MO-27787_47097_CA_UST-61_20200604_24-Hour Release and UST Leak Reporting Form

GRIFF17H
ENTERPRISES
June 4, 2020
Ms. Trudy M. Beverly
NC Department of Environmental Quality
Division of Waste Management -UST Section
610 East Center Avenue, Suite 301
Mooresville, NC. 28815
Subject: UST-61 24-Hour Release and UST Leak Report Form
Non -Commercial Heating Oil UST Release
DM Properties Site
1309 Mooresville Road
Kannapolis, Cabarrus County, North Carolina
Dear Trudy:
Please find enclosed herein a UST-61 Form, and a site location map for a non-
commercial former residential heating oil UST tank that was removed from the
subsurface at the above subject site on June 3, 2020.
Our company is in the process of initiating a receptor survey as we move forward
toward submitting the required NCDEQ 20-Day Report. However, we are already
aware of water supply well usage within a 1,000 foot radius of the site. A municipal
water supply line has been recently extended into the area, and we are acquiring
documentation as to how many properties have been connected to the new line.
If you have any questions, or need any additional information please feel free to
contact us immediately at [phone].
Sincerely,
'nl, r�
M. Alan Griffith, L.G.
Licensed Geologist
GRIFFITH ENTERPRISES, INC.
353 JONESTOWN ROAD, #312 WINSTON-SALEM, NC. 27104
TELEPHONE [phone] FAX [phone]
EMAIL griffithenterprisesnc i�gmail.com

UST-61
I 24-Hour Release and UST Leak Reporting Form.
For Releases This form should be completed and submitted to fee UST Section's regional office following a known or suspectedreleese from
an underground storage tank (UST) system. This term is required to be submitted shfum 24 hours of discovery of a known or
in NC
suspected release
(OWN USE ONLY)
Inciderae Risk(H,I,L,U)_
Suspected Contamination? (YIN) YES
Confirmed GIN Contaminating? (YIN).
Facility lD Number
Date Leak Discovered vzo
Recanted On Received! By
Reported by (circle are): Phone, Fox or Report
Confirmed Soil Contamination?(YM)'
Samples TakeriMiN) YIEC
ComMNon-Commemial./JMt-GwH
RegMon-regulated? Nm0 • ffillu Lg1
Rayon
Free Protluct? (YIN) Yes, State Greatest
Thickness Ner i1 fLkJM8LE
INCIDENT DESCRIPTION
Incident Name:
DM P 0 e ifs IrE
Meares:: 1309 00KESUILLE ROAD
County: CABAARds
City7veneRegional
NN POLL 21p Code: Z8081
Olficr(or"one): Asheville ooresvill Fayetteville,
Raleigh, Washington, Wilmington, Winston- em
Latitude (apamero-p.p.): 3p!. IF894L Longitude(aarswiegms): 60,44631
Obtained by:
❑GPS
Briefly tlesaibesuspectetl or confirmed Meese:(including but not limited to: nature ofreleese, dare of release, amount
ofrele65e amounfof tree reduU resentand recoveryefforts initial responses conducted mi cfs to rice ors
NATORat 0 Fi': EQmaoar0 )Ai- &&&& 01L $ -SSD ougi
❑Topigrephic map
XGIS Address matching
❑enter
❑Unk^°wn
Describe location:
YE OF Le' )$COVES ) Svk)t, 7, ZOZO
FLlAf6: COULD NOT Qe' e)erP14lNL%i A1C A9
es ONse : UfT EMOV#L finplo ) O1RL .F3435-7Dn)$AI
U 4GeAOOAi L /yJ `J2g (,0 CTe�
001AeST7C,
,q
4i'8& J r.L I% C .LOtIVTXIE-o ) /nCefj.
HOW RELEASE WAS DISCOVERED (Relaase Cost)
(Check one)
❑Release Detection Equipment in Methods ®Ywuailoror ❑Groundwater Contamination
®During UST ClosurelRemoval ❑Water in Tank ❑Surface Water Contamination
❑Property Transfer ❑Water Supply Well Contamination ❑Omer(speciry)
SOURCE OF
CONTAMINATION
Source of Release
Cause of Release
Type of Release Product Type Released
(Check pnmary cause
(Check primary source)
(Check one) (Check primary product type releases)
Tank
❑Split
gpetroleurn ❑ Gasolinel DeseV ❑ DeaelNeg.Oil
❑ Piping
Overfill
Kerosene Blend
❑ Non -Petroleum Kerosene
❑ Dispenser
p❑� Corrosion
Vv
❑ Both D9 Heating Oil ❑ Vegetable Oil t00%
❑ Submersible Turbine Pump
❑ PhyslcagMechanical
❑Other Petraleum ❑E10-E20
❑ Delivery Problem
Oamege
Location products ❑E21-E84
(Check one) ❑ Metals
❑Split Bucket
❑ Install Problem
❑E85-E99
❑Other
❑Other
❑ Omer Inorganics
�FaNlity ❑EMano1100%
❑ Unknown
❑Unknown
❑Reoidence ❑Other Organics
❑ E01 - E09
Dentitions resented on reverse
lbfiniNons presented on reverse
❑Otlfer
Ownership
1. Municipal 2. Military 3. Unknown OGEiDS. Federal 8. County 7. State
Ommion Type
1. Public Service 2. Agricultural 3. Residential 4. EducaboniRelig. 5. Industrial 4Commeroia 7. Mining
Page 1 of 2

IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wegs Affected? 1. Yes 2. No S. Wlmovm
Number of water Supply Wells Affected A1pT KNOun7 ilTTlfl f r/ME
Water Supply Wells Contaminated: (friends Users Names, Addresses and Phone Numbers. Attach additional sheet If necessary)
1.
2.
3.
UST SYSTEM OWNER
UST Omer/Company
Oarfa //lkNE2 =mac,
Point of Contact
DREW AHeIL
Address
e� 309 / gers✓luer 40
CRY
ANNRVOLL5
Slate
/VC
Zlp Code
29081
Telephone Number
70rf ZSg-9ZZ%
UST SYSTEM OPERATOR
UST Operater/Company
Addess
-FOAMEIL Je5sWeALidl
City
State
Zip Code
Telephone Number
LANDOWNER AT LOCATION OF UST INCIDENT
I.andovmer
DREW),709
gdyess
40690VI(bE 410
CRY
State
Zip Code
Telephone Number
NNffPO Is
/UG
280
7 255— ZZ
Draw Sketch of Area (showing two major road intersections) or Attach Map
�eC A%T#CHeQ 104 42 l2d-F&r E1JCe
Perron RepoNng IncldeM /}(�q 6N Company /IFi t fl
Telephone Number 3t/ 399'
TNe GCC.JfeO 6EoWbrT Address Sane d /
Date JJa1L 4 OLO
w.vfrw-sAcrMY /tt Z�1olF'
Page 2 ci2
Tank: seems Dtuticnems setrey
My taniPiping
gatdo thepradumatd ispaid
Me then mbifteM rtoregsic Purystem
Piping: means thepipmg and mnnecmre mvning from the+atc or aubmasble turbine Pump to the. disPenseror otherwd+ase egwpmrnt(Vet, vapor recovery, or fill
Ems are excluded.)
Dispenser: includes the dispenser and the equipmentu Ito cmmect Me dirymser he the piping (ag, a release More a m,und Pump m from componems leaned above
the shear salve)
Submersible Turbines: Punp(STP) Am includes the submersible turbine pump hand (typically located in the date sump), the line leak detector, and tlw piping that
connects the submersible duri pump to Me lWc
Delivery Problem: identifies rekeses that occurred during product delivery to the tank.(Typict causes asvocieid with this somrce are spills ant overfu.)
Oder serves as the option to use when the release source is known but does not fit into one of the preceding camgories(e.g. for interior drum vent lines, vapor
recovery Man. and fill breed
Utmewn: idmtunis mleases fan Mines the spume has not beet detamived
Degmron,ofCauses
Spill: use due cause when a Tit
Overfill: use whenanovarill occw
Physics] or Mechanical Damage: use
rasmetiw Poblmn: use when the proNemisdete
kber: usodds option when theceuu is6mwn
UNmown: us Wnen Ma sense Ma nnr Mrs drrwr
when the delivery hone is discmmectd from We rate rill pipe or whew the noale is removed from the disperser)
[Is easy costs from the rill pipe at the tank or when Me swab fails to shut off at the dispenser)
fPhysic at or mechanical denage, except corrosion (e.g., pwemre of mnk or piping, loose fittings, broken
net fit into one of the precedhg camgorl® (e.g, putting regts]M subdonees into monitoring wells)

