HomeMy WebLinkAboutWI-7488_32595_CA_MRP_20220615
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone (704) 845-4010 • (888) 870-4133 • Fax (704) 845-4012
June 15, 2022
Mr. Stephen Kay
NCDEQ-UST Section
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Re: Ground Water Monitoring Report
March 2022
Sam’s Pit Stop #64
4236 Sam Potts Highway
Hallsboro, Columbus County
North Carolina
Incident Number: 32595
GRI Project Number: 2895
Dear Mr. Kay,
Please find enclosed the referenced report for the above mentioned site.
If you have any questions, please contact Rae Brown at 704-845-4010.
Sincerely,
Geological Resources, Inc.
Leslie Maxtone-Graham
Administrative Assistant
Enclosure
Cc: Mr. William S. Black; Sam’s Pit Stop, Inc., file
3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone (704) 845-4010 • (888) 870-4133 • Fax (704) 845-4012
Ground Water Monitoring Report
March 2022
Sam’s Pit Stop #64
4236 Sam Potts Highway
Hallsboro, North Carolina
Columbus County
Facility ID Number. 00-0-0000035658
Incident Number. 32595
GRI Project Number.: 2895
Prepared for:
Mr. William S. Black
Sam’s Pit Stop, Inc.
Post Office Box 689
Whiteville, North Carolina 28472
June 15, 2022
Rae Troiano Brown, P.G.
Project Manager
Sharon Lowther
Report Writer
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
i
SITE INFORMATION
1. Site Identification
Sam’s Pit Stop (Facility ID 0-00-0000035658)
Incident Number 32595 – High 550 D (H550D)
Location of Source Area: 4236 Sam Potts Highway
Hallsboro, North Carolina
Columbus County
34.3219583°N, 78.5986083°W (Topographical Map)
2. Information about Contacts Associated with the Leaking UST System
UST Owner
Sam’s Pit Stop
PO Box 689
Whiteville, NC 28472
wsblack12@yahoo.com
910-642-3188
UST Operator
Sam’s Pit Stop
PO Box 689
Whiteville, NC 28472
wsblack12@yahoo.com
910-642-3188
Property Owner
Sams Pit Stop Properties LLC
PO Box 689
Whiteville, NC 28472
wsblack12@yahoo.com
910-642-3188
Property Occupant
Sam’s Pit Stop
PO Box 689
Whiteville, NC 28472
wsblack12@yahoo.com
910-642-3188
Consultant/Contractor
Geological Resources, Inc.
3502 Hayes Road
Monroe, NC 28110
rtb@geologicalresourcesinc.com
704-845-4010
Analytical Laboratory
SGS North America, Inc.
4405 Vineland Road, Suite C15
Orlando, Fl 32811
State Certification No. 573
407-425-6700
3. Information about Release
Release was discovered on October 23, 2009.
An unknown amount of product was released from the leaking UST System.
One 12,000-gallon gasoline, one 10,000-gallon gasoline USTs and associated pumps and product
piping are active at the site.
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
EXECUTIVE SUMMARY
Sam’s Pit Stop is located at 4236 Sam Potts Highway in Hallsboro, Columbus County, North Carolina. One
10,000-gallon gasoline UST, one 12,000-gallon gasoline UST, associated pumps, and product piping are
active at the site.
Cracked spill buckets were observed during a compliance inspection and a release was confirmed during
Site Check activities conducted in September 2009. A total of fourteen Type II monitoring wells (MW-1
through MW-14) and one Type III monitoring well (TW-1) have been installed at the site during previous
ground water assessment activities. A Corrective Action Plan has not been requested by the North
Carolina Department of Environmental Quality.
According to the Limited Site Assessment Report (2010), 48 water supply wells were identified with 1,000
feet of the source area. In March and April 2022, an updated receptor survey was conducted. Municipal
water is available to the site and surrounding areas. The water supply well at the subject site, WSW-1,
has been abandoned and the site uses municipal water. Two water supply wells (WSW-2 and WSW-3)
were identified within 250 feet of the source area. The owner confirmed WSW-2 is still in use; however,
the well is located southeast of the site which is not in the down-gradient direction of ground water. No
well survey response was obtained for WSW-3; however, the well is located north site in the upgradient
direction of ground water flow.
On March 29, 2022, six Type II monitoring wells (MW-1, MW-4, MW-7, MW-8, MW-9, and MW-13) were
gauged, purged, and sampled. Concentrations of benzene that exceeded the Maximum Allowable
Concentrations (MACs) were reported in the ground water samples collected from MW-1 and MW-9.
None of the reported concentrations exceeded the gross contamination levels (GCLs).
A fate and transport simulation was developed using ground water data collected in March 2019 to
evaluate whether any receptors would be at risk if the plume were to migrate from the source area. Based
on ground water flow direction and distances of MW-1 and MW-9 to the down-gradient property
boundary, the fate and transport simulation indicated that the benzene plume will naturally attenuate to
below the MAC before migrating off-site. Therefore, the site risk should be reduced to low because the
benzene plume will not impact receptors. No additional assessment should be required after a Notice of
Petroleum and public notice are completed.
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
TABLE OF CONTENTS
SITE INFORMATION ............................................................................................................................ i
EXECUTIVE SUMMARY ....................................................................................................................... ii
1.0 SITE HISTORY AND CHARACTERIZATION ...................................................................................1
2.0 CURRENT ACTIVITIES ...............................................................................................................2
3.0 PRESENTATION OF CURRENT SITE ASSESSMENT INFORMATION................................................2
4.0 FATE AND TRANSPORT MODEL ................................................................................................3
5.0 CONCLUSIONS .........................................................................................................................3
6.0 LIMITATIONS ...........................................................................................................................4
7.0 STATEMENTS AND CERTIFICATION ...........................................................................................5
FIGURES
Figure 1: Site Location Map
Figure 2: Site Vicinity Map
Figure 3: Site Map
Figure 4: Water Table Surface Map
Figure 5: Ground Water Quality Map
TABLES
Table 1: Water Supply Well Information
Table 2: Well Construction and Gauging Information
Table 3: Ground Water Sample Analytical Results
APPENDICES
Appendix A: Well Surveys
Appendix B: State Correspondence
Appendix B: Laboratory Analytical Report – Ground Water Samples
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
1.0 SITE HISTORY AND CHARACTERIZATION
Sam’s Pit Stop #64 is an active convenience store and petroleum retail facility located at 4236 Sam Potts
Highway in Hallsboro, Columbus County, North Carolina (Figures 1 and 2). One 10,000-gallon gasoline
and one 12,000-gallon gasoline underground storage tanks (USTs) and associated pumps and product
piping are active at the site.
Cracked spill buckets were observed during a compliance inspection and a release was confirmed during
Site Check activities conducted in September 2009. A Site Check, Phase II Limited Site Assessment, and
Comprehensive Site Assessment were submitted by Geological Resources, Inc. (GRI). A Corrective Action
Plan (CAP) has not been requested by the North Carolina Department of Environmental Quality (NCDEQ).
The Registered Tank Report is shown below:
The site and surrounding area is a mixture of single family residential and commercial properties. The site
has one building and is primarily capped with concrete and asphalt. The overall topography at the site is
relatively flat. No surface water bodies were identified within a 500-foot radius of the site.
According to the Limited Site Assessment Report (2010), 78 water supply wells were identified with 1,500
feet of the source area. Of the 78 water supply wells identified, 48 potable water supply wells were
identified within 1,000 feet of the source area.
In March and April 2022, an updated receptor survey was conducted. Municipal water is available to the
site and surrounding areas. According to John Hooks of the NCDEQ, the water tower located up-gradient
of the site at 4136 Sam Potts Highway is a holding tank and does not pump ground water at this location.
Well surveys were mailed to the owners of water supply wells (WSW-1 through WSW-19) located nearest
to the site. The water supply well at the subject site, WSW-1, has been abandoned and the site uses
municipal water. Two water supply wells (WSW-2 and WSW-3) were identified within 250 feet of the
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
source area. The owner of WSW-2 confirmed it is still in use; however, the well is located southeast of
the site which is not in the down-gradient direction of ground water. No well survey response was
obtained for WSW-3; however, the well is located north of the site in the upgradient direction of ground
water flow. Supply wells WSW-2, WSW-4, WSW-10, WSW-13, and WSW-15 were confirmed by survey
responses to be potable. At the submission of this report, no other responses have been received. A
summary of supply well information is included in Table 1. A Site Vicinity Map is included as Figure 2.
Copies of survey responses and current property owner cards are included in Appendix A.
A total of fourteen Type II monitoring wells (MW-1 through MW-14) and one Type III monitoring well (TW-
1) have been installed at the site during previous ground water assessment activities. Well construction
information is included in Table 2. A Site Map showing the locations of the monitoring wells and the
structures on-site has been included as Figure 3.
A fate and transport simulation was developed using ground water data collected in March 2019 to
evaluate whether any receptors would be at risk if the plume were to migrate from the source area. The
results of the fate and transport simulation indicated that the contaminant plume will naturally attenuate
to below the Maximum Allowable Concentration (MAC) for benzene and will not reach the distance of the
downgradient property line.
2.0 CURRENT ACTIVITIES
The purpose of this report is to obtain updated receptor survey information and present the results of the
ground water sampling activities conducted in March 2022 at the Sam’s Pit Stop #64 site. The activities
were conducted in accordance with GRI Proposal No. 22-099, which was approved as Task Authorization
No. 32595-18 on March 7, 2022. The purpose of these activities was to obtain current ground water
quality data for the site to confirm the fate and transport model. A copy of NCDEQ correspondence has
been included in Appendix B.
3.0 PRESENTATION OF CURRENT SITE ASSESSMENT INFORMATION
On March 29, 2022, six monitoring wells (MW-1, MW-4, MW-7, MW-8, MW-10, and MW-13) were
gauged, purged, and sampled. During the March 2021 sampling event, depths to ground water in the
Type II monitoring wells ranged from 2.33 to 5.88 feet below the tops of well casings. The average depth
to water was 4.89 feet. Ground water elevations in the Type II monitoring wells relative to a temporary
benchmark with an assumed datum of 100.00 feet ranged from 94.19 to 96.62 feet. During the March
2022 sampling event, ground water flow on-site was toward the east, which is consistent with historical
data. A Site Map showing the locations of the monitoring wells and the structures on-site and on
surrounding properties has been included as Figure 3. A Water Table Surface Map for the March 29, 2022
sampling event has been included as Figure 4. A summary of well construction information including
ground water elevation data is presented in Table 2.
Concentrations of benzene that exceeded the MACs specified in T15A NCAC 2L.0202 were reported in the
ground water samples collected from MW-1 and MW-9. None of the reported concentrations exceeded
the gross contamination levels (GCLs). A Ground Water Quality Map based on data from the March 2022
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
sampling event has been included as Figure 5. A summary of ground water sample analytical results is
presented in Table 3. A complete laboratory analytical report has been included in Appendix C.
4.0 FATE AND TRANSPORT MODEL
A fate and transport simulation based on ground water data collected in 2019 was performed to
determine the feasibility of site remediation by natural attenuation. In 2019, benzene exceeded the MAC
in the source area monitoring well. Therefore, after the model was calibrated for site conditions,
simulations were run to determine the fate and transport of benzene. The results of the fate and transport
simulation indicated that the benzene plume will naturally attenuate to below the MAC and will not reach
the distance of the downgradient property line. Please refer to the Ground Water Monitoring and Fate
and Transport Model Report (March 2019) for additional information.
The benzene concentrations reported in MW-1 in 2019, 2021, and 2022 were 276 g/L, <0.13 g/L, and
54.7 g/L, respectively. The overall reduction trend seems to confirm natural attenuation simulation.
Please note, MW-9 is located cross-gradient of the dispensers and product piping, along the northern
property boundary adjacent to Sam Potts Highway. The concentration of benzene in MW-9 (104 g/L) in
2022 exceeds the MAC. Compare this to monitoring well MW-2 which is down-gradient of the dispensers
and has no detectable contaminant concentrations. This suggests that concentrations reported in MW-9
may be reflective of surface water run-off from Sam Potts Highway. Ground water flow has been
consistently documented toward the east; and the property boundary is approximately 275’ down-
gradient of MW-9 which according to the fate and transport simulation will allow benzene to attenuate
below the MAC before migrating off-site.
5.0 CONCLUSIONS
In March and April 2022, an updated receptor survey was conducted. Municipal water is available
to the surrounding area. The on-site supply well has been abandoned and the site uses municipal
water.
Ground water flow during the March 2022 sampling event was generally toward the east which is
consistent with historical data. The average depth to ground water in the Type II monitoring wells
was 4.89 feet.
The benzene concentrations reported in MW-1 in 2019, 2021, and 2022 were 276 g/L, <0.13
g/L, and 54.7 g/L, respectively. The overall reduction trend seems to confirm natural
attenuation projected by the 2019 fate and transport simulation.
Concentrations of benzene that exceeded the MACs in MW-9 appear to be reflective of impact
from Sam Potts Highway rather than the UST system. No ground water violations have been
reported since 2016 in wells MW-4, MW-8, or MW-13 which are down-gradient of the MW-9 and
the UST system. Based on ground water flow direction and distance of MW-9 to the down-
gradient property boundary, the fate and transport simulation indicated that the benzene plume
will naturally attenuate to below the MAC before migrating off-site.
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
The March 2022 sampling event was conducted to confirm the results of the model which has
been done. Therefore, the site risk should be reduced to low because the benzene plume will not
impact receptors. No additional assessment should be required after a Notice of Petroleum and
public notice are completed.
6.0 LIMITATIONS
This report has been prepared for the exclusive use of Sam’s Pit Stop, Inc for specific application to the
referenced site in Columbus County, North Carolina. The assessment was conducted based on the scope
of work and level of effort desired by the NCDEQ and with resources adequate only for that scope of work.
Our findings have been developed in accordance with generally accepted standards of environmental
practices in the State of North Carolina, available information, and our professional judgment. No other
warranty is expressed or implied.
The data that are presented in this report are indicative of conditions that existed at the precise locations
sampled and at the time the samples were collected. In addition, the data obtained from samples would
be interpreted as being meaningful with respect to parameters indicated in the laboratory report. No
additional information can logically be inferred from these data.
___________________________________________________________________________________________
Prepared by: Geological Resources, Inc. Ground Water Monitoring Report
Prepared on: June 15, 2022 Sam’s Pit Stop
Project Manager: Rae Troiano Brown, P.G. GRI Project No. 3077
7.0 STATEMENTS AND CERTIFICATION
1 Enter the date the monitoring report was due. n/a Will this report be submitted after the
established due date?
YES NO
2 Was any required information from the above template missing from this report? YES NO
IF the answer to question #1 or# 2 is “YES”, please provide additional information in this cell to explain
what was missing and why.
3 If applicable, will any of the proposed attenuation milestones under the schedule approved
in the Corrective Action Plan not be met? (within a reasonable margin of error)
YES NO
IF the answer to question #3 is “NO”, skip to the certification under #8 below.
IF the answer to question #3 is “YES”, please generally describe in this cell the possible reason(s) and
outline proposed remedies. (This should be described in more detail in the report text above.)
N/A
4 Does any known or suspected source zone soil contamination or free product remain
outside of the assessed area that could be inhibiting natural attenuation?
YES NO
5 Has there been an unexpected increase in contaminant mass sufficient to suggest a
potential new release from a separate onsite or offsite source?
YES NO
IF the answer to either question #4 or #5 is “YES”, generally describe in this cell any actions
recommended to further assess or clean up this known or suspected source. (This should be described
in more detail in the report text above.)
6 Certification:
I, Rae Troiano Brown, a Licensed Geologist for Geological Resources, Inc., do certify that the information
contained in this report is correct and accurate to the best of my knowledge.
Geological Resources, Inc. is licensed to practice engineering and geology in North Carolina. The
certification number of the company or corporation is C-2727/C-127.
FIGURES
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SITE
SAM POTTS HWYFOX DRHALLSBORO RDBUSSY RD
WYCHE RD
GILES BYRD RD SCHOOL RDRED BUG RDCEDAR STBARDY HIGH RDOAK STWYCHE WYCHE MEWS
MACIE KING RDCOWPEN BRANCHWSW-2
WSW-9
WSW-8
WSW-7
WSW-6WSW-5WSW-4
WSW-3
WSW-1
WSW-78
WSW-77
WSW-76
WSW-75
WSW-74
WSW-73WSW-72
WSW-71
WSW-70
WSW-69
WSW-68WSW-67WSW-66WSW-65
WSW-63
WSW-62
WSW-61
WSW-60
WSW-59
WSW-58
WSW-57
WSW-56
WSW-55
WSW-54
WSW-53
WSW-52
WSW-51
WSW-50
WSW-49
WSW-48
WSW-47
WSW-46
WSW-45
WSW-44 WSW-43
WSW-42
WSW-41
WSW-40 WSW-39
WSW-38
WSW-37
WSW-36
WSW-35
WSW-33
WSW-32
WSW-31
WSW-30
WSW-29WSW-28
WSW-27
WSW-26
WSW-25
WSW-24
WSW-23
WSW-22
WSW-21
WSW-20
WSW-19 WSW-18
WSW-17
WSW-16
WSW-14
WSW-13
WSW-12
WSW-11
WSW-10
20512
85448
75855
19517
9334920520
18571
20528
19809
18909
19380
88934
87318
19581
19867
19597
18642
86207
86685
19793
19018 2039887728
20409
19579
62077
19263
20269
18694
90428
19774
19481
19267
19363
20231
19306
19580
19810
62082
18532
18535
19680
1936820060620831925319752
20513 2014220282 20232203952004719281
19762
90408184771889820387
19355
18888
19176
20110
18907
18725
19608
92043
88935
19367
20397
2037818900
19590
18497
18890
18904 18899
18695
18987
19692
19536
19913
18902
18903 19175WSW-64
WSW-34
WSW-15
18510
FIGURE 2: SITE VICINITY MAPSAM'S PIT STOP #644236 SAM POTTS HIGHWAYHALLSBORO, COLUMBUS COUNTYNORTH CAROLINAINCIDENT NO. 32595
, INC.
³
0 300150Feet
1 inch = 300 feet
1,500-FOOT RADIUS
1,000-FOOT RADIUS 250-FOOT RADIUS
LEGEND
Water Supply Well
parcels
Wet Weather Creek
88934 Property ID Number
PREPARED BY:GEOLOGICAL RESOURCES APRIL 28, 2022
ncrivers
centerlines
"J
Well
Destroyed Water Supply
Well
Water Tower
x
8
n
l
l
TABLES
Well #
and/or
Tax
Number
Well
Owner Address Phone
Number
Well
Use Municipal
Water?
Well
Depth
(ft BGS)
Type
of
Well
(Drilled/
Bored)
Well
Casing
Depth
(ft. BGS)
Well
Screen
Interval
(x to y
ft. BGS)
Approximate
Distance
from
Source
Area of
Release (ft.)
88934
(WSW-1)
Sam's Pit Stop Properties,
LLC
Post Office Box 689
Whiteville, NC 28472 910-642-3188 Abandoned Connected --- --- --- --- ~80' SE
20395
(WSW-2)Lugene T. Ward 153 Rockway Dr.
Lexington, NC 27295 336-695-4847 Potable Available Unknown Unknown Unknown Unknown ~200' S
19793
(WSW-3)
Pierce & Co. General Store
LLC
Post Office Box 246
Hallsboro, NC 28442 910-646-4158 Potable Available 216' Unknown 100' Unknown ~175' N
18903
(WSW-4)Kenneth R Todd 185 Lakeland Cir.
Hallsboro, NC 28442 910-642-7280 Potable Available Unknown Unknown Unknown Unknown ~260' NE
19692
(WSW-5)Patricia Mitchell 744 Bella Coola Road
Lake Waccamaw, NC 28450 910-646-4389 Unknown Available Unknown Unknown Unknown Unknown ~450' NE
19608
(WSW-6)Rodney Wilson 4339 Sam Potts Hwy
Hallsboro, NC 28442 910-646-9915 Unknown Available Unknown Unknown Unknown Unknown ~550' NE
19809
(WSW-7)Bernard Gregory 4330 Sam Potts Hwy
Hallsboro, NC 28442 Unknown Unknown Available Unknown Unknown Unknown Unknown ~400' ESE
20142
(WSW-8)Micheal & Betty Duncan 103-A Paradise Cir.
Havelock, NC 28532 910-646-3259 Unknown Available Unknown Unknown Unknown Unknown ~350' SE
20387
(WSW-9)
Marilyn Boring & Kenneth
E. Ward
153 Rockway Drive
Lexington, NC 27295 Unknown Unknown Available Unknown Unknown Unknown Unknown ~275' S
19281
(WSW-10)Peggy Blanchard 1833 Waccamaw Shores Rd.
Lake Waccamaw, NC 28450 910-840-3374 Potable No Unknown Unknown Unknown Unknown ~300' S
62077
(WSW-11)
Hallsoboro Volunteer Fire
Department
Post Office Box 8
Hallsboro, NC 28442 910-646-3104 Unknown Available Unknown Unknown Unknown Unknown ~300' W
18907
(WSW-12)Reinaldo V. Argueta 1104 Kingswood Rd.
Conway, SC 29526 Unknown Unknown Available Unknown Unknown Unknown Unknown ~450' NW
18900
(WSW-13)Cam-Brent Inc.1941 Giles Byrd Road
Hallsboro, NC 28442 910-840-6693 Potable Available Unknown Unknown Unknown Unknown ~400' NW
18535
(WSW-14)Mrs. Clarkie Barnhardt 1715 Old Stage Road
Delco, NC 28436 Unknown Unknown Available Unknown Unknown Unknown Unknown ~450' N
18904
(WSW-15)Kenneth R Todd 185 Lakeland Cir.
Hallsboro, NC 28442 910-642-7280 Potable Available Unknown Unknown Unknown Unknown ~300' N
18497
(WSW-16)Nellie T. Imm 37 Oak St.
Hallsboro, NC 28442 Unknown Unknown Available Unknown Unknown Unknown Unknown ~350' N
19536
(WSW-17)Evon Ward Boren 81 Parker Road
Whiteville, NC 28472 910-642-4156 Irrigation Connected Unknown Unknown Unknown Unknown ~475' SE
TABLE 1
WATER SUPPLY WELL INFORMATION
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Date: 04/08/22 Facility ID # : 00-0-0000035658
Well #
and/or
Tax
Number
Well
Owner Address Phone
Number
Well
Use Municipal
Water?
