HomeMy WebLinkAbout23027_Orange County Print Shop_AWP_20190912
Via Email
September 12, 2019
NCDEQ – Division of Waste Management
Brownfields Program
1646 Mail Service Center
Raleigh, NC 27699-1646
Attn: Ms. Reina Clark
Re: Brownfield Assessment Work Plan
Orange County Print Shop
Chapel Hill, North Carolina
Brownfields Project No. 23027-19-068
H&H Project No. GBP-001
Dear Ms. Clark:
On behalf of Franklin Office Chapel Hill, LLC, enclosed is the Brownfields Assessment Work
Plan (Work Plan) for the Orange County Print Shop Brownfields property (Brownfields Project
No. 23027-19-060) for your review and approval. Redevelopment activities are scheduled to
begin in the near future. Results of the assessment activities proposed herein will be used to
develop an Environmental Management Plan needed to begin redevelopment activities that
involve disturbance of environmental media at the Brownfields property. Therefore, we
respectfully request your prompt review of the enclosed Work Plan to allow for completion of
the proposed assessment activities in an expedited manner. Should you have any questions or
need additional information, please do not hesitate to contact us at (704) 586-0007.
Sincerely,
Hart & Hickman, PC
Ralph McGee, PG Alexis McKenzie, EI
Project Manager Staff Environmental Engineer
Enclosure
cc: Mr. Tim Jezisek, Grubb Properties (Via Email)
Mr. Chad Pearson, Grubb Properties (Via Email)
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Brownfields Assessment Work Plan
Orange County Print Shop
Chapel Hill, North Carolina
Brownfields Project No. 23027-19-068
H&H Job No. GBP-001
Table of Contents
1.0 Introduction .............................................................................................................................1
1.1 Historical Use Background ....................................................................................................1
1.2 Previous Environmental Assessments ...................................................................................2
2.0 Brownfields Assessment Activities ........................................................................................4
2.1 Receptor Survey ....................................................................................................................4
2.2 Soil Sampling Activities ........................................................................................................4
2.3 Groundwater Sampling Activities .........................................................................................6
2.4 Sub-Slab Soil Gas Sampling Activities .................................................................................8
2.5 Quality Assurance – Quality Control ..................................................................................10
2.6 Investigation Derived Waste ...............................................................................................11
2.7 Reporting .............................................................................................................................11
List of Figures
Figure 1 Site Location Map
Figure 2 Site Map
Figure 3 Proposed Sample Location Map
List of Appendices
Appendix A Template Brownfields Property Receptor Survey Form
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Brownfields Assessment Work Plan
Orange County Print Shop
Chapel Hill, North Carolina
Brownfields Project No. 23027-19-068
H&H Job No. GBP-001
1.0 Introduction
On behalf of Franklin Office Chapel Hill, LLC (Prospective Developer or PD), Hart & Hickman,
PC (H&H) is providing this Work Plan to conduct Brownfields assessment activities at the
Orange County Print Shop Brownfields property (Brownfields Project No. 23027-19-068)
located at 137 E. Franklin Street and 136 E. Rosemary Street in Chapel Hill, Orange County,
North Carolina (Site or subject Site). The Site consists of one approximately 0.65-acre parcel
(Orange County Parcel ID No. 9788377517) located in a commercial area of downtown Chapel
Hill in close proximity to the University of North Carolina (UNC) at Chapel Hill campus. A Site
location map is provided as Figure 1, and the Site and surrounding area are shown in Figure 2.
The 136 E. Rosemary Street portion of the Site (northern portion) is developed with a 4-story
building occupied by a police substation, barber shop, UNC Chapel Hill administrative offices,
an insurance company, and several vacant tenant spaces. The 137 E. Franklin Street portion of
the Site (southern portion) is developed with a 6-story building occupied by a bi-level CVS
pharmacy store which is located in the lower basement level and on the first floor at street level.
