
0.00 - 12.50
WELL CASING
CLAY, red, cohesive, w<PL, soft
Interval: -3.4 - 32 ft
Material: PVC
oao
oa
Diameter: 2-inc
g.U.
r99
Joint Type: Threaded
WELL SCREEN
Interval: 32 - 42 ft
Material: PVC
5
875
Diameter: 2-inch
.M
is
Slot Size: 0.010-inch
CH
999End
Cap: Threaded
Riser—
FILTER PACK
Interval: 30 - 42 ft
Type: No. 2 Sand
'&
FILTER PACK SEAL
Interval: 28 - 30 ft
10
870
iee
Type: 3/8 Bentonite Chips
ANNULUS SEAL
Interval: 1 - 28 ft
867.5
e°se
?°sa
Type: Portland Type I
12.50 - 25.00
silty CLAY, light orange, cohesive, w<PL,
12.50
nt
_
WELL COMPLETION
soft
Portland
Pad: 3x3x0.5 ft Concrete
Type I
Protective Casing: 4-inch
Aluminum
15
865
°h
DRILLING METHODS
Soil Drill: 4.25 inch HSA
9.-
Rock Drill: N/A
CL
20
860
`9
goo
99
�So
08:
25
855
855
5;e,
eo
a
25.00 - 35.00
25.00
is
sandy SILT, some medium sand, orange
a
3-3-4-6
7
1.25
.3e
with white quartz grains and black staining,
m
2.00
roe
gneiss rock fabric, non -cohesive, moist,
eN9
loose
Bentonite —
30
850
ML
35
845
845
35.00
35.00 - 42.00
sandy SILT, trace pebbles and gravel,
a
7-6-7-13
13
2.00
orange wih white and black bands, schist
�
2.00
rock fabric, non -cohesive, wet, compact
Screen —
ML
Sand —
40
840
838
Boring completed at 42.00 ft
45
835
LOG SCALE: 1 in = 5.5 ft GA INSPECTOR: D. Reedy PG
DRILLING COMPANY: SAEDACCO CHECKED BY: Rachel Kirkman, PG
DRILLER: Mike Wilson DATE: 12/21/18 ao�oer

RECORD OF BOREHOLE MW-24 SHEET 1 of 1
PROJECT: Hanes Mill Road Landfill DRILL RIG: Deidrich D-50 Turbo NORTHING: 891,530.40 DEPTH W.L.: 4.5
PROJECT NUMBER: 0939668718.400 DATE STARTED: 11/21/18 EASTING: 1,616,933.96 ELEVATION W.L.: 824.69
DRILLED DEPTH: 15.00 ft DATE COMPLETED: 11/27/18 GS ELEVATION: 826.6 DATE W.L.: 11/17/18
LOCATION: Winston-Salem, NC TOC ELEVATION: 829.19 ft TIME W.L.: 10:12
SOIL PROFILE
SAMPLES
Z
v
ELEV.
z
w
a
O
¢
MONITORING WELL/
WELL
w
)
n
2 0
w
w
BLOWS
v
PIEZOMETER
CONSTRUCTION
o
w
DESCRIPTION
a 0
a
a
per 6 in
j
DIAGRAM and NOTES
DETAILS
w
DEPTH
eft%
140 lb hammer
Z
30 inch drop
0
0.00 - 3.50
M
WELL CASING
silty CLAY, organics, dark brown,
Riser-
Interval: -2.6 - 5 ft
825
cohesive, w=PL, very soft
q
Material: PVC
CL
Portland 00
Diameter: 2-inch
Type I o°sa o
Joint Type: Threaded
823.1
Bentonite-
WELLSCREEN
3.50 - 4.75
silty SAND, fine, orange -brown,
SM
3.50
821.85
a
3-7-24-50/5
31
10
Interval: 5 - 15 ft
Material: PVC
5
non -cohesive, moist, loose
2.00
Diameter: 2-inch
4.75
4.75 - 8.50
Slot Size: 0.010-inch
silty SAND, fine, black and white with
End Cap: Threaded
820
some orange staining, schist rock fabric,
