WS-2699_6207_C_PUBNOT_20220608_Watts

North Carolina Department of Environmental Quality | Division of Waste Management
217 West Jones Street, Raleigh, NC 27699

June 8, 2022

CERTIFIED MAIL 7019 1120 0001 4896 4421
DELIEVERY CONFIRMATION

Forsyth County Manager
J Dudley Watts
201 Chestnut St
Winston-Salem, NC 27101

Re: Public Notice of No Further Action
Former Pantry #194
4022 Country Club Rd
Winston-Salem, Forsyth County, NC
Incident Number 6207
Risk Classification: Low

Dear Mr. Swift:

The purpose of this letter and attached information is to inform you that the Underground Storage Tank
Section of the Division of Waste Management has issued a Notice of No Further Action regarding a release from
a petroleum underground storage tank system located on the subject site. A copy of this Notice is attached for
your reference.

You are receiving this letter because, pursuant to 15A NCAC 2L .0409(b) a copy of this notice is required
to be submitted to the County Health Director, the County Manager, adjacent property owners, and owners of the
property where the petroleum is expected to migrate. This Notice is for your information, there is no action
required on your part.

The Central Office - UST Section may be contacted at 919-707-8171 if you should have any questions or
concerns or wish to arrange for an examination of the information on file related to this incident or I can be
reached at [e-mail].

Sincerely,
Scott C. Ryals, PE, CEE
Engineer, Trust Fund Branch
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Your item was picked up at a postal facility at 7:47 am on June 13, 2022 in WINSTON SALEM, NC 27102.
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