MO-9539_40971_C_NRP_20200114_Filed Notice of Residual Petroleum

B34203 - P640
FOR REGISTRATION
Fredrick Smith
REGISTER OF DEEDS
Mecklenburg County NC
2020 JAN 14 02:54:93 PM
BK:34203 PG:640-644
FEE:$26.00
INSTRUMENT # 2020006177
JONESAW
I�VI1aMI���I�l11�f�ll
NOTICE OF RESIDUAL PETROLEUM
Norma Burton Property MecklenburgCounty, North Carolina
(Site name)
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 14313-279.9 and 14313-279.11, 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 Register of Deeds' office Book , Page
(name of county)
Any map or plat required by DEQ has been/shall be recorded at the Mecklenburg Register of
(name of county)
Deeds' office Book , Page , and has been/shall be incorporated into the Notice by this reference.
Source Property
Norma S. Burton c/o Jeanne Gaffney, POA of Charlotte, North Carolina
(Owner's name) (city & state ofhomeowner)
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 Lot 67 of ROBINSON WOODS as shown on map thereof which is recorded in Map
Book 11, on page 157, in the Mecklenburg Public Registry.
Being the same lot conveyed to the party of the first part by S and T Development Company
by deed recorded in Book 2507, on page 422, in the Mecklenburg Public Registry, to which reference is
hereby made. (Excerpted from Mecklenburg County Register of Deeds Book 2544, Page 58).
Return to: Revised January 15, 2013
Cedar Rock Environmental, P. C. Page 1 of 4
107 Pioneer Trail
Graham, NC 27253

B34203 - P641
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 Deed receives and records the written concurrence of the Secretary (or his/her delegate) of
DEQ (or its successor in function).
PERPETUAL LAND USE RESTRICTIONS
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 by 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.
Revised January 15, 2013
Page 2 of 4

1334203 - P642
IN WITNESS WHEREOF, Norma S. Burton c/o Jeanne Gaffney, POA has caused this Notice
to be executed pursuant to N.C.G.S. Sections 14313-279.9 and 14313-279.11, this 13"' day of January ,
2020.
Norma S. Burton c/o Jeanne Gaffney, POA
27=
B t is signing)
Y
(signature of responsible party, at rney or other agent if there is one)
President, Cedar Rock Environmental, P. C.
(Title of agent for responsible party if there is one)
Signatory's name typed or printed: Robert A. Payne
NORTH CAROLINA
A(G.r� c�nc C_ COUNTY
(Name of county in which acknowledgment was taken)
I certify that the following person personally appeared before me this day, acknowledging to me that he or
she signed the foregoing document: Robert A. Payne
Date: -Iank^- i 1-2 2r>Z0
(Official Seal)
JOSIAH D PAYNE
NOTARY PUBLIC
y com�sm FCicpOirues io-22 N.C.
0 o.
a 59�= -
46;?n`ature of Notary Public)
printed or typed name of NotaryPublic)
Notary Public
My commission expires:oak L' zone
Revised January 15, 2013
Page 3 of 4

1334203 - P643
Approved for the purposes ofN.C.G.S. 143B-279.11
(signature of Regional Supervisor)
Gill `i'l�?D/ri rV-\
egional Supervisor
(printed name of Regional Supervisor)
Winston-Salem Regional Office
UST Section
Division of Waste Management
Department of Environment Quality
NORTH CAROLINA
I-,)r54. A COUNTY
(Name of cou in which acknowledgment was taken)
I certify that the following person(s) personally appeared before me this day, each acknowledging to me
that he or she signed the foregoing document: Lec 14-rbAAJ- (full printed name of Regional Supervisor)
Date: Jcnue-iy (�(, ZoZo
(Official Sea])
JOSIAH D PAYNE
NOTARY PUBLIC
ALAMANCE COUNTY, N.C.
My Commission Expires 10-22-2020.
(signature of Notary Public)
printed or typed name of Notary Public)
Notary Public
My commission expires: l3 . z z Zo ao
Revised January 15, 2013
Page 4 of 4

1334203 - P644
n
0
0
a�
ATTACHMENT A
NOTE:
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
and has not been reviewed for compliance
with recording requirements for plats.
1
Keith Emery
Property _ —�
Craig Baldauf
Property
,
Ronald Krisko
Property
House \
,
Michael Allison
Property
T1
Douglas Ellison
IProperty
0 20 40 80
iiiii
1 Inch = 40 Feet
PROJECT: Nora Burton Property
INCIDENT # Pending Lc O ct-4t
LOCATION: 431 Canyon Trail
Charlotte, Mecklenburg Co.
CRE PROJECT NUMBER: 283722590
RESTRICTED AREA (estimated
extent of soil contamination
exceeding applicable cleanup standards.)
— — : Property Lines
T1 = 540-Gallon UST
CEDAR ROCK
ENVIRONMENTAL, P.C. FIGURE 1
FILENAME:
VERSION DATE
2837NoRP.fc7
1/2/20

Beverly, Trudy
From: Beverly, Trudy
Sent: Monday, January 27, 2020 1:03 PM
To: Bob Payne
Subject: RE: [External] RE: Norma Burton Property - Incident #40971
Received. Thanks Bob.
Have a great day,
Trudy
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
��DIEQ
North Carolina Department of Environmental Quality
rL�n[O ��" UST Section, Mooresville Regional Office
LMW704.235.2182 (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: hops://deq.nc.gov/about/divisions/waste-manaaement/ust
Branch's Above Ground Storage Tanks Website Address: ht!ps:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-proeram
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://deo.nc. eov/about/divisions/waste-management/waste-management-rules-data/waste-management-eis-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):
hops: //deg.nc. gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
https:Hfiles.nc. gov/ncdeg/Waste%20Management/D WM/UST/Corrective%2OAction/Electronic%2ODocument%2OSubmittal%2OMemo%2OUpdate.pdf
https:Hfiles.nc. gov/ncdeq/\Vaste%2OManagement/D WM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: Bob Payne [mailto:[e-mail]]
Sent: Monday, January 27, 2020 12:54 PM
To: Beverly, Trudy <[e-mail]>
Subject: [External] RE: Norma Burton Property - Incident #40971
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to [e-mail]
Hello Trudy. Please see attachment.
Robert A. Payne, L. G.
(cell) 336-684-2734
,kCedar bock
,kEN IR NMENTi4L

Jeremiah 9:23-24
From: Beverly, Trudy
Sent: Monday, January 27, 2020 10:14 AM
To: Bob Payne
Subject: Norma Burton Property - Incident #40971
Good Morning Bob,
Do you have the filed Notice of Residual Petroleum for Norma Burton Property located at 431 Canyon Trail,
Charlotte, Mecklenburg County, North Carolina (Incident #40971)?
Trudy
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.Beverlykncdenr. 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.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: hitps:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-prosram
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
https://deo.nc. eov/about/divisions/waste-manaeement/waste-manaeement-rules-data/waste-manaeement-eis-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):
https://deq.nc.gov/about/divisions/wastc-mana�cmcnt'laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
ht_pt s:Hfiles.nc.gov/ncdeq/Waste%20Management/DWM/UST/Corrective%2OAction/Electronic%2ODocument%2OSubmittal%2OMemo%2OUpdate.pdf
https:Hfiles.nc. gov/ncdeq/Waste%2OManagement/D WMiUST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx