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HomeMy WebLinkAbout22022 Pfister Dyes & Chemical_Brownfields Assessment Work Plan_20180614 Via Email June 14, 2018 North Carolina Department of Environmental Quality Division of Waste Management – Brownfields Program 217 W. Jones Street 1646 Mail Service Center Raleigh, North Carolina 27699-1646 Attn: Mr. Bill Schmithorst, PG Re: Brownfields Assessment Work Plan Former Pfister Dyes and Chemical 4233 Trailer Drive Charlotte, North Carolina Brownfields Project No. 22022-18-060 H&H Job No. SEL-007 Dear Bill: 1.0 Introduction On behalf of 4233 Trailer Drive, LLC (Prospective Developer or PD), Hart & Hickman, PC (H&H) has prepared this Work Plan to conduct Brownfields assessment activities at the former Pfister Dyes and Chemical Brownfields property located at 4233 Trailer Drive in Charlotte, Mecklenburg County, North Carolina (Site). The Site consists of one approximately 5.75-acre parcel of land (Parcel Identification Number 04505507) located in a mixed commercial/light industrial and residential area approximately three miles north of uptown Charlotte. A Site location map is provided as Figure 1 and the Site and surrounding area are shown in Figure 2. The Site was undeveloped wooded and agricultural land as early as the late 1930s. In approximately 1967, the southern portion of the Site was developed with an approximately 19,000-square foot (sq. ft.) warehouse building that was constructed for Pfister Dyes and Chemical. Pfister utilized the facility for mixing, storage, and distribution of powdered dyes used in the textile industry until approximately 2017. The central and northern portions of the Mr. Bill Schmithorst, PG June 14, 2018 Page 2 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc Site have not been developed in the past and remain wooded land. Proposed redevelopment of the Site will include renovations to the existing Site building for commercial/light industrial use and possible new construction in the northern undeveloped portion of the Site in the future. 2.0 Background In May and July 2017, Geoscience Group (Geoscience) conducted soil and groundwater assessment activities at the Site as part of property transfer due diligence. Soil assessment activities consisted of collection of soil samples from areas of potential environmental concern across the Site. During assessment activities completed at the Site in 1995, two permanent groundwater monitoring wells were installed in the vicinity of a former septic system leach field located northeast of the Site building. May and July 2017 groundwater assessment activities conducted by Geoscience included collection of groundwater samples from the two existing septic tank leach field monitoring wells and collection of an upgradient groundwater sample to evaluate background conditions. In January 2018, H&H completed supplemental soil and groundwater assessment activities to further evaluate the potential for impacts at the Site. Sample locations from previous assessments are depicted on Figure 3, and brief discussion of previous assessment activities completed at the Site is provided in the following sections. 2.1 Geoscience 2017 Assessment Activities In May 2017, Geoscience completed soil assessment activities at the Site which consisted of collection of seven (7) soil samples from areas of potential environmental concern. Soil samples were collected in a previously permitted land application area for septic tank closure spoils, a proposed wastewater septic system area depicted in the northern portion of the Site on a 1960s development plan (later installed along the northeastern side of the Site building), adjacent to a trench drain in the dye mixing area, and adjacent to sanitary sewer line located in the laboratory (Figure 3). Laboratory analytical results did not identify compounds at concentrations exceeding the North Mr. Bill Schmithorst, PG June 14, 2018 Page 3 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc Carolina Department of Environmental Quality (DEQ) Inactive Hazardous Sites Branch (IHSB) Preliminary Soil Remediation Goal (PSRGs) in soil samples collected at the Site with the exception of samples collected in the dye mixing area. Geoscience advanced two soil borings (HA-5 and HA-6) adjacent to a trench drain located along the eastern portion of the dye mixing room in the northeastern portion of the Site building (Figure 3). Geoscience identified a layer of gravel in boring HA-5 (less than 1.0 ft below ground surface [bgs]) that was saturated with a black fluid. The black fluid was not observed in the gravel layer beneath the concrete slab at the HA-6 boring location. One soil sample (HA-5) was collected beneath the gravel layer at a depth of approximately 18 inches bgs, and one soil sample (HA-6) was collected from 5 ft bgs. Analytical results indicated that hexavalent chromium (1.2 milligrams