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HomeMy WebLinkAbout9809_WilsonCDLF_1LFGPlan_20220705DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 Landfill Gas Monitoring Plan Westside CAD Landfill — Area 2 Wilson, North Carolina Prepared for: Wilson County Solid Waste Services Department Wilson, North Carolina C1 July 2020 (Revised June 2022) Prepared by: SMITH GARDNER 14 N. Boylan Avenue, Raleigh NC 27603 1 919.828.0577 PRINTED ON 100% RECYCLED PAPER BARTLETT ENGINEERINCN SURMNI A 02022Smith Gardner, Inc. This document is intended for the sole use of the client for which it was prepared and for the purpose agreed upon by the client and Smith Gardner; Inc. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 Landfill Gas Monitoring Plan Westside CH Landfill - Area 2 Wilson, North Carolina Prepared For: Wilson County Solid Waste Services Department Wilson, North Carolina S+G Project No. Wilson-20-1 DocuSigned by: E bal� Q. Si14L B9779EBA711F488... Joan A. Smyth, P.G. Senior Hydrogeologist E(� DocuSigned by:. Atlawt 358C21E64007440... VV. Michael Brinchek, P.E. Senior Project Manager July 2020 (Revised June 2022) CAlip4 6 EN F4 o s '? SEAL 9 1369 7/1 0 A. SMITH GARDNER 14 N. Boylan Avenue, Raleigh NC 27603 1 919.828.0577 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 Westside CEO Landfill — Area 2 Wilson, North Carolina Landfill Gas Monitoring Plan Table of Contents Paqe 1.0 INTRODUCTION.....................................................................................................................1 1.1 Regulatory Requirements - C&D Landfills..............................................................1 1.2 Guidance Document..................................................................................................2 1.3 Contact Information..................................................................................................2 1.3.1 Owner............................................................................................................2 1.3.2 Engineer........................................................................................................2 1.3.3 North Carolina Department of Environmental Quality (NC DEQ) ................3 1.4 Existing Site Conditions............................................................................................3 1.4.1 Site Geology..................................................................................................3 1.4.2 Local Groundwater Regime..........................................................................4 2.0 MONITORING PROGRAM......................................................................................................5 2.1 Monitoring Frequency...............................................................................................5 2.2 Proposed Monitoring Network.................................................................................5 2.2.3 LFG Monitoring Well Construction...............................................................5 2.3 Monitoring and Reporting.........................................................................................5 2.3.1 Personnel......................................................................................................6 2.3.2 Equipment.....................................................................................................6 2.3.3 Procedures....................................................................................................6 2.3.4 Precautionary Action Plan............................................................................7 2.3.5 Record Keeping.............................................................................................8 2.4 Maintenance..............................................................................................................8 3.0 CONTINGENCY PLAN............................................................................................................9 3.1 Immediate Action Plan..............................................................................................9 3.1.1 Reporting and Documentation.....................................................................9 3.2 Remediation Plan......................................................................................................9 FIGURES Figure 1 Site Monitoring Plan Figure 2 Flowchart of Methane Monitoring Requirements APPENDIX Appendix A Reporting Form Wilson County Westside CGG Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Table of Contents Page i DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank. Wilson County Westside CGS Landfill —Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Table of Contents Page ii DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 1.0 INTRODUCTION This Landfill Gas (LFG) Monitoring Plan (plan) was prepared by Smith Gardner, Inc. to describe the LFG monitoring program at the Wilson County Westside Construction & Demolition Debris (C&D) Landfill Area 2 expansion, which is located off of NC Hwy 42 East in