MO-87567_87567_CA_UST-61_20051128_Sample Results & 24-Hour Reporting Form

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a city meeting the future...
Mr. Ed Leach
NCDENR - UST Section
610 East Center Street, Suite 301
Mooresville, North Carolina 28115
Phone [phone]
Fax [phone]
Re: Willis Hosiery Mills, Inc.
184 Academy Av. N.W.
Concord, NC 28025
Dear Mr. Leach:
November 28th, 2005
r-pj CF
As we discussed on the telephone last week, our utility line workers noticed a
gasoline smell while digging to uncover a water line at the above referenced site.
According to City policy, we stopped work and had a consultant come in to test
the soils. The results of the tests performed are attached to this letter. The Willis
Hosiery Mill, Inc. is bankrupt, and the contact name for the new ownership is as
follows:
Mr. Michael Henry
Peterson, Goldman, & Villani, Inc.
700 N. Pearl St., Suite 920
Dallas, Texas 75201
[phone] Ext. 2190
If you need any additional information, please do not hesitate to cal me at (704)
920-5403.
Sincerely
�nrique. P.E.
Deputy City Engineer
Concord, NC Concord, NC
Iltzift" Ft neei*Deparnnent
IMAnleft,c"y AI�dM B" m (px ous CwMr 1 AMMIC t
City of Concord • 850 Warren C Colgi=Blvd • P.O. Box 308 • Concord, North Carolina 28026 �,
2004 [phone] • Fax [phone] • TDD 1-800-735-8262 9 www.a d.nncus 2004

SINCE
FROEHLING & ROBERTSON, INC.
GEOTECHNICAL • ENVIRONMENTAL • MATERIALS
ENGINEERS • LABORATORIES
"OVER ONE HUNDRED YEARS OF SERVICE"
2505 HUTCHISON-McDONALD ROAD- CHARLOTTE, NC 28269
® PHONE: [phone] • FAX: [phone]
1 8 8 1 See us on the web: www.FandR.com
November 10, 2005
Mr. Rick Blat
City of Concord Engineering Department
850 Warren C. Coleman Boulevard
Concord, North Carolina 28026
Reference: Lab Analysis of Stockpiled Soils
Academy Avenue
Concord, North Carolina
F&R File No.: G63-9069E
Dear Mr. Rick Blat:
Froehling & Robertson, Inc. (F&R) has received results of laboratory analysis of a composite soil
sample obtained by F&R personnel at the referenced site. The composite sample was tested for
Extractable Petroleum Hydrocarbons -Diesel (DRO), Purgeable Petroleum Hydrocarbons -gasoline
(GRO), and Oil and Grease (O&G). The soil sample was analyzed by a North Carolina accredited
laboratory and determined to have concentrations of 2300 milligrams per kilogram (mg/kg) for DRO,
1370 mg/kg for O&G and `BQL" (Below the Quantitation Limit) for GRO. Both the DRO and the
O&G levels are above the North Carolina Department of Environment and Natural Resources
(NCDENR) clean up or "action" levels (40 mg/kg for DRO and 250 mg/kg for O&G). A copy of the
Analytical Report is attached.
Please contact the undersigned at your convenience if you have questions with regard to the
information presented or if additional information is needed.
Sincerely,
FROEHLING AND ROBERTSON, INC.
Kip J. Kerecman
Wetland Scientist
DeWitt Whitten, CHMM, REM, REPA, CES
Senior Environmental Professional
HEADQUARTERS: 3015 DUMBARTON ROAD • BOX 27524 • RICHMOND, VA 23261-7524
TELEPHONE: [phone] • FAX: [phone]
BRANCHES: ASHEVILLE, NC • BALTIMORE, MD • CHARLOTTE, NC • CHESAPEAKE, VA
CROZET, VA • FAYETTEVILLE, NC • FREDERICKSBURG, VA • GREENVILLE, SC
RALEIGH, NC • ROANOKE, VA • STERLING, VA -