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'`- .]7� }iy4'j, ;: � , i77 ' { ► ':E 4 !+R+.•_'r,y�kFy +f r .s 14. •.
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ar
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Bethpage Rd
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Beverly, Trudy
From: Drew Maher <[e-mail]>
Sent: Monday, June 8, 2020 9:28 AM
To: Beverly, Trudy
Cc: Marshall Griffith; [e-mail]; Steven jarrett
Subject: Re: [External] DM Properties Site UST-61: 24-Hour Release and UST Leak Reporting
Form
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
r nc. ov
Thank you!
Thanks,
Drew Maher
Owner/Broker
704.258.9227
dmaherproperties.com [dmaherproperties.coml
E
On Mon, Jun 8, 2020 at 9:24 AM Beverly, Trudy <trudy.beverly(a,ncdenngov> wrote:
Yes. Receptor surveys for nonregulated usts should be conducted to a distance of 150' from the release.
Trudy
c��DE
Qq
�'e-j
14a aura,
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. B everlyAncdenn 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:Hdeg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: htips:Hdeg.nc.aov/about/divisions/waste-mana,aement/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
htWs:Hdeq.nc.,gov/abouUdivisions/waste-management/waste-management-rules-datalwaste-management- ig s-mates
i
File Review Procedures:
hUps:Hdeq.nc. gov/about/divisions/waste-management/ustlfile-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
i https:Hdeq.nc.gov/abouUdivisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
htti)s://files.nc.eov/ncdeq/Waste%20Mana2ement/D W M/UST/W hatsNew/Final-Electronic-Document-Submittal-Policv.pdf
https://files.nc. gov/ncdeq/Waste%20Management/D WM/UST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx
From: Drew Maher [mailto:[e-mail]]
Sent: Monday, June 8, 2020 9:19 AM
To: Beverly, Trudy <[e-mail]>
Cc: Marshall Griffith<[e-mail]>; [e-mail]; Steven jarrett
<[e-mail]>
Subject: Re: [External] DM Properties Site UST-61: 24-Hour Release and UST Leak Reporting Form
• ► al email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Thanks, Beverly.

Can you test my understanding on one item:
High Risk:
• Water supply well contaminated;
• Water supply well located less than 150 feet from the source area of the release;
• Vapors pose a serious threat of explosion due to accumulation of vapors in a confined space;
. Poses an imminent danger to public health, public safety, or the environment
Since it appears that any water supply well located less than 150 feet from the source area of the release would
classify this as high risk, does this mean I need to identify any person(s) that are currently using well water
within 150 feet of the contaminated area?
Thanks,
Drew Maher
Owner/Broker
704.258.9227
dmaherproperties.com [dmaherproperties.com]
DM PROPERTIES
& A554C1j,'E5
On Mon, Jun 8, 2020 at 7:56 AM Beverly, Trudy <trudy.beverlykncdenr.gov> wrote:
Received. Below is some general information about home heating oil usts that may be helpful.

Home heating oil underground storage tanks are not and haven't been regulated in the state of North
Carolina. The UST section only has records of those that have been reported to our agency. These reports a
generally result from notifications of contamination or tank removals at properties where parties are seeing
"no further action" status. Home heating oil tanks are non -regulated, non-commercial underground storage
tanks (USTs) that are exempt from the "technical regulations" (e.g., leak detection monitoring, corrosion
protection, spill and overfill control) that apply to regulated USTs. Even though home heating oil tanks are
exempt from these technical regulations, sampling and cleanup regulations may apply if there is a leak or
spill from your tank. If there is no evidence of a release, then there is no need to report to the UST
Section. The links below provide additional information.
If a leak is discovered under the current ownership of the property, the current property owner is
considered the responsible party for clean-up. Many companies do environmental work related to
underground storage tanks. Typically, they can be found in the yellow pages of a telephone book under
"Environmental Consultants." The DWM UST Section provides a list where companies that do
environmental work can provide their information. This list is called the "UST Service Provider Listing" it is
located at http://deg.nc.gov/about/divisions/waste-management/ust/service-provider-listing. When
choosing a company, we recommend getting several estimates and references. Site assessments and
cleanup work must be conducted under the responsible charge of a licensed geologist or professional
engineer.
Please note that before you sell, transfer, or request a "No Further Action" determination for a property that
has not been remediated to below "unrestricted use" standards, you must file a Notice of Residual
Petroleum ("Notice") with the Register of Deeds in the county where the property is located (NCGS 14313-
279.9 and 14313-279.11).
Short version, per Session Law SL2015-241 the legislature determined that non-commercial UST rules (15A
NCAC 2L .0404 and 0406) be revised to require the UST Section rank non-commercial heating oil releases
either high or low as follows based only on the closure/IAA Report (Notify the RP that no cleanup, no further
cleanup, or no further action shall be required, etc.) in order to minimize the home owner's expenses since the
Non -Commercial Trust Fund was dissolved:
High Risk:
• Water supply well contaminated;
• Water supply well located less than 150 feet from the source area of the release;
• Vapors pose a serious threat of explosion due to accumulation of vapors in a confined space;
• Poses an imminent danger to public health, public safety, or the environment;
Low Risk:
• Not ranked as a high risk.