Multiple tenant spaces located on the upper floors of the southern Site building are occupied by
UNC Chapel Hill administrative offices with several other unoccupied units. The two on-Site
buildings were constructed between 1973 and 1975 and have historically been occupied by
various tenants for office space and other commercial businesses. Current redevelopment plans
include extensive renovations for adaptive re-use of the existing Site buildings for upscale
commercial and office uses.
1.1 Historical Use Background
The southern portion of the Site along E. Franklin Street was developed with street-front
businesses including a bank, drug stores, and restaurants as early as the 1910s until
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approximately the 1960s when the Site was razed for construction of the existing 137 E. Franklin
Street commercial building. Tenants in the existing 137 E. Franklin Street building since the
1970s have included a bank, law offices, dentist offices, medical offices, pharmacies, and UNC-
Chapel Hill administrative offices.
The northern portion of the Site along E. Rosemary Street was undeveloped land until the mid-
1910s when it was developed with a small automobile garage and storage buildings. By the mid-
1920s, the automotive garage and small storage buildings were replaced with the Orange County
Print Shop building. The print shop operated until at least the 1950s when Chapel Hill Weekly
Newspaper operations began in the print shop building. The northern portion of the Site was
razed in the 1960s and the current 136 E. Rosemary Street building was constructed in the 1970s.
Occupants in the current building have historically included a printing and publishing business, a
book store, a jeweler, a movie theater, barbershop, restaurants, recording studios, a computation
center, and UNC-Chapel Hill administrative offices.
Historically, properties adjacent to the Site were developed primarily for mixed residential and
commercial uses as early as the 1910s. Operations on nearby off-Site properties have
historically included residences adjacent to the northeast of the Site and to the north across E.
Rosemary Street; street-front businesses located along E. Franklin Street to the east and west of
the Site including clothes cleaners, a movie theater, a bank, and other retail businesses; a church
and buildings associated with UNC-Chapel Hill located to the southeast across E. Franklin
Street; street-front businesses located to the south and southwest across E. Franklin Street
including a movie theater, post office, a fire station, and other retail businesses with automotive
repair operations and a maintenance shop located beyond.
1.2 Previous Environmental Assessments
H&H reviewed a Phase I Environmental Site Assessment (ESA) report prepared for the Site on
February 20, 2019 by ECS Southeast, LLP (ECS). Results of the Phase I ESA identified the
former Orange County Print Shop operations and subsequent Chapel Hill Weekly Newspaper
operations on the 136 E. Rosemary Street portion of the Site an environmental concern.
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Additionally, the Universal Printing and Publishing operations in the current 136 E. Rosemary
Street building was also identified as an environmental concern in connection with the Site.
To address potential environmental concerns identified by ECS in the Phase I ESA report, the
PD elected to enter the Site into the North Carolina Department of Environmental Quality (DEQ)
Brownfields Program. The Site received eligibility into the Brownfields Program in a letter
dated July 12, 2019. To expedite the Brownfields process, the PD elected to participate in the
Brownfields Program Redevelopment Now option. As part of this process, a kick-off/data gap
meeting with the PD, DEQ Brownfields personnel, and H&H was held on August 8, 2019 to
discuss historical uses of the Site, available environmental information, proposed redevelopment
plans, data gaps, and the proposed schedule for completing the Brownfields Agreement.
Based on the proposed redevelopment plan for the Site and conversations with DEQ Brownfields
during the recent kick-off/data gap meeting, H&H proposes to conduct soil, soil gas, and
groundwater assessment activities at the Site to evaluate subsurface conditions for potential
impacts associated with historical on-Site and nearby off-Site operations. In addition, H&H
proposes to complete receptor survey activities in the area surrounding the Site as part of the
proposed Brownfields assessment activities. Our proposed Brownfields assessment scope of
work is outlined in the following sections.