per kilogram [mg/kg]) was detected in the HA-6 soil sample at a concentration above the Site-specific background range of 0.47-0.98 mg/kg and the Residential PSRG of 0.31 mg/kg, but below the Industrial/Commercial PSRG of 6.5 mg/kg. No additional compounds were detected above the PRSGs and/or background levels for metals in the HA-6 soil sample and no compounds were detected above the PSRGs in the HA-5 soil sample. In July 2017, Geoscience returned to the Site and collected a sample of the black gravel/fluid mixture previously identified beneath the slab in the former dye mixing room at the HA-5 boring location. Laboratory analytical results indicated the presence of the semi-volatile organic compound (SVOC) 4,6-dinitro-2-methylphenol (11 mg/kg) at concentrations exceeding the Residential PSRG of 1.0 mg/kg, but below the Industrial/Commercial PSRG of 13 mg/kg. Hexavalent chromium was detected in HA-5 gravel layer sample at a concentration of 6.1 mg/kg, which exceeds the Site-specific background range and the Residential PSRG. No other compounds were detected above the PRSGs in the dye mixing area gravel layer sample. In May 2017, Geoscience collected groundwater samples from two monitoring wells (MW-1 and MW-2) which were installed in the vicinity of a former septic leach field located northeast of the Site building during assessment activities completed by others in 1995 (Figure 3). The Mr. Bill Schmithorst, PG June 14, 2018 Page 4 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc groundwater samples were submitted for laboratory analysis of semi-volatile organic compounds (SVOCs) and Hazardous Substance List (HSL) metals plus hexavalent chromium. Laboratory analytical results indicated that thallium was detected in MW-1 (1.3 μg/L) and MW-2 (0.97 μg/L) at concentrations exceeding the DEQ Interim Maximum Allowable Concentration (IMAC) of 0.2 μg/L. No other compounds were detected in the groundwater samples at concentrations exceeding DEQ groundwater quality standards. In July 2017, Geoscience returned to the Site and installed a temporary groundwater monitoring well in an upgradient portion of the Site for collection of a background groundwater sample to determine if the previous thallium detections in the May 2017 MW-1 and MW-2 groundwater samples were consistent with naturally occurring levels. Analytical results of the background groundwater sample indicated that thallium was not detected above the laboratory reporting limit. 2.3 H&H 2018 Supplemental Assessment Activities In January 2018, H&H conducted supplemental soil and groundwater assessment activities at the Site to further evaluate potential environmental impacts identified in soil beneath the former dye mixing room and in Site groundwater. During the January 2018 supplemental assessment activities, four soil borings (HA-8 through HA-11) were advanced in the vicinity of the Geoscience HA-5 boring location to further evaluate the horizontal extent of potential impacts identified adjacent to the trench drain in the dye mixing room (Figure 3). In addition. H&H collected three soil samples for laboratory analysis from each soil boring at three depth intervals (gravel layer at 0-1 ft bgs, surficial soil beneath the gravel layer at 1-1.5 ft bgs and 4 to 5 ft bgs) to evaluate the vertical extent of potential impacts in soil beneath the dye mixing room. Laboratory analytical results indicate that trace levels of benzene (up to 0.0583 mg/kg) were detected at concentrations slightly above the Protection of Groundwater PSRG of 0.01 mg/kg at each soil sample location. Trace levels of methylene chloride (up to 0.140 mg/kg) were also detected above the Protection of Groundwater PSRG of 0.025 mg/kg in two soil sample locations (HA-10 and HA-11). No other compounds (including hexavalent chromium) were detected Mr. Bill Schmithorst, PG June 14, 2018 Page 5 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc above the PSRGs in the soil samples collected beneath the dye mixing room slab. Groundwater assessment activities conducted by H&H in January 2018 included the installation and sampling of four permanent monitoring wells (MW-3 through MW-6) at the Site to further evaluate previous detections of thallium identified in monitoring wells MW-1 and MW-2. H&H determined that existing monitoring wells MW-1 and MW-2 did not have sufficient water column for collection of groundwater samples. Therefore, newly installed monitoring well MW-3 was installed in the vicinity of the former septic leach field to evaluate groundwater conditions in this area of the Site. Groundwater assessment laboratory analytical results indicated that thallium was not detected above the laboratory reporting limits in any of the groundwater samples. The Site received eligibility into the DEQ Brownfields Program via a Letter of Eligibility dated May 3, 2018. On May 22, 2018, H&H attended a meeting with the PD