MO-9461_40901_C_NRP_20190604_Filed NRP & Public Notice Documentation

•
PARAGON
Environmental Consultants, Inc.
August 14, 2019
Trudy Beverly
Mooresville Regional Office — NC DEQ
610 E. Center Avenue — Suite 301
Mooresville, NC 28115
Reference: Public Notification Return Receipts
Gornto Property
2727 Palm Avenue
Charlotte, Mecklenburg County, North Carolina
Incident # 40901
Dear Ms. Beverly:
Please find enclosed copies of the return receipts for the public notifications which
were submitted for the above referenced facility. A copy of the No Further Action
letter was sent to all required parties as directed by a May 30, 2019 correspondence
from the NC DEQ Also enclosed is a certified copy of the Notice of Residual
Petroleum which was recorded with the Mecklenburg County Register of Deeds
on June 4, 2019. These documents should complete the requirements of the No
Further Action notice for the Gornto Property and finalize site closure at 2727 Palm
Avenue.
Please contact our office at [phone] if you have any questions or require any
additional information concerning this incident.
Sincerely,
at, v4l�alrZ4
Brandon Moore, L.G.
Paragon Environmental Consultants, Inc.
Gornto Prop. PN return receipt
P.O. Box 157 • Thomasville, NC 27361 -0157
Business Ph: [phone] • Fax: [phone]

Comefete items 1, 2, and 3.
Prinfyoulr name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Avtee
ston Family Trust
/o W. and Linda Livingston
421 Hayes Drive
,os Angeies, 90048
C
A.
❑ Agent
❑ Addressee
Name) C. Date of Delivery
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? ❑ Yes + 1. Article Addressed to:
If YES, enter delivery address below: ❑ No I
Il I �Ill�l I'll l�I (III ll i Ii� i IIII I II I I I I II I II III 3. Service Type ❑ Priority Mall Express®
❑Adult Signature ❑ Registered MaIITM
❑ Adult Signature Restricted Delivery ❑ Reeggistered Mail Restricte,
❑ Certified Malle Delivery
9590 9402 4638 8323 2005 68 ❑ Certified Mall Restricted Delivery ❑ Return Receipt for
❑ C II M h d'
7018 0680 0001 2997
Form 3811, July 2015 PSN 7530-02-000-9053
Complete items 1, 2, and 3.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Vi A. Lyles, Mayor
City of Charlotte
600 E. Fourth Street
Charlotte, NC 28202
II i IIIIII IIII IIIIIII II 1 IIII IIII I II 11III I II I Ill
9590 9402 4638 8323 2005 51
7018 0680 0001 2997
Form 3811, July 2015 PSN 7530-02-000-9053
o ect on Delivery erc an Ise
❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTrA
1456 ❑ Signature Confirmation
Restricted Delivery Restricted Delivery
Domestic Return Receipt
COMPLETE 7411S St GTION ON DEOVERY
a slg
X ❑ Agent
❑ Addressee
B: R77fed by (Printed -Name) C. Date of Delivery
UN 12 2019
D. 1 slivery address different from Item 1? ❑Yes
IIWES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MailTm
W❑
Adult Signature Restricted Delivery
❑ Registered Mall Restricts
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
--' -- ^-"iery Restricted Delivery
❑ Signatore Confirmation7m
1463
❑ Signature Confirmation
istricted Delivery
r rover cFnrn
Restricted Delivery
Domestic Return Receipt
Robert J. Lowery, Jr.
c/o Mark Lowery
P. O. Box 92
Lewis Center, OH 43035
A. Signature
j A ❑ Agent
X `l ❑ Addresse
B. Received (P t ame) C. Date of Deliver
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type ❑ Priority Mail Express®
II I IIIIII IIII III I III II I III I IIII I II I I I I I I I I I III w❑ Adult Signature ❑ MiRstered Mail
❑ Adult Signature Restricted Delivery ❑ R Istered Mail estric
❑ Certified WHO Delivery
9590 9402 4638 8323 2006 05 1A 0 ��� MDeIResrycted Delivery ❑ Return rch Merchandise
for
Merohandise
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation
❑ Signature Confirmation
7 018 01380 0 Q•Q 1r 4.997 1418 pstrieted Delivery Restricted Delivery
PS Form 3811, July 2015 II(M V5WOMUG&W153 Domestic Return Receir
■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Gibbie Harris Health Director
Mecklenburg County Health Department
249 Billingsley Road
' Charlotte, NC 28211
X El j* A
gent
❑ Address
B. eived by (Printed Name) C. Date of Delive
, V Misilo -\ I (., -)9�1�
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
II I IIIIII IIII III I III II I III I IIII I II I I I III III III E Service Type ❑ Priority Mall Express®
El Adult Signature ❑Registered MaiIT"'
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restric
V� ❑ Certified Mail® Delivery
9590 9402 4638 8323 2005 44 ` ❑ Certified Mail Restricted Delivery ❑ Return Receipt for
(N ❑ Collect on Delivery ❑ Signature Confirmation
2. dise
❑Collect on Delivery Restricted Delivery 9
7 018 06 8 0 0 0 01 2 9 9 7 14 7 0 ❑ Signature Delivery
Confirmation
estricted Delivery rY
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receir