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2.0 Brownfields Assessment Activities
The proposed assessment activities will be performed in general accordance with the DEQ
Inactive Hazardous Sites Branch (IHSB) Guidelines for Assessment and Cleanup (Guidelines)
dated October 2015, the DEQ Division of Waste Management (DWM) Vapor Intrusion
Guidance (VI Guidance) dated March 2018, and most recent versions of the U.S. Environmental
Protection Agency (EPA) Region IV Science and Ecosystem Support Division (SESD) Field
Branches Quality System and Technical Procedures guidance.
Prior to conducting field activities, H&H will contact North Carolina 811, the public utility
locator, to mark subsurface utilities located on the Site. H&H will also contract with a private
utility locator to screen proposed sample locations for private subgrade utilities that would not be
marked by the public locator. Additionally, soil boring locations will be hand cleared to
approximately 5 feet (ft) below the ground surface (bgs) prior to use of mechanical drilling
equipment to further screen the boring locations for the presence of subsurface utilities.
2.1 Receptor Survey
H&H will perform a Brownfields receptor survey for DEQ Brownfields Program purposes to
obtain information about land use in the Site area including zoning. H&H will also conduct a
field search for water supply wells, basements, utility manways and chases, storm sewers, other
underground utilities, drains, and surface water within a 1,500 ft radius of the Brownfield
property boundaries. In addition, and if warranted, H&H will contact utility companies for
information concerning underground utilities in the immediate area of the Site. The receptor
survey will be completed using the most current version of the Brownfields Property Receptor
Survey form. A copy of a template Brownfields Property Receptor Survey form is provided as
Appendix A.
2.2 Soil Sampling Activities
To evaluate the potential for impact from historical Site uses, H&H proposes to advance one soil
boring in the footprint of the former Orange County Print Shop building to evaluate the potential
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for impact from historical printing operations. The approximate location of the former print shop
building and proposed soil sample location (SB-1) are shown in Figure 3.
In addition to the soil assessment activities proposed in the area of the print shop operations,
H&H proposes to advance two (2) shallow soil borings (i.e., no greater than 5 ft bgs) for
collection of soil samples from areas at the Site that do not appear to have been affected by
historical uses to evaluate background concentrations of naturally occurring metals. The
locations of the background soil borings will be co-located with two of the proposed temporary
monitoring well borings described in Section 2.3 below.
H&H will contract a qualified drilling contractor to advance the soil boring by using a concrete
coring machine to penetrate the concrete slab within the existing building (or paved areas for
background soil sample locations) for access to sub-slab soil. The proposed soil borings will
then be advanced through the cored hole using a decontaminated stainless steel hand auger to a
depth of approximately 5 ft bgs followed by a track-mounted drill rig capable of utilizing direct
push technology (DPT) drilling techniques to groundwater. Continuous soil samples will be
collected at two-foot intervals from the center of the hand auger bucket and/or from acetate lined
DPT macrocore sleeves. Soil samples will be logged for lithological description and field
screened for indication of potential impacts by observation for staining, odors, and the presence
of organic vapors using a calibrated photoionization detector (PID).
In the area of the former printer operations (SB-1), one soil sample will be collected for
laboratory analysis from the depth interval interpreted as the most likely to be impacted based on
field screening results. If there is no obvious indication of potential impact in a soil boring based
on field screening results, a soil sample will be collected from shallow soil (i.e., no greater than 2
ft below the slab). H&H proposes to collect one soil sample for laboratory analysis from each
background soil boring. Background soil samples selected for laboratory analysis will be
collected from depth intervals representing shallow soil horizons (i.e., no greater than 5 ft bgs).