Well
Depth
(ft BGS)
Type
of
Well
(Drilled/
Bored)
Well
Casing
Depth
(ft. BGS)
Well
Screen
Interval
(x to y
ft. BGS)
Approximate
Distance
from
Source
Area of
Release (ft.)
TABLE 1
WATER SUPPLY WELL INFORMATION
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Date: 04/08/22 Facility ID # : 00-0-0000035658
19913
(WSW-18)Micheal & Betty Duncan 103-A Paradise Cir.
Havelock, NC 28532 910-646-3259 Unknown Available Unknown Unknown Unknown Unknown ~475' S
18510
(WSW-19)
Ceasar & Isadora
Lambright Trust
12 Lambright Circle
Columbia, SC 29203 Unknown Unknown Available Unknown Unknown Unknown Unknown ~500' S
18695
(WSW-20)Fredrikia Britt Post Office Box 154
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~775' N
18694
(WSW-21)Fredrikia Britt Post Office Box 154
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~600' N
19762
(WSW-22)Eddie & Betty Morgan 131 Bardy High Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~900' NE
19306
(WSW-23)Rodney Wilson 105 Bardy High Road
Hallsboro, NC 28442 910-646-9915 Potable Available Unknown Unknown Unknown Unknown ~825' NE
19774
(WSW-24)Christopher Canady 83 Bardy High Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~725' NE
20110
(WSW-25)Allen Shipman 326 Schley St. #1-R
Newark, NJ 07112 Unknown Potable Available Unknown Unknown Unknown Unknown ~600' NE
19590
(WSW-26)Ray Long 5371 Red Hill Road
Whiteville, NC 28472 Unknown Potable Available Unknown Unknown Unknown Unknown ~950' NE
19363
(WSW-27)Kenneth Lindahl 72 Bardy High Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~800' NE
19597
(WSW-28)William Long 251 E Floral Avenue
Arcadia, CA 91006 Unknown Potable Available Unknown Unknown Unknown Unknown ~625' NE
20378
(WSW-29)Jesee Long 251 E Floral Avenue
Arcadia, CA 91006 Unknown Potable Available Unknown Unknown Unknown Unknown ~750' NE
19176
(WSW-30)Billy & Mary Gilliland 3510 Chalmers Drive
Wilmington, NC 28409 Unknown Potable Available Unknown Unknown Unknown Unknown ~800' NE
18888
(WSW-31)Rebecca Boswell 195 Wyche Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~950' NE
20398
(WSW-32)Lila Ruth Ward 102 Furnie Hinson Road
Whiteville, NC 28472 910-642-3114 Potable Available Unknown Unknown Unknown Unknown ~650' ESE
20397
(WSW-33)Lila Ruth Ward 102 Furnie Hinson Road
Whiteville, NC 28472 910-642-3114 Potable Available Unknown Unknown Unknown Unknown ~750' SE
18987
(WSW-34)Charles Wakild 10-A West Columbia St.
Wrightsville Beach, NC 28480 910-509-2826 Potable Available Unknown Unknown Unknown Unknown ~800' ESE
90408
(WSW-35)Charles Wakild 10-A West Columbia St.
Wrightsville Beach, NC 28480 910-509-2826 Potable Available Unknown Unknown Unknown Unknown ~900' ESE
Well #
and/or
Tax
Number
Well
Owner Address Phone
Number
Well
Use Municipal
Water?
Well
Depth
(ft BGS)
Type
of
Well
(Drilled/
Bored)
Well
Casing
Depth
(ft. BGS)
Well
Screen
Interval
(x to y
ft. BGS)
Approximate
Distance
from
Source
Area of
Release (ft.)
TABLE 1
WATER SUPPLY WELL INFORMATION
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Date: 04/08/22 Facility ID # : 00-0-0000035658
90428
(WSW-36)Jerry Holland 7129 Dennis Road
Walnut Cove, NC 27052 Unknown Potable Available Unknown Unknown Unknown Unknown ~950' NE
87728
(WSW-37)Frances Batten Heirs 144 Bussey Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~975' SE
19752
(WSW-38)Charles Norris 144 Bussey Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~800' SE
85448
(WSW-39)Charles Norris 144 Bussey Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~700' SE
18725
(WSW-40)Marie Buchanan 76 Bussey Road
Hallsboro, NC 28442 910-646-3952 Potable Available Unknown Unknown Unknown Unknown ~500' SE
19018
(WSW-41)Michael and Betty Duncan 103 A Paradise Circle
Havelock, NC 28532 Unknown Potable Available Unknown Unknown Unknown Unknown ~700' SE
86207
(WSW-42)Frank Sotomayer 87 Giles Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~900' S
20282
(WSW-43)Francella Thurman (etal)Post Office Box 352
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~800' S
19680
(WSW-44)
Artesia Alumni Association
Inc.
221 McKoy Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~800' S
20513
(WSW-45)Jennie Thompson 810 Hallsboro Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~750' SE
19867
(WSW-46)Trudy Pope 875 Dismal Road
Hallsboro, NC 27442 Unknown Potable Available Unknown Unknown Unknown Unknown ~950' S
18477
(WSW-47)Van and Betty Ward Post Office Box 241
Whiteville, NC 28472 Unknown Potable Available Unknown Unknown Unknown Unknown ~900' S
20528
(WSW-48)Ray & Melba Wyche Post Office Box 183
Hallsboro, NC 28442 910-646-3704 Potable Available Unknown Unknown Unknown Unknown ~800' N
62083
(WSW-49)
Hallsboro Baptist
Pastorum
514 Hallsboro Road South
Hallsboro, NC 28442 910-646-3283 Potable Available Unknown Unknown Unknown Unknown ~1,100' N
20409
(WSW-50)Jane Ward Post Office Box 42
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,250' N
19517
(WSW-51)Darrell Thompson 464 Hallsboro Road S
Hallsboro, NC 28442 910-646-4766 Potable Available Unknown Unknown Unknown Unknown ~1,400' N
20269
(WSW-52)William Thompson Post Office Box 39
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,100' N
19263
(WSW-53)
Secretary of Housing &
Urban Development
40 Marietta Street
Atlanta, GA 30303 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,250' N
Well #
and/or
Tax
Number
Well
Owner Address Phone
Number
Well
Use Municipal
Water?
Well
Depth
(ft BGS)
Type
of
Well
(Drilled/
Bored)
Well
Casing
Depth
(ft. BGS)
Well
Screen
Interval
(x to y
ft. BGS)
Approximate
Distance
from
Source
Area of
Release (ft.)
TABLE 1
WATER SUPPLY WELL INFORMATION
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Date: 04/08/22 Facility ID # : 00-0-0000035658
18642
(WSW-54)William Blackman Heirs Post Office Box 126
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,400' N
75855
(WSW-55)Joseph McGuire 1511 Hemphill Drive
Raleigh, NC 27609 919-790-9365 Potable Available Unknown Unknown Unknown Unknown ~1,150' NE
19380
(WSW-56)Karen Reagan 24 Cedar Street
Hallsboro, NC 27442 910-646-1335 Potable Available Unknown Unknown Unknown Unknown ~1,100' NE
20520
(WSW-57)Paul Wyche Post Office Box 246
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,300' NE
93349
(WSW-58)Pauline Council Post Office Box 156
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,400' NE
19355
(WSW-59)Ethelene Hewett 130 Bardy High Road
Hallsboro, NC 27442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,100' NE
18890
(WSW-60)Melody Bordeaux 193 Wyche Street
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,100' NE
19481
(WSW-61)Joe Dale Jackson 3532 Old Wilmington Road
Hallsboro, NC 28442 910-646-4145 Potable Available Unknown Unknown Unknown Unknown ~1,250' NE
20060
(WSW-62)Allison Greene 124 Wyche Street
Hallsboro, NC 28442 910-646-6458 Potable Available Unknown Unknown Unknown Unknown ~1,450' NE
62082
(WSW-63)
Hallsboro Methodist
Church Parsonage
553 Honey Hill Road
Hallsboro, NC 28442 910-646-4105 Potable Available Unknown Unknown Unknown Unknown ~1,400' NE
19175
(WSW-64)Billy & Mary Gilliland 3510 Chalmers Drive
Wilmington, NC 28409 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,000' E
19253
(WSW-65)William McNair 4451 Sam Potts Highway
Hallsboro, NC 27442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,100' E
19580
(WSW-66)Charles Long 114 Marshfield Drive
Wilmington, NC 28411 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,200' E
19579
(WSW-67)
Kimberly Small and
Randall James
4491 Sam Potts Highway
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,300' E
19581
(WSW-68)Charles & Vendall Long 4469 Sam Potts Highway
Hallsboro, NC 28442 910-646-3030 Potable Available Unknown Unknown Unknown Unknown ~1,400' E
18571
(WSW-69)Jesse & John Fisher 107 Powell Building
Whiteville, NC 27472 910-642-4958 Potable Available Unknown Unknown Unknown Unknown ~1,450' E
20231
(WSW-70)Barbara Young Post Office Box 214
Lake Waccamaw, NC 28450 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,450' E
Well #
and/or
Tax
Number
Well
Owner Address Phone
Number
Well
Use Municipal
Water?
Well
Depth
(ft BGS)
Type
of
Well
(Drilled/
Bored)
Well
Casing
Depth
(ft. BGS)
Well
Screen
Interval
(x to y
ft. BGS)
Approximate
Distance
from
Source
Area of
Release (ft.)
TABLE 1
WATER SUPPLY WELL INFORMATION
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Date: 04/08/22 Facility ID # : 00-0-0000035658
20047
(WSW-71)Joseph Clemmons 1468 Dupree Landing Road
Hallsboro, NC 28442 910-646-3269 Potable Available Unknown Unknown Unknown Unknown ~1,100' SE
20095
(WSW-72)Joseph Clemmons 1468 Dupree Landing Road
Hallsboro, NC 28442 910-646-3269 Potable Available Unknown Unknown Unknown Unknown ~1,200' SE
20232
(WSW-73)James and Nancy Miller 264 Lewis Burchette Road
Whiteville, NC 27472 910-642-0612 Potable Available Unknown Unknown Unknown Unknown ~1,250' SE
19368
(WSW-74)Jefferson Davis Hill Post Office Box 158
Hallsboro, NC 28442 910-646-4723 Potable Available Unknown Unknown Unknown Unknown ~1,450' SE
19367
(WSW-75)Jefferson Davis Hill Post Office Box 158
Hallsboro, NC 28442 910-646-4723 Potable Available Unknown Unknown Unknown Unknown ~1,450' SE
86685
(WSW-76)Barry Lee Andrews 184 School Road
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,200' SE
87318
(WSW-77)Joe Tyler 221 Giles Byrd Road
Hallsboro, NC 28442 910-646-3891 Potable Available Unknown Unknown Unknown Unknown ~1,350' SE
20512
(WSW-78)Jamie and Jaimee Welch 55 Wyche Mew S
Hallsboro, NC 28442 Unknown Potable Available Unknown Unknown Unknown Unknown ~1,300' NW
Notes:
• Water supply wells are keyed to Figure 2.
• Ft. BGS : Feet below ground surface
• Information for entries in bold was obtained from well survey responses recevied in 2022.
01/26/10 4.68 --- 95.57
02/11/10 NM --- NM
11/10/10 9.21 --- 91.04
01/17/11 7.34 --- 92.91
07/14/11 9.93 --- 90.32
01/10/12 7.46 --- 92.79
05/31/12 7.20 --- 93.05
11/07/12 8.17 --- 92.08
06/05/13 6.79 --- 93.46
04/22/14 4.39 --- 95.86
08/25/14 6.10 --- 94.15 Before MMPE
08/29/14 10.00 --- 90.25 After MMPE
09/29/14 5.13 --- 95.12
03/16/15 4.43 --- 95.82
01/19/16 4.67 --- 95.58
06/07/16 4.67 --- 95.58
11/10/16 7.30 --- 92.95
05/09/17 6.14 --- 94.11
11/13/17 6.68 --- 93.57
05/10/18 5.95 --- 94.30
03/18/19 5.09 --- 95.16
03/09/21 4.77 --- 95.48
03/29/22 5.88 --- 94.37
02/11/10 2.40 --- 98.37
11/10/10 3.22 --- 97.55
01/17/11 2.78 --- 97.99
07/14/11 3.15 --- 97.62
01/10/12 3.21 --- 97.56
05/31/12 2.28 --- 98.49
11/07/12 2.94 --- 97.83
04/22/14 2.12 --- 98.65
09/29/14 1.91 --- 98.86
03/16/15 2.11 --- 98.66
01/19/16 2.35 --- 98.42
06/07/16 1.67 --- 99.10
11/10/16 3.00 --- 97.77
05/09/17 2.42 --- 98.35
11/13/17 2.64 --- 98.13
05/10/18 2.29 --- 98.48
03/18/19 2.15 --- 98.62
03/09/21 2.28 --- 98.49
02/11/10 5.87 --- 94.20
11/10/10 9.00 --- 91.07
01/17/11 7.61 --- 92.46
07/14/11 9.83 --- 90.24
01/10/12 7.39 --- 92.68
05/31/12 6.97 --- 93.10
11/07/12 7.83 --- 92.24
06/05/13 6.60 --- 93.47
04/22/14 4.32 --- 95.75
09/29/14 5.13 --- 94.94
01/19/16 4.58 --- 95.49
06/07/16 4.48 --- 95.59
11/10/16 7.35 --- 92.72
05/09/17 5.93 --- 94.14
11/13/17 5.91 --- 94.16
05/10/18 6.02 --- 94.05
03/18/19 5.17 --- 94.90
03/09/21 5.02 --- 95.05
100.25122 - 12201/26/10MW-1
100.77122 - 12202/11/10MW-2
100.07122 - 12202/11/10MW-3
Comments
TABLE 2
WELL CONSTRUCTION AND GAUGING INFORMATION
Date: 04/08/22 Facility ID #: 00-0-0000035658
Well ID Date Installed
(mm/dd/yy)
Date Water
Level Measured
(mm/dd/yy)
Well Casing
Depth
(ft. BGS)
Screened
Interval
(x to y ft.
BGS)
Bottom of
Well
(ft. BGS)
Top of
Casing
Elevation*
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free Product
Thickness
(ft.)
Ground
Water
Elevation*
(ft.)
SAM'S PIT STOP
Page 1 of 5
Comments
TABLE 2
WELL CONSTRUCTION AND GAUGING INFORMATION
Date: 04/08/22 Facility ID #: 00-0-0000035658
Well ID Date Installed
(mm/dd/yy)
Date Water
Level Measured
(mm/dd/yy)
Well Casing
Depth
(ft. BGS)
Screened
Interval
(x to y ft.
BGS)
Bottom of
Well
(ft. BGS)
Top of
Casing
Elevation*
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free Product
Thickness
(ft.)
Ground
Water
Elevation*
(ft.)
SAM'S PIT STOP
02/11/10 4.68 --- 95.50
11/10/10 9.15 --- 91.03
01/17/11 7.33 --- 92.85
07/14/11 9.87 --- 90.31
01/10/12 7.43 --- 92.75
05/31/12 7.00 --- 93.18
11/07/12 7.92 --- 92.26
06/05/13 6.71 --- 93.47
04/22/14 4.39 --- 95.79
09/29/14 5.18 --- 95.00
03/16/15 4.42 --- 95.76
01/19/16 4.63 --- 95.55
06/07/16 4.48 --- 95.70
11/10/16 7.65 --- 92.53
05/09/17 6.07 --- 94.11
11/13/17 6.62 --- 93.56
05/10/18 5.95 --- 94.23
03/18/19 5.12 --- 95.06
03/09/21 5.00 --- 95.18
03/29/22 5.85 --- 94.33
11/10/10 3.08 --- 97.34
01/17/11 1.82 --- 98.60
07/14/11 3.32 --- 97.10
01/10/12 2.67 --- 97.75
05/31/12 2.02 --- 98.40
11/07/12 3.20 --- 97.22
06/05/13 2.00 --- 98.42
04/22/14 1.21 --- 99.21
09/29/14 1.61 --- 98.81
01/19/16 1.99 --- 98.43
06/07/16 0.90 --- 99.52
11/10/16 3.31 --- 97.11
05/09/17 1.97 --- 98.45
11/13/17 1.91 --- 98.51 Destroyed
11/10/10 8.86 --- 91.01
01/17/11 6.74 --- 93.13
07/14/11 9.66 --- 90.21
01/10/12 7.28 --- 92.59
05/31/12 6.80 --- 93.07
11/07/12 7.74 --- 92.13
06/05/13 6.50 --- 93.37
04/22/14 4.21 --- 95.66
09/29/14 4.99 --- 94.88
03/16/15 4.24 --- 95.63
01/19/16 4.20 --- 95.67
06/07/16 5.61 --- 94.26
11/10/16 6.97 --- 92.90
05/09/17 5.61 --- 94.26
100.18122 - 12202/11/10MW-4
99.87122 - 12211/05/10MW-6
100.42122 - 12211/05/10MW-5
Page 2 of 5
Comments
TABLE 2
WELL CONSTRUCTION AND GAUGING INFORMATION
Date: 04/08/22 Facility ID #: 00-0-0000035658
Well ID Date Installed
(mm/dd/yy)
Date Water
Level Measured
(mm/dd/yy)
Well Casing
Depth
(ft. BGS)
Screened
Interval
(x to y ft.
BGS)
Bottom of
Well
(ft. BGS)
Top of
Casing
Elevation*
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free Product
Thickness
(ft.)
Ground
Water
Elevation*
(ft.)
SAM'S PIT STOP
11/10/10 7.02 --- 91.93
01/17/11 3.53 --- 95.42
07/14/11 8.64 --- 90.31
01/10/12 5.97 --- 92.98
05/31/12 2.06 --- 96.89
11/07/12 6.54 --- 92.41
06/05/13 2.59 --- 96.36
04/22/14 1.69 --- 97.26
09/29/14 3.08 --- 95.87
06/07/16 1.23 --- 97.72
11/10/16 5.88 --- 93.07
05/09/17 4.34 --- 94.61
11/13/17 2.62 --- 96.33
05/10/18 4.41 --- 94.54
03/18/19 2.15 --- 96.80
03/09/21 2.02 --- 96.93
03/29/22 2.33 --- 96.62
11/10/10 8.53 --- 91.02
01/17/11 6.70 --- 92.85
07/14/11 9.27 --- 90.28
01/10/12 6.82 --- 92.73
05/31/12 6.34 --- 93.21
11/07/12 7.34 --- 92.21
04/22/14 3.73 --- 95.82
09/29/14 4.60 --- 94.95
06/07/16 3.87 --- 95.68
11/10/16 6.70 --- 92.85
05/09/17 5.27 --- 94.28
11/13/17 5.24 --- 94.31
05/10/18 5.30 --- 94.25
03/18/19 4.53 --- 95.02
03/09/21 4.40 --- 95.15
03/29/22 5.26 --- 94.29
11/10/10 6.06 --- 94.33
01/17/11 5.48 --- 94.91
07/14/11 8.40 --- 91.99
01/10/12 6.95 --- 93.44
05/31/12 6.28 --- 94.11
11/07/12 7.31 --- 93.08
04/22/14 4.41 --- 95.98
09/29/14 5.04 --- 95.35
03/16/15 4.44 --- 95.95
01/19/16 4.68 --- 95.71
06/07/16 4.53 --- 95.86
11/10/16 7.30 --- 93.09
05/09/17 5.84 --- 94.55
11/13/17 6.17 --- 94.22
05/10/18 6.96 --- 93.43
03/18/19 5.09 --- 95.30
03/09/21 4.95 --- 95.44
03/29/22 5.69 --- 94.70
211/05/10MW-9
98.95122 - 12211/05/10MW-7
99.55122 - 12211/05/10MW-8
100.39122 - 12
Page 3 of 5
Comments
TABLE 2
WELL CONSTRUCTION AND GAUGING INFORMATION
Date: 04/08/22 Facility ID #: 00-0-0000035658
Well ID Date Installed
(mm/dd/yy)
Date Water
Level Measured
(mm/dd/yy)
Well Casing
Depth
(ft. BGS)
Screened
Interval
(x to y ft.
BGS)
Bottom of
Well
(ft. BGS)
Top of
Casing
Elevation*
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free Product
Thickness
(ft.)
Ground
Water
Elevation*
(ft.)
SAM'S PIT STOP
11/10/10 2.97 --- 97.66
01/17/11 2.11 --- 98.52
07/14/11 2.90 --- 97.73
01/10/12 2.86 --- 97.77
05/31/12 2.10 --- 98.53
11/07/12 2.86 --- 97.77
04/22/14 1.96 --- 98.67
09/29/14 1.93 --- 98.70
06/07/16 1.82 --- 98.81
11/10/16 2.95 --- 97.68
05/09/17 2.17 --- 98.46
11/13/17 2.03 --- 98.60
05/10/18 1.97 --- 98.66
03/18/19 1.76 --- 98.87
03/09/21 2.18 --- 98.45
11/10/10 7.38 --- 90.92
01/17/11 NM --- NM
07/14/11 8.17 --- 90.13
01/10/12 5.53 --- 92.77
05/31/12 4.38 --- 93.92
11/07/12 6.15 --- 92.15
04/22/14 1.79 --- 96.51
09/29/14 3.07 --- 95.23
11/10/10 6.91 --- 90.99
01/17/11 NM --- NM
07/14/11 7.75 --- 90.15
01/10/12 5.23 --- 92.67
05/31/12 5.75 --- 92.15
11/07/12 5.80 --- 92.10
04/22/14 2.31 --- 95.59
09/29/14 3.16 --- 94.74
05/10/18 3.91 --- 93.99
11/10/10 7.51 --- 90.99
01/17/11 5.57 --- 92.93
07/14/11 8.29 --- 90.21
01/10/12 5.80 --- 92.70
05/31/12 5.39 --- 93.11
11/07/12 6.34 --- 92.16
06/05/13 5.01 --- 93.49
04/22/14 2.56 --- 95.94
09/29/14 3.64 --- 94.86
06/07/16 2.82 --- 95.68
11/10/16 5.75 --- 92.75
05/09/17 4.32 --- 94.18
05/10/18 4.39 --- 94.11
03/18/19 5.57 --- 92.93
03/09/21 3.46 --- 95.04
03/29/22 4.31 --- 94.19
01/17/11 1.31 --- 98.31
07/14/11 NM --- NM Not found
01/27/12 1.28 --- 98.34
05/31/12 1.30 --- 98.32
11/07/12 2.54 --- 97.08
04/22/14 1.05 --- 98.57
09/29/14 1.46 --- 98.16 Destroyed
98.50122 - 12211/05/10MW-13
100.63122 - 12211/05/10MW-10
97.90122 - 12211/05/10MW-12
MW-11 11/05/10 2 2 - 12 12 98.30
MW-14 01/12/11 2 2 - 12 12 99.62
Page 4 of 5
Comments
TABLE 2
WELL CONSTRUCTION AND GAUGING INFORMATION
Date: 04/08/22 Facility ID #: 00-0-0000035658
Well ID Date Installed
(mm/dd/yy)
Date Water
Level Measured
(mm/dd/yy)
Well Casing
Depth
(ft. BGS)
Screened
Interval
(x to y ft.