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Tracking Number: 70180680000129971401 Remove X
Your item was delivered to an individual at the address at 2:27 pm on June 10, 2019 in
CHARLOTTE, NC 28205.
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Certified Mail Fee $3.5n
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CHARLOTTE, NC 28205
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❑ Adult Slgnature Restricted Delivery $
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$ )��'15
061 I )7/21-119
Total Postage and Fees
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June 10, 2019, 2:27 pm city, stare; ZIP+46---------------------- ----------------------------------------------
Delivered, Left with Individual PS Form 3800, April 2015 PSN 7530-0000-9047,
CHARLOTTE, NC 28205
Your item was delivered to an individual at the address at 2:27 pm on June 10, 2019 in CHARLOTTE, NC
28205.
June 10, 2019
In Transit to Next Facility
June 10, 2010, 6;40 any
Arrived at Unit
CHARLOTTE, NC 28212
June 8, 2019, 8:24 pm
Departed USPS Regional Destination Facility
CHARLOTTE NC DISTRIBUTION CENTER
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8/ j 4/2019
USPS.com@ - USPS Tracking® Results
June 8, 2019, 9:36 am
Arrived at USPS Regional Destination Facility
CHARLOTTE NC DISTRIBUTION CENTER
June 7, 2019, 8:54 pm
Departed USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
June 7, 2019, 4:48 pm
Arrived at USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
June 7, 2019, 3:10 pm
Departed Post Office
THOMASVILLE, NC 27360
June 7, 2019, 2:19 pm
USPS in possession of item
THOMASVILLE, NC 27360
Product Information
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Tracking Number: 70180680000129971425 Remove X
Your item was delivered to an individual at the address at 2:21 pm on June 10, 2019 in
CHARLOTTE, NC 28205.
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Domestic
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our website at
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$
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Extra Services & Fees (check box add ree ,
CHARLOTTE, NC 28205
❑RetumReceipt (hardcopy) 5 $t1I.IJl.I—
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❑ Retum Receipt (electronic) $ dam_
Postmark
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❑ Certhled Mall RestrictedDellvery $ ,ii.,i�
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❑ Adult signature Restricted Delivery $
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Total Postage and Fees
Tracking History o $ $6,85
Sent To
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June 10, 2019, 2:21 pm;ry ste�a: --------------------------------------------------------------------
Delivered, Left with Individual PS Form 3800, April 2015 PSN 7530-02-000-9047,
CHARLOTTE, NC 28205
Your item was delivered to an individual at the address at 2:21 pm on June 10, 2019 in CHARLOTTE, NC
28205.
June 10, 2019
In Transit to Next Facility
June 10. 2019, 6-48 am
Arrived at Unit
CHARLOTTE, NC 28212
June 7, 2019, 8:54 pm
Departed USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
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June 7, 2019, 4:58 pm
Arrived at USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
June 7, 2019, 3:10 pm
Departed Post Office
THOMASVILLE, NC 27360
June 7, 2019, 2:19 pm
USPS in possession of item
THOMASVILLE, NC 27360
Product Information
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Tracking Number: 70180680000129971432
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,l`our package is moving within the USPS network and is on track to be delivered to its final
destination. It is currently in transit to the next facility. —
In -Transit
June 10, 2019
In Transit to Next Facility
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Tracking History