FROEHLING & ROBERTSON, INC
GEOTECHNICAL • ENVIRONMENTAL • MATERIALS
ENGINEERS • LABORATORIES
"OVER ONE HUNDRED YEARS OF SERVICE"
sine€ aas
CERTIFICATE OF ANALYSIS
November 10, 2005
LAB#: 0511101
CLIENT:
F&R Charlotte
2505 Hutchison -McDonald Road
Charlotte N.C., 28269
Kip Kerecman
PROJECT:
Academy Avenue
PROJECT NO.:
G63-9069E
SAMPLED BY:
Kip Kerecman
RECEIVED:
11/03/05
Lab ID: 0511101-01 (Soil)
Client ID: AS 1
Sampled Date/Time: 11/2/05 10:35
Page 1 of 1
Quant
nalyte Result Limit Units Prepared Analyzed Method Analyst Note
Total Petroleum Hydrocarbons
Diesel Range Organics 2300 10 mg/kg dry 11/3/05 11:50 11/8/05 12:39 SW846/8015m CLA D-04
Gasoline Range Organics BQL 10 il/7/05 8:30 11/8/05 7:41 SW846/8015 B Ss
Wet Chemistry
Oil & Grease Petroleum 1370 36 mg/kg dry 11/4/05 12:15 11/4/05 16:07 SW846/9071A AB
Notes and Definitions
D-04 The hydrocarbons present are a complex mixture of diesel range and heavy oil range organics.
mg/L =
milligrams per Liter
µg/L =
micrograms per Liter
mg/kg =
milligrams per kilogram
su =
standard units
BQL =
Below the Quantitation Limit
Audrey N. Brubeck
Manager Analytical Laboratory Services
HEADQUARTERS: 3015 DUMBARTON ROAD • BOX 27524 • RICHMOND, VA 23261-7524
TELEPHONE [phone] • FAX [phone] • w .Fandkcom
CERTIFICATIONS: VIRGINIA DRINKING WATER -00150
BRANCHES: ASHEVILLE, NO o BALTIMORE, MD • CHARLOTTE, NO o CHESAPEAKE, VA NORTH CAROLINA DENR - 432
CROZET, VA • FAYETTEVILLE, NO • FREDERICKSBURG, VA SOUTH CAROLINA DHEC- 93010001 & 93010
GREENVILLE, SC • HICKORY, NO • RALEIGH, NO • ROANOKE, VA • STERLING, VA MARYLAND DRINKING WATER - 279

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4

Department of Environment and Natural Resources, Division of Waste Management, Undereround Storaee Tank Section
24-Hour Release and UST Leak Reporting Form
This form should be completed and submitted to the UST Section's regional office following a known or suspected release from an
underground storage tank (UST) system. This form is required to be submitted within 24 hours of discovery of a known or suspected
release.
(DWM USE ONLY)
Incident # Risk (H,I,L,U)
Suspected Contamination? (Y/N)
Facility ID Number
.Received On Received By
Confirmed GW Contamination? (Y/N)
Date Leak Discovered
Reported by :(circle one): Phone, Fax or Report
Confirmed Soil Contamination ?(Y/N)
Free Product ? (Y/N) If Yes, State
Comm/Non-Commercial?
Reg/Non-regulated?
Region
Greatest Thickness
+'' INCIDENT DESCRIPTION
Incident Name: I L L I S 0 S i is A M � L L S —I: tj C
W
Address: At= A -DE &A A o (A)e
County: C A'6A P— Qi US
City/Town: C 0,C 02� ' �'
Regional Office (circle one): Ashevill , ooresville ayetteville,
Raleigh, Washington, Wilmington, Winston -
Latitude (dd.mm.ssss): Longitude (ddd.mm.ssss) : Confirmed by GPS? (Y/N)
Briefly describe suspected or confirmed release: (including but not limited to: nature of release, date of release, amount of release, amount of
free product present and recovery efforts, initial responses conducted, impacts to receptors)
'DVe- t,JQ A P-00-ROE t5f V I C C CALL T',o 0 Up2.. l 2 ltiCt, WA-t"rG L W�
C 1 of 00 Q CotZ UiI L l i L ►.,,j C tv ojZ eF/2S 6
6oits
TTI WT PWD N V 1702 a C ! Conlil'1AC.� F & Zl�lG unk-o
CAM -1--149' S t 179: 1120 K- S,AM PL tz S A ivD C'oN -Fc2 M cD
CDN i 1�1 T� ► �vrarila,J �� vC. ► S ���4C.6-r�.�,.
o ,I��s
HOW RELEASE WAS DISCOVERED
Check one)
❑ Release Detection Equipment or Methods Visual/Odor ❑ Groundwater Contamination
❑ During UST Closure/Removal ❑ Water in Tank ❑ Surface Water Contamination
❑ Property Transfer ❑ Water Supply Well Contamination ❑ Other (specify)
SOURCE OF CONTAMINATION
Primary Source of Contamination Primary Contaminant Type Location Setting
(Check one) (Check one) (Check one) (Check one)
❑ Suspected UST Release ❑ Gasoline/Diesel/Kerosene ❑ Facility ❑ Residential
❑ Confirmed UST Release (Also check one below): ❑ Heating Oil ❑ Residence ❑ Industrial
❑A. Dispenser ❑ Other Petroleum Products ❑ Other ❑ Urban
❑B. Line Release ❑ Metals ❑ Rural
❑C. Tank Release ❑ Other Inorganics
❑D. Spill/Overfill ❑ Other Organics
Exact Failure Location Unknown or
Multiple Failures
Unknown Source (Believed to be UST Source,
explain in "Incident Description" above)
Ownership
1. Municipal 2. Military 3. Unknown rivate 5. Federal 6. County 7. State
Operation Type
1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. dustria 6. Commercial 7. Mining
UST Form 61 (07/00)