SM
non -cohesive, dry, dense
Sand-
FILTER PACK
Interval: 4 - 15 ft
818.1
Type: No. 2 Sand
8.50 - 9.00
SM
FILTER PACK SEAL
817.6
silty SAND, fine, non -cohesive, moist
9.00
Interval: 3 - 4 ft
10
9.00 - 12.00
Screen -
Type: 3/8 Bentonite Chips
silty SAND, non -cohesive, moist to wet
SM
ANNULUS SEAL
815
814,6
Interval: 1 - 3 ft
Type: Portland Type I
12.00 - 13.50
12.00
sandy CLAY, fine, trace rock fragments,
CL
tan, cohesive, w=PL
813.1
WELL COMPLETION
13.50 - 15.00
Pad: 5 ft Concrete
13.50
sandy CLAY, cohesive, w>PL
CL
811,8
Protecctivetive Casing: 4-inch
Aluminum
15
Boring completed at 15.00 ft
DRILLING METHODS
Soil Drill: 4.25 inch HSA
810
Rock Drill: N/A
20
805
25
800
30
795
35
790
40
785
45
LOG SCALE: 1 in = 5.5 ft GA INSPECTOR: D. Reedy PG
DRILLING COMPANY: SAEDACCO CHECKED BY: Rachel Kirkman, PG
DRILLER: Mike Wilson DATE: 12/21/18

WELL CONSTRUCTION RECORD
Thh rOrn S-0n be used FK 5i ngk 9r m ll ipk wells
1. Wdl Cantractor Information:
Michael Wilson
W01 Culilradlyr tranw
3351 A
NC Well Cnrlr.morCerlikoLiorkNiollber
SAEDACCO Inc
{'[u1kpuiF Nan1C
#r Wd1 CU111%tFVCti0H Pergrit fi
List lflli7pp6 aWr 16ellpl'rllnrs t1_'. Cf1Y/lfy-.52dw, Yariunre, ffWGR rjr.0
3. Wv1l Use {check w0l u re):
ClAlgtimultural DMlmicipala"Wic
DGealhemtal iHeaiiFk Cocling Apply) DResidenlial WaluSupph' (single)
0I1KfUSlfia1fC0D1nMU1ial DResidential Waler Supph' [sharod)
❑Irri tion
Nom-wstff SUPf y Well:
phlpnilor4Lz ❑RCcrr3 CT}'
QAgtriCCF RCcha%g
13Aquircr Slorage and R=G%v7
❑AgllifCr T
❑ExivEi nuffiml TrxhnOLpg.%-
❑Geodkernml 1Closed Limp)
❑Gmdkennal McAnneCboline Rrwnsl
❑GroUndvr'AICF RCIk"ialian
❑Sahnity Harriu
❑540rrm;'atCr E"Lnagc
11,151" Kc-CorMml
❑Tray T
❑011ier 4e xDlain under #21 1
4. Dite Wolt(s) Conkpleicd; 11/27/2018 Well 1DA?MW-24
$a, Wd11.I,cat6kn:
Hanes Mill Road Landfill
Facilll+ . 1 � : r. raciliw TVA! f4f applicable)
325 W. Hanes Mill Rd., Winston-Salem, NC, 27105
Physical Address_ City- and Zip
Forsyth
C411 Y P2KC1 IdClllff" ivri Na fP1r1}
5b,14 ituds ilwl 1.nngitaliv in tlgreer7mil vU*1recontlF. nr ckcimnl degrocs:
Qrmr,1l fad. 1nk: hdblimg is milk kmll
T1 }}'
6.Is lair) the welllsk 5UPennAntill or ❑Temporary
7. is thin a repair to an rxisti.olg: wrrll. --J'Ycx Ikr ®Nu
f/fhfs rx rr fgmir. f+y,,wr 4rn" w 1-di oxt+ fan riche elrloraweWai 4md expfabi rAe ewnwre of Me
repair under AIL mein the ixrl•f of rJdy form.
S.1lumhcrof wills touslttilcted: 1
for Mtallrt(le ark,eer"i of NfN1-wbrer mph- 4eth ONLY mrA d1r seaera 7sP% fk*. }%,4 [ei0
salbrir rear foray.