BGS)
Bottom of
Well
(ft. BGS)
Top of
Casing
Elevation*
(ft.)
Depth to
Water from
Top of Casing
(ft.)
Free Product
Thickness
(ft.)
Ground
Water
Elevation*
(ft.)
SAM'S PIT STOP
11/10/10 9.67 --- 91.01
01/17/11 NM --- NM
07/14/11 10.35 --- 90.33
01/10/12 7.92 --- 92.76
05/31/12 7.50 --- 93.18
11/07/12 8.57 --- 92.11
04/22/14 4.91 ---95.77
09/29/14 5.72 ---94.96
03/09/21 5.52 ---95.16
Notes:
TW-1 100.684540-454011/04/10
• NM: Not measured.
• Top of casing elevations were measured by Anderson Surveying in January 2011.
• ft BGS : feet below ground surface
Page 5 of 5
Date: 05/15/22 Facility ID No.: 00-0-0000035658
Well ID
Date
Collected
(mm/dd/yy)
1 600 600 500 20 6
5,000 260,000 84,500 85,500 20,000 6,000
01/26/10 9,450 42.7 J 132 234 3,240 748
11/10/10 389 4.65 J 10.4 19.9 276 12.8
07/14/11 331 4.6 J 11.2 14.4 J 122 4.4 J
01/09/12 974 4.2 J 11.9 16.1 165 40.1
05/31/12 1,300 39.7 32.8 52.9 143 67.4
11/07/12 822 3.8 J 18.1 21.7 J 70.8 40.7
06/05/13 124 2.1 4.8 16.5 39 6.1
04/22/14 489 38.4 17.9 39 47.4 93.8
09/29/14 869 430 251 1,370 30.8 108
03/16/15 737 2.6 54.4 120 20 47.9
01/19/16 323 3.0 J 11.8 15.1 14.2 4.5 J
06/07/16 223 5.5 9.7 48.7 14.6 3.2
11/13/17 101 2.4 6.2 20.8 5.9 1.3
03/18/19 276 18.1 19.3 32.0 6.3 1.5 J
03/09/21 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
03/29/22 54.7 2.1 3.6 11 3.8 0.8
02/11/10 <0.140 <0.190 <0.150 <0.220 19.4 <0.500
11/10/10 <0.140 <0.190 <0.150 <0.220 9.11 <0.500
07/14/11 <0.13 <0.13 0.15 <0.30 7.9 <0.10
01/09/12 <0.13 <0.13 0.15 <0.30 1.8 0.15 J
05/31/12 <0.13 <0.13 0.15 <0.30 2.3 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 4 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 6.7 0.22 J
09/29/14 <0.10 <0.10 <0.10 <0.20 2.5 <0.10
03/16/15 <0.17 <0.17 <0.15 <0.43 2.8 <0.12
01/19/16 <0.13 <0.13 <0.13 <0.31 4.8 <0.13
06/07/16 <0.13 <0.13 <0.13 <0.31 1.3 <0.13
11/13/17 <0.13 <0.13 <0.13 <0.25 1.2 <0.13
03/18/19 <0.13 <0.13 <0.13 <0.25 5.3 <0.13
03/09/21 <0.13 <0.13 <0.13 <0.25 1.3 <0.13
02/11/10 11.2 <0.190 <0.150 1.05 156 <0.500
11/10/10 <0.140 <0.190 <0.150 <0.220 0.666 J <0.500
07/14/11 <0.13 <0.13 0.15 <0.30 3.6 <0.10
01/09/12 <0.13 <0.13 0.15 <0.30 1.4 <0.10
05/31/12 <0.13 <0.13 0.15 <0.30 1.7 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 1.2 <0.15
06/05/13 <0.10 <0.10 <0.10 <0.22 1.2 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 4.4 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 2.6 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 <0.13 <0.13 <0.13 <0.31 0.99 <0.13
03/18/19 <0.13 <0.13 <0.13 <0.25 0.37 J <0.13
03/09/21 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13 Methyl-tert-butyl ether(MTBE)NaphthaleneTABLE 3
SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Analytical Method SM 6200B
Contaminant of Concern BenzeneTolueneEthylbenzeneTotal XylenesMW-1
MAC (µg/l)
GCL (µg/l)
MW-2
MW-3
Page 1 of 5
Date: 05/15/22 Facility ID No.: 00-0-0000035658
Well ID
Date
Collected
(mm/dd/yy)
1 600 600 500 20 6
5,000 260,000 84,500 85,500 20,000 6,000Methyl-tert-butyl ether(MTBE)NaphthaleneTABLE 3
SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Analytical Method SM 6200B
Contaminant of Concern BenzeneTolueneEthylbenzeneTotal XylenesMAC (µg/l)
GCL (µg/l)
02/11/10 <0.140 <0.190 <0.150 <0.220 5.67 <0.500
11/10/10 <0.140 <0.190 <0.150 <0.220 3.34 <0.500
07/14/11 <0.13 <0.13 0.15 <0.30 0.64 <0.10
01/09/12 <0.13 <0.13 0.15 <0.30 0.26 J <0.10
05/31/12 <0.13 <0.13 0.15 <0.30 <0.13 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 0.39 J <0.15
06/05/13 <0.10 <0.10 <0.10 <0.22 1.9 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 11.5 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 15.7 <0.10
03/16/15 <0.17 <0.17 <0.15 <0.43 25.5 <0.12
01/19/16 <0.13 <0.13 <0.13 <0.31 37.7 <0.13
06/07/16 <0.13 0.14 J <0.13 <0.31 27.6 <0.13
11/13/17 <0.13 50.5 <0.13 <0.25 3.2 <0.13
03/18/19 <0.13 <0.13 <0.13 <0.25 3.2 <0.13
03/09/21 <0.13 <0.13 <0.13 <0.25 1.6 <0.13
03/29/22 <0.13 <0.13 <0.13 <0.25 0.77 <0.13
11/10/10 <0.140 <0.190 <0.150 <0.220 21.5 <0.500
07/14/11 <0.13 <0.13 0.15 0.33 J 25.0 0.13 J
01/09/12 <0.13 <0.13 0.15 <0.30 21.8 <0.10
05/31/12 <0.13 0.33 J 0.15 0.30 J 19.6 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 17 <0.15
06/05/13 <0.10 <0.10 <0.10 <0.22 15.5 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 15.1 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 17.9 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 <0.13 <0.13 <0.13 <0.31 17.4 <0.13
11/10/10 <0.140 <0.190 <0.150 <0.220 23.4 <0.500
07/14/11 <0.13 <0.13 0.15 <0.30 8.9 <0.10
01/09/12 <0.13 <0.13 0.15 <0.30 20.0 <0.10
05/31/12 <0.13 <0.13 0.15 <0.30 10.7 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 20.6 <0.15
06/05/13 <0.10 <0.10 <0.10 <0.22 6.9 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 6.1 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 9.5 <0.10
03/16/15 <0.17 <0.17 <0.15 <0.43 12.3 <0.12
01/19/16 <0.13 <0.13 <0.13 <0.31 14.4 <0.13
11/10/10 <0.140 <0.190 <0.150 <0.220 <0.250 <0.500
07/14/11 <0.13 <0.13 0.15 <0.30 <0.13 <0.10
01/09/12 <0.13 <0.13 0.15 <0.30 0.20 J <0.10
05/31/12 <0.13 <0.13 0.15 <0.30 <0.13 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 <0.10 <0.15
06/05/13 <0.10 <0.10 <0.10 <0.22 <0.10 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 0.67 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 0.17 J <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
03/18/19 <0.13 <0.13 <0.13 <0.25 0.56 <0.13
03/09/21 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
03/29/22 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
MW-6
MW-4
MW-7
MW-5
Page 2 of 5
Date: 05/15/22 Facility ID No.: 00-0-0000035658
Well ID
Date
Collected
(mm/dd/yy)
1 600 600 500 20 6
5,000 260,000 84,500 85,500 20,000 6,000Methyl-tert-butyl ether(MTBE)NaphthaleneTABLE 3
SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Analytical Method SM 6200B
Contaminant of Concern BenzeneTolueneEthylbenzeneTotal XylenesMAC (µg/l)
GCL (µg/l)
11/10/10 <0.140 <0.190 <0.150 <0.220 0.388 J <0.500
07/14/11 <0.13 <0.13 0.15 <0.30 0.34 J <0.10
01/09/12 <0.13 <0.13 0.15 <0.30 0.32 J <0.10
05/31/12 <0.13 0.17 J 0.15 <0.30 <0.13 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 0.21 J <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 0.12 J <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
06/07/16 <0.13 <0.13 <0.13 <0.31 0.25 J <0.13
11/13/17 <0.13 <0.13 <0.13 <0.25 0.24 J <0.13
03/18/19 <0.13 <0.13 <0.13 <0.25 0.19 J <0.13
03/09/21 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
03/29/22 <0.13 <0.13 <0.13 <0.25 0.18 J <0.13
11/10/10 <0.700 <0.950 <0.750 <1.10 <1.25 6.34
07/14/11 <0.13 <0.13 <0.15 <0.30 0.79 <0.10
01/09/12 <0.13 <0.13 <0.15 <0.30 0.79 <0.10
05/31/12 <0.13 <0.13 <0.15 <0.30 0.83 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 0.68 <0.15
04/22/14 7.5 1.2 1.2 3.1 <0.10 <0.10
09/29/14 25.7 3.1 3.9 10.1 <0.10 <0.10
03/16/15 27.2 4.1 3.5 11.2 <0.16 <0.12
01/19/16 70.5 11.3 16.5 36.6 <0.13 <0.13
06/07/16 17.7 2.7 2.1 6.1 0.22 J <0.13
11/13/17 78.9 9 6.6 25.1 <0.13 0.45 J
03/18/19 13.1 0.86 0.80 3.8 <0.13 <0.13
03/09/21 13.6 3.5 0.73 6.6 <0.13 <0.13
03/29/22 104 10.2 5.9 33.3 <0.13 <0.13
11/10/10 <0.140 <0.190 <0.150 <0.220 2.36 <0.500
07/14/11 <0.13 <0.13 <0.15 <0.30 3.8 <0.10
01/09/12 <0.13 <0.13 <0.15 <0.30 2.6 <0.10
05/31/12 <0.13 <0.13 <0.15 <0.30 2.6 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 1.4 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 2.5 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 1.2 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
03/18/19 <0.13 <0.13 <0.13 <0.25 0.82 <0.13
03/09/21 <0.13 <0.13 <0.13 <0.25 1.7 <0.13
11/10/10 <0.140 <0.190 <0.150 <0.220 0.269 J <0.500
07/14/11 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
01/09/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
05/31/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 <0.10 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
MW-9
MW-8
MW-10
MW-11
Page 3 of 5
Date: 05/15/22 Facility ID No.: 00-0-0000035658
Well ID
Date
Collected
(mm/dd/yy)
1 600 600 500 20 6
5,000 260,000 84,500 85,500 20,000 6,000Methyl-tert-butyl ether(MTBE)NaphthaleneTABLE 3
SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Analytical Method SM 6200B
Contaminant of Concern BenzeneTolueneEthylbenzeneTotal XylenesMAC (µg/l)
GCL (µg/l)
11/10/10 <0.140 <0.190 <0.150 <0.220 <0.250 <0.500
07/14/11 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
01/09/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
05/31/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 <0.10 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
11/10/10 <0.140 <0.190 <0.150 <0.220 <0.250 <0.500
07/14/11 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
01/09/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
05/31/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 <0.10 <0.15
06/05/13 <0.10 <0.10 <0.10 <0.22 <0.10 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
03/18/19 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
03/09/21 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
03/29/22 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
01/17/11 <0.140 0.248 J <0.150 <0.220 0.786 J <0.500
01/27/12 <0.13 <0.13 <0.15 <0.30 0.97 <0.10
05/31/12 <0.13 0.37 J 0.15 <0.30 0.51 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 2.5 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 1.3 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 1.3 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
11/10/10 0.826 J 0.404 J 0.693 J 4.00 0.789 J <0.500
07/14/11 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
01/09/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
05/31/12 <0.13 <0.13 <0.15 <0.30 <0.13 <0.10
11/07/12 <0.10 <0.10 <0.10 <0.22 <0.10 <0.15
04/22/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
09/29/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
03/16/15 NR NR NR NR NR NR
01/19/16 NR NR NR NR NR NR
03/09/21 <0.13 <0.13 <0.13 <0.25 <0.13 <0.13
11/10/10 <0.140 <0.190 <0.150 <0.220 <0.250 <0.500
03/16/15 <0.17 <0.17 <0.15 <0.43 <0.16 <0.12
11/10/10 <0.140 <0.190 <0.150 <0.220 <0.250 <0.500
09/29/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
WSW-6 03/16/15 <0.17 <0.17 <0.15 <0.43 <0.16 <0.12
WSW-7 09/29/14 <0.10 <0.10 <0.10 <0.20 <0.10 <0.10
WSW-9 03/16/15 <0.17 <0.17 <0.15 <0.43 <0.16 <0.12
WSW-1
WSW-2
MW-12
MW-14
TW-1
MW-13
Page 4 of 5
Date: 05/15/22 Facility ID No.: 00-0-0000035658
Well ID
Date
Collected
(mm/dd/yy)
1 600 600 500 20 6
5,000 260,000 84,500 85,500 20,000 6,000Methyl-tert-butyl ether(MTBE)NaphthaleneTABLE 3
SUMMARY OF GROUND WATER SAMPLE ANALYTICAL RESULTS
SAM'S PIT STOP #64 (INCIDENT NO. 32595)
Analytical Method SM 6200B
Contaminant of Concern BenzeneTolueneEthylbenzeneTotal XylenesMAC (µg/l)
GCL (µg/l)
Notes:
• Results reported in micrograms per liter (µg/l).
• < : Less than the method detection limit specified in the laboratory report.
• MAC: Maximum Allowable Concentration as pecified in 2L Standard specified in T15A NCAC 2L.0202.
• GCL: Gross contamination level.
• NE: Not Established
• Concentrations in bold face type exceeded the 2L standards.
• Concentrations in italics exceeded the gross contamination levels.
• ND: No Data provided.
• NR: Analysis not requested.
• Refer to laboratory report for detected constituents that did not exceed the MACs, or for which no
standard has been established.
Page 5 of 5
APPENDICES
APPENDIX A
Well Surveys
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-2462.000 00680O 000002 155758
88934 11 HB 3 129 162400 174700 1 HALLSBORO STORE#64//WHITEVILLE OIL CO 00680O 000003 155759
11-05843 00680O 000004 155760
SAMS PIT STOP PROPERTIES LLC 04 41 04 01 00 01 00680O 000005 155761
PO BOX 689 765 5892003 4236 SAM POTTS HWY 00680O 000006 155762
28472 PPD 01-1590 00680O 000007 155763
WHITEVILLE NC HF -- CR -- 00680O 000008 155764
SEE765/589-PAECEL#6 TRCT#2'03 00680O 000009 155765
STORE & IMPR FR #20447 HERE FOR'18 00680O 000010 155766
IH-ADJ'21 00680O 000011 155767
1990 A 1995 00680O 000014 155768
03 SLAB 00680O 000016 155769
02 SLAB BASE 1728 65.92 00680O 000018 155770
01 WD.FR. BASE 1728 65.92 113909 00680O 000020 155771
01-1STY 00680O 000021 155772
01 BRICK BASE 00680O 000022 155773
01 WD.FR. BASE 1 00680O 000024 155774
01 COMP. 00680O 000026 155775
03 GABEL 00680O 000027 155776
BASE +-------------54-----------+ 00680O 000028 155777
08 H.TILE : : 00680O 000029 155778
06 CONC. BASE : : 00680O 000030 155779
: : 00680O 000031 155780
03 AVG. BASE : : 00680O 000032 155781
: : 00680O 000033 155782
03 AVG BASE 3 3 00680O 000034 155783
2 2 00680O 000035 155784
03 AVG. BASE : : 00680O 000036 155785
: : 00680O 000037 155786
4 2500 : : 00680O 000038 155787
130785 : 50 : 00680O 000039 155788
C+05 105 137324 +------------54------------+ 00680O 000040 155789
07 P.H/AC 14376 30/ / 5 46004 00680O 000042 155790
01 NONE XF UD FACT 00680O 000043 155791
91320 .00 91300 448 130 165 94 155.1 69484.21 .21- 54892 00680O 000044 155792
6 PAV-CO 1 CONC 80X50 4000 295 90 20 9440 00680O 000049 155793
6 PAV-CO 1 CONC 80X25 2000 295 90 20 4720 00680O 000050 155794
4 CNP-SER 1 STG 22X40 8802037 90 20 14340 DIRT FACT 00680O 000051 155795
28500 00680O 000059 155796
54900 00680O 000061 155797
10/01/2003 00680O 000062 155798
NO - 119800 00680O 000063 155799
174700 4/20/22 00680O 000066 155800
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-1375.000 00680N 000002 155801
88935 11 HB 3 124 10800 11300 1 HALLSBORO STORE #64/WHITEVILLE OIL CO 00680N 000003 155802
11-05843 00680N 000004 155803
SAMS PIT STOP PROPERTIES LLC 13 00 04 01 00 01 00680N 000005 155804
PO BOX 689 765 5892003 NEAR 4236 SAM POTTS HWY 00680N 000006 155805
28472 00-0000 00680N 000007 155806
WHITEVILLE NC HF -- CR -- 00680N 000008 155807
SEE 765/589-PARCEL#6 TRCT#6'03 00680N 000009 155808
/ / 00680N 000042 155809
XF UD FACT 00680N 000043 155810
.00 50 165 120106 127.2 6360 6360 00680N 000044 155811
80 50 110 56 61.6 4928 4928 00680N 000045 155812
DIRT FACT 00680N 000051 155813
11300 00680N 000061 155814
10/01/2003 00680N 000062 155815
NO - 00680N 000063 155816
11300 4/20/22 00680N 000066 155817
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-1219.000 00680M 000002 155818
88936 11 HB 3 124 8400 9200 1 HALLSBORO STORE #64//LOT#2-3 00680M 000003 155819
11-05843 00680M 000004 155820
SAMS PIT STOP PROPERTIES LLC 14 00 04 01 00 01 00680M 000005 155821
PO BOX 689 765 5892003 NEAR 4236 SAM POTTS HWY 00680M 000006 155822
28472 00-0000 00680M 000007 155823
WHITEVILLE NC HF -- CR -- 00680M 000008 155824
PAR#6,TRCT#5-SEE 765/589'03 00680M 000009 155825
/ / 00680M 000042 155826
XF UD FACT 00680M 000043 155827
.00 85 115 120 90 108.0 9180 9180 00680M 000044 155828
DIRT FACT 00680M 000051 155829
9200 00680M 000061 155830
10/01/2003 00680M 000062 155831
NO - 00680M 000063 155832
9200 4/20/22 00680M 000066 155833
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-2371.000 00762J 000002 427357
20395 11 HB 3 125 8300 5600 1 LOT#6 00762J 000003 427358
11-04360 00762J 000004 427359
WARD LUGENE TURNER 14 00 02 01 00 01 00762J 000005 427360
153 ROCKWAY DR 21 E 6942021 745 HALLSBORO RD S 00762J 000006 427361
27295 PPD 01-1590 00762J 000007 427362
LEXINGTON NC HF -- CR -- 00762J 000008 427363
LT SIZE,ACCESS,NAME CORR FOR'22//SEE 334/244(DESC) 00762J 000009 427364
/ / 00762J 000042 427365
XF UD FACT 00762J 000043 427366
.00 50 130 120 94 112.8 5640 5640 00762J 000044 427367
DIRT FACT 00762J 000051 427368
5600 00762J 000061 427369
9/17/2021 00762J 000062 427370
NO - 00762J 000063 427371
5600 4/20/22 00762J 000066 427372
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-1508.000 00051R 000002 046675
19793 11 HB 1 47 164300 183000 1 00051R 000003 046676
11-03763 00051R 000004 046677
PIERCE & CO GENERAL STORE LLC 04 34 04 01 02 01 00051R 000005 046678
4229 SAM POTTS HWY 1247 9782021 40000 4229 SAM POTTS HWY 00051R 000006 046679
PO BOX 246 28442 PPD 01-1590 00051R 000007 046680
HALLSBORO NC HF -- CR -- 00051R 000008 046681
PIERCE & CO//LT SIZE CORR FOR'22 00051R 000009 046682
A 04 00051R 000010 046683
1922 F 1927 00051R 000014 046684
+--------------92-------------+ 00051R 000015 046685
03 SLAB : : 00051R 000016 046686
: : 00051R 000017 046687
03 WD.FR. BASE 7582 43.03 : : 00051R 000018 046688
: : 00051R 000019 046689
02 MASON. BASE 15164 43.03 652506 : : 00051R 000020 046690
03-2STY : : 00051R 000021 046691
01 BRICK BASE : : 00051R 000022 046692
: : 00051R 000023 046693
01 WD.FR. BASE 1 : 7 00051R 000024 046694
4 : 1 00051R 000025 046695
01 COMP. CNP/AWN 322 4225 9 : 00051R 000026 046696
03 GABEL 2 : 00051R 000027 046697
BASE : : 00051R 000028 046698
06 CONC. : : 00051R 000029 046699
01 S.WOOD BASE : : 00051R 000030 046700
: : 00051R 000031 046701
03 AVG. BASE : 80 : 00051R 000032 046702
: +------42-----+ 00051R 000033 046703
03 AVG BASE : : 00051R 000034 046704
: : 00051R 000035 046705
03 AVG. BASE : : 00051R 000036 046706
: : 00051R 000037 046707
4 2500 +-------50------+ 00051R 000038 046708
659230 7 A 7 00051R 000039 046709
C-10 90 593307 +------46------+ 00051R 000040 046710