Yage L of
IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wells Affected? 1. Yes 2. No 3. Unknown
Number of Water Supply Wells Affected
Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
1.
2.
3.
UST SYSTEM OWNER
UST Owner/Company
Point of Contact Address
City State Zip Code Telephone Number
UST SYSTEM OPERATOR
UST Operator/Company
Address
City
State
Zip Code
Telephone Number
LANDOWNER AT LOCATION OF UST INCIDENT
Landowner I Address
City
State
Zip Code
Telephone Number
Draw Sketch of Area (showing two major road intersections) or Attach Map
Person Reporting Incid Company Telephone Number
EN 2.► &v E &. lA-r C r IF COG)CD1 d % - vo
Title V tT-'6 Address 9.C)130`,,, 2;, 013 Date
Ewa 14£fifz� Coocotz� 0. C, 2 Ce NoV 20 2005
UST Form 61 (07/00)
2

Record of Communication
for
Steven Bograd
To: Ed Leach
Date: November 21, 2005
Subject: Phone Call W/City of Concord
11/10/2005 4:56 PM Rick Blant — city of concord 920-5403 — crew was remvoing a water line connected to
the Willis Hosiery Mill; encountered contaminated soil, tested diesel at 2300 ppm, gas
ND and oil and grease >1,000; no tanks in area; excavation only 5' deep; brought info
to Andrew; discussed disposal of soil
seb/letters/communications2005/blant

Print Screen Page 1 of 1
, Cabarrus County GIS - Parcel Information
cne �n This map printed on 12/2/2005
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2640 612 4 { •" 68
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5226 37 6 8 4387 f r Easement
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DISCLAIMER: All data is compiled from recorded deeds, plats and other public records and data. Primary sources from which this
data was compiled must be consulted for verification of information contained in the data. All information contained herein was
created for the County's internal use, Cabarrus County, its agents, and employees shall not be held liable for any errors in the
data. This includes errors of omission, commission, errors concerning the content of the data, and relative and positional accuracy
of the data. This data cannot be construed to be a legal document. Any resale of this data is strictly prohibited in accordance with
North Carolina General Statue 132-10.
http://166.82.128.222/PrintMap.asp 12/2/2005

