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