MO-9532_40967_G_C_20191204_Inquiry Email

Beverly, Trudy
From: Beverly, Trudy
Sent: Wednesday, December 4, 2019 9:04 AM
To: Patrick Laatsch
Subject: RE: [External] Home Heating Oil Incident_934 W Mallard Cr Ch Rd
I have not received any additional information about this release, only the UST-61.
Trudy
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
rH `I. UST Section, Mooresville Regional Office
`r il�A o kv`
704.235.2182 (Office)
Trudy. B everlykncdenn 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: h_pt s://deg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: https://deg.nc.gov/about/divisions/waste-management/ust/ast-proeram
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://dea.nc. eov/about/divisions/waste-manaeement/waste-manaeement-rules-data/waste-manaeement-ais-mans
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
htips://deg.nc.gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
https:Hfiles.nc. gov/ncdeq/Waste%20Management/DWMIUST/Corrective%2OAction/Electronic%2ODocument%2OSubmittal%2OMemo%2OUpdate.pdf
htips:Hfiles.nc.gov/ncdeq/Waste%20Management/DWM/ JST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx
From: Patrick Laatsch [mailto:[e-mail]]
Sent: Wednesday, December 4, 2019 8:39 AM
To: Beverly, Trudy <[e-mail]>
Subject: [External] Home Heating Oil Incident_934 W Mallard Cr Ch Rd
am -
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
[e-mail]
Good morning Trudy
We are completing some due diligence on a site in the University Area of Charlotte that had a home heating oil
incident [Identified during removal in March]. See attached 24 HR notice provided by our client contact.
I have not heard back yet from the property owner (Mr. Adams) but I was wondering if any additional
information is available regarding the incident.
Thanks in advance
Patrick Laatsch

Senior Project Manager
Charlotte Environmental Group Leader
S&ME
� F
9751 Southern Pine Blvd.
Charlotte, NC 28273 map
0: 704.523.4726
E M: 704.618.7147
[e-mail]
19 U I L T FOR www.smeinc.com
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2 Hour gm a" and 03'1' • '"`r�
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For Releases This form should be completed and submitted to the UST Section's regional office followinga 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
In NC suspected release
(DWM USE ONLY)
Suspected Contamination? (Y/N) ___ _?__
Facility ID Number
Incident tY Risk (H,I,L,U)
Confirmed GW Contamination? (Y/N) ��l/ _
Date L Dlsoov re _ _—_—
Received On Received By
Confirmed Soil Conlamina)ion ?(Y/N)
Com on-Commercial_;�
Reported by (cinde one): Phone, Fax or Report
Samples Taken?(YIN) �_
-Co
Reg on-regula e ---------
Region
Free Product? (Y/N) __&I_ If Yes, State Greatest
Thickness 4-1
INCIDENT DESCRIPTION
Incident Name: jam\ /y 1
�
Address: L` r�'C
County: fY\ I2iL Iy.. 1z'
City/Town: C� ����
Zip Code: �f �.
Regional Office (circle one): Asheville, ooresville Fayetteville,
Raleigh, Washington, Wilmington, Winston-Salem
Lau tude{ded"degrees): Longitude (declmWdogreim) :
Obtained by:
❑ GPS
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)
❑ Topographic map
`'\ Z,
v�� r O Y�� O� 1
❑ GIS Address matching
` C►�\1 0-�
❑ Other
U Unknown
Dcscribe location:
�p n
HOW RELEASE WAt DISCOVERE (Release Code) 1w�t, .� ;N%'t ,
(Check one)
❑ Release Detection Equipment or Methods U Visual/Odor ❑ Groundwater Contamination
During UST Closure/Removal ❑ Water in Tank ❑ Surface Water Contamination
Property Transfer ❑ Water Supply Well Contamination ❑ Others cif
SOURCE OF CONTAMINATION
Source of Release Cause of Release Type of Release Product Tme Released
(Check one to indicate primary (Check one to indicate primary (Check one) (Check one to indicate primary product type
source) cause) released)
Tank ❑ Spill petroleum ❑ Gasoline/ Diesel/ ❑ Diesel/Veg. Oil
Kerosene Blend
❑ Piping ❑ Overfill U Non -Petroleum
%Hoaling Oil U Vogetablo Qil 100%
❑ Dispenser Corrosion U Both ❑ Other Petroleum ❑ E 10 - E20
❑ Submersible Turbine Pump ❑ Physical or Mechanical Products
U E21 E84
-
Damage Location ❑ Metals
❑ Delivery Problem ❑ Install Problem (Check one) ❑ Other Inorganics U E85 - E99
❑ Other ❑ Other ❑ Other Organics ❑ Ethanol 100%
❑ Facility
❑ Unknown
❑ Unknown INLResidence ❑ E01 - E09
Definitions presented on reverse Definitions presented on reverse ❑ Other
Ownershio
1. Municipal 2. Military 3. Unknown . Private 5. Federal 6. County 7. State
Operation Type
1. Public Service 2. Agricultural 3. idential 4. Education/Relig. 5. industrial 6. Commercial 7. Mining
UST Form 61 (02/08) Page 1 of 2
04N-�

IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wells Affected? 1.
Yes 2. No �Ukn
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
Address
City
<r �`���
State
�,
Zip Code
Z�Z��,
Telephone Number
'7oq,17( L)
Draw Sketch of Area (showing two major road intersections) or Attach Map
Person Reporting Incident
Company
Telephone Number
Title <
1\ '� to
Address �t'J
Date
uS i rorm Cl timmu) r Page 2 of 2
Definitions of Sources
Tank: means the tank that stores the product and is part of the underground storage tank system
Piping: means the piping and connectors running from the tank or subrrsible turbine pump to the dispenser or other end -use equipment (Vent, vapor recovery, or fill
lines are excluded.)
Dispenser. includes the dispenser and the equipment used to connect the dispenser to the piping (e.g., a release from a suction pump or from components located above
the shear valve)
Submersible Turbine Pump (STP) Area includes the submersible turbine pump head (typically located in the tank sump), the line leak detector, and the piping that
connects the submersible turbine pump to the tank
Delivery Problem: identifies releases that occurred during pniduct delivery to the tank. (Typical causes associated with this source are spills and overfills )
Other: serves as the option to use when the release source is known but does"not fit into one of the preceding categories (e.g., for releases from vent lines, vapor
recovery lines, and fill lines)
Unknown: identifies releases for which the source has not been determined
Definitions of Causes
Spill: use this cause when a spill occurs (e.g., when the delivery hose is disconnected from the tank fill pipe or when the nuzzle is removed from the dispenser)
Overfill: use when an overfill occurs (e.g., overfills may occur from the fill pipe at the tank or when the nozzle fails to shut off at the dispenser)
Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion (e.g., puncture of tank or piping, loose fittings, broken
components, and components that have changed dimension)
Corrosion: use when a metal tank, piping, or other component has a release due to corrosion (e.g., for steel, corrosion takes the form of rust)
Installation Problem: use when the problem is determined to have occurred specifically because the UST system was not installed properly
Other: use this option when the cause is known but does not fit into one of the preceding categories (e.g., putting regulated substances into nionnoring wells)
Unknown: use when the cause has not been determined