01 NONE 70/40/ 486512 00051R 000042 046711
01 NONE XF UD FACT 00051R 000043 046712
106795 .00 106800 150 300 165116 191.4 28710 28710 00051R 000044 046713
25 100 150 82 123.0 3075 3075 00051R 000045 046714
20 MILK HS 1 FR 2778 0 00051R 000049 046715
40 PIER 1 WHSE 96X50 4800 20900 00051R 000050 046716
99 MISC/OB 1 MTL 100X480 48000 300 DIRT FACT 00051R 000051 046717
29 STG UTY 1 SHEL 16X20 3201493 08 5 4530 00051R 000052 046718
25700 00051R 000059 046719
200000 31800 00051R 000061 046720
2/01/2021 00051R 000062 046721
NO - A 132500 00051R 000063 046722
164300 4/20/22 00051R 000066 046723
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-1508.000 00051Q 000002 046724
19793 11 HB 1 47 164300 183000 2 00051Q 000003 046725
11-03763 00051Q 000004 046726
PIERCE & CO GENERAL STORE LLC 04 40 04 01 00 01 00051Q 000005 046727
4229 SAM POTTS HWY 1247 9782021 40000 661 HALLSBORO RD S 00051Q 000006 046728
PO BOX 246 28442 PPD 01-1590 00051Q 000007 046729
HALLSBORO NC HF -- CR -- 00051Q 000008 046730
1979 F 1984 00051Q 000014 046731
03 SLAB 00051Q 000016 046732
02 SLAB BASE 4800 19.09 00051Q 000018 046733
01 WD.FR. BASE 4800 19.09 91632 00051Q 000020 046734
09 COR.MT 01-1STY 00051Q 000021 046735
06 WD/LOG BASE 00051Q 000022 046736
01 WD.FR. BASE 1 00051Q 000024 046737
01 COMP. 00051Q 000026 046738
03 GABEL 00051Q 000027 046739
BASE +---------------96--------------+ 00051Q 000028 046740
: : 00051Q 000029 046741
06 CONC. BASE : : 00051Q 000030 046742
: : 00051Q 000031 046743
03 AVG. BASE : : 00051Q 000032 046744
: : 00051Q 000033 046745
03 AVG BASE 5 5 00051Q 000034 046746
0 0 00051Q 000035 046747
03 AVG. BASE : : 00051Q 000036 046748
: : 00051Q 000037 046749
4 2500 : : 00051Q 000038 046750
94131 : 50 : 00051Q 000039 046751
E+- 65 61185 +---------------96--------------+ 00051Q 000040 046752
01 NONE 70/ / 42829 00051Q 000042 046753
01 NONE XF UD FACT 00051Q 000043 046754
18356 .00 18400 00051Q 000044 046755
99 MISC/OB 1 MTL 100X480 48000 300 00051Q 000049 046756
DIRT FACT 00051Q 000051 046757
300 00051Q 000059 046758
NO - 18700 00051Q 000063 046759
18700 4/20/22 00051Q 000066 046760
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-1508.000 00051P 000002 046761
19793 11 HB 1 47 164300 183000 2 00051P 000003 046762
BOGUE 00051P 000004 046763
PIERCE & CO GENERAL STORE LLC 00051P 000005 046764
4229 SAM POTTS HWY 1247 00051P 000006 046765
PO BOX 246 28442 PPD0011590 00051P 000007 046766
SUMMARY CARD 00051P 000012 046767
31800 00051P 000062 046768
NO - 151200 00051P 000063 046769
151200 00051P 000064 046770
183000 00051P 000066 046771
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-3630.000 00999Q 000002 358205
18903 11 HB 1 51 6200 6800 1 TODD CUSTOM FABRICATION 00999Q 000003 358206
11-02560 00999Q 000004 358207
TODD KENNETH RAY 14 00 04 01 00 01 00999Q 000005 358208
185 LAKELAND CIR 1092 9692014 NEAR 4267 SAM POTTS HWY 00999Q 000006 358209
28442 PPD 01-1590 00999Q 000007 358210
HALLSBORO NC HF -- CR -- 00999Q 000008 358211
FR:COUNCIL CO'96*STMPS-4 TRACTS* 00999Q 000009 358212
/ / 00999Q 000042 358213
XF UD FACT 00999Q 000043 358214
.00 50 100 165 82 135.3 6765 6765 00999Q 000044 358215
DIRT FACT 00999Q 000051 358216
6800 00999Q 000061 358217
9/08/2014 00999Q 000062 358218
NO - 00999Q 000063 358219
6800 4/20/22 00999Q 000066 358220
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-5620.000 001473 000002 940588
19692 11 HB 1 63 25100 26900 1 001473 000003 940589
11-17665 001473 000004 940590
MITCHELL PATRICIA 02 37 04 01 02 01 001473 000005 940591
744 BELLA COOLA RD 320 5941984 4315 SAM POTTS HWY 001473 000006 940592
28450 PPD 01-1590 001473 000007 940593
LAKE WACCAMAW NC HF -- CR -- 001473 000008 940594
HAYES//SCE REMVD FOR'18 001473 000009 940595
A 06 001473 000010 940596
B 06 001473 000011 940597
1950 F 1957 001473 000014 940598
04 PER.FT 001473 000016 940599
03 WD.FR. BASE 1056 82.94 001473 000018 940600
01 WD.FR. BASE 1056 82.94 87584 +---14-+ 001473 000020 940601
01-1STY : : 001473 000021 940602
06 WD/LOG BASE : : 001473 000022 940603
: : 001473 000023 940604
01 WD.FR. BASE 1 +6-: : 001473 000024 940605
6 : : : 001473 000025 940606
01 COMP. COV P 48 1324 1 : 3 001473 000026 940607
03 GABEL 6 2 B: 0 001473 000027 940608
BASE COV P 72 1927 +-6+ : 001473 000028 940609
: : 001473 000029 940610
01 S.WOOD BASE : : 001473 000030 940611
: : 001473 000031 940612
03 AVG. BASE +---14-+ +-+ 001473 000032 940613
: : 001473 000033 940614
03 AVG BASE : : 001473 000034 940615
1 1 001473 000035 940616
03 AVG. BASE 6 6 001473 000036 940617
: 50 : 001473 000037 940618
5 +--------36--------+ 001473 000038 940619
90444 6 A 6 001473 000039 940620
D-10 77 69642 +-8-+ 001473 000040 940621
02 FL/WL 390- 70/10/ 50839 001473 000042 940622
01 NONE XF UD FACT 001473 000043 940623
18803 .00 18800 50 100 150 82 123.0 6150 6150 001473 000044 940624
50 50 70 56 39.2 1960 1960 001473 000045 940625
DIRT FACT 001473 000051 940626
8100 001473 000061 940627
NO - 18800 001473 000063 940628
26900 4/20/22 001473 000066 940629
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-6529.000 00490} 000002 512165
19608 11 HB 1 64 38700 42400 1 LOT & STATION//CHARLES LYTLE 00490} 000003 512166
11-30444 00490} 000004 512167
WILSON RODNEY EUGENE 04 36 04 01 02 01 00490} 000005 512168
4339 SAM POTTS HWY 502 2971996 4500 4339 SAM POTTS HWY 00490} 000006 512169
28442 PPD 01-1590 00490} 000007 512170
HALLSBORO NC HF -- CR -- 00490} 000008 512171
DBA:WILSONS AUTO SALES //FR:CHARLES LYTLE'97 00490} 000009 512172
ADDT'N'99 A 21 00490} 000010 512173
1961 F 1966 00490} 000014 512174
03 SLAB 00490} 000016 512175
02 SLAB BASE 1196 104.98 00490} 000018 512176
02 MASON. BASE 1196 104.98 125556 00490} 000020 512177
01-1STY 00490} 000021 512178
03 CO.BLK BASE 00490} 000022 512179
01 WD.FR. BASE 1 00490} 000024 512180
21 00490} 000025 512181
01 COMP. BR STG 1280 24058 00490} 000026 512182
03 GABEL 00490} 000027 512183
BASE +---------40--------+ 00490} 000028 512184
08 H.TILE : : 00490} 000029 512185
06 CONC. BASE : +-----------46---------+ 00490} 000030 512186
: : : 00490} 000031 512187
03 AVG. BASE : : : 00490} 000032 512188
: : : 00490} 000033 512189
03 AVG BASE 3 : : 00490} 000034 512190
2 2 2 00490} 000035 512191
03 AVG. BASE : 6 6 00490} 000036 512192
: : : 00490} 000037 512193
4 2500 : : : 00490} 000038 512194
152113 : A : 50 : 00490} 000039 512195
C-10 90 136902 +---------40--------+----------46----------+ 00490} 000040 512196
01 NONE 60/40/30 113903 00490} 000042 512197
01 NONE XF UD FACT 00490} 000043 512198
22999 .00 23000 150 100 150 82 123.0 18450 18450 00490} 000044 512199
1 PAV-ASP 1 ASPH 3750X1 3750 231 90 860 00490} 000049 512200
DIRT FACT 00490} 000051 512201
900 00490} 000059 512202
27500 18500 00490} 000061 512203
3/15/1996 00490} 000062 512204
NO - X 23900 00490} 000063 512205
42400 4/22/22 00490} 000066 512206
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.00-18-5370.000 009015 000002 565499
19809 11 HB 3 130 100600 123200 1 LOT#2//BARRY PIERCE 009015 000003 565500
11-02936 009015 000004 565501
GREGORY BERNARD CHARLES 02 37 02 01 02 01 009015 000005 565502
4330 SAM POTTS HWY 1213 2422019 43600 4330 SAM POTTS HWY 009015 000006 565503
28442 PPD 01-1590 009015 000007 565504
HALLSBORO NC HF -- CR -- 009015 000008 565505
ACCESS CORR FOR'20//SEE 333/443 009015 000009 565506
A 05 009015 000010 565507
B 06 009015 000011 565508
C 15 009015 000012 565509
1984 A 1991 009015 000014 565510
04 PER.FT 009015 000016 565511
03 WD.FR. BASE 1306 69.12 009015 000018 565512
01 WD.FR. BASE 2416 69.12 166993 009015 000020 565513
03-2STY 009015 000021 565514
06 WD/LOG BASE 009015 000022 565515
01 WD.FR. BASE 1 009015 000024 565516
5 +--14--+ 009015 000025 565517
01 COMP. CARPORT 459 9381 : 8 009015 000026 565518
03 GABEL 6 : 50 : 009015 000027 565519
BASE COV P 98 2483 +---------38-------+ 009015 000028 565520
15 : : 009015 000029 565521
01 S.WOOD BASE FR STG 32 1198 +4+---17--: : 009015 000030 565522
: 8 : : 009015 000031 565523
03 AVG. BASE 8 C : : 009015 000032 565524
+4+ 2 : 009015 000033 565525
03 AVG BASE : 7 3 009015 000034 565526
2 : 4 009015 000035 565527
03 AVG. BASE 7 : : 009015 000036 565528
: : : 009015 000037 565529
8 1725 : +--12--------+ : 009015 000038 565530
176537 : A : 50 7 B 7 80 : 009015 000039 565531
C+10 110 194191 +---17--+--12-+---14-+--12-+ 009015 000040 565532
06 UNIT 5242- 33/ /10 77094 009015 000042 565533
01 NONE XF UD FACT 009015 000043 565534
117097 .00 117100 49 150 120100 120.0 5880 5880 009015 000044 565535
99 MISC/OB 1 CON/ 600X1 600 200 009015 000049 565536
29 STG UTY 1 MTL 1493 0 009015 000050 565537
DIRT FACT 009015 000051 565538
200 009015 000059 565539
218000 5900 009015 000061 565540
10/11/2019 009015 000062 565541
NO - A 117300 009015 000063 565542
123200 4/20/22 009015 000066 565543
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-3145.000 002491 000002 369624
20142 11 HB 3 128 19100 21900 1 002491 000003 369625
11-01408 002491 000004 369626
DUNCAN MICHEAL & BETTY Y 02 37 04 01 02 01 002491 000005 369627
103-A PARADISE CIR 1276 7702021 2200 63 BUSSY RD 002491 000006 369628
28532 PPD 01-1590 002491 000007 369629
HAVELOCK NC HF -- CR -- 002491 000008 369630
REMOD'78//GRD;FUNC ADJ-IH ADJ'05 002491 000009 369631
LT SIZE CORR FOR'22 A 06 002491 000010 369632
B 06 002491 000011 369633
1960 A 1967 002491 000014 369634
04 PER.FT 002491 000016 369635
03 WD.FR. BASE 680 96.76 002491 000018 369636
01 WD.FR. BASE 680 96.76 65796 002491 000020 369637
01-1STY 002491 000021 369638
06 WD/LOG BASE 002491 000022 369639
01 WD.FR. BASE 1 002491 000024 369640
6 002491 000025 369641
06 COR.MT COV P 84 2129 002491 000026 369642
03 GABEL 6 +--12+-8-+ 002491 000027 369643
BASE COV P 96 2433 8 8 : 002491 000028 369644
05 CARPET : B : 8 002491 000029 369645
01 S.WOOD BASE +---14-+- +-6+ 002491 000030 369646
: : 002491 000031 369647
03 AVG. BASE : : 002491 000032 369648
: : 002491 000033 369649
03 AVG BASE 2 2 002491 000034 369650
2 2 002491 000035 369651
03 AVG. BASE : : 002491 000036 369652
: 50 : 002491 000037 369653
5 +------28-----+ 002491 000038 369654
70106 7 A 7 002491 000039 369655
D-10 77 53982 +--12-+ 002491 000040 369656
02 FL/WL 251- 58/40/ 40379 002491 000042 369657
01 NONE XF UD FACT 002491 000043 369658
13603 .00 13600 100 161 85106 90.1 9010 .10- .10- 8109 002491 000044 369659
23 SHED 1 FR 200 002491 000049 369660
DIRT FACT 002491 000051 369661
200 002491 000059 369662
11000 8100 002491 000061 369663
12/10/2021 002491 000062 369664
YES 13800 002491 000063 369665
21900 4/20/22 002491 000066 369666
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.00-18-2135.000 003807 000002 113667
20387 11 HB 3 127 63100 65100 1 LOT#16 003807 000003 113668
11-02424 003807 000004 113669
BORING MARILYN EVON WARD & 02 37 04 01 02 01 003807 000005 113670
KENNETH EARL WARD (HEIRS) 549 12021 33 BUSSY RD 003807 000006 113671
153 ROCKWAY DR 27295 PPD 01-1590 003807 000007 113672
LEXINGTON NC HF -- CR -- 003807 000008 113673
LT SIZE CORR FOR'22//IH ADJ GRD'13 003807 000009 113674
A 04 003807 000010 113675
B 05 003807 000011 113676
C 10 003807 000012 113677
D 21 003807 000013 113678
1963 A 1977 E 26 003807 000014 113679
04 PER.FT 003807 000016 113680
03 WD.FR. BASE 1265 81.59 003807 000018 113681
01 WD.FR. BASE 1265 81.59 103211 003807 000020 113682
01-1STY 003807 000021 113683
01 BRICK BASE 003807 000022 113684
01 WD.FR. BASE 1 003807 000024 113685
4 003807 000025 113686
01 COMP. CNP/AWN 128 1838 003807 000026 113687
03 GABEL 5 003807 000027 113688
BASE CARPORT 520 10522 003807 000028 113689
05 CARPET 10 +-----24----+---16--+ 003807 000029 113690
01 S.WOOD BASE E BR P 192 8287 8 8 : 003807 000030 113691
21 : C : E 8 003807 000031 113692
03 AVG. BASE BR STG 32 1246 +-------------55-----------+4+-8-+--12-+ 003807 000032 113693
26 : : 4 D 4 : 003807 000033 113694
03 AVG BASE SLAB/PAT 128 512 : : +-8-+ : 003807 000034 113695
: : : 003807 000035 113696
03 AVG. BASE 2 2 2 003807 000036 113697
3 3 3 003807 000037 113698
5 : : : 003807 000038 113699
125616 : 50 : B : 003807 000039 113700
C-05 95 119335 +------------55------------+-----24----+ 003807 000040 113701
05 FHA 48/ / 57281 003807 000042 113702
01 NONE XF UD FACT 003807 000043 113703
62054 .00 62100 25 152 85103 87.6 2188 2188 003807 000044 113704
23 SHED 1 W/CA 12X12 144 800 003807 000049 113705
DIRT FACT 003807 000051 113706
800 003807 000059 113707
2200 003807 000061 113708
1/05/1998 003807 000062 113709
NO - 62900 003807 000063 113710
65100 4/20/22 003807 000066 113711
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-0192.000 003398 000002 101885
19281 11 HB 3 126 17000 17400 1 PEGGY BLANCHARD 003398 000003 101886
11-02661 003398 000004 101887
BLANCHARD PEGGY P 14 00 04 01 00 01 003398 000005 101888
1833 WACCAMAW SHORES RD 1207 7202019 799 HALLSBORO RD S 003398 000006 101889
28450 PPD 01-1590 003398 000007 101890
LAKE WACCAMAW NC HF -- CR -- 003398 000008 101891
FR: HALLSBORO TRADING/ADDN'91 003398 000009 101892
'47 BLDG INTO OTBLDG(USED FOR STG)FOR'07 003398 000010 101893
SEE 252/317-T1,3,4//FUNC;ECON;GRD-IH ADJ'05 003398 000011 101894
LT SIZE CORR FOR'20 003398 000012 101895
/ / 003398 000042 101896
XF UD FACT 003398 000043 101897
.00 50 100 100 82 82.0 4100 4100 003398 000044 101898
1 PAV-ASP 1 CONC 231 0 003398 000049 101899
29 STG UTY 1 RET 2061X1 2061 47 13300 003398 000050 101900
DIRT FACT 003398 000051 101901
13300 003398 000059 101902
4100 003398 000061 101903
3/29/2019 003398 000062 101904
NO - 13300 003398 000063 101905
17400 4/20/22 003398 000066 101906
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-08-9310.000 009443 000002 578478
62077 11 HB 3 122 78600 81000 1 009443 000003 578479
11-50085 009443 000004 578480
HALLSBORO VOL FIRE DEPT 07 20 04 01 02 01 009443 000005 578481
PO BOX 8 297 334 754 HALLSBORO RD S 009443 000006 578482
28442 PPD 01-1590 009443 000007 578483
HALLSBORO NC HF -- CR -- 009443 000008 578484
ADDED 2 BAYS=100%'95 009443 000009 578485
1950 A 009443 000014 578486
03 SLAB 009443 000016 578487
03 WD.FR. BASE 4800 48.89 009443 000018 578488
05 RSF BASE 4800 48.89 234672 009443 000020 578489
01-1STY 009443 000021 578490
09 COR.MT BASE 009443 000022 578491
01 WD.FR. BASE 1 009443 000024 578492
06 COR.MT 009443 000026 578493
03 GABEL 009443 000027 578494
BASE 009443 000028 578495
06 CONC. BASE +-------------------120-----------------+ 009443 000030 578496
: : 009443 000031 578497
03 AVG. BASE : : 009443 000032 578498
: : 009443 000033 578499
03 AVG BASE : : 009443 000034 578500
4 4 009443 000035 578501
03 AVG. BASE 0 0 009443 000036 578502
: : 009443 000037 578503
4 2500 : : 009443 000038 578504
237172 : 50 : 009443 000039 578505
C+- 100 237172 +-------------------120-----------------+ 009443 000040 578506
01 NONE 70/ / 166020 009443 000042 578507
01 NONE XF UD FACT 009443 000043 578508
71152 .00 71200 100 100 120 82 98.4 9840 9840 009443 000044 578509
DIRT FACT 009443 000051 578510
9800 009443 000061 578511
NO - 71200 009443 000063 578512
81000 4/22/22 009443 000066 578513
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.00-08-8624.000 000739 000002 021761
18907 11 HB 1 11 31300 36400 1 MICHAEL FERRIOLA 000739 000003 021762
11-04613 000739 000004 021763
ARGUETA REINALDO V 04 34 04 01 02 01 000739 000005 021764
1104 KINGSWOOD DR 1184 3082018 3300 4179 SAM POTTS HWY 000739 000006 021765
29526 PPD 01-1590 000739 000007 021766
CONWAY SC HF -- CR -- 000739 000008 021767
DBA:J B COUNCIL AUTO PARTS 000739 000009 021768
LT SIZE CORR FOR'19//SEE 335/868 #5'04 000739 000010 021769
+-----------48----------+ 000739 000011 021770
: : 000739 000012 021771
: : 000739 000013 021772
1950 F 1955 : : 000739 000014 021773
: : 000739 000015 021774
04 PER.FT : : 000739 000016 021775
: : 000739 000017 021776
03 WD.FR. BASE 3890 49.18 : : 000739 000018 021777
: : 000739 000019 021778
02 MASON. BASE 3890 49.18 191310 4 : 000739 000020 021779
01-1STY 6 : 000739 000021 021780
03 CO.BLK BASE : : 000739 000022 021781
: : 000739 000023 021782
01 WD.FR. BASE 1 : : 000739 000024 021783
: : 000739 000025 021784
01 COMP. : 7 000739 000026 021785
03 GABEL : 5 000739 000027 021786
BASE : : 000739 000028 021787
+--10+ : 000739 000029 021788
06 CONC. BASE : : 000739 000030 021789
: : 000739 000031 021790
03 AVG. BASE : : 000739 000032 021791
: : 000739 000033 021792
03 AVG BASE 2 : 000739 000034 021793
9 : 000739 000035 021794
03 AVG. BASE : : 000739 000036 021795
: : 000739 000037 021796
4 2500 : : 000739 000038 021797
193809 : 50 : 000739 000039 021798
E+- 65 125976 +-------------58-------------+ 000739 000040 021799
01 NONE 70/20/15 100278 000739 000042 021800
01 NONE XF UD FACT 000739 000043 021801
25698 .00 25700 50 200 165111 183.2 9157 9157 000739 000044 021802
29 STG UTY 1 MTL 24X52 1248 1500 000739 000049 021803
DIRT FACT 000739 000051 021804
1500 000739 000059 021805
16500 9200 000739 000061 021806
7/17/2018 000739 000062 021807
NO - A 27200 000739 000063 021808
36400 4/22/22 000739 000066 021809
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-08-8666.000 006630 000002 197613
18900 11 HB 1 12 9300 10100 1 TANKS//COUNCIL & CO 006630 000003 197614
