MO-9552_40984_C_PUBNOT_20200313_Public Notice

Geological Resources, Inc.
March 13, 2020
Ms. Trudy Beverly
NCDEQ-UST Section
Moorseville Regional Office
610 East Center Avenue, Suite 301
Moorseville, North Carolina 28115
RE: Notice of Residual Petroleum and Public Notice
5012 Churchill Drive
5012 Churchill Drive
Charlotte, Mecklenburg County
Incident No. 40984
Site Ranking: Low
GRI Project No. 5295
Dear Ms. Beverly:
Please find enclosed a certified copy of the Notice of Residual Petroleum and certified mail receipts for
public notice for the above referenced site.
Please do not hesitate to contact the undersigned at [phone] if you have any questions or require
additional information.
Sincerely,
Geological Resources, Inc.
Gkvy 14. %,W1-*'W'
Corey N. Buchanan, P. G.
Project Manager
enclosure
cc: file
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

FOR REGISTRATION
Fredrick Smith
REGISTER OF DEEDS
Mecklenburg County NC
2020 FEB 25 01:45:46 PM
BK:34311 PG:612-616
FEE:$26.00
INSTRUMENT # 2020026086
JONESAW
2020026086
NOTICE OF RESIDUAL PETROLEUM
5012 Churchill Drive, Charlotte, Mecklenburg County, North Carolina
The property that is the subject of this Notice (hereinafter referred to as the "Site")
contains residual petroleum and is an Underground Storage Tank (UST) incident under North
Carolina's Statutes and Regulations, which consist of N.C.G.S. 143-215.94 and regulations adopted
thereunder. This Notice is part of a remedial action for the Site that has been approved by the
Secretary (or his/her delegate) of the North Carolina Department of Environment Quality (or its
successor in function), as authorized by N.C.G.S. Section 14313-279.9 and 14313-279.11. The North
Carolina Department of Environment Quality shall hereinafter be referred to as "DEQ".
NOTICE
Petroleum product was released and/or discharged at the Site. Petroleum constituents remain
on the site, but are not a danger to public health and the environment, provided that the
restrictions described herein, and any other measures required by DEQ pursuant to N.C.G.S.
Sections 14313-279.9 and 14313-279.11, are strictly complied with. This "Notice of Residual
Petroleum" is composed of a description of the property, the location of the residual petroleum, and the
land use restrictions on the Site. The Notice has been approved and notarized by DEQ pursuant to
N.C.G.S. Sections 143B-279.9 and 143B-279.11 and has/shall be recorded at the
Mecklenburg Register of Deeds' office Book , Page
(name of county)
Any map or plat required by DEQ has been/shall be recorded at the Mecklenburg Register of
(name of count)
Deeds' office Book , Page , and has been/shall be incorporated into the Notice by this reference.
Source Property
Michele J. Alexander & Alexander Family Irrevocable Trust of Charlotte, North Carolina is the
owner in fee simple of all or a portion of the Site, which is located in the County of Mecklenburg, State of
North Carolina, and is known and legally described as:
Ae4(A-n $-6 �
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
Revised February 7, 2019

BEING all of lot 2 in Block S of ALLEN HILLS as shown on map thereof recorded in Map Book 7, Page
333 in the Mecklenburg County Registry. Said property commonly known as 5012 Churchill Drive
Charlotte, NC 28269; PIN # 045-213-02.
For protection of public health and the environment, the following land use restrictions required
by N.C.G.S. Section 143B-279.9(b) shall apply to all of the above -described real property. These
restrictions shall continue in effect as long as residual petroleum remains on the site in excess of
unrestricted use standards and cannot be amended or cancelled unless and until the Mecklenburg County
Register of Deed receives and records the written concurrence of the Secretary (or his/her delegate) of
DEQ (or its successor in function).
PERPETUAL LAND USE RESTRICTIONS
Soil: Soil containing residual petroleum above applicable regulatory standard(s) remains
on the site in the area of the closed inplace heating oil tank identified in Figure 1,
Attachment A. No soil shall be excavated or disturbed within 3 feet of the closed
heating oil tank except to remediate the soil in accordance with all applicable state
and federal statutes, regulations and guidelines.
Groundwater: Groundwater from the site is prohibited from use as a water supply. Water supply
wells of any kind shall not be installed or operated on the site.
ENFORCEMENT
The above land use restriction(s) shall be enforced by any owner, operator, or other party
responsible for the Site. The above land use restriction(s) may also be enforced by DEQ through any of
the remedies provided by law or by means of a civil action, and may also be enforced by any unit of local
government having jurisdiction over any part of the Site. Any attempt to cancel this Notice without the
approval of DEQ (or its successor in function) shall be subject to enforcement by DEQ to the full extent
of the law. Failure by any party required or authorized to enforce any of the above restriction(s) shall in
no event be deemed a waiver of the right to do so thereafter as to the same violation or as to one occurring
prior or subsequent thereto.
Revised February 7, 2019
2