June 10, 2019
In Transit to Next Facility
Your package is moving within the USPS network and is on track to be delivered to its final destination. It is
currently in transit to the next facility.
June 10, 2019, 6:48 am
Arrived at Unit m
CHARLOTTE, NC 28212 r-q
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June 9, 2019, 10:56 pm
Departed USPS Regional Destination Facility o
CHARLOTTE NC DISTRIBUTION CENTER M
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June 8, 2019, 1:03 pm CO
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Arrived at USPS Regional Destination Facility
CHARLOTTE NC DISTRIBUTION CENTER
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8/ 14/2019
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June 7, 2019, 8:54 pm
Departed USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
June 7, 2019, 4:48 pm
Arrived at USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
June 7, 2019, 3:10 pm
Departed Post Office
THOMASVILLE, NC 27360
June 7, 2019, 2:19 pm
USPS in possession of item
THOMASVILLE, NC 27360
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Product Information u a
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Tracking Number: 70180680000129971449 Remove X
Your item was delivered to an individual at the address at 3:01 pm on June 10, 2019 in
CHARLOTTE, NC 28205.
DomesticIr
C✓ Delivered
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June 10 2019 at 3:01 m
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EXtra S8NIC8S &Fees (check box. etld lee as n� J
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❑RetumReceipt (hardoopy) $ ,
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❑ Retum Receipt (electronic) $ I f _ 111,
Postmark
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❑ Certffled Mail Restricted belie" $ doh irl�"_^
❑ Adult Signature Required $
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❑ Adult Signature Restricted DelWery $
Postage
$ $IJ.rc
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Tracking History
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Totalostage and Fees
$6,35,
IJb/ 07/2019
,
$
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Sent To •
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- - - - ---- ------------------------------------------------------
treat and Ajit IVo.; or Pb $ox No.
June10, 2019, 3:01 pm
--------------------------------------------------------------------
Delivered, Left with Individual
CHARLOTTE, NC 28205
Your item was delivered to an individual
at the address
at 3:01 pm on June 10, 2019 in CHARLOTTE, NC
28205.
June 10, 2019
In Transit to Next Facility
June 10, 2010, &AS am
Arrived at Unit
CHARLOTTE, NC 28212
June 7, 2019, 8:54 pm
Departed USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
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June 7, 2019, 4:40 pm
Arrived at USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
June 7, 2019, 3:10 pm
Departed Post Office
THOMASVILLE, NC 27360
June 7, 2019, 2:19 pm
USPS in possession of item
THOMASVILLE, NC 27360
Product Information
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CERTIFIED COPY
FREDRICK SMITH, REGISTER OF DEEDS
MECKLENBURG COUNTY, NC
720 E. FOURTH STREET
CHARLOTTE, NC 28202
[phone]
************************************************************************
State of North Carolina, County of Mecklenburg
I hereby certify that this is a true and accurate copy of the document which appears on
record in the Office of the Register of Deeds of Mecklenburg County, North Carolina as
Instrument Numberv2OM06 9 0e / in Book Number 3 35(6 0 Page
Number ss and ending with Page Number F @-9'
Witness my hand and seal this the Oft, day of J( (L, , 20 jc%
FREDRICK SMITH, REGISTER OF DEEDS �9WCKA?A*
By. ���-li REGISTER
Deputy R gi ter of Deeds .
Fnr-EDSi
THIS CERTIFICATION SHEET IS A PART OF THE DOCUMENT