11-02131 006630 000004 197615
CAM-BRENT INC 14 00 04 01 00 01 006630 000005 197616
%GILES E BYRD 913 2672007 4191 SAM POTTS HWY 006630 000006 197617
1941 GILES BYRD RD 28442 PPD 01-1590 006630 000007 197618
HALLSBORO NC HF -- CR -- 006630 000008 197619
TANKS ON PROP/NO SCALES * 3/3/97 ADJ DEPR=TANKS 006630 000009 197620
TANK VALUE ADJ FOR'08 006630 000010 197621
/ / 006630 000042 197622
XF UD FACT 006630 000043 197623
.00 50 190 165110 181.5 9075 9075 006630 000044 197624
39 TANK GS 4 4000X1 4000 75 1000 006630 000049 197625
DIRT FACT 006630 000051 197626
1000 006630 000059 197627
9100 006630 000061 197628
11/26/2007 006630 000062 197629
NO - 1000 006630 000063 197630
10100 4/22/22 006630 000066 197631
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-0875.000 001594 000002 047618
18535 11 HB 1 42 11000 12000 1 PIERCE 001594 000003 047619
11-01180 001594 000004 047620
BARNHARDT CLARKIE (MRS) 12 00 04 01 00 01 001594 000005 047621
1715 OLD STAGE HWY NEAR 623 HALLSBORO RD S 001594 000006 047622
28436 PPD 01-1590 001594 000007 047623
DELCO NC HF -- CR -- 001594 000008 047624
.37 AC 001594 000009 047625
/ / 001594 000042 047626
XF UD FACT 001594 000043 047627
.00 100 150 120100 120.0 12000 12000 001594 000044 047628
DIRT FACT 001594 000051 047629
12000 001594 000061 047630
NO - 001594 000063 047631
12000 4/22/22 001594 000066 047632
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-2677.000 00999O 000002 358369
18904 11 HB 1 52 5200 5600 1 NORTHERN PTN LOT#7//TODD CUSTOM 00999O 000003 358370
11-02560 00999O 000004 358371
TODD KENNETH RAY 14 00 03 01 00 01 00999O 000005 358372
185 LAKELAND CIR 1092 9692014 29 OAK ST 00999O 000006 358373
28442 PPD 01-1590 00999O 000007 358374
HALLSBORO NC HF -- CR -- 00999O 000008 358375
FR:COUNCIL CO'96*STMPS-4 TRACTS* 00999O 000009 358376
LT SIZE CORR FOR'15 00999O 000010 358377
/ / 00999O 000042 358378
XF UD FACT 00999O 000043 358379
SV 36 150 100100 100.0 3600 3600 00999O 000044 358380
23 SHED 1 CB 34X60 2040 50 2000 00999O 000049 358381
DIRT FACT 00999O 000051 358382
2000 00999O 000059 358383
3600 00999O 000061 358384
9/08/2014 00999O 000062 358385
NO - 2000 00999O 000063 358386
5600 4/22/22 00999O 000066 358387
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-2675.000 00999M 000002 358299
96796 11 HB 1 52 1400 1400 1 SOUTHERN PTN LOT#7//TODD CUSTOM 00999M 000003 358300
11-02560 00999M 000004 358301
TODD KENNETH RAY 14 00 03 01 00 01 00999M 000005 358302
185 LAKELAND CIR 1092 9692014 NEAR 29 OAK ST 00999M 000006 358303
28442 00-0000 00999M 000007 358304
HALLSBORO NC HF -- CR -- 00999M 000008 358305
/ / 00999M 000042 358306
XF UD FACT 00999M 000043 358307
SV 14 150 100100 100.0 1400 1400 00999M 000044 358308
DIRT FACT 00999M 000051 358309
1400 00999M 000061 358310
9/08/2014 00999M 000062 358311
NO - 00999M 000063 358312
1400 4/20/22 00999M 000066 358313
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-18-2772.000 002922 000002 684929
18497 11 HB 1 53 16300 19200 1 TODD CUSTOM FABRICATION & CONST 002922 000003 684930
11-05032 002922 000004 684931
IMM NELLIE TODD 02 37 03 01 02 01 002922 000005 684932
37 OAK ST 1041 6782012 37 OAK ST 002922 000006 684933
28442 PPD 01-1590 002922 000007 684934
HALLSBORO NC HF -- CR -- 002922 000008 684935
FR:ED.BALDWIN/FR:JOAN EDWARDS'96 002922 000009 684936
A 06 002922 000010 684937
1920 A 1947 002922 000014 684938
02 PIER/P 002922 000016 684939
03 WD.FR. BASE 944 86.40 002922 000018 684940
01 WD.FR. BASE 944 86.40 81561 002922 000020 684941
01-1STY 002922 000021 684942
06 WD/LOG BASE 002922 000022 684943
01 WD.FR. BASE 1 002922 000024 684944
6 +-----24----+ 002922 000025 684945
01 COMP. COV P 132 3048 9 : 002922 000026 684946
03 GABEL : 9 002922 000027 684947
BASE +-+ +-+ 002922 000028 684948
02 H.WOOD : : 002922 000029 684949
01 S.WOOD BASE : : 002922 000030 684950
: : 002922 000031 684951
03 AVG. BASE : : 002922 000032 684952
2 2 002922 000033 684953
03 AVG BASE 6 6 002922 000034 684954
: : 002922 000035 684955
03 AVG. BASE : : 002922 000036 684956
: 50 : 002922 000037 684957
5 +-------28------+ 002922 000038 684958
84260 6 A : 002922 000039 684959
E+- 65 54769 +-----22---+ 002922 000040 684960
02 FL/WL 349- 70/ / 38338 002922 000042 684961
01 NONE XF UD FACT 002922 000043 684962
16431 .00 16400 50 150 55100 55.0 2750 2750 002922 000044 684963
DIRT FACT 002922 000051 684964
2800 002922 000061 684965
9/10/2012 002922 000062 684966
NO - 16400 002922 000063 684967
19200 4/22/22 002922 000066 684968
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-17-3976.000 003797 000002 113306
19536 11 HB 3 147 35400 39400 1 LOT#25//FRINK ST//GEORGE BOREN 003797 000003 113307
11-03042 003797 000004 113308
BOREN EVON WARD 02 37 04 01 02 01 003797 000005 113309
81 PARKER RD 882 2172007 7000 66 BUSSY RD 003797 000006 113310
28472 PPD 01-1590 003797 000007 113311
WHITEVILLE NC HF -- CR -- 003797 000008 113312
A 08 003797 000010 113313
1959 A 1972 003797 000014 113314
04 PER.FT 003797 000016 113315
03 WD.FR. BASE 856 89.85 003797 000018 113316
01 WD.FR. BASE 856 89.85 76911 003797 000020 113317
01-1STY 003797 000021 113318
08 ALU/VN BASE 003797 000022 113319
01 WD.FR. BASE 1 +--12-+ 003797 000024 113320
8 : 6 003797 000025 113321
01 COMP. E FR P 112 3728 : +---16--+ 003797 000026 113322
03 GABEL : : 003797 000027 113323
BASE : : 003797 000028 113324
: : 003797 000029 113325
01 S.WOOD BASE 3 : 003797 000030 113326
4 : 003797 000031 113327
03 AVG. BASE : 2 003797 000032 113328
: 8 003797 000033 113329
03 AVG BASE : : 003797 000034 113330
: : 003797 000035 113331
03 AVG. BASE : 50 : 003797 000036 113332
+------28-----+ 003797 000037 113333
5 : : 003797 000038 113334
84661 8 A : 003797 000039 113335
C-10 90 76195 +---14-+ 003797 000040 113336
08 REV.CY 4023 54/ / 41145 003797 000042 113337
01 NONE XF UD FACT 003797 000043 113338
35050 .00 35100 50 150 85100 85.0 4250 4250 003797 000044 113339
DIRT FACT 003797 000051 113340
35000 4300 003797 000061 113341
2/21/2007 003797 000062 113342
NO - E 35100 003797 000063 113343
39400 4/22/22 003797 000066 113344
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-17-1972.000 002490 000002 369650
19913 11 HB 3 151 20700 22800 1 LOT#22 002490 000003 369651
11-01408 002490 000004 369652
DUNCAN MICHEAL & BETTY Y 02 37 04 01 02 01 002490 000005 369653
103-A PARADISE CIR 1277 2792021 14000 30 BUSSY RD 002490 000006 369654
28532 PPD 01-1590 002490 000007 369655
HAVELOCK NC HF -- CR -- 002490 000008 369656
LOT#22//SEE PB 5/46 002490 000009 369657
A 06 002490 000010 369658
B 17 002490 000011 369659
1962 A 1969 002490 000014 369660
04 PER.FT 002490 000016 369661
03 WD.FR. BASE 552 100.22 002490 000018 369662
01 WD.FR. BASE 552 100.22 55321 002490 000020 369663
01-1STY 002490 000021 369664
06 WD/LOG BASE 002490 000022 369665
01 WD.FR. BASE 1 002490 000024 369666
6 002490 000025 369667
06 COR.MT COV P 60 1655 002490 000026 369668
03 GABEL 17 002490 000027 369669
BASE F SCR P 84 2387 002490 000028 369670
01 S.WOOD BASE +6-+-----24----+ 002490 000030 369671
: : : 002490 000031 369672
03 AVG. BASE : : : 002490 000032 369673
1 : : 002490 000033 369674
03 AVG BASE 4 B2 : 002490 000034 369675
+-62 2 002490 000035 369676
03 AVG. BASE : 4 002490 000036 369677
: : 002490 000037 369678
5 +--12-+ : 002490 000038 369679
56769 5 A : 50 : 002490 000039 369680
D-10 77 43712 +--12-+--12-+ 002490 000040 369681
01 NONE 2594- 58/ / 25353 002490 000042 369682
01 NONE XF UD FACT 002490 000043 369683
18359 .00 18400 50 150 85100 85.0 4250 4250 002490 000044 369684
23 SHED 1 FR 100 002490 000049 369685
DIRT FACT 002490 000051 369686
100 002490 000059 369687
70000 4300 002490 000061 369688
12/15/2021 002490 000062 369689
NO - A 18500 002490 000063 369690
22800 4/22/22 002490 000066 369691
COLUMBUS COUNTY LAND RECORDS - PROPERTY RECORD CARDPROPERTY#TWSHP PIN LAST REVAL PRIOR VALUE CARD#LEGAL DESCRIPTION PROPERTY FACTORS
MAP ACCESS TOPO LND IMP SHAPE
RECORD OF OWNERSHIP BOOK PAGE YEAR STAMPS PROPERTY LOCATION CLASS OCCUP
LISTED DATE BUILDING
APPR DATE ZONED % COMPLETE
ACT YR BLT COND EFF. YR BLT.BUILDING ELEMENTS AND CALCULATIONS
VALUE DESCRIPTION VALUE
FOUNDATION ATTIC
FLOORING SYSTEM BASE OF AREA
STRUCTURAL FRM BASE S/F
EXTERIOR WALLS STORY
C/D
ROOF FRAMING WALL HEIGHT
ROOF COVER ATTACHMENTS
ROOF DESIGN
FLOOR COVER
INTERIOR FINISH
CAB/MILL WORK
ELECTRICAL
PLUMBING
FIXTURES
PERIMETER MULT
SPRINKLER
SYSTEM
GRADE
HEAT/COOL DEPR P/F/E
FIREPLACE TOTAL
VALUE
BASEMENT NEIGHBORHOOD
INFLUENCE
SUMMARY OF OTHER IMPROVEMENTS
LINE #CODE DESCRIPTION #CONST SIZE AREA RATE YR DEP VALUE
SALES INFORMATION
AMOUNT:
DATE:
QUAL SALE:
TOTAL VALUE SUMMARY OF OTHER IMPROVEMENTS
TOTAL VALUE LAND
TOTAL VALUE BUILDINGS
TOTAL VALUE
LAND DESCRIPTION CALCULATIONS
FRTG DEPTH UT PR DEP FAC FF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
SQUARE FOOTAGE SF PRICE SUB TOTAL SH TOPO R/W OTHER ADJ LAND VALUE
CLASS ACRES SIZE FAC NET %RATE LAND VALUE
TOTAL
ACRES TOTAL LAND VALUE
LAND USE VALUATIONS AND TOTALS
CLASS # ACRES RATE LAND VALUE
BUILDING SITE
TOTAL ACRES
TOTAL USE
VALUE LAND
TOTAL USE
VALUE BUILDINGS
TOTAL USE VALUE
1220.01-17-0997.000 007695 000002 230362
18510 11 HB 3 153 15100 17500 1 LOT#2//ISADORA LAMBRIGHT 007695 000003 230363
11-02924 007695 000004 230364
CEASAR AND ISADORA LAMBRIGHT 04 07 04 01 02 01 007695 000005 230365
FAMILY TRUST UTD 854 6702006 827 HALLSBORO RD S 007695 000006 230366
12 LAMBRIGHT CIR 29203 PPD 01-1590 007695 000007 230367
COLUMBIA SC HF -- CR -- 007695 000008 230368
BARBER SHOP 007695 000009 230369
SEE 779/74'04 007695 000010 230370
1956 F 1961 007695 000014 230371
04 PER.FT 007695 000016 230372
03 WD.FR. BASE 875 72.65 007695 000018 230373
02 MASON. BASE 875 72.65 63568 007695 000020 230374
01-1STY 007695 000021 230375
03 CO.BLK BASE 007695 000022 230376
01 WD.FR. BASE 1 007695 000024 230377
01 COMP. 007695 000026 230378
03 GABEL 007695 000027 230379
BASE 007695 000028 230380
08 H.TILE 007695 000029 230381
06 CONC. BASE 007695 000030 230382
+--------38-------+ 007695 000031 230383
03 AVG. BASE : : 007695 000032 230384
: : 5 007695 000033 230385
03 AVG BASE 0 : 007695 000034 230386
+5+ : 007695 000035 230387
03 AVG. BASE : 2 007695 000036 230388
1 5 007695 000037 230389
5 3125 5 : 007695 000038 230390
66692 : : 007695 000039 230391
E+- 65 43350 +-------33------+ 007695 000040 230392
01 NONE 70/ / 30345 007695 000042 230393
01 NONE XF UD FACT 007695 000043 230394
13005 .00 13000 50 116 100 90 90.0 4500 4500 007695 000044 230395
DIRT FACT 007695 000051 230396
4500 007695 000061 230397
3/25/2005 007695 000062 230398
NO - 13000 007695 000063 230399
17500 4/22/22 007695 000066 230400
APPENDIX B
State Correspondence
Site Name City / County /Columbus Incident #32595
Resp Pty Name / Contact Incident Mgr Region WIL
RP Type (Owner/Operator / Landowner / Attny-in-fact)Change Order?Prev. TA #17
Consultant / Project Mgr /Rae Troiano Brown
Telephone / Fax Number /Task Authorization Number:18 ChangeOrd:
Project Mgr Email Site Risk / Rank / Abatement:H550D RRA Date:3/29/2010
Proposal# / Scope Dates /% Commercial (C=100%, NC=0%, Both=1%-99%)
Has STF Eligibility Been Determined? (Y/N)Site Status (Active or NFA Date)
With Claim: [ ] All Main Consultant/Contractor invoices attached?[ ] Proof of payment attached directly to the front of each invoice?
w Important: The date of reimbursement is dependent on the Trust Fund balance. There may be a delay in the reimbursement of claims for work under this ePATA.3rd Pty Ded?Task #Lab /
SubCode
RO IM AuthProposed
Rate/Price
(Consultant)RO Supv. AuthProposed Task
Subtotal
(Consultant)
Preapproved
Subtotal
(UST Section)
Claimed
Amount3
(Consultant)
1.025 1 /site y $740.00 Y $740.00 $740.00 /
4.031 8 /wells 6 $110.00 Y $880.00 $660.00 /
4.090 #220 9 /samples n $37.00 N $333.00 $0.00 /
4.091 1 /shipment y $60.00 Y $60.00 $60.00 /
6.091 1 /report y $900.00 Y $900.00 $900.00 /
12.050 1 /trip y $250.00 Y $250.00 $250.00 /
//
//
4.090 #240 6 /wells y $88.00 Y $528.00 $528.00 /
//
//
//
//
//
//
//
//
//
//
//
//
//
//
//
//
//
//
Requested Preapproved Claimed3
TOTAL:$3,691.00 $3,138.00 TOTAL:
Total Standard Costs (Not Third Party)$3,691.00 $3,138.00 Total Standard Costs
Total applied as Third Party Deductible/Damage Costs $0.00 $0.00 Total Third Pty Costs
Process Tracking (Date)
TA Submittal:2/2/22 by:(PM)(Reserved for RO)
RO Review:3/3/22 by:(IM)Joint UST Preapproval Confirmed By:Date1 3/7/2022
RO Supv. Review:3/3/22 by:(STF)RP or Designee Receipt Confirmation By:Date 4
1 - This ePATA expires one year from the Joint UST Preapproval date. This does not extend, alter, or supersede any regulatory deadlines (e.g., NORR's, NOV's, Enforcements, etc.)
2 - THE ONE YEAR STATUTE OF LIMITATIONS APPLIES TO EACH INDIVIDUAL TASK. Costs must be claimed within one year of completion of that task to be reimbursable.
3 - Only Tasks included on this ePATA may be claimed. Do not include other Tasks or claimed costs (i.e., Claim preparation) that were not preapproved or the claim will be returned.
4 - Preapproval is not valid (i.e., claimable) until receipt is signed as 'Confirmed' by the RP or their designee within a week of approval. The signed pre-approval must be submitted
in the submitted claim. Signature indicates acknowledgement of the tasks and amounts approved. Any objections/appeals must be submitted via Change Order prior to work
proceeding. Scope/cost negotiations do not supersede other regulatory deadlines as described in #1 above. Also, any ePATA that has been signed as 'Confirmed' by both the
UST Section and RP is not to be modified without written consent by all signatories.
5 - Tasks approved on Directed - CAB Only ePATAs must be performed in accordance with all applicable rules, statutes, and RRD Task Scopes of Work to be reimbursed in full.
DWM/UST ePATA 8/1/2020
DIRECTED - CAB ONLY
Hallsboro
(Must Complete with Claim Submittal)(See Instructions / RRD for Tasks requiring Preapproval / Task Authorization)
Owner/Operator
704-845-4010
(Reserved for Incident Manager)
PREAPPROVAL / TASK AUTHORIZATION
Sam's Pit Stop
Note: This Electronic Preapproval Task Authorization (ePATA) shall be used to receive preapproval from the UST Section. A proposal,including maps and figures,must be
attached to elaborate on the costs for the tasks listed below that describes the scope of work and the rationale for theproposed activities.If, following completion ofthis ePATA,
you discover that unexpected tasks must be performed, incurring costs for tasks not originally included with this form, you must complete and submit a separate ePATA request
designated as a "Change Order"in the provided space above prior to conducting those tasks. Include a copy of the prior ePATA form for confirmation. Please attach this form to
the cover of the corresponding claim when requesting reimbursement. IMPORTANT:Only one claim may be submitted per ePATA and all work on the ePATA must have been
completed within 12 months of the completion date of the FIRST completed task to remain within the Statute of Limitations. All ePATAs submitted within a claim are closed with
that claim, and may not be re-used ina separate submittal,evenfor costs or tasks that were not originally claimed. Final reimbursement of costs associated with the Total Claimed
amount below may be affected by the eligibility status of the site (i.e., deductibles, apportionment, etc.), and the documentary validation of incurred costs as reasonable and
necessary expenses per 15A NCAC 2P .0402 and .0404.
SAK
MHH
(Initials)
RTB
Proposed
Units / Type
(Consultant)
Steve kay
activeTRUE
22-099 Mar.-Apr. 2022
704-845-4012
Dates of Work
(Consultant)
Started1 / Completed2
FINAL REIMBURSEMENT
100.00%
rtb@geologicalresourcesinc.com
Sam's Pit Stop inc.
Geological Resources, Inc.
ELECTRONIC PREAPPROVAL TASK AUTHORIZATION FORM
Dept of Environmental Quality -Division of Waste Management
Sample monitoring wells MW-1, MW-4, MW-7, MW-8, MW-9 & MW-13
APPENDIX C
Laboratory Report – Ground Water Samples
04/14/22
Technical Report for
GRI (Geological Resources Inc.)
Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
32595/2895
SGS Job Number: FA94413
Sampling Date: 03/29/22
Report to:
GRI
3502 Hayes Rd
Monroe, NC 28110
rtb@geologicalresourcesinc.com; carriekennedy@geologicalresourcesinc.com;
jjr@geologicalresourcesinc.com; nml@geologicalresourcesinc.com
ATTN: Rae Brown
Total number of pages in report:
Certifications: FL(E83510), LA(03051), KS(E-10327), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AL, AK, AR, CT, IA, KY, MA, MI. MS, ND, NH, NV, OK, OR, IL, UT, VT, WA, WI, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • tel: 407-425-6700 • fax: 407-425-0707
Test results contained within this data package meet the requirements
of the National Environmental Laboratory Accreditation Program
and/or state specific certification programs as applicable.
Client Service contact: Muna Mohammed 407-425-6700
Norm Farmer
Technical Director
Orlando, FL 04/14/22
e-Hardcopy 2.0
Automated Report
40
SGS is the sole authority for authorizing edits or modifications to this document.
