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HomeMy WebLinkAboutMO-1570_47936_CA_UST-61_20210721_24-Hour Release and UST Leak Reporting FormUST-61 24-Hour Release and UST Leak Reporting Form. For Releases 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 in NC suspected release (DWM USE ONLY) Suspected Contamination? (Y/N) Y65 Mn —16 Facility 113Numbe? 151 69 Incident # Risk (H,I,L,U) Confirmed GW Contamination? (Y/N) Ycs &Leak Discovered t%i /Z I Qgt T Received On Received By Confirmed Soil Contamination ?(Y/N) ES C rr - ercial? Reported by (circle one): Phone, Fax or Report Samples Taken?(Y/N) YES a on -regulate Region Free Product? (Y/N) No If Yes, State Greatest Thickness INCIDENT DESCRIPTION �A Incident Name: I%WFX ''`gWoOX0 Sarz.. 1AIC . Address: �� WE.rr 6oegll ,rAaj wd County: /A/ 46AI&je City/Town: Zip Code: �j� Regional Office (circle one): Ashevill ooresvi le ayetteville, Raleigh, Washington, Wilmington, Winston- aem Latitude (decimal degrees): 35. Z-G? 57I `fo Longitude (dedmal degrees) : $o. $0(,1%50 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 resent and recovery efforts, initial responses conducted, impacts to rece tors ❑Topographic map ❑GIS Address matching ®Other ❑ Unknown Describe location: soil /�KK4A�Tg✓" !/ $ c/.s eal�7k,*f"4 Walr �C G(�!� !� I_^-CzSe T /!r, `f82 /Z'q,�D�j /-?a 7—, Boo — / a l 4001'ee� 4yr*,VD ! OC? VII,�fLo 07- HOW RELEASE WAS DISCOVERED (Release Code) (Check one) ❑ Release Detection Equipment or Methods ❑Visual/Odor .®Groundwater Contamination El During UST Closure/Removal ❑Water in Tank ❑Surface Water Contamination ®Property Transfer ❑Water Supply Well Contamination ❑Other (specify) SOURCE OF CONTAMINATION Source of Release Cause of Release Type of Release Product Type Released (Check primary source) (Check primary cause) (Check one) (Check primary product type released) rVI ❑ Tank ❑ Spill Petroleum Gasoline/ Diesel/ ❑ Diesel/Veg. Oil ❑ Piping ❑ Overfill ❑ Non -Petroleum Kerosene Blend ❑ Dispenser Corrosion Both ❑ Heating Oil ❑ Vegetable Oil 100% ❑❑ ❑ ❑ Submersible Turbine Pump ❑❑ Other Petroleum E10 — E20Physical/Mechanical Location Products ❑ ❑ Delivery Problem Damage (Check one) ❑ E21 — E84 Metals ❑ Install Problem ❑ E85 — E99 ❑ Spill Bucket ❑ Other Inorganics Facility ❑ Other ❑Ethanol 100% ❑ Other ❑ Other Organics Unknown ❑ Residence ❑ E01 — E09 Unknown ❑ Other Definitions presented on reverse Definitions presented on reverse Ownership 1. Municipal 2. Military 3. Unknown (Sate 5. Federal 6. County 7. State Operation Type 1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial EEEal 7. Mining UST Form 61 (02/19) Page 1 of 2 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 Aile, 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 E,�� uc • c/o AVc 140&P1tiys City State N Zip Code Telephone Number Draw Sketch of Area (showing two major road intersections) or Attach Map Person Reporting Incident Company Telephone Number ?ot{— 7 q66. Title fvfr AVC, Hold` SL Address 2-17 S, Ti�jr0111 Sr t^N/ LO niC, Date 717,121 UST Form 61 (02/19) ZQZo-j I IPage 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 submersible 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 product 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 nozzle 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 contusion (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 monitoring wells) Unknown: use when the cause has not been determined LEGEND SPARCRAFT AMERICA, INC. 3901 PINE GROVE CIRCLE SITE PROPERTY BOUNDARY t ' PARCELBOUNDARY AO AIR COMPRESSOR AUTO BODY PARTS STORAGE _ 0­0 ABOVEGROUND HYDRAULIC LIFT FORMER UNDERGROUND STORAGE TANK t (UST) ALVINN BODY }` Do USED OIL TOTE SHOP GARAGE AUTO PARTS STORAGE; 1 (1) 230-GALLON USED OIL TOTE /ol FORMER UST BASIN r 1) 8,000-GALLON DIESEL UST 2) 1,000-GALLON GASOLINE UST .