9. Totid trtll depth be&m lxad surfiam 15,
formxlrlpie 1;dh Ifsrriffdrfuhr ffdOfemfle.w wpfe-?@ZM' awd 2@lfhfr}
1 U. Stair weer levri below sup of carriuey ffl.l
If nlelrrfi Ir' d es 441O a inafrag_ ux' "+ '
11. Bmrbikle diamrtcr: 8. (!m ]
IL W01Cam irneLiorr method. 4 1/4" HSA
4i.e. a11{cr. miwy, cable_ ducal pushcEc.1
FOR WATER SUPPLY WELLS ONLY.
13a, triad (qm) Mc111od of lest:
1.1b. bimnRcliun nper Amount: _
For Fw i,,l 4rso ON Ly:
DESCRIFI ION
f$. ft
ftr p,
12.OUT R CASrNG Erar muYli- mm4 ncRsl OR LIKER (i asoN ablel
fL. 1 IL I in, I I
61, _04NER LASING OR TURING 4kKV1k FJkkAl ckmiA Ir6D) I
0 is. 5' It, 2"
27_SMUN
FROM 71) prA%w7rit
5. R. 15, (1, 211 iR
it I rt. I ia.
'1L I SCH-40 PVC
IR.
010 ISCH-40 I PVC
0
R.
3'
n.
Portland
Tremie
giciDkl
19.5ANhIGkAVELPACIC{;r
FROM
wr3
ma,rE kcs 1.
F:MPa.aCTAIENI' y
4'
(L
15'
fig
Sand
#2
tt,
fr,
3n, DRMLIKE;
LOG allach
410i14anHI wheel, it r rmez arti
FROM
TU
nF'.5('ItEr'T1fjNikithr,%Ardnvn,rdr'nn:41 ra
0
fL
15'
R,
brown and tan silt
fL
ft,
(L
ML
fL
ft
r4
rl
1Z.
rr.
Bentonite seal from 3'-4' 1
22, Crrffircar rkn:
11/27/2018
lar� * dale
$r signivlg alrir k.rmr L herek-y Lwjr 4- hour rhe we 4mo w y (wemi cxmarrui'rEd is ff xwralmvcY
1L'arh f SA KCAL' 02C .0f00 yr I iA NL'AC UC .02M Weti Czmfrwr Pit Srandafda 4vO rAwr rT
revs of rAii rrmFd hie .5 m Iwm'i" ra Aw ,1rii �rwjwn
23, She diawh om or addlllanal well drfaik;
You rnmy ,kse take back of this page to provide additional wdl site details Or well
WnSJ311rdUr1 details. You rrr3, also auach addilicmat pages if uecessan .
SURNIC TAL INSTUCTIONS
24a. Pqr All Wr11x: Subniii 11us faros williin xU days of compkiioo of well
Con5Inictipn to the foflouing-
Dirixiun of WArer krrriurcrs, Informatiou Proccsuiog, Unit,
1617 Mail Sersire {:enter, Raleigh, NC 27699-1617
tab. For Iniectiaa Weill ONLY: In addition io sending the foirn to rlw address in
24m nbmwe. also subialit a cop of this farm within zd days of cDnipleiioil of t++ell
conSUOULiur1 11) like 15000wi11g:
Dh-ision dWAler RemmreeN.lrrldergmund Injeciioll Control Program,
1636 Mail Srrvilx'Center. Raleith, NC 27699-1636
24rr For W4W Sp lire rn"gtriuo V4' ft
Also submit One Copy of this folnl Ntiithin 30 days ofconrplelion of
wdl cnoslnir:tian to ttm cnamry health Jrpurmt= of the rrxuay whom
CVFWMCtW
Forlri GW-L Nonh Carol Ira NjurinrilE aF Ern ilolularlu 31d N11011 Rtisoluccs - Dii rs roe of Woor Ravin Rt, Iscd ALIg1St 2013

WELL CONSTRUCTION RECORD
Thh rOrn S-0n be used FK 5i ngk 9r m ll ipk wells