Unauthorized modification of this report is strictly prohibited.
Review standard terms at: http://www.sgs.com/en/terms-and-conditions
The results set forth herein are provided by SGS North America Inc.
Please share your ideas about
how we can serve you better at:
EHS.US.CustomerCare@sgs.com
1 of 40
FA94413
Table of Contents
-1-
Sections:
Section 1: Sample Summary ...................................................................................................3
Section 2: Summary of Hits ....................................................................................................4
Section 3: Sample Results ........................................................................................................6
3.1: FA94413-1: MW-1 ........................................................................................................7
3.2: FA94413-2: MW-4 ........................................................................................................10
3.3: FA94413-3: MW-7 ........................................................................................................13
3.4: FA94413-4: MW-8 ........................................................................................................16
3.5: FA94413-5: MW-9 ........................................................................................................19
3.6: FA94413-6: MW-13 ......................................................................................................22
Section 4: Misc. Forms ............................................................................................................25
4.1: Chain of Custody ...........................................................................................................26
Section 5: MS Volatiles - QC Data Summaries .....................................................................28
5.1: Method Blank Summary ................................................................................................29
5.2: Blank Spike Summary ...................................................................................................33
5.3: Matrix Spike/Matrix Spike Duplicate Summary ...........................................................37 123452 of 40
FA94413
SGS North America Inc.
Sample Summary
GRI (Geological Resources Inc.)
Job No:FA94413
Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Project No: 32595/2895
Sample Collected Matrix Client
Number Date Time By Received Code Type Sample ID
This report contains results reported as ND = Not detected. The following applies:
Organics ND = Not detected above the MDL
FA94413-1 03/29/22 09:15 ER 03/30/22 AQ Ground Water MW-1
FA94413-2 03/29/22 10:00 ER 03/30/22 AQ Ground Water MW-4
FA94413-3 03/29/22 09:33 ER 03/30/22 AQ Ground Water MW-7
FA94413-4 03/29/22 09:51 ER 03/30/22 AQ Ground Water MW-8
FA94413-5 03/29/22 09:23 ER 03/30/22 AQ Ground Water MW-9
FA94413-6 03/29/22 09:41 ER 03/30/22 AQ Ground Water MW-13
3 of 40
FA944131
Summary of Hits Page 1 of 2
Job Number:FA94413
Account:GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Collected:03/29/22
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA94413-1 MW-1
Benzene 54.7 1.0 0.25 ug/l SM 6200B
n-Butylbenzene 1.7 0.50 0.13 ug/l SM 6200B
sec-Butylbenzene 1.9 0.50 0.13 ug/l SM 6200B
Chloroethane a 0.52 J 1.0 0.40 ug/l SM 6200B
Di-Isopropyl Ether 0.15 J 0.50 0.13 ug/l SM 6200B
Ethylbenzene 3.6 0.50 0.13 ug/l SM 6200B
Ethyl Tert Butyl Ether 3.7 0.50 0.13 ug/l SM 6200B
Isopropylbenzene 23.2 0.50 0.13 ug/l SM 6200B
Methyl Chloride 1.5 1.0 0.40 ug/l SM 6200B
Methyl Tert Butyl Ether 3.8 0.50 0.13 ug/l SM 6200B
Naphthalene 0.80 0.50 0.13 ug/l SM 6200B
n-Propylbenzene 45.5 1.0 0.25 ug/l SM 6200B
Tert-Amyl Alcohol 75.2 10 2.0 ug/l SM 6200B
Tert-Butyl Alcohol 59.4 10 2.0 ug/l SM 6200B
Toluene 2.1 0.50 0.13 ug/l SM 6200B
1,2,4-Trimethylbenzene 0.39 J 0.50 0.13 ug/l SM 6200B
1,3,5-Trimethylbenzene 0.22 J 0.50 0.13 ug/l SM 6200B
m,p-Xylene 9.6 1.0 0.13 ug/l SM 6200B
o-Xylene 1.4 0.50 0.13 ug/l SM 6200B
Xylene (total)11.0 1.5 0.25 ug/l SM 6200B
FA94413-2 MW-4
Methyl Bromide 0.30 J 0.50 0.20 ug/l SM 6200B
Methyl Chloride 0.55 0.50 0.20 ug/l SM 6200B
Methyl Tert Butyl Ether 0.77 0.50 0.13 ug/l SM 6200B
Tert-Butyl Alcohol 2.8 J 10 2.0 ug/l SM 6200B
FA94413-3 MW-7
Methyl Bromide 0.46 J 0.50 0.20 ug/l SM 6200B
Methyl Chloride 1.1 0.50 0.20 ug/l SM 6200B
FA94413-4 MW-8
Methyl Bromide 0.34 J 0.50 0.20 ug/l SM 6200B
Methyl Chloride 0.46 J 0.50 0.20 ug/l SM 6200B
Methyl Tert Butyl Ether 0.18 J 0.50 0.13 ug/l SM 6200B
FA94413-5 MW-9
Benzene 104 2.5 0.63 ug/l SM 6200B
n-Butylbenzene 0.37 J 0.50 0.13 ug/l SM 6200B
4 of 40
FA944132
Summary of Hits Page 2 of 2
Job Number:FA94413
Account:GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Collected:03/29/22
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
sec-Butylbenzene 0.87 0.50 0.13 ug/l SM 6200B
tert-Butylbenzene 0.39 J 0.50 0.13 ug/l SM 6200B
Ethylbenzene 5.9 0.50 0.13 ug/l SM 6200B
Isopropylbenzene 3.1 0.50 0.13 ug/l SM 6200B
p-Isopropyltoluene 0.85 0.50 0.13 ug/l SM 6200B
n-Propylbenzene 1.9 0.50 0.13 ug/l SM 6200B
Tert-Amyl Alcohol 246 10 2.0 ug/l SM 6200B
Toluene 10.2 0.50 0.13 ug/l SM 6200B
1,2,4-Trimethylbenzene 0.65 0.50 0.13 ug/l SM 6200B
1,3,5-Trimethylbenzene 1.3 0.50 0.13 ug/l SM 6200B
m,p-Xylene 31.4 1.0 0.13 ug/l SM 6200B
o-Xylene 1.9 0.50 0.13 ug/l SM 6200B
Xylene (total)33.3 1.5 0.25 ug/l SM 6200B
FA94413-6 MW-13
Methyl Bromide 0.35 J 0.50 0.20 ug/l SM 6200B
Methyl Chloride 0.55 0.50 0.20 ug/l SM 6200B
(a) Associated Initial Calibration outside control limits (%RSD > 15%).
5 of 40
FA944132
SGS North America Inc.
Sample Results
Report of Analysis
Orlando, FL
Section 3
6 of 40
FA944133
SGS North America Inc.
Report of Analysis Page 1 of 3
Client Sample ID:MW-1
Lab Sample ID:FA94413-1 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 A0231524.D 1 04/08/22 18:21 SS n/a n/a VA3109
Run #2 A0231603.D 2 04/12/22 17:18 SS n/a n/a VA3112
Purge Volume
Run #1 10.0 ml
Run #2 10.0 ml
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene 54.7 a 1.0 0.25 ug/l
108-86-1 Bromobenzene ND 0.50 0.13 ug/l
74-97-5 Bromochloromethane ND 0.50 0.13 ug/l
75-27-4 Bromodichloromethane ND 0.50 0.13 ug/l
75-25-2 Bromoform ND 0.50 0.13 ug/l
104-51-8 n-Butylbenzene 1.7 0.50 0.13 ug/l
135-98-8 sec-Butylbenzene 1.9 0.50 0.13 ug/l
98-06-6 tert-Butylbenzene ND 0.50 0.13 ug/l
56-23-5 Carbon Tetrachloride ND 0.50 0.13 ug/l
108-90-7 Chlorobenzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane b 0.52 a 1.0 0.40 ug/l J
67-66-3 Chloroform ND 0.50 0.13 ug/l
95-49-8 o-Chlorotoluene ND 0.50 0.13 ug/l
106-43-4 p-Chlorotoluene ND 0.50 0.13 ug/l
124-48-1 Dibromochloromethane ND 0.50 0.13 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 0.50 0.25 ug/l
106-93-4 1,2-Dibromoethane ND 0.50 0.13 ug/l
75-71-8 Dichlorodifluoromethane ND a 1.0 0.40 ug/l
95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l
541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l
106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l
75-34-3 1,1-Dichloroethane ND 0.50 0.13 ug/l
107-06-2 1,2-Dichloroethane ND 0.50 0.13 ug/l
75-35-4 1,1-Dichloroethylene ND 0.50 0.13 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 0.50 0.13 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 0.50 0.13 ug/l
78-87-5 1,2-Dichloropropane ND 0.50 0.13 ug/l
142-28-9 1,3-Dichloropropane ND 0.50 0.13 ug/l
594-20-7 2,2-Dichloropropane ND 0.50 0.13 ug/l
563-58-6 1,1-Dichloropropene ND 0.50 0.13 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 0.50 0.13 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 0.50 0.13 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
7 of 40
FA9441333.1
SGS North America Inc.
Report of Analysis Page 2 of 3
Client Sample ID:MW-1
Lab Sample ID:FA94413-1 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
108-20-3 Di-Isopropyl Ether 0.15 0.50 0.13 ug/l J
100-41-4 Ethylbenzene 3.6 0.50 0.13 ug/l
637-92-3 Ethyl Tert Butyl Ether 3.7 0.50 0.13 ug/l
87-68-3 Hexachlorobutadiene ND 0.50 0.13 ug/l
98-82-8 Isopropylbenzene 23.2 0.50 0.13 ug/l
99-87-6 p-Isopropyltoluene ND 0.50 0.13 ug/l
74-83-9 Methyl Bromide ND 0.50 0.20 ug/l
74-87-3 Methyl Chloride 1.5 a 1.0 0.40 ug/l
74-95-3 Methylene Bromide ND 0.50 0.13 ug/l
75-09-2 Methylene Chloride ND 2.0 1.0 ug/l
1634-04-4 Methyl Tert Butyl Ether 3.8 0.50 0.13 ug/l
91-20-3 Naphthalene 0.80 0.50 0.13 ug/l
103-65-1 n-Propylbenzene 45.5 a 1.0 0.25 ug/l
100-42-5 Styrene ND 0.50 0.13 ug/l
75-85-4 Tert-Amyl Alcohol 75.2 10 2.0 ug/l
994-05-8 Tert-Amyl Methyl Ether ND 1.0 0.20 ug/l
75-65-0 Tert-Butyl Alcohol 59.4 10 2.0 ug/l
762-75-4 Tert-Butyl Formate ND 10 2.0 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 0.13 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 0.13 ug/l
127-18-4 Tetrachloroethylene ND 0.50 0.13 ug/l
108-88-3 Toluene 2.1 0.50 0.13 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 0.50 0.13 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 0.50 0.13 ug/l
71-55-6 1,1,1-Trichloroethane ND 0.50 0.13 ug/l
79-00-5 1,1,2-Trichloroethane ND 0.50 0.13 ug/l
79-01-6 Trichloroethylene ND 0.50 0.13 ug/l
75-69-4 Trichlorofluoromethane c ND 0.50 0.20 ug/l
96-18-4 1,2,3-Trichloropropane ND 0.50 0.13 ug/l
95-63-6 1,2,4-Trimethylbenzene 0.39 0.50 0.13 ug/l J
108-67-8 1,3,5-Trimethylbenzene 0.22 0.50 0.13 ug/l J
75-01-4 Vinyl Chloride ND 0.50 0.13 ug/l
m,p-Xylene 9.6 1.0 0.13 ug/l
95-47-6 o-Xylene 1.4 0.50 0.13 ug/l
1330-20-7 Xylene (total)11.0 1.5 0.25 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 99%107%70-130%
17060-07-0 1,2-Dichloroethane-D4 105%110%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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FA9441333.1
SGS North America Inc.
Report of Analysis Page 3 of 3
Client Sample ID:MW-1
Lab Sample ID:FA94413-1 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
2037-26-5 Toluene-D8 99%97%70-130%
460-00-4 4-Bromofluorobenzene 101%100%70-130%
(a) Result is from Run# 2
(b) Associated Initial Calibration outside control limits (%RSD > 15%).
(c) Associated CCV outside control limits low.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
9 of 40
FA9441333.1
SGS North America Inc.
Report of Analysis Page 1 of 3
Client Sample ID:MW-4
Lab Sample ID:FA94413-2 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 A0231525.D 1 04/08/22 18:43 SS n/a n/a VA3109
Run #2 A0231598.D 1 04/12/22 15:21 SS n/a n/a VA3112
Purge Volume
Run #1 10.0 ml
Run #2 10.0 ml
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene ND 0.50 0.13 ug/l
108-86-1 Bromobenzene ND 0.50 0.13 ug/l
74-97-5 Bromochloromethane ND 0.50 0.13 ug/l
75-27-4 Bromodichloromethane ND 0.50 0.13 ug/l
75-25-2 Bromoform ND 0.50 0.13 ug/l
104-51-8 n-Butylbenzene ND 0.50 0.13 ug/l
135-98-8 sec-Butylbenzene ND 0.50 0.13 ug/l
98-06-6 tert-Butylbenzene ND 0.50 0.13 ug/l
56-23-5 Carbon Tetrachloride ND 0.50 0.13 ug/l
108-90-7 Chlorobenzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane a ND 0.50 0.20 ug/l
67-66-3 Chloroform ND 0.50 0.13 ug/l
95-49-8 o-Chlorotoluene ND 0.50 0.13 ug/l
106-43-4 p-Chlorotoluene ND 0.50 0.13 ug/l
124-48-1 Dibromochloromethane ND 0.50 0.13 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 0.50 0.25 ug/l
106-93-4 1,2-Dibromoethane ND 0.50 0.13 ug/l
75-71-8 Dichlorodifluoromethane ND b 0.50 0.20 ug/l
95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l
541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l
106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l
75-34-3 1,1-Dichloroethane ND 0.50 0.13 ug/l
107-06-2 1,2-Dichloroethane ND 0.50 0.13 ug/l
75-35-4 1,1-Dichloroethylene ND 0.50 0.13 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 0.50 0.13 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 0.50 0.13 ug/l
78-87-5 1,2-Dichloropropane ND 0.50 0.13 ug/l
142-28-9 1,3-Dichloropropane ND 0.50 0.13 ug/l
594-20-7 2,2-Dichloropropane ND 0.50 0.13 ug/l
563-58-6 1,1-Dichloropropene ND 0.50 0.13 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 0.50 0.13 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 0.50 0.13 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
10 of 40
FA9441333.2
SGS North America Inc.
Report of Analysis Page 2 of 3
Client Sample ID:MW-4
Lab Sample ID:FA94413-2 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
108-20-3 Di-Isopropyl Ether ND 0.50 0.13 ug/l
100-41-4 Ethylbenzene ND 0.50 0.13 ug/l
637-92-3 Ethyl Tert Butyl Ether ND 0.50 0.13 ug/l
87-68-3 Hexachlorobutadiene ND 0.50 0.13 ug/l
98-82-8 Isopropylbenzene ND 0.50 0.13 ug/l
99-87-6 p-Isopropyltoluene ND 0.50 0.13 ug/l
74-83-9 Methyl Bromide 0.30 0.50 0.20 ug/l J
74-87-3 Methyl Chloride 0.55 0.50 0.20 ug/l
74-95-3 Methylene Bromide ND 0.50 0.13 ug/l
75-09-2 Methylene Chloride ND 2.0 1.0 ug/l
1634-04-4 Methyl Tert Butyl Ether 0.77 0.50 0.13 ug/l
91-20-3 Naphthalene ND 0.50 0.13 ug/l
103-65-1 n-Propylbenzene ND 0.50 0.13 ug/l
100-42-5 Styrene ND 0.50 0.13 ug/l
75-85-4 Tert-Amyl Alcohol ND 10 2.0 ug/l
994-05-8 Tert-Amyl Methyl Ether ND 1.0 0.20 ug/l
75-65-0 Tert-Butyl Alcohol 2.8 10 2.0 ug/l J
762-75-4 Tert-Butyl Formate ND 10 2.0 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 0.13 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 0.13 ug/l
127-18-4 Tetrachloroethylene ND 0.50 0.13 ug/l
108-88-3 Toluene ND 0.50 0.13 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 0.50 0.13 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 0.50 0.13 ug/l
71-55-6 1,1,1-Trichloroethane ND 0.50 0.13 ug/l
79-00-5 1,1,2-Trichloroethane ND 0.50 0.13 ug/l
79-01-6 Trichloroethylene ND 0.50 0.13 ug/l
75-69-4 Trichlorofluoromethane c ND 0.50 0.20 ug/l
96-18-4 1,2,3-Trichloropropane ND 0.50 0.13 ug/l
95-63-6 1,2,4-Trimethylbenzene ND 0.50 0.13 ug/l
108-67-8 1,3,5-Trimethylbenzene ND 0.50 0.13 ug/l
75-01-4 Vinyl Chloride ND 0.50 0.13 ug/l
m,p-Xylene ND 1.0 0.13 ug/l
95-47-6 o-Xylene ND 0.50 0.13 ug/l
1330-20-7 Xylene (total)ND 1.5 0.25 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 103%108%70-130%
17060-07-0 1,2-Dichloroethane-D4 104%107%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
11 of 40
FA9441333.2
SGS North America Inc.
Report of Analysis Page 3 of 3
Client Sample ID:MW-4
Lab Sample ID:FA94413-2 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
2037-26-5 Toluene-D8 98%97%70-130%
460-00-4 4-Bromofluorobenzene 98%97%70-130%
(a) Associated Initial Calibration outside control limits (%RSD > 15%); sample is ND.
(b) Result is from Run# 2
(c) Associated CCV outside control limits low.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
12 of 40
FA9441333.2
SGS North America Inc.
Report of Analysis Page 1 of 3
Client Sample ID:MW-7
Lab Sample ID:FA94413-3 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 A0231526.D 1 04/08/22 19:06 SS n/a n/a VA3109
Run #2 A0231599.D 1 04/12/22 15:44 SS n/a n/a VA3112
Purge Volume
Run #1 10.0 ml
Run #2 10.0 ml
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene ND 0.50 0.13 ug/l
108-86-1 Bromobenzene ND 0.50 0.13 ug/l
74-97-5 Bromochloromethane ND 0.50 0.13 ug/l
75-27-4 Bromodichloromethane ND 0.50 0.13 ug/l
75-25-2 Bromoform ND 0.50 0.13 ug/l
104-51-8 n-Butylbenzene ND 0.50 0.13 ug/l
135-98-8 sec-Butylbenzene ND 0.50 0.13 ug/l
98-06-6 tert-Butylbenzene ND 0.50 0.13 ug/l
56-23-5 Carbon Tetrachloride ND 0.50 0.13 ug/l
108-90-7 Chlorobenzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane a ND 0.50 0.20 ug/l
67-66-3 Chloroform ND 0.50 0.13 ug/l
95-49-8 o-Chlorotoluene ND 0.50 0.13 ug/l
106-43-4 p-Chlorotoluene ND 0.50 0.13 ug/l
124-48-1 Dibromochloromethane ND 0.50 0.13 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 0.50 0.25 ug/l
106-93-4 1,2-Dibromoethane ND 0.50 0.13 ug/l
75-71-8 Dichlorodifluoromethane ND b 0.50 0.20 ug/l
95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l
541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l
106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l
75-34-3 1,1-Dichloroethane ND 0.50 0.13 ug/l
107-06-2 1,2-Dichloroethane ND 0.50 0.13 ug/l
75-35-4 1,1-Dichloroethylene ND 0.50 0.13 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 0.50 0.13 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 0.50 0.13 ug/l
78-87-5 1,2-Dichloropropane ND 0.50 0.13 ug/l
142-28-9 1,3-Dichloropropane ND 0.50 0.13 ug/l
594-20-7 2,2-Dichloropropane ND 0.50 0.13 ug/l
563-58-6 1,1-Dichloropropene ND 0.50 0.13 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 0.50 0.13 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 0.50 0.13 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
13 of 40
FA9441333.3
SGS North America Inc.
Report of Analysis Page 2 of 3
Client Sample ID:MW-7
Lab Sample ID:FA94413-3 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
108-20-3 Di-Isopropyl Ether ND 0.50 0.13 ug/l
100-41-4 Ethylbenzene ND 0.50 0.13 ug/l
637-92-3 Ethyl Tert Butyl Ether ND 0.50 0.13 ug/l
87-68-3 Hexachlorobutadiene ND 0.50 0.13 ug/l
98-82-8 Isopropylbenzene ND 0.50 0.13 ug/l
99-87-6 p-Isopropyltoluene ND 0.50 0.13 ug/l
74-83-9 Methyl Bromide 0.46 0.50 0.20 ug/l J
74-87-3 Methyl Chloride 1.1 0.50 0.20 ug/l
74-95-3 Methylene Bromide ND 0.50 0.13 ug/l
75-09-2 Methylene Chloride ND 2.0 1.0 ug/l
1634-04-4 Methyl Tert Butyl Ether ND 0.50 0.13 ug/l
91-20-3 Naphthalene ND 0.50 0.13 ug/l
103-65-1 n-Propylbenzene ND 0.50 0.13 ug/l
100-42-5 Styrene ND 0.50 0.13 ug/l
75-85-4 Tert-Amyl Alcohol ND 10 2.0 ug/l
994-05-8 Tert-Amyl Methyl Ether ND 1.0 0.20 ug/l
75-65-0 Tert-Butyl Alcohol ND 10 2.0 ug/l
762-75-4 Tert-Butyl Formate ND 10 2.0 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 0.13 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 0.13 ug/l
127-18-4 Tetrachloroethylene ND 0.50 0.13 ug/l
108-88-3 Toluene ND 0.50 0.13 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 0.50 0.13 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 0.50 0.13 ug/l
71-55-6 1,1,1-Trichloroethane ND 0.50 0.13 ug/l
79-00-5 1,1,2-Trichloroethane ND 0.50 0.13 ug/l
79-01-6 Trichloroethylene ND 0.50 0.13 ug/l
75-69-4 Trichlorofluoromethane c ND 0.50 0.20 ug/l
96-18-4 1,2,3-Trichloropropane ND 0.50 0.13 ug/l
95-63-6 1,2,4-Trimethylbenzene ND 0.50 0.13 ug/l
108-67-8 1,3,5-Trimethylbenzene ND 0.50 0.13 ug/l
75-01-4 Vinyl Chloride ND 0.50 0.13 ug/l
m,p-Xylene ND 1.0 0.13 ug/l
95-47-6 o-Xylene ND 0.50 0.13 ug/l
1330-20-7 Xylene (total)ND 1.5 0.25 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 105%108%70-130%
17060-07-0 1,2-Dichloroethane-D4 106%108%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
14 of 40
FA9441333.3
SGS North America Inc.