The soil samples selected for laboratory analysis will be placed directly into dedicated laboratory
supplied sample containers, labeled with the sample identification, date, time, and requested
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analysis, and placed in a laboratory supplied cooler with ice. The soil sample from the SB-1 soil
boring (former print shop area) will be submitted to a North Carolina certified laboratory under
standard chain of custody protocols for analysis of semi-volatile organic compounds (SVOCs) by
EPA Method 8270 and Resource Conservation and Recovery Act (RCRA) metals plus
hexavalent chromium by EPA Methods 6020/7471/7199. In addition, a grab soil sample will be
collected from an undisturbed portion of soil from the sample interval and submitted for analysis
of VOCs by EPA Method 8260. Background soil samples will be submitted for laboratory
analysis of RCRA metals plus hexavalent chromium by EPA Methods 6020/7471/7199.
Following soil sampling activities, the soil borings will be converted to temporary monitoring
wells for collection of a groundwater samples as described in the following section. The
locations of the soil borings will be estimated by measuring from known interior benchmarks
(i.e., doorways, walls, etc.) or using a hand-held global positioning system (GPS) unit for
exterior sample locations.
2.3 Groundwater Sampling Activities
H&H will contract a qualified drilling contractor to advance borings for installation of three (3)
temporary groundwater monitoring wells at the Site. Proposed temporary monitoring well
locations (denoted by TMW nomenclature) are shown in Figure 3. As shown in Figure 3, one
temporary monitoring well will be installed in the SB-1 soil boring advanced within the former
Orange County Print Shop building footprint (TMW-1) to evaluate the potential for impact
associated with historical printing operations, one temporary monitoring well will be advanced in
the northwestern portion of the Site near E. Rosemary Street (TMW-2) to evaluate the potential
for impact in downgradient portions of the Site, and one temporary monitoring well will be
installed in the east-central portion of the Site between the two Site buildings (TMW-3) to
evaluate the potential for impact from off-Site concerns including the historical cleaners
operations located to the east and former maintenance and auto repair operations located to the
south of the Site.
The temporary groundwater monitoring well borings will be advanced with a track-mounted
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DPT drill rig capable of utilizing hollow stem auger drilling techniques. If refusal is encountered
prior to reaching the water table in a proposed temporary groundwater monitoring well location,
H&H will instruct the driller to utilize alternative drilling techniques to advance the boring to
depths corresponding to the water table. H&H anticipates the depth to the water table to be
approximately 15 to 20 ft bgs.
During drilling, continuous soil samples will be collected from each boring and logged for
lithologic description and field screened for the presence of staining, odors, and the presence of
organic vapors using a calibrated PID. Each temporary monitoring well will be constructed of
1-inch diameter PVC pre-packed well screen set to bracket the water table and 1-inch diameter
PVC well casing to the ground surface. A sand filter pack will be placed from the bottom of the
borings to approximately 2 ft above the top of the well screens. The temporary wells will be
completed by placing a minimum of 2 ft of hydrated bentonite seal above the sand filter pack.
Once the temporary monitoring wells are installed, the wells will be allowed to equilibrate to
static conditions, and a decontaminated electronic water level indicator will be used to measure
the depth to the water table relative to the ground surface and to the top of the well casing in each
well. The elevation of the ground surface and top of casing for each well will be surveyed
relative to an on-Site datum. Using the measured depths to the water table and survey
measurements, H&H will calculate groundwater elevations at each well location and estimate the
groundwater flow direction at the Site.
The wells will then be developed by removing a minimum of 3 to 5 volumes and until field
parameters have stabilized (pH± 0.1 Standard Units [SU] and conductivity varies no more than
5%). After development, groundwater samples will be collected utilizing low flow/low stress
purging techniques using a peristaltic pump or bladder pump and dedicated polyethylene tubing.
The intake point of the pump tubing will be placed in the approximate mid-portion of the
screened interval of the well, and groundwater will be removed at a rate no greater than 200
milliliters per minute. H&H will utilize water quality meters to collect measurements of pH,
temperature, dissolved oxygen, oxidation reduction potential, turbidity, and specific conductivity
at three to five-minute intervals during the purging process. Purging will be considered complete
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when field parameters stabilize (pH ± 0.1 SU, conductivity varies no more than 5%, and turbidity
is less than 10 Nephelometric Turbidity Units [NTUs]).