( o MASTER AUTO PRO GARAGE r A f�.� • i o r _ ALVINN BODY f- ` - SHOP OFFICE f M • MASTER AUTO PRO OFFICE USED OIL TOTE (2) 230-GALLON ' ! 7 1( HUCK'S PIGGYBACK SERVICE, INC. USED OIL TOTE �. 1200 W CRAIGHEAD ROAD RE -COMMUNITY RECYCLING NOTES: 1007 AMBLE DRIVE ' IL 1. AERIAL IMAGERY OBTAINED FROM NC ONEMAP 2019. fF 2. PARCEL DATA OBTAINED FROM MECKLENBURG COUNTY I I ' T ' GIS,2021. AVIS/BUDGET CAR RENTAL 1100 W CRAIGHEAD ROAD I r ONO "may :.r; ;t APPROXIMATE / 001 0 100 200 MEMOIR r CHARLOTTE TRUCK & AUTO REPAIR SCALE IN FEET 1016 W CRAIGHEAD ROAD 0 1101 W CRAIGHEAD ROAD �,� , ' ' _ �' SITE MAP COMMERCIAL PROPERTY b 926 W CRAIGHEAD ROAD 1118 WEST CRAIGHEAD ROAD CHARLOTTE, NORTH CAROLINA \ /+ 2923 South Trvon Street -Suite 100 hart ���+���� Charlottc,NorthCarolina 28203 SMARTER ENVIRONMENTAL SOLUTIONS License # C-1269 / #G245 Gcolog}' 850 W CRAIGHEAD ROAD � DATE. 6-15-21 REVISION NO. 0 t JOB NO. AGL-003 FIGURE NO. 2 Beverly, Trudy From: Brett Lawrence <BLawrence@harthickman.com> Sent: Monday, August 2, 2021 8:36 AM To: Beverly, Trudy Subject: RE: [External] Facility Id: 00-0-000002SS69 CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Great. Thanks, Trudy. Brett Lawrence, PG, Sr. Project Geologist Hart &Hickman, PC 2923 S Tryon Street, Suite 100 •Charlotte, NC 28203 Direct: (704) 887-4601 • Mobile: (704) 400-5467 www.harthickman.com in 0 From: Beverly, Trudy <trudy.beverly@ncdenr.gov> Sent: Monday, August 2, 2021 7:09 AM To: Brett Lawrence <BLawrence@harthickman.com> Subject: RE: [External] Facility Id: 00-0-0000025569 Good Morning Brett, I'll get the documents reviewed and respond back by the end of the week. Have a great day, Trudy Trudy Beverly, L.G. Hydrogeologist, Division of Waste Management ��D-IEQ North Carolina Department of Environmental Quality beparu�r'e I�tal �r 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: b!Vs://deq.nc.gov/about/divisions/waste-manaaement/ust Branch's Above Ground Storage Tanks Website Address: hgps:Hdeg.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=mates 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): hLtps://deg.nc.gov/about/divisions/waste-management/laserfiche Document Submittal & UST File Names for Laserfiche Policies: httys://files.nc.aov/nede(i/Waste%2OManaeement/DWM/UST/WhatsNew/Final-Electronic-Document-Submittal-Policv.vdf htips://files.nc.,gov/nedegiWaste%2OManagement/DWM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx From: Brett Lawrence[mailto:BLawrence@harthickman.com Sent: Friday, July 30, 2021 1:12 PM To: Beverly, Trudy <trudy.beverly@ncdenr.gov> Subject: RE: [External] Facility Id: 00-0-0000025569 CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Trudy, Good afternoon and happy Friday. Will you be issuing a NORR letter for this site? I think it would be helpful for my client to present the letter to their lender, as we pursue NFA for this release. Thanks, Brett Brett Lawrence, PG, Sr. Project Geologist Hart Hickman, PC S 2923 Tryon Street, Suite 100 •Charlotte, NC 28203 Direct: (704) 887-4601 • Mobile: (704) 400-5467 www.harthickman.com I ULI r4 Im From: Beverly, Trudy <trudy.beverly@ncdenr.gov> Sent: Thursday, July 22, 2021 6:45 AM To: Brett Lawrence <BLawrence@harthickman.com>; Bowser, Daniel P <dan.bowser@ncdenr.gov> Subject: RE: [External] Facility Id: 00-0-0000025569 Good Morning Brett, I handle non -regulated ust releases for Mecklenburg county. So, I'll be the project manager for this one. Yes, the next step is completing a phase I and receptor survey. You can email me a pdf version of the report upon completion for review. Have a great day, Trudy �ETrudy Beverly, L.G. Hydrogeologist, Division of Waste Management North Carolina Department of Environmental Quality '}' 'ffice �� 4+�r�` 704.235.2182 (Office) Trudy. B everlygncdenr. 