IN WITNESS WHEREOF, Mi h{ ' a s caused this Notice to be executed pursuant to
N.C.G.S. Sections 14313-279.9 and 14313-279.11, this 3 day of , 20;4.
(n e of r pon We party if agent is signing)
By: ��—_�
(signature of responsible party, attorney or other agent if there is one)
fitle of ent for responsible party if there is one)
Signatory's name typed or printed: de�j� l�%en—
NORTH CAROLINA
e.C�� (lYrji COUNTY
(Nante of county inwhich acknowledgment was taken)
I certify that the following person(s) personally a peared befo1-aulu'a
me this day, each acknowledging to me
that he or she signed the foregoing document: -,
Date: 2�� Z0 LO
(Official Seal) (signature of Notary Public)
printed or typed name of Notary Public)
Notary Public
My commission
expires:
?� a s
d
d 0 Q.
4ir
Revised February 7, 2019

A oved for the purposes of N.C.G.S. 143B-279.11
1
(Si nature of R Tonal Supervisor)
Ronald H. Taraban
Regional Supervisor
Mooresville Regional Office
UST Section Division of Waste Management
Department of Environment Quality
NORTH CAROLINA k
:1" COUNTY
I certify that the following person personally appeared before me this day, each
Acknowledging to that he signed the foregoing document:
Ronald H. Taraban (full printed name of Regional Supervisor)
Da LL 'Z020
(Official Seal) Sherian R. Black
Notary Public Number 20041820022
My commission expires:
I
MY July 12, 2024
wmmiSSION EXPIRES
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Geological Resources, Inc.
March 2, 2020
CERTIFIED MAIL
Ms. Gibbie Harris
Public Health Director — Mecklenburg County
249 Billingsley Road
Charlotte, NC 28211
Re: Public Notice of No Further Action
5012 Churchill Drive Site
5012 Churchill Drive
Charlotte, North Carolina
Mecklenburg County
Incident No. 40984
GRI Project No. 5295
Dear Ms. Harris:
On behalf of Ms. Mic Alexander, per the requirements of Title 15A of the North Carolina Administrative
Code, Subchapter 2L.0I 15(k), please find enclosed a copy of the Notice of No Further Action for the
above referenced site located at 5012 Churchill Drive, Mecklenburg County, North Carolina. You are
receiving this notice because you are the Health Director of Mecklenburg County. If you have any
questions concerning this notice please contact the undersigned at [phone] or Ms. Trudy Beverly
of the North Carolina Department of Environmental Quality, Mooresville Regional Office at (704) 663-
1699.
Sincerely,
Corey N. Buchanan, P.G.
Project Manager
enclosure
cc: file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

Geological Resources, Inc.
March 2, 2020
CERTIFIED MAIL
Ms. Dena Diorio
County Manager — Mecklenburg County
600 East Fourth Street
Charlotte, NC 28202
Re: Public Notice of No Further Action
5012 Churchill Drive Site
5012 Churchill Drive
Charlotte, North Carolina
Mecklenburg County
Incident No. 40984
GRI Project No. 5295
Dear Ms. Diorio:
On behalf of Ms. Mic Alexander, per the requirements of Title 15A of the North Carolina Administrative
Code, Subchapter 2L.0I 15(k), please find enclosed a copy of the Notice of No Further Action for the
above referenced site located at 5012 Churchill Drive, Mecklenburg County, North Carolina. You are
receiving this notice because you are the County Manager of where the incident occurred. If you have
any questions concerning this notice please contact the undersigned at [phone] or Ms. Trudy
Beverly of the North Carolina Department of Environmental Quality, Mooresville Regional Office at
[phone].
Sincerely,
Corey N. Buchanan, P.G.
Project Manager
enclosure
cc: file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

Geological Resources, Inc.
March 2, 2020
CERTIFIED MAIL
Ms. Vi Lyles
Mayor, City of Charlotte
600 East Fourth Street, 15' floor
Charlotte, NC 28202
Re: Public Notice of No Further Action
5012 Churchill Drive Site
5012 Churchill Drive
Charlotte, North Carolina
Mecklenburg County
Incident No. 40984
GRI Project No. 5295
Dear Mayor Lyles:
On behalf of Ms. Mic Alexander, per the requirements of Title 15A of the North Carolina Administrative
Code, Subchapter 2L.0115(k), please find enclosed a copy of the Notice of No Further Action for the
above referenced site located at 5012 Churchill Drive, Mecklenburg County, North Carolina. You are
receiving this notice because you are the Mayor of Charlotte where the incident occurred. If you have
any questions concerning this notice please contact the undersigned at [phone] or Ms. Trudy
Beverly of the North Carolina Department of Environmental Quality, Mooresville Regional Office at
[phone].
Sincerely,
M. $��••�
Corey N. Buchanan, P.G.
Project Manager
enclosure
cc: file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