Once groundwater parameters stabilize, groundwater samples for VOC analysis will be collected
directly into laboratory supplied sample containers using the “soda straw” method to eliminate
the potential for volatile compound loss through the pump head. Samples collected for the
remaining analyses will be collected directly into laboratory supplied sample containers from the
dedicated sample tubing discharge. The sample containers will be labeled with the sample
identification, date, time, and requested analysis, and placed in a laboratory supplied cooler with
ice. The groundwater samples will be delivered to a North Carolina certified laboratory under
standard chain of custody protocols for analyses of VOCs by EPA Method 8260, SVOCs by
EPA Method 8270, and RCRA metals by EPA Methods 6020/7471.
Following installation and sampling activities, the groundwater sample locations will be
estimated by measuring from known interior benchmarks (i.e., doorways, walls, etc.) for the
interior location (TMW-1) or using a hand-held global positioning system (GPS) unit for exterior
locations (TMW-2 and TWM-3). Following surveying activities, the temporary monitoring
wells will be properly abandoned by a licensed well driller.
2.4 Sub-Slab Soil Gas Sampling Activities
H&H proposes to collect ten (10) sub-slab soil gas samples within the Site buildings to evaluate
the potential for structural vapor intrusion associated with undocumented releases to
groundwater from nearby off-Site properties and from undocumented releases to soil and/or
groundwater from historical on-Site printing operations. On August 8 and August 14, 2019,
H&H conducted Site reconnaissance activities to confirm access in various portions of the Site
buildings for collection of the proposed sub-slab soil gas samples. The proposed sub-slab soil
gas sample locations (denoted by SG nomenclature) shown in Figure 3 were chosen based on
access in the lowest levels of the Site buildings. As shown in Figure 3, six (6) sub-slab soil gas
samples will be collected in lowest level of the 136 E. Rosemary Street building (SG-1 through
SG-6) and four (4) sub-slab soil gas samples will be collected in the 137 E. Franklin Street
building (SG-7 through SG-10).
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The proposed sub-slab soil gas monitoring points will be installed using Cox Colvin Vapor Pin™
kits. To install the vapor pins, H&H will use a hammer drill equipped with a 5/8-inch diameter
bit to advance a borehole through the concrete slab and approximately 6 inches into the
underlying soil. Following borehole advancement, loose cuttings will be removed and a Vapor
PinTM assembly (brass sampling point and silicone sleeve) will be placed and seated in the drilled
hole by tapping the assembly into place using the Cox Colvin installation/extraction tool and a
dead blow hammer to form an air tight seal. Teflon® sample tubing will then be secured to the
barbed end of the Vapor PinTM assembly.
Prior to sample collection, a leak check will be conducted at each sub-slab soil gas monitoring
point by constructing a shroud around the sampling system and flooding the air within the shroud
with helium gas. Helium within the shroud will be monitored using a helium gas detector and
maintained at concentrations nearing saturation. Using a syringe and three-way valve, the vapor
pin and sample tubing for the sub-slab soil gas points will be purged of minimum of three
volumes. Vapor from the sub-slab soil gas sample tubing will then be collected outside of the
shroud into a Tedlar® bag and analyzed using the helium gas detector to ensure that helium
concentrations are less than 10% of the concentration measured within the shroud.
Following a successful leak check, the sub-slab soil gas samples will be collected into laboratory
supplied stainless steel 1-Liter Summa sample canisters connected to in-line flow controllers
with a laboratory calibrated vacuum gauge. The flow controller will be connected to the sample
tubing at each sub-slab soil gas sampling point using a brass nut and ferrule assembly to form an
air-tight seal. The flow regulator will be pre-set by the laboratory to regulate the soil gas sample
intake to a rate no greater than 200 milliliters per minute. Once the sample train is assembled,
the intake valve on the canister will be fully opened to begin collection of the sub-slab soil gas
sample. Vacuum readings on the Summa canister will be recorded prior to and following the
sampling period to ensure adequate sample volume was collected. Per laboratory requirements,
a vacuum will be maintained within the canisters at the conclusion of the sampling event.