Underground — Heating Oil Tanks
Non -Regulated Underground Storage Tanks
https://files.nc.gov/ncdeq/Waste%20Management/DWM/UST/Brochures-FAQs/Brochure-NonReg UST.pdf
Home Heating Oil Underground Storage Tanks
https://files.nc.gov/ncdeq/Waste%20Management/DWM/UST/Brochures-FAQs/FAQ-
Home%20Heating%20UST.pdf
Non -Regulated Noncommercial Petroleum UST Systems (Underground Heating Oil Tanks) Flowchart
https://files.nc.gov/ncdeq/Waste%20Management/DWM/UST/Brochures-
FAQs/H H 0%20Ta n k%20 F I owc h a rt%20070717. p d f
Selecting an Environmental Consultant For Petroleum Cleanup
https://files.nc.gov/ncdeq/Waste/o20Management/DWM/UST/Brochures-FAQs/Brochure-
Selecting%20Consultants.pdf
Below is some general information about searching for sites and files within the NC DEQ Division of Waste
Management and UST Section:
All branches/groups within the Division of Waste Management (DWM) have individual interactive
Geographic Information System (GIS) maps available to the public. Click on the Interactive Maps link
below. Select the DWM map you are interested in searching for sites from the right side of the
webpage. Use the UST Incidents map to search for UST sites.
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
https://deg.nc.gov/about/divisions/waste-management/waste-management-rules-data/waste-
management-gis-maps
You can enter an address to the map, zoom in on an area, and pan around to see if that group has a site
nearby. When you click on the symbols, site information will be displayed. Scroll down through the site
information. Clicking on the documents link at the bottom will take you to available electronic site files for
viewing and downloading on Laserfiche (pdf format, free to the public).
The Division has a site locator tool that combines the different groups on one map. The combined map is
good for a general locator for UST sites and for a link to available electronic files. The individual
Underground Storage tanks Incidents map and UST Registered Tanks map give more details. See the
following link and information: "The division has created the Division of Waste Management Site Locator
Tool [ncdenr.maps. arc ig s.coml that provides free online access to currently available information about the
sites that the Division of Waste Management manages, permits and inventories. The Tool is a GIS-based
application that consolidates all of the Division's sites into an interactive map. It provides this information in
a simple map format, and has the capability to query, create reports, overlay GIS layers, print maps and link to
site -specific documents. The search window has been programmed, so that people can find sites by address,
name or identification number."
DWM electronic files can also be searched on Laserfiche at the following link:
https://edocs.deg.nc.gov/WasteManagement/Search.aspx?searchcommand=/o7b%SbWM%5d%3a%SbProg
ram ID%5d%3d%22*MO-2911*%22%7d&dbid=0
Use the UST number for the Program ID when searching for UST files at the DWM Laserfiche link.

Not all UST sites have electronic files. Many files are only available in paper format at the Mooresville
Regional Office (address below). If you would like to view paper files for a site, open file reviews are on
Mondays for the public (no appointment, 8:00am-4:00pm). If Mondays do not work with your schedule, you
can make an appointment with the site's project manager to view the file on a different day.
** In office file reviews will be by appointment only after December 19, 2019 **
File Review Procedures:
https://deg.nc.gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-
office
North Carolina Department of Environmental Quality
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
[phone]
Trudy
Uh" menl of Lmi menUl tWal f
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.Beverlygncdenr. 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: hqps:Hdcq.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: https://deq.nc.gov/about/divisions/waste-management/ust/ast-proeram
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
https://deq.nc.gov/about/divisions/waste-management/waste-management-rules-data/waste-mana eg ment ig s=maps
File Review Procedures:
https:Hdeq.nc. gov/about/divisions/waste-managementlustlfile-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):

https:Hdeg.nc.,gov/about/divisions/waste-manaaement/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
htti)s://files.nc.gov/ncdep/W aste%2OManaaement/D WMIUSTfWhatsNew/Final-Electronic-Document-Submittal-Policv.udf
https:Hfiles.nc. aovincdeq/Waste%20Management/DWM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
-----Original Message -----
From: Marshall Griffith[mailto:griffithenterprisesnc&jzmail.com]
Sent: Thursday, June 4, 2020 3:14 PM
To: Beverly, Trudy <trudy.beverly&ncdenr. _ og_v>
Cc: drew(c dmaherproperties.com; cmhhse(c carolina.rr.com; Steven jarrett <jarrettsalisburyAyahoo.com>
Subject: [External] DM Properties Site UST-61: 24-Hour Release and UST Leak Reporting Form
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious
email as an attachment to report. spam@nc. gov<mailto:report. [e-mail]>
Good Afternoon Trudy,
On behalf of Mr. Drew Maher, please find attached a UST-61 Form and attached site location map for a
former residential heating oil UST that was located at his real estate business office.
Please let me know if you need any additional information at this time. We look forward to working with you
on this project.
Thanks in advance for your assistance!
Alan Griffith, L.G.
Griffith Enterprises, Inc.

[phone]