State of North Carolina
Department of the Secretary of State
SOSID: 0164286
Date Filed: 10/5/2005 2:48:00 PM
Effective: 11/5/2005
Elaine F. Marshall
North Carolina Secretary of State
C200527700406
STATEMENT OF RESIGNATION OF REGISTERED AGENT
Pursuant to §55D-32 of the General Statutes of North Carolina, the undersigned hereby submits the following statement:
I, LLA1e r- 7 A&OwT , (type or print name), hereby resign my appointment as
registered agent for the following entity: /15 P1/15[efV1 %
Entity type: ffCorporation, ❑Foreign Corporation, []Nonprofit Corporatio
❑Foreign Nonprofit Corporation, ❑Limited Liability Compan j,
[]Foreign Limited Liability Company, ❑Limited Partnership, ❑Foreign Limited Partnership,
[]Limited Liability Partnership, ❑Foreign Limited Liability Partnership
2. The undersigned certifies that written notice of this resignation as registered agent of the entity has been mailed or delivered to
the entity as follows:
Name and Title of Indivi
City, State, Zip
3. The registered office is to be discontinued. (check here
This the 1� "day of —
aoaC
if applicable)
l�I i 11 i S As MY Mills 1i1(e .
Name of E tity
&kt ele
Signature
Type or Print Nameale
NOTES
I . No filing fee. This document must be filed with the Secretary of State.
2. The appointment as registered agent is terminated, and the registered office is discontinued if so provided, on the 31'day after the date on which this statement is
filed.
CORPORATIONS DIVISION
(Revised January 2002)
P.O. BOX 29622 RALEIGH, NC 27626-0622
(Form BE-07)

Page 1 of 1
North Carolina
Elaine F Marshall DEPARTMENTOF THE
Secretary SECRETARY OF STATE
Corporations
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PO Box 29622 Raleigh, NC 27626-0622 [phone]
Date: 12/2/2005
Click here to:
View Document Filings i
mr'Print apre-populated Annual Report Form i File an Annual Report
2-1
Corporation Names
Name Name Type
NC Willis Hosiery Mills, Legal
Incorporated
Business Corporation Information
SOSID:
0164286
FID:
560456930
Status:
Admin. Dissolved
Date Formed:
8/15/1927
Citizenship:
Domestic
State of Inc.:
NC
Duration:
Perpetual
Registered Agent
Agent Name:
Registered Office Address
Registered Mailing
Address:
184 Academy Ave. N.W.
Concord NC 28025
PO Box 407
Concord NC 28026
Principal Office Address: No Address
Principal Mailing Address: PO Box 407
Concord NC 28026-0407
Stock
Class Shares No Par Value Par Value
COMMON 100000 1
For questions or comments about the North Carolina Secretary of State's web site, please send e-mail to Webmaster.
http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemld=4777359 12/2/2005

Cabarrus County Web Site
Page 1 of 2
, , 0,
Zoom do Z00111 ftuf Zo;:gym full.
Owner Information:
WILLIS HOSIERY MILL INC
184 ACADEMY AVE NW
CONCORD, NC 28025-4850
Sales Data:
Sale Date: 09/2002
Sale Price: $0
Appraisal Data:
Building Value: $910,360
Market Land Value: $189,000
Extra Features: $101,100
Appraised Value: $1,200,460
�?GA Identify
0
0
(lent overy NO
Parcel Information:
PIN:
5620585916
Site Address:
00184 ACADEMY AV NW
City, ZIP:
CONCORD 28025
Jurisdiction:
CITY OF CONCORD
Real ID:
12-018-0133.00
Deed Book Page:
039960137
Tax Map:
562007
Legal Description:
184 ACADEMY AVE N W
Land Units:
5.25 ACRE(S)
Front Footage:
0
Year Built:
1927
Heated in Ft
49956
F
<33
Layer Name
Topo - 4ft
Streams
Structures
Easement
Lot Dimensii
Road Label;
Zip Code
Parcel
Municipalitie
Aerial Photo
2001
County
tpdat
East
Roat
Parc
http:// 166. 82.128.222IParcelInfo. asp?Function=ShowMap&PanDirection=&MapAction=i... 12/2/2005

Cabarrus County Web Site Page 2 of 2 .
Total Sq Ft: 71268
Subdivision:
Neighborhood: CABARRUS / MCGILL
Neighborhood #: 50007
Zon,u.n(' InJor..mation,foi this_parcel
Voting lnfornatian fc�r ihis._1�aic.el.
l loodplain Info 7nation. fi r this_parcel
Send comments about the site design to we.bm_as..ter
Copyright@1999, 2000, 2001 Cabarrus County. All rights reserved. Privacy Statement.
http:// 166. 82.128.222IParcclInfo. asp?Function=ShowMap&PanDirection=&MapAction=i... 12/2/2005

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