1. Wdl Cantractor Information:
Michael Wilson
W01 Culilradlyr tranw
3351 A
NC Well Corlr.morCerlikoLiorkNiollber
SAEDACCO Inc
t'[ulkrliuiF NanlC
#, Wd1 CU111%tFVCti0H Pergrit fl
List lflli7pp6 aWr 16ellpl'rllnrs fEr.. CfwjlrV'_ .52dw, Yariunre, ffWGR rjr.0
3. Wv1l Use {check w0l u re):
ClAlgtimultural DMlmicipala"Wic
DGeDlhemtal tHeaiiFk Cocling Apply) DResidenital WaluSupph' (single)
0I1KfUSlria1fC0D1nMU1ial DResidential Waler Supph: (shared)
❑Irri tion
Nom-;' stff SUPf y Well:
phlpnilor4Lz ❑RCcir3 CT}'
QAgtriCCr RCcha%g
13Aquircr Slorage and ReCa%v7
❑AgllifCr T
❑Ex#eri nuffiml TrxhnOLpg.%-
❑Geodkernml 1Closed Limp)
❑Cimdkenalal McAn eCboline Rrwnsl
❑GroUndvr'AICr RC1k"ialian
❑Sahnity Harriu
❑SlOrrm;'atCr E"Lnagc
11,151" Kc-CorMml
❑Trdr T
❑Oilier texttlain Doder #21 1
4. Dite Wolt(s) Conkpleicd; 11/27/2018 Well 1Drf MW-23
$a, Wc11 LlwjtNkn:
Hanes Mill Road Landfill
raciliwTVA! fiFapplimblel
325 W. Hanes Mill Rd., Winston-Salem, NC, 27105
Phasicel Address_ City- and Zip
Forsyth
C411 Y P2KC1 IdClllff" ivri Na fP1r1}
5b,14 ituds ilwl 1.nngitaliv in tkgmrlminvU*1reconjIF. nr itccimnl degrocs:
Qrmr,1l field. lnk: hdblimg is milk kmll
Tti }}'
6. Is heel the welllsk 5UPennAntill o r ❑Temporary
7. is thin a repair to an rxist n%wrrll. --J'Ycx 1kr ®Nu
1f 0fs ix rr fgmir. f+y,,wr 4rn" w 1-di o, t+ fan riche elrloraweWai 1md expfabi rAe ewnwre of Me
repair under AIL m on the hrul of rJdr form.
S.1lumhcrof wills touslttilcted: 1
for Mtkke(le 1rtfeeriwl of NfNI-wbrer mph- 4eth ONLY mrll dlr slaeraor sP%wfk*. }%,4 [ei0
salbririme form.
9. Totid trtll depth be&m lAiLd surfiam 42'
formxlrli4e l.;dh Ifsrriffdrfuhr ffdiffervnfle.w wpfe-?@ZM' awd 2@Jfhfr}
1 U. Stair wttt'er levri below sup of casing: fhl.l
If nlelrrfi Ir' d es 441O a inafrag_ ux' "+ '
11. Bmrbikle diameter 8. (!m ]
IL W01comirnetiorr rwhod. 4 1/4" HSA
ti.e. ailptr. miwy, cable_ dire[ pushckc.l
FOR WATER SUPPLY WELLS ONLY.
13a, Vidd (qm) Mc111nd of jest:
1.1b. bisinkc6in nper Amount: _
For F nlal 4rsc ON Ly:
rRQM I T4 RE:ti{'HCP 11{}
ft. ft,
131.0UTER CASrNC ear ouW MAR
O. LIKER L kabk
FROM TO DlblslMR THICk. ESSI HATFRTAI•
rL fL io.
C MIER CASING OR TURING 4kKV1k FJkkal fiIW9ill4sOp)
0 ft. 32' FL 2"
SCH-40 PVC
IR.
I 32' FL 142' r1, 12" iR I .010 I SC14-40 I PVC I
R, rL ia.
0 R 28' n. Portland Tremie
19.5AN hiGk,4VEL PACK f;r gicitDkl
rR M Ira m4'rEkUl. E.MMAr'}'.9h1r:'4Tw}'T11r3n
30' R. 42' fig Sand #2
ft. I ft.
3n, DR1LL]KC LOG failmli additional shed, if nrcemml
0 fL
42' R,
fL
ft,
(L
ML
fL
fL
r4
rl
ri.
rr.
R.