and DEQ Brownfields personnel to discuss Site history, areas of potential environmental concern, proposed redevelopment plans for the Site, potential data gaps, and the proposed schedule for completing the Brownfields Agreement. Per conversations with DEQ Brownfields at the data gap meeting, H&H proposes to conduct additional groundwater assessment activities at the Site to further assess subsurface conditions for potential impacts. In addition, H&H proposes to collect background soil samples at the Site to further establish Site-specific ranges for naturally occurring metals. H&H will also complete receptor survey activities in the area surrounding the Site as part of the proposed assessment. Our proposed scope of work is outlined in the following sections. 3.0 Brownfields Assessment Activities The proposed assessment activities will be performed in general accordance with the DEQ IHSB Guidelines for Assessment and Cleanup (Guidelines) dated October 2015 and most recent versions of the U.S. Environmental Protection Agency (EPA) Region IV Science and Ecosystem Support (SESD) Field Branches Quality System and Technical Procedures guidance. Mr. Bill Schmithorst, PG June 14, 2018 Page 6 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc Prior to conducting the 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 subgrade utilities that may 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. In accordance with Mecklenburg County rules, H&H will also obtain a Subsurface Investigation Permit (SIP) from Mecklenburg County prior to temporary monitoring well installation and sampling. After completion of the activities, H&H will update the SIP on the Mecklenburg County Well Information database with a North Carolina licensed driller temporary monitor well abandonment record. 3.1 Receptor Survey H&H will perform a Brownfields receptor survey in accordance with DEQ Brownfields Section guidance. The receptor survey will include 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, H&H will review the online Mecklenburg County Well Information System about potential wells in the area and, if warranted, contact utility companies for information concerning underground utilities in the immediate area of the Site. A template copy of the Brownfields Property Receptor Survey form is provided in Appendix A. 3.2 Background Soil Assessment Activities H&H proposes to advance up to two (2) shallow soil borings 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 metals. The locations of the background soil samples will be determined based upon field observations and review of historical aerial photographs. H&H will Mr. Bill Schmithorst, PG June 14, 2018 Page 7 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc choose locations that are not in close proximity of historical buildings or agricultural storage areas. The approximate proposed locations for the background soil borings are depicted on Figure 3. If the proposed locations shown on Figure 3 are significantly changed based on field observations, H&H will contact you to discuss the new sample locations. The soil borings will be advanced utilizing a decontaminated stainless steel hand auger. Continuous soil samples will be collected from the center of the hand auger bucket at each boring. Soil samples will be logged for lithological description and field screened for indication of potential impacts by observation for staining, and the presence of volatile organic vapors using a calibrated photoionization detector (PID). The samples selected for laboratory analysis will be collected from shallow soil (no greater that 5 ft bgs). Following collection, the soil samples will be placed directly in dedicated laboratory-supplied sample containers, labeled with the sample identification, date, and requested analysis, and placed in a laboratory supplied cooler with ice. Soil samples will be submitted to a North Carolina certified laboratory under standard chain of custody protocols for analysis of Resource Conservation and Recovery Act (RCRA) metals plus hexavalent chromium by EPA Methods 6020/7471/7196. 3.3 Groundwater Assessment Activities H&H will team with a drilling contractor to utilize a direct push technology (DPT) drill rig to advance a soil boring boring for the installation of a temporary groundwater monitoring well. If refusal is encountered prior to reaching the water table in the proposed temporary groundwater monitoring well location, H&H will instruct the driller to utilize alternative drilling techniques to advance the boring until adequate groundwater is encountered. The approximate location of the proposed temporary monitoring well (denoted by TMW nomenclature) is shown on Figure 3. During drilling, continuous soil samples will be collected and logged for lithologic description and field screened for presence of staining and elevated concentrations of volatile organic vapors