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://deg.nc.gov/about/divisions/waste-management/ust Branch's Above Ground Storage Tanks Website Address: hops://deg.nc.gov/about/divisions/waste-management/ust/ast-proaam INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES: httos://dea.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): hqps://deq.nc.gov/about/divisions/waste-management/laserfiche Document Submittal & UST File Names for Laserfiche Policies: httys://files.nc.¢ov/ncdeci/Waste%2OManagement/DWM/UST/W hatsNew/Final-Electronic-Document-Submittal-Policy.adf https:Hfiles.nc. gov/ncdeq/Waste%2OManagement/DWM[UST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx From: Brett Lawrence[mailto:BLawrence(@harthickman.com Sent: Wednesday, July 21, 2021 3:44 PM To: Beverly, Trudy <trudy.beverly@ncdenr.gov>; Bowser, Daniel P <dan.bowser@ncdenr.gov> Subject: RE: [External] Facility Id: 00-0-0000025569 CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Dan and Trudy, The results of our due diligence Phase II ESA confirmed a release at the below -referenced former UST basin (UST-61 form is attached). The Phase II ESA included the advancement of one soil boring/temporary well inside the former tank basin (tanks removed, backfilled with sand) as well as other samples from across the property. Soil sample results from the former tank basin indicated TPH-GRO (296 mg/kg) and TPH-DRO (3,280 mg/kg). Groundwater results from the former tank basin indicated naphthalene (31 µg/L) and 1-methylnaphthalene (5.8 J µg/L) above 2L Standards, but below GCLs. Three other temporary wells were installed as part of the due diligence assessment, no other detections above 2L Standards were reported. I am assuming the next steps will be to complete a Phase I LSA and receptor survey? Thanks, Brett 49 Brett Lawrence, PG, Sr. Project Geologist Hart &Hickman, PC 2923 S Tryon Street, Suite 100 •Charlotte, NC 28203 Direct: (704) 887-4601 • Mobile: (704) 400-5467 www.harthickman.com 10 Im From: Beverly, Trudy <trudy.beverly@ncdenr.gov> Sent: Wednesday, May 12, 2021 9:00 AM To: Bowser, Daniel P <dan.bowser@ncdenr.gov>; Brett Lawrence <BLawrence@harthickman.com> Subject: RE: [External] Facility Id: 00-0-0000025569 Good Morning Dan & Brett, Brett Morris was the project manager when the information was entered into the RUST database. Brett is no longer with the state of NC. Brett made a note in the RUST database that there was no closure report. So, there is no information to confirm a release. No incident number was assigned. Your client may want to conduct an environmental assessment of the property. Incident #: UST #: MO-1570 Incident Name: Metrolina Steel Incident Status: Open Facility ID: 00-0-0000025569 Address: 1118 West Craighead Road City/Town: Charlotte County: Mecklenburg Zip Code: 28206 Confirmed Risk: Low Initial Risk: N/A Date Occurred: Date Reported: Commercial Status: Commercial Regulated Status: Non -Regulated Closeout Date: Incident Manager: BLM File Status: Current Comments: NO UST CLOSURE REPORT Trudy Trudy Beverly, L.G. Hydrogeologist, Division of Waste Management North Carolina Department of Environmental Quality rLrm�1d mWaOuaft UST Section, Mooresville Regional Office LMWl704.235.2182 (Office) Trudy. B ev erly�Lncdenr. 