IL
brown and tan silt
Bentonite seal from 28'-30' 1
22, CrrrTwar ikn:
to;
11/27/2018
Sig . rc � i`.. U;s a ZL.. aell dale
LLf' signmg alrir k.rm, L herek-y Lwjr 4' hour the wd4mo w y f wemi cxmarrui'rEd is ff xwralmvcY
1L'arh f SA KCAL' 02C .0f00 Pr I iA NL'AC UC .02M Weft Czmfrwr Pit Sta Rdarda 4vO rAW1 rT
rcvy of rAii rrmFd hm b m pawl" ra ribs ,Irlf �rwwn
23, Site diawh om or addlllanal well drfaits:
You may ,kse take back of this page to provide additional w+dl site details Or well
WnSJ311rdUr1 details. You ifl3,' also auach addilicmat pages if uecessan .
SUBM TTAL INSTUCTIONS
24a. Pqr All Wr11x: �ubniii 11us faros wilLin xU days of compkiioo of well
Con5lnictipn to the foflo%ing-
Dirixiun of WArer krrriurCrs, Informatiou Proccsuiog, Unit,
1617 Mail Sersire {:enter, Raleigh, XC 27699-1617
tab. For Iniectiaa Weill ONLY: In addition io sending the fom to rlw address in
24a nbm'e. also subialit a cop of this farm within zp days of Canipleiioir of twll
conSUOULiurl to like 15000 'ir1g:
Dh'ision dWAler RemmreeN.lrrldergmund Injeciioll Control Program,
1636 Mail Srrvilx'Center. Raltith, NO 27699-1636
25r, For W4W Sp lire rn"gtriuu Vt.' ft
Also submit One Copy of this folnl Ntiithin 30 days ofconrplelion of
wdl cnoslnir:tian to ttm cnamr; health trrpurmt= of the rrxuay when:
CpFWMCtW
Forlri OW-1. Nonh Carol Ira NjurifikCRE aF Ern ilolullrlu old N11011 Rtisoluccs - Dii is row of Woor Ravin Rt, Iscd ALIgUSt 2013

.,k
f�
�7t
t CC WELL
tr G
DEVELOPMENT LOG
Date:
NIP
Weather:
Project Name:
�kif\ f � W £ I
I be U Project No./Task No.:
©� -' 9 6 771
Event:
pty,
Sampler(s):
Ua s 14 a
Well ID:
/m tn.i- Z 3
Field Calibration Completed:
Well Diameter:
_inches
Initial Depth to Water:
i —7
Depth to Bottom:
feet Water Column Thickness:
_feet
feet
Equipment Used:
❑ WL Indicator
❑ Turbidity Meter ❑ Air Tank
❑ Disposable Bailer
❑✓ YSI
❑ Horiba U-22 ❑ Compressor ❑ Non -dedicated BP
❑ In Situ Troll 9500
L] MP-10 Controller Box [] MP-15 Controller
Box Other: SuperTwister
d)
Calculated Well Vol. (Gallons): Total Calculated Purge Volume (Gallons):
Pure Water'Management:
Purge Observations (color, odor, turbidity, sheen): 22dY1. Y19 W-t " f—CO05i; J-ea]/ ZS y'c4,1k/t1, PVA4P-to!
Other Observations /Equipment Operation Problems:
Signed Sampler: �(/WL t����G�(/ Date: `.-i—t �—V# Page of

C-1
Date:
GOLDER
WELL DEVELOPMENT LOG
Weather:
Project Name:
ii
VJ e- Project No./Task No.:
Event:
Sampler(s): C—'&5L'b
Well ID:
Field Calibration Completed: =
Well Diameter:
inches
Initial Depth to Water: Z s feet
Depth to Bottom:
feet Water Column Thickness:
feet
Equipment Used:
WL Indicator
E] Turbidity Meter 0 Air Tank
❑ Disposable Bailer
YSI
L-] Horiba U-22 El Compressor
E] Non -dedicated BID
In Situ Troll 9500
El MP-10 Controller Box El MP-15 Controller Box
Other: SuperTwister
0=1
Sp. Cond.