After sample collection, the intake valve will be closed, and the regulator will be disconnected
from the canister. The starting and ending vacuum in each canister will be recorded on the chain-
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of-custody and submitted to the laboratory along with the samples. The canisters will be placed in
laboratory supplied shipping containers, properly labeled, and shipped under standard chain of
custody protocols to a qualified laboratory for analysis of VOCs by EPA Method TO-15.
Following sampling activities, the sub-slab soil gas monitoring point locations will be estimated
by measuring from known interior benchmarks (i.e., doorways, walls, etc.). The sub-slab soil
gas monitoring points will then be abandoned and the concrete slab will be patched similar to
pre-drilling conditions.
2.5 Quality Assurance – Quality Control
Non-dedicated equipment and tools will be decontaminated prior to use at each boring or
sampling location or following exposure to soil or groundwater. The following samples will be
collected for quality assurance/quality control (QA/QC) purposes:
One duplicate groundwater sample will be collected and analyzed for the same
parameters as the parent sample.
One duplicate soil sample will be collected and analyzed for the same parameters as the
parent sample.
One duplicate sub-slab soil gas sample will be collected and analyzed for VOCs by EPA
Method TO-15. The duplicate sub-slab soil gas sample will be collected using a
laboratory supplied “T” sampler which allows collection of two samples from the same
sub-slab soil gas monitoring point simultaneously.
One trip blank will accompany the soil groundwater samples during sampling activities
and during sample shipment. The trip blank will be analyzed for VOCs by EPA
Method 8260.
Laboratory QA/QC procedures will be employed to ensure appropriate sample handling and
analysis and to aid in the review and validation of the analytical data. QA/QC procedures will be
conducted in accordance with the method protocols and will include regular equipment
maintenance, equipment calibrations, and adherence to specific sample custody and data
management procedures. Samples will be analyzed in conjunction with appropriate blanks,
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laboratory duplicates, continuing calibration standards, surrogate standards, and matrix spiking
standards in accordance with approved methodologies to monitor both instrument and analyst
performance. H&H sampling personnel will collect adequate sample volume of each sampled
media should the laboratory elect to complete matrix spiking and associated matrix spike
duplicate analysis using samples from this project.
Laboratory reporting limits for each analyte will be at or below appropriate screening criteria,
where possible. Additionally, H&H will request that the laboratory include estimated
concentrations for compounds that are detected at levels above the laboratory method detection
limit, but below the laboratory reporting limit (J flags).
The laboratory analytical data report and QA package for each group of samples submitted to
and analyzed by the subcontracted laboratory will be provided in an appendix to the final report.
Laboratory QA data consistent with Level II documentation will be provided for this project.
A copy of the completed chain-of-custody record and shipping receipt will be appended to the
corresponding laboratory analytical report included with the final report.
2.6 Investigation Derived Waste
Investigation derived waste (IDW) generated during the proposed assessment activities will be
managed in general accordance with DEQ IHSB Guidelines. IDW generated during the
assessment activities will be thin spread on-Site. However, if significant impacts are suspected
(i.e., elevated PID readings, free-product, etc.) soil cuttings and groundwater will be
containerized in 55-gallon drums and staged on-Site pending analytical results of composite
IDW samples. Based on laboratory analytical results of IDW samples, the drums will be
transported off-Site to a suitable facility for disposal.
2.7 Reporting
Following completion of the assessment activities and receipt of the analytical data, H&H will
document our findings in a Brownfields assessment report. The report will include a description
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of the sampling activities, a figure depicting sample locations, soil boring logs, temporary
monitoring well construction details, laboratory analytical data, a discussion of the data in
comparison to regulatory screening levels, and conclusions and recommendations concerning our
activities.