Wilson, North Carolina. The Area 2 expansion encompasses approximately 17.2 acres. This plan describes the necessary procedures to satisfy applicable regulatory requirements (see Section 1.1) for landfill gas monitoring. The Engineer has utilized the best available site data, practices, experience, and judgment to develop this plan. However, the plan may require modifications over time to accommodate changing landfill conditions, changing receptors in areas adjacent to and around the landfill, or other conditions that cannot be fully anticipated. Uncontrolled migration of LFG (particularly methane (CHA can result in loss of life or property, injury, vegetative damage, and/or intolerable odors. Landfill monitoring includes exposure to explosive gases. Monitoring personnel should be specifically trained in the management and response for situations such as fire or explosion and confined space entry and possess an awareness of changing conditions around the landfill. Note that this plan does not address landfill gas collection and control, air quality, or other related landfill gas regulations or requirements which may be applicable to this site at present or in the future. 1.1 Regulatory Requirements — COD Landfills The North Carolina Solid Waste Management Rules (C&D Landfills: 15A NCAC 13B.0544 (d)) requires the following for facilities having a C&D Landfill: Owners or operators of C&D landfill units must ensure that: o the concentration of methane or other explosive gases generated by the facility does not exceed 25% of the lower explosive limit (LEL) (1.25% methane; 1 % hydrogen sulfide) in facility structures (excluding gas control or recovery system components); and o the concentration of methane or other explosive gases does not exceed the LEL (5% methane; 4% hydrogen sulfide) at the facility property boundary. • Owners or operators of C&D landfill units must implement a routine monitoring program and perform monitoring on at least a quarterly basis. If regulatory limits for concentrations of methane or other explosive gasses are exceeded, a contingency plan must be implemented for the protection of human health and safety. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 1 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 1.2 Guidance Document This plan was developed generally following the Landfill Gas Monitoring Guidance document prepared by the North Carolina Department of Environmental Quality (NC DEQ), Division of Waste Management (DWM)'. 1.3 Contact Information All correspondence and questions concerning this plan should be directed to the appropriate contact below: 1.3.1 Owner Wilson County Solid Waste Services Department 2400 NC Hwy 42 East Wilson, NC 27893 Phone: (252) 399-2823 Fax: (252) 399-0904 Contact: Andy Davis, Director adavisfawi[son -co.com 1.3.2 En ineer Smith Gardner, Inc. 14 N. Boylan Avenue Raleigh, North Carolina 27603 Phone: (919) 828-0577 Contacts: Joan A. Smyth, P.G., Senior Hydrogeologist ioanfasmithgardnerinc.com W. Michael Brinchek, P.E., Senior Project Manager mikefasmithaardnerinc.com NC DEQ DWM (2010), "Landfill Gas Monitoring Guidance", NC DEQ DWM Solid Waste Section, November 2010. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 2 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 1.3.3 North Carolina Department of Environmental Quality (NC DEQ) Division of Waste Management (DWM) - Solid Waste Section: North Carolina DEQ - Raleigh Central Office 217 W. Jones Street Raleigh, NC 27603 1646 Mail Service Center Raleigh, NC 27699-1646 Phone: (919) 707-8200 Contact Contact 1.4 Existing Site Conditions Ms. Christine Ritter Christine. Ritter(dncdenr.gov John College - Environmental Specialist John.collegeCancdenr.gov The site is located off of NC Highway 42 near Wilson, North Carolina approximately one mile east of Highway 301. The C&D landfill is permitted to serve Wilson County. The Westside C&D landfill facility encompasses approximately 700 acres owned by Wilson County.The permitted facility is bounded to the north by NC Hwy 42; to the west by a small subdivision, O'Brain Tarping and Fulford and Jones Asphalt Plant; to the south and west by Toisnot Swamp; and to the east by Landfill Road and other subdivision developments. Area 2 is situated in the uplands above Toisnot Swamp, andhas Buck Branch, which drains to the Toisnot Swamp, to the east (see Figure 1). Maximum ground elevations in the expansion area are approximately El. 112, and gently slopes to the south and more sharply to the east toward Buck Branch. The eastern quarter of the proposed expansion area drains to the east, while the remaining footprint drains to the south. The facility location and existing site conditions are shown on Figure 1. 1.4.1 Site Geolo The WestsideC&D expansion sits within the North Carolina Coastal Plain. The coastal plain is characterized as an eastward thickening wedge of sedimentary layers that alternate between sandy aquifers an aquitards. Information taken from The Geologic Map of North Carolina, 1985 shows that the Westside C&D Expansion is underlain by the Yorktown Formation, which is described as "fossillifferous clay with varying amounts of fine-grained sand, silty sand, sandy silt, silty clay, and blueish gray shell material" No unusual geologic features or conditions were identified during recent or prior site studies. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 3 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 1.4.2 Local Groundwater Reoime Groundwater in the upper -most aquifer generally flows through unconsolidated sediments. Recharge occurs generally in the northern portion of the site and is limited on slopes. Groundwater generally flows south where it discharges into Toisnot Swamp and to the east where it discharges to Buck Branch. The groundwater potentiometric surface generally reflects a subdued expression of the surface topography. Local conditions are considered typical for coastal plain region. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 4 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 2.0 MONITORING PROGRAM This section of the LFG Monitoring Plan addresses each aspect of the monitoring program including monitoring frequency, monitoring network, and monitoring and reporting procedures. 2.1 Monitoring Frequency Routine LFG monitoring will be conducted on a quarterly basis analyzing for methane and hydrogen sulfide at all landfill gas monitoring wells and facility structures.. 2.2 Proposed Monitoring Network Area 2 is comprised of five (5) phases, and is bounded to the east by Buck Branch and Toisnot Swamp to the south. Surface water bodies are natural barriers to the migration of landfill gas and therefore, the network proposed is focused to the north and east. Proposed monitoring locations are shown on Figure 1 and are summarized in the following LFG monitoring network schedule below. Westside C&D Landfill - Area 2 LFG Monitoring Network Schedule Proposed Mo itoring Locations Scalehouse Maintenance Shop GP-4 GP-5 GP-6 GP-7 If desired by the County, a dedicated methane monitor may be installed within one or more of the structures to be monitored, or quarterly manual monitoring may be performed. 2.2.3 LFG Monitorino Well Construction Proposed LFG monitoring wells will be installed to approximately groundwater depth, estimated from nearby groundwater monitoring wells. Wells will be screened with 2-inch diameter 10-slot PVC well screen from the total well depth to between 5 feet and 10 feet below grade. Each well will be completed with solid PVC riser pipe, a well cap fitted with a stopcock valve or quick connect fitting, and a locking outer steel casing. 2.3 Monitoring and Reporting Monitoring and reporting of LFG concentrations will be performed as outlined below. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 5 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 2.3.1 Personnel LFG monitoring will be performed by personnel who are familiar with the requirements of this plan and who are trained in LFG hazards and explosive gas meter use. As practical, a designated technician will be assigned to regular LFG monitoring duty. 2.3.2 Equipment A portable gas analyzer (or equivalent) will be used to monitor LFG wells and facility structures. This analyzer, which is calibrated to methane (CH4), operates using the infrared spectral property of methane to measure concentrations in air. Measurements of oxygen (02) and carbon dioxide (CO2) will also be made with this meter. This meter may be used in oxygen deficient areas (less than 10% 021 since oxygen is not required for a chemical combustion of flammable gases within the meter. Note that a separate analyzer may be required for measurement of hydrogen sulfide. On the day of monitoring, prior to monitoring activities, this meter will be field calibrated. Additionally, all monitoring equipment should be regularly calibrated in accordance with manufacturer's specifications and operated only as instructed. 2.3.3 Procedures Prior to each monitoring event, the portable gas analyzer will be calibrated with a known calibration standard in accordance with manufacturer's recommendations. General information related to the monitoring event, equipment used, calibration procedures, weather conditions, and results for each monitoring event will be recorded on the landfill gas monitoring data form (see Appendix A). The following steps outline the procedure for the monitoring of LFG monitoring wells and facility structures: Check calibration date on the meter and calibrate according to the manufacturer's instructions; allowing equipment to warm up properly prior to use, per manufacturers direction. Purge sample tube before monitoring following the manufacturer's instructions and until detected levels of CH4, 02, and CO2 return to ambient air. LFG Monitorina Wells: o Connect instrument tubing to sample port on the monitoring well without removing the cap. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 6 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 o Open the valve and record both the initial and stabilized methane concentrations. A stabilized concentration will not vary more than 0.5 percent by volume on the instrument's scale. Also record the oxygen concentration and the carbon dioxide concentration. Also record the hydrogen sulfide concentration (where applicable). o Close the valve and disconnect the tubing. o Record monitoring data on the LFG monitoring data form provided in Appendix A. o If a methane or hydrogen sulfide concentration is greater than 50% of the LEL (2.5% CH4 or 2% H2S1, monitoring personnel should implement the Precautionary Action Plan (see Section 2.3.4). o If both initial and stabilized methane and hydrogen sulfide concentrations are less than 50% of the LEL (2.5% CH4 or 2% HZS), move to next LFG monitoring well. Structures. o Walk through the facility structure with a methane analyzer and monitor the perimeter wall interface of the structure, the floor to wall interface in hallways and rooms, and any floor penetrations in the structure. Record the initial and stabilized methane concentrations, oxygen concentration, and carbon dioxide concentration. Also record the hydrogen sulfide concentration (where applicable). o Record monitoring data on the LFG monitoring data form provided in Appendix A. o Notify the Landfill Manager and the Engineer for any methane or hydrogen sulfide concentration greater than 0% of the LEL. /FA STABILIZED METHANE OR HYDROGEN SULFIDE CONCENTRA T/ON /S GREA TER THAN 100% OF THE LEL IN LFG MON/TOR/NG WELL OR GREA TER THAN25% OFTHE LEL IN FACILITY5TRUCTURE, THE FOL L 0 WING A C TIONS WILL BE IMPLEMENTED: 1) Recalibrate monitoring equipment and confirm results. 2) If results are confirmed, IMMEDIATELY contact the Landfill Manager and the Engineer. 3) Implement the Immediate Action Plan located in Section 3.1. 2.3.4 Precautionary Action Plan If a stabilized methane or hydrogen sulfide concentration is equal to or greater than 50% of the LEL in a LFG monitoring well, monitoring personnel should perform the following additional steps at this location: • Measure gas pressure in the well head (in inches of water) using magnehelic gauge or other appropriate metering device. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 7 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 • Record at least one additional methane and/or hydrogen sulfide concentration measurement, inside the well just below the top of casing. • Evaluate the surrounding area for potential receptors to or signs of LFG migration. LFG can stress vegetation and can kill trees and grass by root asphyxiation. Note stressed/dead vegetation areas on the monitoring form. • Notify the Landfill Manager and the Engineer for further evaluation. 2.3.5 Record Keeping Routine LFG monitoring events will be documented on the LFG monitoring data form provided in Appendix A. Completed forms will be placed in the landfill operating record located at the landfill office. These forms will be available for review by DWM personnel on request. Documentation of any contingency plan actions (see Section 3.0) will also be kept in the operating record. 2.4 Maintenance Periodic maintenance and site observations will be conducted routinely to address monitoring program components (at a minimum): Maintain access to LFG monitoring locations. Perform LFG monitoring well maintenance (maintain well locks, steel casing, concrete pad, etc.). Observe landfill cover conditions, areas of dead vegetation, leachate seeps, odors, etc. as indications of potential LFG-related problems. Note deficiencies on the monitoring forms and report to the Landfill Manager for repair or replacement as necessary. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 8 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 3.0 CONTINGENCY PLAN If a stabilized methane or hydrogen sulfide concentration is greater than 100% of the LEL in a LFG monitoring well or greater than 25% of the LEL in a facility structure, the County will perform both an immediate action and plan and a remediation plan as described below and as summarized on Figure 2. 3.1 Immediate Action Plan The Landfill Manager will perform the following actions for the protection of human health and safety: 1) Evacuate affected facility structures and the immediately surrounding area. 2) Determine nearby potential receptors (facility and off -site structures). 3) Perform monitoring in any other facility structure near the monitoring location having the high concentration. 4) Contact the local Fire Department (911). Coordinate evaluation of potentially affected off -site structures with the Fire Department. 5) Verbally notify the Public Utilities Director, or his designee. 6) Verbally notify the DWM (see Section 1.1) as soon as practical. 7) Investigate and identify the potential source(s) and conduit(s) for LFG migration that may have caused the high concentration (i.e. the path that the LFG may be taking to the monitoring location). 8) Identify the LFG extent using bar hole punch sampling methodology or other applicable alternative method as practical. 