(US/11m),c
Turbidit
Dissolved
Oxygen
(mg/L)
HWAM
I
WWAR
Calculated Well Vol. (Gallons): Total Calculated Purge Volume (Gallons):
Purge Water Management:
Purge Observations (color, odor, turbidity, sheen): y 5e-d
Other Observations / Equipment Operation Problems:
Signed Sampler: aze-
Date: IZ _tq 'V — Page I of )

Total Calculated Purge Volume (Gall
GOLDWELL DEVELOPMENT LOG
Date:
Weather:
Project Name:
'Ll 4 n S /I
PC V, Project No. No.:
Event:
V ,
Sampler(s):
� C- V L6A�o
Well ID:
/V`W -Z¢
Field Calibration Completed:
Well Diameter:
inches
Initial Depth to Water:
i �J `� feet
Depth to Bottom:
feet Water Column Thickness:
feet
Equipment Used:
WL Indicator
❑ Turbidity Meter ❑ Air Tank
❑ Disposable Bailer
YSI
❑ Horiba U-22 ❑ Compressor
❑ Non -dedicated BP
❑ In Situ Troll 9500
❑ MP-10 Controller Box F ] MP-15 Controller
Box n Other: SuoerTwister
Date
Time
1 3
pH
(S.U.)
-7-3-7
Sp. Cond.
us/cm °c
3Sz
Turbidity
(NTU)
: I�C6
Dissolved
Oxygen
(mg/L)
Temp.
°C
S:�Z
4: t
ORP
(my)
Gallons
z 5-
C_
V4
�'
3
/ ( /
PP
/� �/
t a
7�
3
64 z
- 5�
-Z'�;"2
�
'?16'00
'Oe6
�LC3
3
,
T O
C)
Calculated Well Vol. (Gallons):
Purge Water Management:
Purge Observations (color, odor, turbidity,
Other Observations / Equipment Operation Problems: `

GOLDER WELL DEVELOPMENT LOG
Date:^ -
Project Name:
Event:
Well ID:
Well Diameter:
Depth to Bottom:
y Weather: C t lfcZ Fa Y
- it S c << �n✓� 1 Project No./Task No.: & 7 EY
�C_V Sampler(s): (`r rjw"x Lw
V/- -Z 1- Field Calibration Completed:
Z inches Initial Depth to Water: 2 feet
feet Water Column Thickness: feet
Equipment Used: D WL Indicator
❑ Turbidity Meter
❑ Air Tank
Disposable Bailer
0 YSI
[[ Horiba U-22
[[ Compressor
[] Non -dedicated BP
In Situ Troll 9500
0 MP-10 Controller Box
[] MP-15 Controller Box
Other: SuperTwister
Date
Time
_
pH
(S.U.)
Sp. Cond.
uS/cm oc
Turbidity
(NTU)
Dissolved
Oxygen
(mg/L)
Temp.
°C
ORP
(mv)
Gallons
3
3
' 161
2z'Z
13.
_ '�
✓`. CEO.
4�✓
��G(i
n f.)
?4`
23zz
2U U
75
_ !
.ry
,017
' - 7
r [
". ,
Z. t
C,��
7
- t? 7
�3
' f -
r? •7 , 4.ea
{
S
•
��
-
a /
r
uaicuiatea well Vol. ((3allons): Total Calculated Purge Volume (Gallons):
Purge Water Management:
Purge Observations (color, odor, turbidity, sheen):
t
Other Observations / Equipment Operation Problems:
Signed Sampler: 1r1 ot,,, ,�"�`a Date: o Page of

December20,2018
David Reedy
Golder Associates NC, Inc.
513 Oak Branch Drive
Greensboro; North Carolina
I hereby certify to the best of my knowledge the information below is a true and accurate
location of the existing monitoring wells at the Hanes Mill Landfill in Winston-Salem North
Carolina,
ELEVATION
WELL NORTHING EASTING TOP PIPE GROUND
23 892,005,2300 1,620,008.3300 883,40 880.0
24 891,530,4000 11616,933,9600 829,19 826.6
Sincerely,
Regional Land Surveyors, Inc. ,µCAR����„��•�
40
0 D
�Q�oFEssio,� li,L.
Q 9
Kim R. Lill PLS L-36 FS ` ¢ SEAL
L-3612
Regional Land Surveyors, Inc.%.�y�;.�
NC License No. C-1362 y
5642 W. Market Street Suite 100, Greensboro, North Carolina 27409
Phone: [phone] � www,regionallandsurveyors.com