TITLE
PROJECT
SITE LOCATION MAP
ORANGE COUNTY PRINT SHOP
137 E. FRANKLIN ST. & 136 E. ROSEMARY ST.
CHAPEL HILL, NORTH CAROLINA
DATE:
JOB NO:
REVISION NO:
FIGURE:
8-19-2019 0
1GBP-001
SITE
0 2000 4000
APPROXIMATE
SCALE IN FEET
N
U.S.G.S. QUADRANGLE MAP
QUADRANGLE
7.5 MINUTE SERIES (TOPOGRAPHIC)
CHAPEL HILL, NORTH CAROLINA, 1993
REVISION NO. 0
JOB NO. GBP-001
DATE: 9-12-19
FIGURE NO. 2
ORANGE COUNTY PRINT SHOP
137 E. FRANKLIN ST & 136 E. ROSEMARY ST
CHAPEL HILL, NORTH CAROLINA
SITE MAP
LEGEND
BROWNFIELDS PROPERTY BOUNDARY
HISTORICAL PRINT SHOP LOCATION
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
License # C-1269 / #C-245 Geology
E. FRA
N
K
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S
T
R
E
E
T
E. ROS
E
M
A
R
Y
S
T
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E
T
NOTE
AERIAL IMAGERY OBTAINED FROM GOOGLE EARTH (2018).
136 E. ROSEMARY
STREET
137 E. FRANKLIN
STREET
COMMERCIAL/RETAIL
PARKING DECK
COMMERCIAL/RETAIL
SURFACE PARKING
N. COLUMB
IA
STREET
CLEANERS
(1920s - 1930s)
CITY MAINTENANCE
SHOP/AUTO REPAIRS
(1920s - 1930s)
PARKING
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E. RO
S
E
M
A
R
Y
S
T
R
E
E
T
E. FR
A
N
K
LI
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S
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T
REVISION NO. 0
JOB NO. GBP-001
DATE: 9-12-19
FIGURE NO. 3
ORANGE COUNTY PRINT SHOP
137 E. FRANKLIN ST & 136 E. ROSEMARY ST
CHAPEL HILL, NORTH CAROLINA
PROPOSED SAMPLE LOCATION MAP
LEGEND
BROWNFIELDS PROPERTY
BOUNDARY
PROPOSED CO-LOCATED
TEMPORARY MONITORING WELL
AND SOIL BORING
PROPOSED TEMPORARY SUB-SLAB
SOIL GAS MONITORING POINT
CURRENT BUILDING FOOTPRINT
HISTORICAL PRINT SHOP
LOCATION
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
License # C-1269 / #C-245 Geology
TMW-1/SB-1
TMW-2/BKG
TMW-3/BKG SG-7
SG-8
SG-9
SG-10
SG-6
SG-3
SG-2
SG-1
SG-5
SG-4
SAMPLE ID DEPTH (ft)OBJECTIVE VOCs SVOCs METALS
TMW-1/DUP 25 PRINT SHOP X X X
TMW-2 25 DOWNGRADIENT X X X
TMW-3 25 DOWNGRADIENT
CLEANERS X X X
SB-1/DUP 2 PRINT SHOP X X X
BKG 2 BACKGROUND X
SG-1 THRU
SG-10 SUB-SLAB
POTENTIAL
VAPOR
INTRUSION
X
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Appendix A
Template Brownfields Property Receptor Survey Form
North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Site:
Address:
City:
County:
Brownfields Project Number:
Date
Property and Building Characteristics
a. Provide occupancy and use information.
c. Describe the foundation construction. Include details on type, floor construction, and depth below grade.
e. Are any subslab ventilation systems or moisture barriers in place? If so, please provide details.