Report of Analysis Page 3 of 3
Client Sample ID:MW-7
Lab Sample ID:FA94413-3 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
2037-26-5 Toluene-D8 94%93%70-130%
460-00-4 4-Bromofluorobenzene 98%95%70-130%
(a) Associated Initial Calibration outside control limits (%RSD > 15%); sample is ND.
(b) Result is from Run# 2
(c) Associated CCV outside control limits low.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
15 of 40
FA9441333.3
SGS North America Inc.
Report of Analysis Page 1 of 3
Client Sample ID:MW-8
Lab Sample ID:FA94413-4 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 A0231527.D 1 04/08/22 19:29 SS n/a n/a VA3109
Run #2 A0231600.D 1 04/12/22 16:07 SS n/a n/a VA3112
Purge Volume
Run #1 10.0 ml
Run #2 10.0 ml
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene ND 0.50 0.13 ug/l
108-86-1 Bromobenzene ND 0.50 0.13 ug/l
74-97-5 Bromochloromethane ND 0.50 0.13 ug/l
75-27-4 Bromodichloromethane ND 0.50 0.13 ug/l
75-25-2 Bromoform ND 0.50 0.13 ug/l
104-51-8 n-Butylbenzene ND 0.50 0.13 ug/l
135-98-8 sec-Butylbenzene ND 0.50 0.13 ug/l
98-06-6 tert-Butylbenzene ND 0.50 0.13 ug/l
56-23-5 Carbon Tetrachloride ND 0.50 0.13 ug/l
108-90-7 Chlorobenzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane a ND 0.50 0.20 ug/l
67-66-3 Chloroform ND 0.50 0.13 ug/l
95-49-8 o-Chlorotoluene ND 0.50 0.13 ug/l
106-43-4 p-Chlorotoluene ND 0.50 0.13 ug/l
124-48-1 Dibromochloromethane ND 0.50 0.13 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 0.50 0.25 ug/l
106-93-4 1,2-Dibromoethane ND 0.50 0.13 ug/l
75-71-8 Dichlorodifluoromethane ND b 0.50 0.20 ug/l
95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l
541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l
106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l
75-34-3 1,1-Dichloroethane ND 0.50 0.13 ug/l
107-06-2 1,2-Dichloroethane ND 0.50 0.13 ug/l
75-35-4 1,1-Dichloroethylene ND 0.50 0.13 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 0.50 0.13 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 0.50 0.13 ug/l
78-87-5 1,2-Dichloropropane ND 0.50 0.13 ug/l
142-28-9 1,3-Dichloropropane ND 0.50 0.13 ug/l
594-20-7 2,2-Dichloropropane ND 0.50 0.13 ug/l
563-58-6 1,1-Dichloropropene ND 0.50 0.13 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 0.50 0.13 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 0.50 0.13 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
16 of 40
FA9441333.4
SGS North America Inc.
Report of Analysis Page 2 of 3
Client Sample ID:MW-8
Lab Sample ID:FA94413-4 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
108-20-3 Di-Isopropyl Ether ND 0.50 0.13 ug/l
100-41-4 Ethylbenzene ND 0.50 0.13 ug/l
637-92-3 Ethyl Tert Butyl Ether ND 0.50 0.13 ug/l
87-68-3 Hexachlorobutadiene ND 0.50 0.13 ug/l
98-82-8 Isopropylbenzene ND 0.50 0.13 ug/l
99-87-6 p-Isopropyltoluene ND 0.50 0.13 ug/l
74-83-9 Methyl Bromide 0.34 0.50 0.20 ug/l J
74-87-3 Methyl Chloride 0.46 0.50 0.20 ug/l J
74-95-3 Methylene Bromide ND 0.50 0.13 ug/l
75-09-2 Methylene Chloride ND 2.0 1.0 ug/l
1634-04-4 Methyl Tert Butyl Ether 0.18 0.50 0.13 ug/l J
91-20-3 Naphthalene ND 0.50 0.13 ug/l
103-65-1 n-Propylbenzene ND 0.50 0.13 ug/l
100-42-5 Styrene ND 0.50 0.13 ug/l
75-85-4 Tert-Amyl Alcohol ND 10 2.0 ug/l
994-05-8 Tert-Amyl Methyl Ether ND 1.0 0.20 ug/l
75-65-0 Tert-Butyl Alcohol ND 10 2.0 ug/l
762-75-4 Tert-Butyl Formate ND 10 2.0 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 0.13 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 0.13 ug/l
127-18-4 Tetrachloroethylene ND 0.50 0.13 ug/l
108-88-3 Toluene ND 0.50 0.13 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 0.50 0.13 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 0.50 0.13 ug/l
71-55-6 1,1,1-Trichloroethane ND 0.50 0.13 ug/l
79-00-5 1,1,2-Trichloroethane ND 0.50 0.13 ug/l
79-01-6 Trichloroethylene ND 0.50 0.13 ug/l
75-69-4 Trichlorofluoromethane c ND 0.50 0.20 ug/l
96-18-4 1,2,3-Trichloropropane ND 0.50 0.13 ug/l
95-63-6 1,2,4-Trimethylbenzene ND 0.50 0.13 ug/l
108-67-8 1,3,5-Trimethylbenzene ND 0.50 0.13 ug/l
75-01-4 Vinyl Chloride ND 0.50 0.13 ug/l
m,p-Xylene ND 1.0 0.13 ug/l
95-47-6 o-Xylene ND 0.50 0.13 ug/l
1330-20-7 Xylene (total)ND 1.5 0.25 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 104%109%70-130%
17060-07-0 1,2-Dichloroethane-D4 106%110%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
17 of 40
FA9441333.4
SGS North America Inc.
Report of Analysis Page 3 of 3
Client Sample ID:MW-8
Lab Sample ID:FA94413-4 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
2037-26-5 Toluene-D8 99%99%70-130%
460-00-4 4-Bromofluorobenzene 98%97%70-130%
(a) Associated Initial Calibration outside control limits (%RSD > 15%); sample is ND.
(b) Result is from Run# 2
(c) Associated CCV outside control limits low.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
18 of 40
FA9441333.4
SGS North America Inc.
Report of Analysis Page 1 of 3
Client Sample ID:MW-9
Lab Sample ID:FA94413-5 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 A0231528.D 1 04/08/22 19:52 SS n/a n/a VA3109
Run #2 A0231604.D 5 04/12/22 17:41 SS n/a n/a VA3112
Purge Volume
Run #1 10.0 ml
Run #2 10.0 ml
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene 104 a 2.5 0.63 ug/l
108-86-1 Bromobenzene ND 0.50 0.13 ug/l
74-97-5 Bromochloromethane ND 0.50 0.13 ug/l
75-27-4 Bromodichloromethane ND 0.50 0.13 ug/l
75-25-2 Bromoform ND 0.50 0.13 ug/l
104-51-8 n-Butylbenzene 0.37 0.50 0.13 ug/l J
135-98-8 sec-Butylbenzene 0.87 0.50 0.13 ug/l
98-06-6 tert-Butylbenzene 0.39 0.50 0.13 ug/l J
56-23-5 Carbon Tetrachloride ND 0.50 0.13 ug/l
108-90-7 Chlorobenzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane b ND 0.50 0.20 ug/l
67-66-3 Chloroform ND 0.50 0.13 ug/l
95-49-8 o-Chlorotoluene ND 0.50 0.13 ug/l
106-43-4 p-Chlorotoluene ND 0.50 0.13 ug/l
124-48-1 Dibromochloromethane ND 0.50 0.13 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 0.50 0.25 ug/l
106-93-4 1,2-Dibromoethane ND 0.50 0.13 ug/l
75-71-8 Dichlorodifluoromethane ND a 2.5 1.0 ug/l
95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l
541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l
106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l
75-34-3 1,1-Dichloroethane ND 0.50 0.13 ug/l
107-06-2 1,2-Dichloroethane ND 0.50 0.13 ug/l
75-35-4 1,1-Dichloroethylene ND 0.50 0.13 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 0.50 0.13 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 0.50 0.13 ug/l
78-87-5 1,2-Dichloropropane ND 0.50 0.13 ug/l
142-28-9 1,3-Dichloropropane ND 0.50 0.13 ug/l
594-20-7 2,2-Dichloropropane ND 0.50 0.13 ug/l
563-58-6 1,1-Dichloropropene ND 0.50 0.13 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 0.50 0.13 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 0.50 0.13 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
19 of 40
FA9441333.5
SGS North America Inc.
Report of Analysis Page 2 of 3
Client Sample ID:MW-9
Lab Sample ID:FA94413-5 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
108-20-3 Di-Isopropyl Ether ND 0.50 0.13 ug/l
100-41-4 Ethylbenzene 5.9 0.50 0.13 ug/l
637-92-3 Ethyl Tert Butyl Ether ND 0.50 0.13 ug/l
87-68-3 Hexachlorobutadiene ND 0.50 0.13 ug/l
98-82-8 Isopropylbenzene 3.1 0.50 0.13 ug/l
99-87-6 p-Isopropyltoluene 0.85 0.50 0.13 ug/l
74-83-9 Methyl Bromide ND 0.50 0.20 ug/l
74-87-3 Methyl Chloride ND 0.50 0.20 ug/l
74-95-3 Methylene Bromide ND 0.50 0.13 ug/l
75-09-2 Methylene Chloride ND 2.0 1.0 ug/l
1634-04-4 Methyl Tert Butyl Ether ND 0.50 0.13 ug/l
91-20-3 Naphthalene ND 0.50 0.13 ug/l
103-65-1 n-Propylbenzene 1.9 0.50 0.13 ug/l
100-42-5 Styrene ND 0.50 0.13 ug/l
75-85-4 Tert-Amyl Alcohol 246 10 2.0 ug/l
994-05-8 Tert-Amyl Methyl Ether ND 1.0 0.20 ug/l
75-65-0 Tert-Butyl Alcohol ND 10 2.0 ug/l
762-75-4 Tert-Butyl Formate ND 10 2.0 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 0.13 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 0.13 ug/l
127-18-4 Tetrachloroethylene ND 0.50 0.13 ug/l
108-88-3 Toluene 10.2 0.50 0.13 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 0.50 0.13 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 0.50 0.13 ug/l
71-55-6 1,1,1-Trichloroethane ND 0.50 0.13 ug/l
79-00-5 1,1,2-Trichloroethane ND 0.50 0.13 ug/l
79-01-6 Trichloroethylene ND 0.50 0.13 ug/l
75-69-4 Trichlorofluoromethane c ND 0.50 0.20 ug/l
96-18-4 1,2,3-Trichloropropane ND 0.50 0.13 ug/l
95-63-6 1,2,4-Trimethylbenzene 0.65 0.50 0.13 ug/l
108-67-8 1,3,5-Trimethylbenzene 1.3 0.50 0.13 ug/l
75-01-4 Vinyl Chloride ND 0.50 0.13 ug/l
m,p-Xylene 31.4 1.0 0.13 ug/l
95-47-6 o-Xylene 1.9 0.50 0.13 ug/l
1330-20-7 Xylene (total)33.3 1.5 0.25 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 99%105%70-130%
17060-07-0 1,2-Dichloroethane-D4 105%108%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
20 of 40
FA9441333.5
SGS North America Inc.
Report of Analysis Page 3 of 3
Client Sample ID:MW-9
Lab Sample ID:FA94413-5 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
2037-26-5 Toluene-D8 103%99%70-130%
460-00-4 4-Bromofluorobenzene 108%102%70-130%
(a) Result is from Run# 2
(b) Associated Initial Calibration outside control limits (%RSD > 15%); sample is ND.
(c) Associated CCV outside control limits low.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
21 of 40
FA9441333.5
SGS North America Inc.
Report of Analysis Page 1 of 3
Client Sample ID:MW-13
Lab Sample ID:FA94413-6 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 A0231531.D 1 04/08/22 21:00 SS n/a n/a VA3109
Run #2 A0231601.D 1 04/12/22 16:31 SS n/a n/a VA3112
Purge Volume
Run #1 10.0 ml
Run #2 10.0 ml
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene ND 0.50 0.13 ug/l
108-86-1 Bromobenzene ND 0.50 0.13 ug/l
74-97-5 Bromochloromethane ND 0.50 0.13 ug/l
75-27-4 Bromodichloromethane ND 0.50 0.13 ug/l
75-25-2 Bromoform ND 0.50 0.13 ug/l
104-51-8 n-Butylbenzene ND 0.50 0.13 ug/l
135-98-8 sec-Butylbenzene ND 0.50 0.13 ug/l
98-06-6 tert-Butylbenzene ND 0.50 0.13 ug/l
56-23-5 Carbon Tetrachloride ND 0.50 0.13 ug/l
108-90-7 Chlorobenzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane a ND 0.50 0.20 ug/l
67-66-3 Chloroform ND 0.50 0.13 ug/l
95-49-8 o-Chlorotoluene ND 0.50 0.13 ug/l
106-43-4 p-Chlorotoluene ND 0.50 0.13 ug/l
124-48-1 Dibromochloromethane ND 0.50 0.13 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 0.50 0.25 ug/l
106-93-4 1,2-Dibromoethane ND 0.50 0.13 ug/l
75-71-8 Dichlorodifluoromethane ND b 0.50 0.20 ug/l
95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l
541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l
106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l
75-34-3 1,1-Dichloroethane ND 0.50 0.13 ug/l
107-06-2 1,2-Dichloroethane ND 0.50 0.13 ug/l
75-35-4 1,1-Dichloroethylene ND 0.50 0.13 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 0.50 0.13 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 0.50 0.13 ug/l
78-87-5 1,2-Dichloropropane ND 0.50 0.13 ug/l
142-28-9 1,3-Dichloropropane ND 0.50 0.13 ug/l
594-20-7 2,2-Dichloropropane ND 0.50 0.13 ug/l
563-58-6 1,1-Dichloropropene ND 0.50 0.13 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 0.50 0.13 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 0.50 0.13 ug/l
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
22 of 40
FA9441333.6
SGS North America Inc.
Report of Analysis Page 2 of 3
Client Sample ID:MW-13
Lab Sample ID:FA94413-6 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Compound Result RL MDL Units Q
108-20-3 Di-Isopropyl Ether ND 0.50 0.13 ug/l
100-41-4 Ethylbenzene ND 0.50 0.13 ug/l
637-92-3 Ethyl Tert Butyl Ether ND 0.50 0.13 ug/l
87-68-3 Hexachlorobutadiene ND 0.50 0.13 ug/l
98-82-8 Isopropylbenzene ND 0.50 0.13 ug/l
99-87-6 p-Isopropyltoluene ND 0.50 0.13 ug/l
74-83-9 Methyl Bromide 0.35 0.50 0.20 ug/l J
74-87-3 Methyl Chloride 0.55 0.50 0.20 ug/l
74-95-3 Methylene Bromide ND 0.50 0.13 ug/l
75-09-2 Methylene Chloride ND 2.0 1.0 ug/l
1634-04-4 Methyl Tert Butyl Ether ND 0.50 0.13 ug/l
91-20-3 Naphthalene ND 0.50 0.13 ug/l
103-65-1 n-Propylbenzene ND 0.50 0.13 ug/l
100-42-5 Styrene ND 0.50 0.13 ug/l
75-85-4 Tert-Amyl Alcohol ND 10 2.0 ug/l
994-05-8 Tert-Amyl Methyl Ether ND 1.0 0.20 ug/l
75-65-0 Tert-Butyl Alcohol ND 10 2.0 ug/l
762-75-4 Tert-Butyl Formate ND 10 2.0 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 0.13 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 0.13 ug/l
127-18-4 Tetrachloroethylene ND 0.50 0.13 ug/l
108-88-3 Toluene ND 0.50 0.13 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 0.50 0.13 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 0.50 0.13 ug/l
71-55-6 1,1,1-Trichloroethane ND 0.50 0.13 ug/l
79-00-5 1,1,2-Trichloroethane ND 0.50 0.13 ug/l
79-01-6 Trichloroethylene ND 0.50 0.13 ug/l
75-69-4 Trichlorofluoromethane c ND 0.50 0.20 ug/l
96-18-4 1,2,3-Trichloropropane ND 0.50 0.13 ug/l
95-63-6 1,2,4-Trimethylbenzene ND 0.50 0.13 ug/l
108-67-8 1,3,5-Trimethylbenzene ND 0.50 0.13 ug/l
75-01-4 Vinyl Chloride ND 0.50 0.13 ug/l
m,p-Xylene ND 1.0 0.13 ug/l
95-47-6 o-Xylene ND 0.50 0.13 ug/l
1330-20-7 Xylene (total)ND 1.5 0.25 ug/l
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
1868-53-7 Dibromofluoromethane 104%110%70-130%
17060-07-0 1,2-Dichloroethane-D4 105%109%70-130%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
23 of 40
FA9441333.6
SGS North America Inc.
Report of Analysis Page 3 of 3
Client Sample ID:MW-13
Lab Sample ID:FA94413-6 Date Sampled:03/29/22
Matrix:AQ - Ground Water Date Received:03/30/22
Method:SM 6200B Percent Solids:n/a
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
VOA 6200B List
CAS No.Surrogate Recoveries Run# 1 Run# 2 Limits
2037-26-5 Toluene-D8 95%94%70-130%
460-00-4 4-Bromofluorobenzene 97%95%70-130%
(a) Associated Initial Calibration outside control limits (%RSD > 15%); sample is ND.
(b) Result is from Run# 2
(c) Associated CCV outside control limits low.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
RL = Reporting Limit B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
24 of 40
FA9441333.6
SGS North America Inc.
Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Orlando, FL
Section 4
25 of 40
FA944134
FA94413: Chain of Custody
Page 1 of 2
26 of 40
FA9441344.1
Job Number:FA94413 Client:GEOLOGICAL RESOURCES, INC
Date / Time Received:3/30/2022 9:30:00 AM Delivery Method:FEDEX
Project:SAM'S PIT STOP
Airbill #'s:1009 6379 5983
Cooler Information
1. Custody Seals Present
2. Custody Seals Intact
4. Cooler temp verification
3. Temp criteria achieved
5. Cooler media
IR Gun
Ice (Bag)
Trip Blank Information
1. Trip Blank present / cooler
2. Trip Blank listed on COC
2. Samples preserved properly
Sample Information
1. Sample labels present on bottles
5. Sample recvd within HT
4. Condition of sample
3. Sufficient volume/containers recvd for analysis:
Intact
Comments
SM001Rev. Date 05/24/17
SGS Sample Receipt Summary
Cooler Temps (Raw Measured) °C:
Cooler Temps (Corrected) °C:
Cooler 1: (2.8);
Cooler 1: (3.2);
3. Type Of TB Received
W or S N/A
6. Dates/Times/IDs on COC match Sample Label
7. VOCs have headspace
8. Bottles received for unspecified tests
9. Compositing instructions clear
10. Voa Soil Kits/Jars received past 48hrs?
11. % Solids Jar received?
Misc. Information
25-Gram 5-GramNumber of Encores:Number of 5035 Field Kits:Number of Lab Filtered Metals:
Test Strip Lot #s:pH 0-3 230315 pH 10-12 219813A Other: (Specify)
Y or N N/A
Y or N
Therm ID:IR 1; Therm CF:0.4; # of Coolers:1
Y or N N/A
12. Residual Chlorine Present?
Residual Chlorine Test Strip Lot #:
Technician:Reviewer:SAMUELM Date:Date:3/30/2022 9:30:00 AM
FA94413: Chain of Custody
Page 2 of 2
27 of 40
FA9441344.1
SGS North America Inc.