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: hops://deg.nc.gov/about/divisions/waste-management/ust/ast-proeram INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES: httDs://deo.nc. Lov/about/divisions/waste-manaeement/waste-manaeement-rules-data/waste-manaeement-Lis-mans File Review Procedures: hns://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche): hi!ps://deq.nc.gov/about/divisions/waste-management/laserfiche Document Submittal & UST File Names for Laserfiche Policies: https:Hfiles.nc.Lov/ncdeci[W aste%2OMana2ement/DWM/UST/WhatsNew/Final-Electronic-Document-Submittal-Policv.ndf https:Hfiles.nc. gov/ncdeq/Waste%2OManagement/DWM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx From: Bowser, Daniel P Sent: Thursday, May 6, 2021 3:44 PM To: Brett Lawrence <BLawrence@harthickman.com> Cc: Beverly, Trudy <trudy.beverly@ncdenr.gov> Subject: RE: [External] Facility Id: 00-0-0000025569 Meck County All IncidentNumber DateOccurred Reg Mgr CloseOut CurrStatus USTNum CDNum ConfRisk IncidentName Address I CityTovi W C MO- 1570 0 L METROLINA 1118 WEST ICHARLO' STEEL CRAIGHEAD ROAD Im not showing an incident or archived files for this, Trudy Beverly handles non -regulated LISTS in Mecklenburg County, I have copied her on this email. Thank you, Daniel P. Bowser, PG Hydrogeologist North Carolina Department of Environmental Quality Underground Storage Tank Section - Corrective Action Branch (704) 235-2172 dan.bowserancdenr.aov 610 East Center Ave Suite 301 Mooresville, North Carolina 28115 ;., . m..�..r na ou.wb Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Brett Lawrence <BLawrence@harthickman.com> Sent: Thursday, May 06, 2021 2:16 PM To: Bowser, Daniel P <dan.bowser@ncdenr.gov> Subject: RE: [External] Facility Id: 00-0-0000025569 CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Thanks, Dan. I don't see any reported releases. I just need closure report if available. Brett Brett Lawrence, PG, Sr. Project Geologist Hart &Hickman, PC 2923 S Tryon Street, Suite 100 •Charlotte, NC 28203 Direct: (704) 887-4601 • Mobile: (704) 400-5467 www.harthickman.com 10 Im From: Bowser, Daniel P <dan.bowser@ncdenr.gov> Sent: Thursday, May 6, 2021 2:06 PM To: Brett Lawrence <BLawrence@harthickman.com> Subject: RE: [External] Facility Id: 00-0-0000025569 I can only check for releases, did you need me to do that or just the UST information? Thank you, Daniel P. Bowser, PG Hydrogeologist North Carolina Department of Environmental Quality Underground Storage Tank Section - Corrective Action Branch (704) 235-2172 dan.bowserancdenr.aov 610 East Center Ave Suite 301 Mooresville, North Carolina 28115 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Brett Lawrence <BLawrence@harthickman.com> Sent: Thursday, May 06, 2021 1:50 PM To: Bowser, Daniel P <dan.bowser@ncdenr.gov> Subject: [External] Facility Id: 00-0-0000025569 CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Hi Dan, Please confirm you have no records for the below facility. There are no records on Laserfiche. One 8K diesel UST and one 1K gas/mix UST was reportedly installed in 1982 and removed in 1992. Facility ID: 00-0-0000025569 Metrolina Steel Inc. 1118 W. Craighead Road Charlotte, NC 28206 Thanks, Brett Brett Lawrence, PG, Sr. Project Geologist Hart &Hickman, PC 2923 S Tryon Street, Suite 100 •Charlotte, NC 28203 Direct: (704) 887-4601 • Mobile: (704) 400-5467 www.harthickman.com 10 Im