NASize of Property (acres)
% of property that is wooded/brush
BROWNFIELDS PROPERTY RECEPTOR SURVEY
This form was created to clarify and simplify preparing a receptor survey for a brownfield site. Please provide the
information requested below. Distances are measured from the site property boundary unless otherwise indicated
by the DEQ Brownfield’s Project Manager (PM).
Current Usage Proposed UsageSurface Conditions
% of property that is grassed areas
% of property that is agricultural crops
% of property that is paved
d. Describe the HVAC system in the building. Include available details on type, equipment location, source of air
return, and design considerations (e.g. positive pressure?).
If an existing building is on-site, please respond to the following. Information can be provided on additional sheets
as needed. If numerous buildings are on-site, consult with your PM as only information on specific buildings may
be needed.
b. Describe the construction of the builidng including materials (e.g. wood frame, block), type and size of openings
(e.g. windows, bay doors), and height (number of stories).
% of property that is covered by buildings
Rev. 09/2015 Page 1 of 3
North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Site:
Address:
City:
County:
Brownfields Project Number:
Date
Property and Building Characteristics
a. Provide occupancy and use information.
c. Describe the foundation construction. Include details on type, floor construction, and depth below grade.
e. Are any subslab ventilation systems or moisture barriers in place? If so, please provide details.
NASize of Property (acres)
% of property that is wooded/brush
BROWNFIELDS PROPERTY RECEPTOR SURVEY
This form was created to clarify and simplify preparing a receptor survey for a brownfield site. Please provide the
information requested below. Distances are measured from the site property boundary unless otherwise indicated
by the DEQ Brownfield’s Project Manager (PM).
Current Usage Proposed UsageSurface Conditions
% of property that is grassed areas
% of property that is agricultural crops
% of property that is paved
d. Describe the HVAC system in the building. Include available details on type, equipment location, source of air
return, and design considerations (e.g. positive pressure?).
If an existing building is on-site, please respond to the following. Information can be provided on additional sheets
as needed. If numerous buildings are on-site, consult with your PM as only information on specific buildings may
be needed.
b. Describe the construction of the builidng including materials (e.g. wood frame, block), type and size of openings
(e.g. windows, bay doors), and height (number of stories).
% of property that is covered by buildings
Rev. 09/2015 Page 1 of 3
North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Surrounding Property Land Use
North
South
East
West
Utilities
Is there a septic system on-site? (Y or N) _________
Please provide the utility providers for the subject property
a. Natural Gas ___________________________
b. Sewer ___________________________
c. Electricity ___________________________
d. Other __________________________
For surrounding properties, please complete the following table with available information.
Zoning/Land Use
DirectionDistance
(ft)Address
* If yes, please provide a map or detailed information (distance, direction, depth) of the utility in correlation with
the subject property.
Is a water line main within 100 ft of Property boundary?
Is a natural gas line main within 100 ft of the Property boundary?
Is a buried telephone/ cable main within 100 ft of the Property boundary?
Is a septic system leach field within 500 ft of the Property boundary?
Direction
Is there a basement within 1,000 ft of the Property
Please provide information on the following land uses in the vicinity of the subject site, including a map of the
surrounding areas. If specific receptors are present, please provide addresses of the facilities.
Proposed Usage Current Use/Occupant
For the subject property, please provide a map of known buried utilites. If available, include depth to top,
construction material, and diameter of the utilities. In addition, please provide the following information on utilty
providers. If additional assessment is required, the public utility locators should be contacted. This information
can then be added to a site map.
Y/N *
Is a school or daycare center within 1,000 ft of the
Property?
Specific Land Uses of Interest Y/N *
* If numerous facilities of interest are present, their locations can be placed on a map in lieu of providing specific
addresses.
Distance
(ft)
Is there a residence within 1,000 ft of the Property?
Utility/Potential Receptor
Is a buried electrical cable main within 100 ft of Property boundary?
Is a storm water pipe within 100 ft of the Property boundary?
Is a sanitary sewer within 100 ft of the Property boundary?
Rev. 09/2015 Page 2 of 3