WS-9723_44926_C_NFA_20171107_NFAI

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State of North Carolina | Environmental Quality | Waste Management
Winston-Salem Regional Office | 450 W. Hanes Mill Road, Suite 300 | Winston-Salem, NC 17105
336 776-9800 T

ROY COOPER
Governor MICHAEL S. REGAN
Secretary MICHAEL SCOTT
Director\
November 7, 2017
Mr. Gray Wilson
330 Brookside Drive Lewisville, North Carolina 27203

Re: Conditional Notice of No Further Action
15A NCAC 2L .0407(d) Risk-based Assessment and Corrective Action for Petroleum Underground Storage Tanks
Wilson Residence, Gray W.
330 Brookside Drive
Lewisville, Forsyth County Incident Number (if applicable): 44926
Risk Classification: Low
Ranking: L0D
Dear Mr. Wilson:
Information received by the UST Section, Division of Waste Management, Winston-Salem Regional Office
on October 17, 2017 and the Notice of Residual Petroleum received on October 25, 2017 have been
reviewed. The review indicates that soil and groundwater contamination meet the cleanup requirements for a low-risk noncommercial site under Title 15A NCAC 2L .0202 and .0400, as modified by Session Law
2015-241, but contamination exceeds the limits allowed for unrestricted closure of a site. The UST Section determines the subject incident to be eligible conditionally for no further action status.
However, final approval of no further action status is contingent on the filing of the approved NRP (attached) with the Register of Deeds in the county in which the release is located, verified by the receipt of a certified copy of the filed NRP by this office; and on receipt of confirmation that public notice
requirements have been completed, as described in the following paragraphs.
Be advised that, as contamination may exceed the groundwater quality standards established in Title 15A
NCAC 2L .0202, groundwater within the area where contamination is present or is expected to migrate is not suitable for use as a water supply. Be advised that as soil contamination may exceed the residential
MSCCs, the property containing the soil contamination is suitable only for restricted residential use
("residential" being inclusive of, but not limited to, private houses, apartment complexes, schools, nursing homes, parks, recreation areas and day care centers), as stipulated in the Notice of Residual Petroleum
(attached).
As groundwater contamination may exceed the groundwater quality standards established in Title 15A
NCAC 2L .0202, and soil contamination may exceed the residential MSCCs, pursuant to NCGS 143B-
279.9 and 143B-279.11, you must file the approved Notice of Residual Petroleum (attached) with the Register of Deeds in the county in which the release is located and submit a certified copy to the UST
Section within 30 days of receipt of this letter.

State of North Carolina | Environmental Quality | Waste Management
Winston-Salem Regional Office | 450 W. Hanes Mill Road, Suite 300 | Winston-Salem, NC 17105
336 776-9800 T

As groundwater contamination may exceed the groundwater quality standards established in Title 15A NCAC 2L .0202, and soil contamination may exceed the lower of the residential or soil-to-groundwater
MSCCs, public notice in accordance with 15A NCAC 2L .0409(b) also is required. Thus, within 30 days of receipt of this letter, a copy of the letter must be provided by certified mail, or by posting in a prominent
place, if certified mail is impractical, to the local health director, the chief administrative officer of each
political jurisdiction in which the contamination occurs, all property owners and occupants within or contiguous to the area containing contamination, and all property owners and occupants within or
contiguous to the area where the contamination is expected to migrate. Within 60 days of receiving this
letter, this office must be provided with proof of receipt of the copy of the letter or of refusal by the addressee to accept delivery of the copy of the letter or with a description of the manner in which the letter
was posted. Interested parties may examine the incident file by contacting this regional office and may submit comments on the site to the regional office at the address or telephone number listed below.
This conditional No Further Action determination will not become valid until the UST Section receives a certified copy of the Notice of Residual Petroleum which is filed with the Register of Deeds and until public notice requirements are completed.
Sincerely,
Carin Lee Kromm, L.G.
Regional Supervisor Winston-Salem Regional Office
UST Section, Division of Waste Management, NCDEQ
Attachments: Notice of Residual Petroleum cc: Forsyth County Health Department

UST Regional Offices
Asheville (ARO) – 2090 US Highway 70, Swannanoa, NC 28778 [phone]
Fayetteville (FAY) – 225 Green Street, Suite 714, Systel Building, Fayetteville, NC 28301 [phone]
Mooresville (MOR) – 610 East Center Avenue, Suite 301, Mooresville, NC 28115 [phone]
Raleigh (RRO) – 1628 Mail Service Center, Raleigh, NC 27699 [phone]
Washington (WAS) – 943 Washington Square Mall, Washington, NC 27889 [phone]
Wilmington (WIL) – 127 Cardinal Drive Extension, Wilmington, NC 28405 [phone]
Winston-Salem (WS) – 450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105, [phone]
Guilford County Environmental Health, 400 West Market Street, Suite 300, Greensboro, NC 27401, [phone]