MS Volatiles
QC Data Summaries
Includes the following where applicable:
• Method Blank Summaries
• Blank Spike Summaries
• Matrix Spike and Duplicate Summaries
Orlando, FL
Section 5
28 of 40
FA944135
Method Blank Summary Page 1 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3109-MB A0231518.D 1 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene ND 0.50 0.13 ug/l
108-86-1 Bromobenzene ND 0.50 0.13 ug/l
74-97-5 Bromochloromethane ND 0.50 0.13 ug/l
75-27-4 Bromodichloromethane ND 0.50 0.13 ug/l
75-25-2 Bromoform ND 0.50 0.13 ug/l
104-51-8 n-Butylbenzene ND 0.50 0.13 ug/l
135-98-8 sec-Butylbenzene ND 0.50 0.13 ug/l
98-06-6 tert-Butylbenzene ND 0.50 0.13 ug/l
56-23-5 Carbon Tetrachloride ND 0.50 0.13 ug/l
108-90-7 Chlorobenzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane ND 0.50 0.20 ug/l
67-66-3 Chloroform ND 0.50 0.13 ug/l
95-49-8 o-Chlorotoluene ND 0.50 0.13 ug/l
106-43-4 p-Chlorotoluene ND 0.50 0.13 ug/l
124-48-1 Dibromochloromethane ND 0.50 0.13 ug/l
96-12-8 1,2-Dibromo-3-chloropropane ND 0.50 0.25 ug/l
106-93-4 1,2-Dibromoethane ND 0.50 0.13 ug/l
95-50-1 1,2-Dichlorobenzene ND 0.50 0.13 ug/l
541-73-1 1,3-Dichlorobenzene ND 0.50 0.13 ug/l
106-46-7 1,4-Dichlorobenzene ND 0.50 0.13 ug/l
75-34-3 1,1-Dichloroethane ND 0.50 0.13 ug/l
107-06-2 1,2-Dichloroethane ND 0.50 0.13 ug/l
75-35-4 1,1-Dichloroethylene ND 0.50 0.13 ug/l
156-59-2 cis-1,2-Dichloroethylene ND 0.50 0.13 ug/l
156-60-5 trans-1,2-Dichloroethylene ND 0.50 0.13 ug/l
78-87-5 1,2-Dichloropropane ND 0.50 0.13 ug/l
142-28-9 1,3-Dichloropropane ND 0.50 0.13 ug/l
594-20-7 2,2-Dichloropropane ND 0.50 0.13 ug/l
563-58-6 1,1-Dichloropropene ND 0.50 0.13 ug/l
10061-01-5 cis-1,3-Dichloropropene ND 0.50 0.13 ug/l
10061-02-6 trans-1,3-Dichloropropene ND 0.50 0.13 ug/l
108-20-3 Di-Isopropyl Ether ND 0.50 0.13 ug/l
100-41-4 Ethylbenzene ND 0.50 0.13 ug/l
637-92-3 Ethyl Tert Butyl Ether ND 0.50 0.13 ug/l
87-68-3 Hexachlorobutadiene ND 0.50 0.13 ug/l
98-82-8 Isopropylbenzene ND 0.50 0.13 ug/l
29 of 40
FA9441355.1.1
Method Blank Summary Page 2 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3109-MB A0231518.D 1 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
CAS No.Compound Result RL MDL Units Q
99-87-6 p-Isopropyltoluene ND 0.50 0.13 ug/l
74-83-9 Methyl Bromide ND 0.50 0.20 ug/l
74-87-3 Methyl Chloride ND 0.50 0.20 ug/l
74-95-3 Methylene Bromide ND 0.50 0.13 ug/l
75-09-2 Methylene Chloride ND 2.0 1.0 ug/l
1634-04-4 Methyl Tert Butyl Ether ND 0.50 0.13 ug/l
91-20-3 Naphthalene ND 0.50 0.13 ug/l
103-65-1 n-Propylbenzene ND 0.50 0.13 ug/l
100-42-5 Styrene ND 0.50 0.13 ug/l
75-85-4 Tert-Amyl Alcohol ND 10 2.0 ug/l
994-05-8 Tert-Amyl Methyl Ether ND 1.0 0.20 ug/l
75-65-0 Tert-Butyl Alcohol ND 10 2.0 ug/l
762-75-4 Tert-Butyl Formate ND 10 2.0 ug/l
630-20-6 1,1,1,2-Tetrachloroethane ND 0.50 0.13 ug/l
79-34-5 1,1,2,2-Tetrachloroethane ND 0.50 0.13 ug/l
127-18-4 Tetrachloroethylene ND 0.50 0.13 ug/l
108-88-3 Toluene ND 0.50 0.13 ug/l
87-61-6 1,2,3-Trichlorobenzene ND 0.50 0.13 ug/l
120-82-1 1,2,4-Trichlorobenzene ND 0.50 0.13 ug/l
71-55-6 1,1,1-Trichloroethane ND 0.50 0.13 ug/l
79-00-5 1,1,2-Trichloroethane ND 0.50 0.13 ug/l
79-01-6 Trichloroethylene ND 0.50 0.13 ug/l
75-69-4 Trichlorofluoromethane ND 0.50 0.20 ug/l
96-18-4 1,2,3-Trichloropropane ND 0.50 0.13 ug/l
95-63-6 1,2,4-Trimethylbenzene ND 0.50 0.13 ug/l
108-67-8 1,3,5-Trimethylbenzene ND 0.50 0.13 ug/l
75-01-4 Vinyl Chloride ND 0.50 0.13 ug/l
m,p-Xylene ND 1.0 0.13 ug/l
95-47-6 o-Xylene ND 0.50 0.13 ug/l
1330-20-7 Xylene (total)ND 1.5 0.25 ug/l
CAS No.Surrogate Recoveries Limits
1868-53-7 Dibromofluoromethane 104%70-130%
17060-07-0 1,2-Dichloroethane-D4 104%70-130%
30 of 40
FA9441355.1.1
Method Blank Summary Page 3 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3109-MB A0231518.D 1 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
CAS No.Surrogate Recoveries Limits
2037-26-5 Toluene-D8 101%70-130%
460-00-4 4-Bromofluorobenzene 98%70-130%
31 of 40
FA9441355.1.1
Method Blank Summary Page 1 of 1
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3112-MB A0231596.D 1 04/12/22 SS n/a n/a VA3112
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
CAS No.Compound Result RL MDL Units Q
71-43-2 Benzene ND 0.50 0.13 ug/l
75-00-3 Chloroethane ND 0.50 0.20 ug/l
75-71-8 Dichlorodifluoromethane ND 0.50 0.20 ug/l
74-87-3 Methyl Chloride ND 0.50 0.20 ug/l
103-65-1 n-Propylbenzene ND 0.50 0.13 ug/l
CAS No.Surrogate Recoveries Limits
1868-53-7 Dibromofluoromethane 106%70-130%
17060-07-0 1,2-Dichloroethane-D4 107%70-130%
2037-26-5 Toluene-D8 99%70-130%
460-00-4 4-Bromofluorobenzene 95%70-130%
32 of 40
FA9441355.1.2
Blank Spike Summary Page 1 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3109-BS A0231516.D 1 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
Spike BSP BSP
CAS No.Compound ug/l ug/l %Limits
71-43-2 Benzene 10 10.1 101 70-130
108-86-1 Bromobenzene 10 9.1 91 70-130
74-97-5 Bromochloromethane 10 8.6 86 70-130
75-27-4 Bromodichloromethane 10 9.3 93 70-130
75-25-2 Bromoform 10 7.7 77 70-130
104-51-8 n-Butylbenzene 10 9.8 98 70-130
135-98-8 sec-Butylbenzene 10 10.4 104 70-130
98-06-6 tert-Butylbenzene 10 9.9 99 70-130
56-23-5 Carbon Tetrachloride 10 10.1 101 70-130
108-90-7 Chlorobenzene 10 9.3 93 70-130
75-00-3 Chloroethane 10 9.6 96 60-140
67-66-3 Chloroform 10 9.3 93 70-130
95-49-8 o-Chlorotoluene 10 9.5 95 70-130
106-43-4 p-Chlorotoluene 10 9.5 95 70-130
124-48-1 Dibromochloromethane 10 8.6 86 70-130
96-12-8 1,2-Dibromo-3-chloropropane 10 8.6 86 70-130
106-93-4 1,2-Dibromoethane 10 9.1 91 70-130
95-50-1 1,2-Dichlorobenzene 10 9.1 91 70-130
541-73-1 1,3-Dichlorobenzene 10 9.4 94 70-130
106-46-7 1,4-Dichlorobenzene 10 9.3 93 70-130
75-34-3 1,1-Dichloroethane 10 10.1 101 70-130
107-06-2 1,2-Dichloroethane 10 9.5 95 70-130
75-35-4 1,1-Dichloroethylene 10 10.6 106 70-130
156-59-2 cis-1,2-Dichloroethylene 10 9.8 98 70-130
156-60-5 trans-1,2-Dichloroethylene 10 10.3 103 70-130
78-87-5 1,2-Dichloropropane 10 9.6 96 70-130
142-28-9 1,3-Dichloropropane 10 9.0 90 70-130
594-20-7 2,2-Dichloropropane 10 10.9 109 70-130
563-58-6 1,1-Dichloropropene 10 10.3 103 70-130
10061-01-5 cis-1,3-Dichloropropene 10 9.7 97 70-130
10061-02-6 trans-1,3-Dichloropropene 10 9.6 96 70-130
108-20-3 Di-Isopropyl Ether 10 9.6 96 70-130
100-41-4 Ethylbenzene 10 9.8 98 70-130
637-92-3 Ethyl Tert Butyl Ether 10 8.3 83 70-130
87-68-3 Hexachlorobutadiene 10 10.1 101 70-130
98-82-8 Isopropylbenzene 10 10.1 101 70-130
* = Outside of Control Limits.
33 of 40
FA9441355.2.1
Blank Spike Summary Page 2 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3109-BS A0231516.D 1 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
Spike BSP BSP
CAS No.Compound ug/l ug/l %Limits
99-87-6 p-Isopropyltoluene 10 10.2 102 70-130
74-83-9 Methyl Bromide 10 10.7 107 60-140
74-87-3 Methyl Chloride 10 9.9 99 60-140
74-95-3 Methylene Bromide 10 8.7 87 70-130
75-09-2 Methylene Chloride 10 9.6 96 70-130
1634-04-4 Methyl Tert Butyl Ether 10 9.3 93 70-130
91-20-3 Naphthalene 10 8.5 85 70-130
103-65-1 n-Propylbenzene 10 9.8 98 70-130
100-42-5 Styrene 10 8.9 89 70-130
75-85-4 Tert-Amyl Alcohol 100 87.2 87 70-130
994-05-8 Tert-Amyl Methyl Ether 10 8.4 84 70-130
75-65-0 Tert-Butyl Alcohol 100 100 100 70-130
762-75-4 Tert-Butyl Formate 100 88.3 88 70-130
630-20-6 1,1,1,2-Tetrachloroethane 10 9.4 94 70-130
79-34-5 1,1,2,2-Tetrachloroethane 10 9.1 91 70-130
127-18-4 Tetrachloroethylene 10 9.6 96 70-130
108-88-3 Toluene 10 9.7 97 70-130
87-61-6 1,2,3-Trichlorobenzene 10 9.4 94 70-130
120-82-1 1,2,4-Trichlorobenzene 10 9.4 94 70-130
71-55-6 1,1,1-Trichloroethane 10 9.8 98 70-130
79-00-5 1,1,2-Trichloroethane 10 9.2 92 70-130
79-01-6 Trichloroethylene 10 9.8 98 70-130
75-69-4 Trichlorofluoromethane 10 9.2 92 60-140
96-18-4 1,2,3-Trichloropropane 10 8.7 87 70-130
95-63-6 1,2,4-Trimethylbenzene 10 9.8 98 70-130
108-67-8 1,3,5-Trimethylbenzene 10 9.9 99 70-130
75-01-4 Vinyl Chloride 10 8.7 87 60-140
m,p-Xylene 20 19.8 99 70-130
95-47-6 o-Xylene 10 9.8 98 70-130
1330-20-7 Xylene (total)30 29.6 99 70-130
CAS No.Surrogate Recoveries BSP Limits
1868-53-7 Dibromofluoromethane 101%70-130%
17060-07-0 1,2-Dichloroethane-D4 101%70-130%
* = Outside of Control Limits.
34 of 40
FA9441355.2.1
Blank Spike Summary Page 3 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3109-BS A0231516.D 1 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
CAS No.Surrogate Recoveries BSP Limits
2037-26-5 Toluene-D8 100%70-130%
460-00-4 4-Bromofluorobenzene 98%70-130%
* = Outside of Control Limits.
35 of 40
FA9441355.2.1
Blank Spike Summary Page 1 of 1
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
VA3112-BS A0231594.D 1 04/12/22 SS n/a n/a VA3112
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
Spike BSP BSP
CAS No.Compound ug/l ug/l %Limits
71-43-2 Benzene 10 10.4 104 70-130
75-00-3 Chloroethane 10 14.1 141*60-140
75-71-8 Dichlorodifluoromethane 10 6.7 67 60-140
74-87-3 Methyl Chloride 10 9.7 97 60-140
103-65-1 n-Propylbenzene 10 10.1 101 70-130
CAS No.Surrogate Recoveries BSP Limits
1868-53-7 Dibromofluoromethane 106%70-130%
17060-07-0 1,2-Dichloroethane-D4 102%70-130%
2037-26-5 Toluene-D8 99%70-130%
460-00-4 4-Bromofluorobenzene 97%70-130%
* = Outside of Control Limits.
36 of 40
FA9441355.2.2
Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
FA94581-1MS A0231541.D 500 04/09/22 SS n/a n/a VA3109
FA94581-1MSD A0231542.D 500 04/09/22 SS n/a n/a VA3109
FA94581-1 A0231538.D 500 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
FA94581-1 Spike MS MS Spike MSD MSD Limits
CAS No.Compound ug/l Q ug/l ug/l %ug/l ug/l %RPD Rec/RPD
71-43-2 Benzene 123 J 5000 5640 110 5000 5430 106 4 70-130/20
108-86-1 Bromobenzene ND 5000 4900 98 5000 4740 95 3 70-130/20
74-97-5 Bromochloromethane ND 5000 4680 94 5000 4510 90 4 70-130/20
75-27-4 Bromodichloromethane ND 5000 5250 105 5000 5010 100 5 70-130/20
75-25-2 Bromoform ND 5000 4240 85 5000 4020 80 5 70-130/20
104-51-8 n-Butylbenzene ND 5000 4800 96 5000 4570 91 5 70-130/20
135-98-8 sec-Butylbenzene ND 5000 5250 105 5000 5040 101 4 70-130/20
98-06-6 tert-Butylbenzene ND 5000 5150 103 5000 4910 98 5 70-130/20
56-23-5 Carbon Tetrachloride ND 5000 4890 98 5000 4740 95 3 70-130/20
108-90-7 Chlorobenzene ND 5000 5050 101 5000 4810 96 5 70-130/20
75-00-3 Chloroethane ND 5000 9900 198*5000 9360 187*6 60-140/20
67-66-3 Chloroform ND 5000 5070 101 5000 4910 98 3 70-130/20
95-49-8 o-Chlorotoluene ND 5000 5150 103 5000 4920 98 5 70-130/20
106-43-4 p-Chlorotoluene ND 5000 5080 102 5000 4890 98 4 70-130/20
124-48-1 Dibromochloromethane ND 5000 4780 96 5000 4560 91 5 70-130/20
96-12-8 1,2-Dibromo-3-chloropropane ND 5000 4800 96 5000 4570 91 5 70-130/20
106-93-4 1,2-Dibromoethane ND 5000 4880 98 5000 4770 95 2 70-130/20
95-50-1 1,2-Dichlorobenzene ND 5000 4910 98 5000 4680 94 5 70-130/20
541-73-1 1,3-Dichlorobenzene ND 5000 4990 100 5000 4800 96 4 70-130/20
106-46-7 1,4-Dichlorobenzene ND 5000 5020 100 5000 4790 96 5 70-130/20
75-34-3 1,1-Dichloroethane ND 5000 5530 111 5000 5320 106 4 70-130/20
107-06-2 1,2-Dichloroethane ND 5000 5390 108 5000 5160 103 4 70-130/20
75-35-4 1,1-Dichloroethylene ND 5000 5310 106 5000 5150 103 3 70-130/20
156-59-2 cis-1,2-Dichloroethylene ND 5000 5230 105 5000 5070 101 3 70-130/20
156-60-5 trans-1,2-Dichloroethylene ND 5000 5550 111 5000 5310 106 4 70-130/20
78-87-5 1,2-Dichloropropane ND 5000 5270 105 5000 5080 102 4 70-130/20
142-28-9 1,3-Dichloropropane ND 5000 4920 98 5000 4730 95 4 70-130/20
594-20-7 2,2-Dichloropropane ND 5000 4700 94 5000 4640 93 1 70-130/20
563-58-6 1,1-Dichloropropene ND 5000 5180 104 5000 5020 100 3 70-130/20
10061-01-5 cis-1,3-Dichloropropene ND 5000 5120 102 5000 5000 100 2 70-130/20
10061-02-6 trans-1,3-Dichloropropene ND 5000 5130 103 5000 4990 100 3 70-130/20
108-20-3 Di-Isopropyl Ether 156 J 5000 5440 106 5000 5320 103 2 70-130/20
100-41-4 Ethylbenzene 177 J 5000 5380 104 5000 5150 99 4 70-130/20
637-92-3 Ethyl Tert Butyl Ether ND 5000 4310 86 5000 4310 86 0 70-130/20
87-68-3 Hexachlorobutadiene ND 5000 4720 94 5000 4430 89 6 70-130/20
98-82-8 Isopropylbenzene ND 5000 5210 104 5000 5000 100 4 70-130/20
* = Outside of Control Limits.
37 of 40
FA9441355.3.1
Matrix Spike/Matrix Spike Duplicate Summary Page 2 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
FA94581-1MS A0231541.D 500 04/09/22 SS n/a n/a VA3109
FA94581-1MSD A0231542.D 500 04/09/22 SS n/a n/a VA3109
FA94581-1 A0231538.D 500 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
FA94581-1 Spike MS MS Spike MSD MSD Limits
CAS No.Compound ug/l Q ug/l ug/l %ug/l ug/l %RPD Rec/RPD
99-87-6 p-Isopropyltoluene ND 5000 5170 103 5000 4960 99 4 70-130/20
74-83-9 Methyl Bromide ND 5000 7930 159*5000 7950 159*0 60-140/20
74-87-3 Methyl Chloride ND 5000 5990 120 5000 5450 109 9 60-140/20
74-95-3 Methylene Bromide ND 5000 4730 95 5000 4610 92 3 70-130/20
75-09-2 Methylene Chloride ND 5000 5440 109 5000 5180 104 5 70-130/20
1634-04-4 Methyl Tert Butyl Ether 645 5000 5720 102 5000 5660 100 1 70-130/20
91-20-3 Naphthalene 79.4 J 5000 4460 88 5000 4290 84 4 70-130/20
103-65-1 n-Propylbenzene ND 5000 5050 101 5000 4840 97 4 70-130/20
100-42-5 Styrene ND 5000 4740 95 5000 4550 91 4 70-130/20
75-85-4 Tert-Amyl Alcohol ND 50000 41500 83 50000 37300 75 11 70-130/20
994-05-8 Tert-Amyl Methyl Ether ND 5000 4270 85 5000 4300 86 1 70-130/20
75-65-0 Tert-Butyl Alcohol ND 50000 41500 83 50000 34400 69*19 70-130/20
762-75-4 Tert-Butyl Formate ND 50000 35200 70 50000 41900 84 17 70-130/20
630-20-6 1,1,1,2-Tetrachloroethane ND 5000 5140 103 5000 4870 97 5 70-130/20
79-34-5 1,1,2,2-Tetrachloroethane ND 5000 5520 110 5000 5310 106 4 70-130/20
127-18-4 Tetrachloroethylene ND 5000 4850 97 5000 4620 92 5 70-130/20
108-88-3 Toluene 1870 5000 6930 101 5000 6780 98 2 70-130/20
87-61-6 1,2,3-Trichlorobenzene ND 5000 4700 94 5000 4450 89 5 70-130/20
120-82-1 1,2,4-Trichlorobenzene ND 5000 4720 94 5000 4490 90 5 70-130/20
71-55-6 1,1,1-Trichloroethane ND 5000 5030 101 5000 4880 98 3 70-130/20
79-00-5 1,1,2-Trichloroethane ND 5000 5080 102 5000 4900 98 4 70-130/20
79-01-6 Trichloroethylene ND 5000 5100 102 5000 4810 96 6 70-130/20
75-69-4 Trichlorofluoromethane ND 5000 4640 93 5000 4160 83 11 60-140/20
96-18-4 1,2,3-Trichloropropane ND 5000 4820 96 5000 4660 93 3 70-130/20
95-63-6 1,2,4-Trimethylbenzene 269 5000 5620 107 5000 5430 103 3 70-130/20
108-67-8 1,3,5-Trimethylbenzene 107 J 5000 5390 106 5000 5200 102 4 70-130/20
75-01-4 Vinyl Chloride ND 5000 4400 88 5000 4160 83 6 60-140/20
m,p-Xylene 968 10000 11600 106 10000 11200 102 4 70-130/20
95-47-6 o-Xylene 770 5000 6110 107 5000 5940 103 3 70-130/20
1330-20-7 Xylene (total)1740 15000 17700 106 15000 17200 103 3 70-130/20
CAS No.Surrogate Recoveries MS MSD FA94581-1 Limits
1868-53-7 Dibromofluoromethane 106%105%105%70-130%
17060-07-0 1,2-Dichloroethane-D4 104%104%108%70-130%
* = Outside of Control Limits.
38 of 40
FA9441355.3.1
Matrix Spike/Matrix Spike Duplicate Summary Page 3 of 3
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
FA94581-1MS A0231541.D 500 04/09/22 SS n/a n/a VA3109
FA94581-1MSD A0231542.D 500 04/09/22 SS n/a n/a VA3109
FA94581-1 A0231538.D 500 04/08/22 SS n/a n/a VA3109
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
CAS No.Surrogate Recoveries MS MSD FA94581-1 Limits
2037-26-5 Toluene-D8 100%100%101%70-130%
460-00-4 4-Bromofluorobenzene 97%98%98%70-130%
* = Outside of Control Limits.
39 of 40
FA9441355.3.1
Matrix Spike/Matrix Spike Duplicate Summary Page 1 of 1
Job Number:FA94413
Account:GRINCC GRI (Geological Resources Inc.)
Project:Sam's Pit Stop; 4236 Sam Potts Hwy, Hallsboro, NC
Sample File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
FA94541-1MS A0231617.D 100 04/12/22 SS n/a n/a VA3112
FA94541-1MSD A0231618.D 100 04/12/22 SS n/a n/a VA3112
FA94541-1 A0231612.D 100 04/12/22 SS n/a n/a VA3112
The QC reported here applies to the following samples:Method: SM 6200B
FA94413-1, FA94413-2, FA94413-3, FA94413-4, FA94413-5, FA94413-6
FA94541-1 Spike MS MS Spike MSD MSD Limits
CAS No.Compound ug/l Q ug/l ug/l %ug/l ug/l %RPD Rec/RPD
71-43-2 Benzene 4340 1000 5340 100 1000 5090 75 5 70-130/20
75-00-3 Chloroethane <50 1000 1620 162*1000 1810 181*11 60-140/20
75-71-8 Dichlorodifluoromethane <50 1000 647 65 1000 731 73 12 60-140/20
74-87-3 Methyl Chloride <50 1000 1070 107 1000 1130 113 5 60-140/20
103-65-1 n-Propylbenzene <50 1000 1060 106 1000 875 88 19 70-130/20
CAS No.Surrogate Recoveries MS MSD FA94541-1 Limits
1868-53-7 Dibromofluoromethane 106%106%103%70-130%
17060-07-0 1,2-Dichloroethane-D4 103%102%109%70-130%
2037-26-5 Toluene-D8 99%100%101%70-130%
460-00-4 4-Bromofluorobenzene 96%97%95%70-130%
* = Outside of Control Limits.
40 of 40
FA9441355.3.2