Geological Resources, Inc.
March 2, 2020
CERTIFIED MAIL
Alison Browning
5000 Churchill Drive
Charlotte, North Carolina 28269
Re: Public Notice of No Further Action
5012 Churchill Drive Site
5012 Churchill Drive
Charlotte, North Carolina
Mecklenburg County
Incident No. 40984
GRI Project No. 5295
Dear Ms. Browning:
On behalf of Ms. Mic Alexander, per the requirements of Title 15A of the North Carolina Administrative
Code, Subchapter 2L.0I 15(k), please find enclosed a copy of the Notice of No Further Action for the
above referenced site located at 5012 Churchill Drive, Mecklenburg County, North Carolina. You are
receiving this notice because you are the owner of an adjacent property. If you have any questions
concerning this notice please contact the undersigned at [phone] or Ms. Trudy Beverly of the
North Carolina Department of Environmental Quality, Mooresville Regional Office at [phone].
Sincerely,
ULU, M. $Nc]�•a•+r�
Corey N. Buchanan, P.G.
Project Manager
enclosure
cc: file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

Geological Resources, Inc.
March 2, 2020
CERTIFIED MAIL
Joyce P. Way
5013 Churchill Drive
Charlotte, North Carolina 28269
Re: Public Notice of No Further Action
5012 Churchill Drive Site
5012 Churchill Drive
Charlotte, North Carolina
Mecklenburg County
Incident No. 40984
GRI Project No. 5295
Dear Ms. Way:
On behalf of Ms. Mic Alexander, per the requirements of Title 15A of the North Carolina Administrative
Code, Subchapter 2L.0115(k), please find enclosed a copy of the Notice of No Further Action for the
above referenced site located at 5012 Churchill Drive, Mecklenburg County, North Carolina. You are
receiving this notice because you are the owner of an adjacent property. If you have any questions
concerning this notice please contact the undersigned at [phone] or Ms. Trudy Beverly of the
North Carolina Department of Environmental Quality, Mooresville Regional Office at [phone].
Sincerely,
ULU, M. $Nc]�•a•+r�
Corey N. Buchanan, P.G.
Project Manager
enclosure
cc: file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

Geological Resources, Inc.
March 2, 2020
CERTIFIED MAIL
John M. Jr. Rhame
5022 Churchill Drive
Charlotte, North Carolina 28269
Re: Public Notice of No Further Action
5012 Churchill Drive Site
5012 Churchill Drive
Charlotte, North Carolina
Mecklenburg County
Incident No. 40984
GRI Project No. 5295
Dear Mr. Rhame:
On behalf of Ms. Mic Alexander, per the requirements of Title 15A of the North Carolina Administrative
Code, Subchapter 2L.0115(k), please find enclosed a copy of the Notice of No Further Action for the
above referenced site located at 5012 Churchill Drive, Mecklenburg County, North Carolina. You are
receiving this notice because you are the owner of an adjacent property. If you have any questions
concerning this notice please contact the undersigned at [phone] or Ms. Trudy Beverly of the
North Carolina Department of Environmental Quality, Mooresville Regional Office at [phone].
Sincerely,
Corey N. Buchanan, P.G.
Project Manager
enclosure
cc: file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

Geological Resources, Inc.
March 2, 2018
CERTIFIED MAIL
Jacob Teer
3005 Citadel Place
Charlotte, North Carolina 28269
Re: Public Notice of No Further Action
5012 Churchill Drive Site
5012 Churchill Drive
Charlotte, North Carolina
Mecklenburg County
Incident No. 40984
GRI Project No. 5295
Dear Mr. Teer:
On behalf of Ms. Mic Alexander, per the requirements of Title 15A of the North Carolina Administrative
Code, Subchapter 2L.0I 15(k), please find enclosed a copy of the Notice of No Further Action for the
above referenced site located at 5012 Churchill Drive, Mecklenburg County, North Carolina. You are
receiving this notice because you are the owner of an adjacent property. If you have any questions
concerning this notice please contact the undersigned at [phone] or Ms. Trudy Beverly of the
North Carolina Department of Environmental Quality, Mooresville Regional Office at [phone].
Sincerely,
Corey N. Buchanan, P.G.
Project Manager
enclosure
cc: file
3502 Hayes Road Monroe, North Carolina 28110
Phone [phone] [phone] • Fax [phone]

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3/1212020
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