using a PID. The temporary monitoring well will be constructed of 1-inch diameter PVC with Mr. Bill Schmithorst, PG June 14, 2018 Page 8 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc 10 ft to 15 ft of pre-pack well screen set to bracket the water table and 1-inch diameter PVC well casing to the ground surface. A sand filter pack will extend from below the base to approximately 2 ft above the top of the pre-packed well screen. The temporary well will be completed by placing a hydrated bentonite seal from the top of the sand filter pack to the ground surface. Once the temporary monitoring well is installed, the well 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. The well will then be developed by removing a minimum of 3 to 5 well volumes and observing stable field parameters (i.e., pH ± 0.1 SU and conductivity varies no more than 5%). After development, a groundwater sample will be collected utilizing low flow/low stress purging techniques using a peristaltic pump and dedicated polyethylene tubing. The intake point of the pump tubing will be placed approximately in the 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 a water quality meter to measure pH, temperature, dissolved oxygen, oxidation reduction potential, turbidity, and specific conductivity at 3 to 5 minute intervals during purging. Purging will be considered complete when water quality parameters stabilize (i.e., pH ± 0.1 SU, conductivity varies no more than 5%, and turbidity is less than 10 NTUs). Once groundwater parameters stabilize, a groundwater sample will be collected directly into laboratory supplied sample containers using the “soda straw” method to minimize volatile loss through the peristaltic pump head. In addition to the temporary monitoring well, H&H will also collect low flow/low stress groundwater samples from existing permanent monitoring wells MW-4 and MW-5. The sample containers will be labeled with the sample identification, date, and requested analysis, and placed in a laboratory supplied cooler and iced. The samples will be delivered to a North Carolina certified laboratory under standard chain of custody protocols for analysis of VOCs by EPA Method 8260, SVOCs by EPA Method 8270, and RCRA metals by EPA Methods 6010/7471. Upon completion of sampling activities, borings will be properly abandoned by a licensed well driller and surfaces will be repaired to generally match pre-drilling conditions. Soil and Mr. Bill Schmithorst, PG June 14, 2018 Page 9 S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Work Plan\final to DEQ\Pfister Dyes & Chemical (BPN 22022-18-060)_Brownfields Assessment Work Plan_20180614.doc groundwater sample locations will be recorded in the field using a hand-held global positioning system (GPS) unit. 3.4 Quality Assurance/Quality Control Laboratory quality assurance/quality control (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 EPA method protocols and will include regular equipment maintenance, equipment calibrations, and adherence to specific sample custody and data management procedures. In accordance with approved methodologies, samples will be analyzed in conjunction with appropriate blanks, laboratory duplicates, continuing calibration standards, and surrogate standards to monitor both instrument and analyst performance. H&H will request that the laboratory reporting limits for each analyte will be at or below appropriate screening criteria. Additionally, H&H will request that the laboratory include J Flags, which are estimated concentrations for compounds that are detected at levels above the laboratory method detection limit, but below the laboratory reporting limit. The following activities will be conducted by H&H for QA/QC purposes:  non-dedicated equipment and tools will be decontaminated prior to use at each boring or sampling location, or following exposure to soil or groundwater;  one duplicate groundwater sample will be analyzed for VOCs by EPA Method 8260, SVOCs by EPA Method 8270, and RCRA metals by EPA Methods 6010/7471; and  one trip blank will accompany samples during sampling activities and shipment. The trip blank will be analyzed for VOCs by EPA Method 8260. A copy of 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 requested 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. 