B33560 - P825
FOR REGISTRATION
Fredrick Smith
REGISTER OF DEEDS
Mecklenburgg County NC
2019 JUN 04 01:06:8 PM
BK:3FEE0$26.005-828
INSTRUMENT 0 2019068081
BYRUMTE
2019068081
Retumed to customer
NOTICE OF RESIDUAL PETROLEUM
Gornto Property 2727 Palm Avenue Charlotte NC Incident # Pendine
Mecklenburg County, North Carolina
Current Property Owners Deed Book # 12729 Page # 478
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 Environmental Quality (or its successor in function), as authorized by N.C.G.S. Section
143B-279.9 and 143B-279.11. The North Carolina Department of Environmental 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 143B-279.9 and 14311-279.11, 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 County
Register of Deeds' office Book , Page
Any map or plat required by DEQ has been/shalI be recorded at the Mecklenburg County Register of Deeds'
office Book , Page , and has been/shall be incorporated into the Notice by this reference.
Paula Faye Gornto 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:
BEING all of Lot E, Block F of the revision of EASTWAY, as same is shown in Map Book 6, Page 789 of the
Mecklenburg County Public Registry.
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 Deeds receives and records the written concurrence
of the Secretary (or his/her delegate) of DEQ (or its successor in function).

B33560 - P826
PERPETUAL LAND USE RESTRICTIONS
[Restrictions apply to activities on, over, or under the land.]
Soil: Soil containing residual petroleum above applicable regulatory standard(s) remains on the site in
the area identified in Figure 1, Attachment A. No soil shall be excavated or disturbed within 3 feet
of the area identified in Figure 1, Attachment A 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
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.
IN WITNESS WHEREOF, Paula Fa a ornto has cause this Notice to be executed pursuant to N.C.G.S.
Sections 143B-279.9 and 143B-279.11, this day of , 2019.
By: 0f—
/ 7 et7� 4
Signatory's name typed or printed: Paula Faye Gornto
NO T I C�ROLINA V COUNTY
I certify that the following person(s) personally appeared before me t is day, each acknowledging to me that he or
she signed the foregoing document: (�-ay—� � f COi-Qvcr o�-{ $(OuAf, r-sf �-oty'aW-
Date:
(Official Seal)
MARY VITALE
a
tary Public - North Carolina
Union CountyoRtR11"On KX009g i eteber 16, 2822
(signature ofNcUry Public)
MA,4-� V I TA-(E'
(printed or tvped name of Notary Public)
Notary Public
My commission expires 00-- I G , 20 %7

B33560 - P827
Approved for the purposes of N.C.G.S. 14313-279.11.
R ald H. Taraban, Ph.D., Regional Supervisor
Mooresville Regional Office
UST Section
Division of Waste Management
Department of Environmental Quality
C4APtqL1NA
COUNTY
(Name of county in which acknowledgment was taken)
I certify that the following person(s) ersonally appeared before me this day, each acknowledging to me that he or
she signed the foregoing document: ,�d . T A(&ll printed name of Regional Supervisor)
Date: _
kya-cG
(Official Seal) (signature of Notary Public)
G
Norq el w.y (printed or typed name of Notary Public)
9j-n
MustON
f x Notary Public
# z XPtgEs
imp l ��9 My commission ex 'res -209
�y�� �BL1G Gag

B33560 - P828
THIS MAP MAY NOT BE A CERTIFIED SURVEY AND HAS NOT BEEN REVIEWED BY A LOCAL
=
GOVERNMENT AGENCY FOR COMPLIANCE WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS
o
AND HAS NOT BEEN REVIEWED FOR COMPLIANCE WITH RECORDING REQUIREMENTS FOR PLATS.
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Beverly, Trudy
From: Beverly, Trudy
Sent: Thursday, August 15, 2019 7:09 AM
To: Brandon Moore
Subject: RE: [External] Gornto Prop. 2727 Palm Ave. Charlotte (Mecklenburg Co.)
GW Inc. # 40901
Received.
Thank you,
Trudy
NORP4CARC]i WA
effl"amental uwranmantal 4uallly
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy.Beverly(a)ncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: https://deq.ne.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: https://deq.nc.gov/about/divisions/waste-management/ust/ast-pry
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
htips://deq.nc.gov/about/divisions/waste-management/waste-management-rules-data/waste-management- i� s-maps
File Review Procedures:
https://deg.nc. gov/abouVdivisions/waste-manaaemenVusVfile-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
htt2s://edocs.deg.nc.gov/WasteManagement/Search.asl2x
Document Submittal & UST File Names for Laserfiche Policies:
https://files.nc. gov/ncdeq/Waste%20Management/DWM/UST/Corrective%2OAction/Electronic%2ODocument%2OSubmittal%2OMemo%2OUpdate.
https:Hfiles.nc. gov/ncdeq/Waste%20Management/DWM/UST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx
From: Brandon Moore [mailto:[e-mail]]
Sent: Wednesday, August 14, 2019 3:20 PM
To: Beverly, Trudy <[e-mail]>
Subject: [External] Gornto Prop. 2727 Palm Ave. Charlotte (Mecklenburg Co.) GW Inc. # 40901
F External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to [e-mail]
Trudy,

See attached for this site — I do not know what happened with the Post Office but we sent eight certified letters
with seven of them delivered (but only 4 of the 7 did we get the return receipt back) and the final letter shows
as being still in route to the final address since June 10 per the online USPS tracking info
Thanks,
Brandon Moore
Paragon Environmental Consultants, Inc.
[phone]