9) As appropriate, begin corrective action to control methane concentrations in structures surrounding the landfill site. 3.1.1 Reporting and Documentation Within fourteen days of the detection of a high methane and/or hydrogen sulfide concentration, the County will prepare and submit an Environmental Monitoring Reporting Form (see Appendix A) with the results of the monitoring event to the DWM. The County will also place a description of the actions performed to protect human health in the operating record. 3.2 Remediation Plan Within sixty days of the detection of a high methane and/or hydrogen sulfide concentration, a remediation plan describing the problem nature, extent, and proposed remedy will be prepared and submitted to the DWM for approval. Upon approval, the plan will be implemented and a copy will be placed in the operating record. The DWM will also be notified the plan has been implemented. An extension may be granted by the DWM after a written request. Wilson County Westside CGS Landfill -Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 9 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank. Wilson County Westside CGS Landfill —Area 2 Landfill Gas Monitoring Plan July 2020 (Revised June 2022) Page 10 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 Figures Landfill Gas Monitoring Plan Westside CSD Landfill — Area 2 Wilson, North Carolina DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 rn O 0 m Z 0 a� 0 N GP-5� \\ \ 1..1 J NEAREST RESIDEN17AL N STRUCTURES w ® E Z 0 GP� I-�I 1 z I \ / /l n E o c� \ _ I /IICD GP- 100 CD Ld r /� IJ O / % rl (FUTURE AREA 2 II C&D LANDFILL )( )�� - j �< JV� Ld J Q Q CDv1 N / _ LEGEND w o ZI EXISTING 10' CONTOUR — 05 ii (SEE REFERENCE 2) EXISTING 2' CONTOUR a �� (SEE REFERENCE 2) APPROXIMATE PROPERTY LINE o N -` �� — — /� \\�� — 100 i 4 I l / \ 1 / / \ (SEE REFERENCE 1) \ �yf� I / / APPROXIMATE STREAM CENTER LINE (SEE REFERENCE 2) a 0 Q 0 WASTE LIMITS 1 PROPOSED LANDFILL GAS T G-4 95 MONITORING WELL 1\ — �\ f ( �� "� ; / / REFERENCES o \ _\ \�\ 1. PARCEL BOUNDARIES, WETLAND AND STREAM LOCATIONS PROVIDED BY z z ,� CU = J BARTLETT ENGINEERING & SURVEYING, PC; BASED ON MAY 27, 2020 FIELD SURVEY. = o o Q o 2. TOPOGRAPHY IN ACTIVE AREAS PROVIDED BY BARTLETT ENGINEERING ~ , .. z & SURVEYING, PC; BASED ON MAY 27, 2020 FIELD SURVEY. SUPPLEMENTAL TOPOGRAPHY FOR AREAS OUTSIDE OF ACTIVE AREAS o o — �_ cab A p j{��� j 7' VE)/ i ' PROVIDED BY WILSON GIS. 3. FLOOD HAZARD INFORMATION FROM NORTH CAROLINA FLOODPLAIN MAPPING PROGRAM, FEMA FIRM MAP NO. 3720373100J, 3772037200J, y � � c L / / AND 3720374100J. L.A- o o � \ 0 300, 600' a © 2022 Smith Gardner, Inc. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This Page Intentionally Left Blank DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 2 a N N fM O N O N W N ti [=MONITORING FREQUENCY RTERLY METHANE CONCENTRATION MUST NOT EXCEED: 1. 25% OF THE LEL IN FACILITY STRUCTURES; AND 2. 100% OF THE LEL AT THE FACILITY PROPERTY BOUNDARY. IF METHANE CONCENTRATION EXCEEDS EITHER OF THE ABOVE, THE OWNER MUST: i RECALIBRATE METER AND CONFIRM READINGS (SEE SECTION 2.3.4 OF LFG MANAGEMENT PLAN) IF CONFIRMED READINGS EXCEED LIMITS, (SEE SECTION 3.0 OF THE LFG MANAGEMENT PLAN) AND:: 1. IMMEDIATELY: TAKE STEPS TO ENSURE PROTECTION OF HUMAN HEALTH AND SAFETY SMITH+ NOTIFY THE ENGINEER AND GARDNER DIVISION WITHIN 24 HOURS LADD21TIONAL LUATE THE NEED FOR MONITORING 2. WITHIN 7 DAYS. PLACE THE METHANE READINGS AND STEPS TAKEN TO PROTECT HUMAN HEALTH IN THE OPERATING RECORD METHANE MONITORING REQUIREMENT FLOWCHART WILSO N EDUNTYAREA 2 CEO LANDFILL WITHIN 60 DAYS: PREPARE A REMEDIATION PLAN. SUBMIT PLAN TO NCDENR FOR APPROVAL. UPON APPROVAL, IMPLEMENT PLAN. PLACE A COPY OF THE REMEDIATION PLAN IN THE OPERATING RECORD, AND 1 NOTIFY THE DIVISION THAT THE PLAN HAS BEEN IMPLEMENTED NC LIC. NO. F-13701ENGINEERINGI SMITH GARDNER 14 N. Boylan Avenue, Raleigh NC 27603 1919.828.0577 R.V.M. I J.A.S. I N.T.S Jul 2020 1 WILSON 20-1 WILSON-AO020 © 2020 Smith Gardner, Inc. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 Appendix A Landfill Gas Monitoring Form Landfill Gas Monitoring Plan Westside CSD Landfill — Area 2 Wilson, North Carolina DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank. DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 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: Date of Sampling: Name and Position of Sample Collector: Type and Serial Number of Gas Meter: Date and Time of Field Calibration: Permit Number: NC Landfill Rule (.0500 or .1600): Type of Field Calibration Gas (15115 or 35/50): Pump Rate of Gas Meter: Ambient Air Temperature: Barometric Pressure: Calibration Date of Gas Meter: Expiration Date of Field Calibration Gas Canister: General Weather Conditions: Instructions: Under "Location or LEG 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 LEG Wen ID Sample Tube Purge Time Time Pumped (s) Initial °iuLEL Stabilized ° oLEL ° oCHd by. Volume %02 %CO2 Notes If 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. SIGNATURE TITLE 16 DocuSign Envelope ID: 51374604-7E6B-4838-BDE9-087DC5433522 This page intentionally left blank.