0 2000 4000 APPROXIMATE SCALE IN FEET N U.S.G.S. QUADRANGLE MAP QUADRANGLE 7.5 MINUTE SERIES (TOPOGRAPHIC) DERITA, NORTH CAROLINA 1996 TITLE PROJECT SITE LOCATION MAP PFISTER DYES AND CHEMICAL 4233 TRAILER DRIVE CHARLOTTE, NORTH CAROLINA DATE: JOB NO: REVISION NO: FIGURE: 06-01-2018 0 1SEL-007 SITE MW-2 MW-1 MW-3 MW-4 MW-6 MW-5 REVISION NO. 0 JOB NO. SEL-007 DATE: 5-24-18 FIGURE NO. 2 PFISTER DYES 4233 TRAILER DRIVE CHARLOTTE, NORTH CAROLINA SITE MAP LEGEND SITE PROPERTY BOUNDARY MONITORING WELL 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 VERITIV TRAILER DRIVEC E D A R H U R S T D R I V E DA L E C R E S T D R I V E SLECTRUCKS OF CHARLOTTE CAROLINA CAT PALFLEET TRUCK EQUIPMENT RESIDENTIAL RESIDENTIAL RESIDENTIAL RESIDENTIAL PFISTER DYES & CHEMICALS S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Figures\Site Map.dwg, FIG 2, 5/24/2018 9:31:44 AM, erichardson MW-2 MW-1 MW-3 MW-4 MW-6 MW-5 HA-5 HA-6 BG-2 BG-1 HA-11 HA-8HA-10 HA-9 REVISION NO. 0 JOB NO. SEL-007 DATE: 6-12-18 FIGURE NO. 3 PFISTER DYES 4233 TRAILER DRIVE CHARLOTTE, NORTH CAROLINA PROPOSED SAMPLE LOCATION MAP LEGEND SITE PROPERTY BOUNDARY PERMANENT TYPE II MONITORING WELL SOIL BORING PROPOSED GROUNDWATER SAMPLE PROPOSED TEMPORARY MONITORING WELL PROPOSED BACKGROUND SOIL BORING 2923 South Tryon Street-Suite 100 Charlotte, North Carolina 28203 704-586-0007(p) 704-586-0373(f) License # C-1269 / #C-245 Geology NOTES: 1.AERIAL IMAGERY OBTAINED FROM MECKLENBURG CO. GIS (2017). 2.MONITORING WELLS MW-1 AND MW-2 INSTALLED BY CBM ENVIRONMENTAL SERVICES, INC IN FEBRUARY 1995. 3.MONITORING WELLS MW-3 THROUGH MW-6 INSTALLED BY H&H IN JANUARY 2018. 4.SOIL BORINGS HA-5, HA-6, BG-1, AND BG-2 ADVANCED BY GEOSCIENCE GROUP IN MAY AND JULY 2017. 5.SOIL BORINGS HA-8 THROUGH HA-11 ADVANCED BY H&H IN JANUARY 2018.TRAILER DRIVECEDARHURST DRIVEDALECREST DR IVE PFISTER DYES & CHEMICALS FORMER DYE MIXING ROOM FORMER SEPTIC LEACH FIELD S:\AAA-Master Projects\Selwyn Property Group\SEL-007 Trailer Drive\Figures\Proposed Sample Location Map.dwg, FIG 3, 6/12/2018 11:21:54 AM, erichardson 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: 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. 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?). % of property that is grassed areas (unpaved) % of property that is agricultural crops % of property that is paved Size of Property (acres) 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 wooded/brush 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-Northwest South East-Northeast West-Southwest 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. Is there a residence within 1,000 ft of the Property? Specific Land Uses of Interest Y/N * Distance (ft) Is a sanitary sewer within 100 ft of the Property boundary? 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 * 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. DirectionUtility/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? * If yes, please provide a map or detailed information (distance, direction, depth) of the utility in correlation with the subject property. Is there a basement within 1,000 ft of the Property Distance (ft)Address Zoning/Land Use Proposed Usage Current Use/Occupant Is a school or daycare center within 1,000 ft of the 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 Rev. 09/2015 Page 2 of 3 North Carolina Department of Environmental Quality Division of Waste Management Brownfields Program Water Supply What is the potable water supply for the property? Public Private ______ Surface Water & Wetlands b. List the uses of the water body. c. What is the source of the water for the water body? d. What is the nature of the bottom of the water body (e.g., rocky or concrete bottom, drainage ways or impoundments) If no on-site surface water features, what is the nearest surface water body? Are there any wetlands present on the property? If no wetlands on-site, are wetlands suspected on adjoining properties? a. Is the water body naturally developed or man-made? Is a public water supply well within 1 mile of the Property boundary? Is a private water supply well within 1,500 ft of the Property boundary? Is an irrigation well within 1,500 ft of the Property boundary? Response/Comments The purpose of this section is to provide information on the presence of surface waters and/or wetlands on, or in the vicinity of the Property. Are there surface water features on the property? (If yes, please complete a. to d.) If Private, please provide details of the water supply source (i.e. well location, well construction, etc). If public, please include the water providers name. Distance (ft)Direction Provide Information regarding Surface Water and Wetlands Y/NWater Supply Wells Please provide the following information regarding water supply wells in the vicinity of the Property. At a minimum, a windshield survey within 1,500 ft of the property boundaries should be completed to determine if water supply or irrigation wells may be present. Information from applicable databases can and should be utilized; however, should not be utilized in lieu of the windshield survey. If multiple wells are present within the requested radius, please provide a map of the well locations. If needed, please attach a separate table to list all wells. Please note, the PM may opt for a more extensive water supply well survey if needed. The purpose of this section is to provide information on the water supply for the site and surrounding areas. Address Rev. 09/2015 Page 3 of 3