MO-28174_47433_CA_CLO_20201017_Tank Closure Report

Cedar Rock
ENVIRONMENTAL
October 17, 2020
Mr. Tim Cool
4411 Bellwood Lane
Charlotte, NC 28270
CEDAR ROCK ENVIRONMENTAL, P.C.
107 Pioneer Trail
Graham, NC 27253
[phone]
RE: Underground Storage Tank (UST) Closure Assessment Report
4411 Bellwood Lane, Charlotte, North Carolina
Cedar Rock Project Number 304022590
Dear Mr. Cool:
Cedar Rock Environmental, P.C. (Cedar Rock) is pleased to submit this report describing activities
and results for the in -place abandonment of the onsite UST located at 4411 Bellwood Lane in
Charlotte, North Carolina. The UST abandonment was performed on October 16, 2020. Included
in this report are project documents consisting of a disposal manifest and photographic
documentation. This report should be kept with other documents pertaining to the residential
property.
Soil contamination was detected beneath the UST during a site inspection performed on September
21, 2020. The release was reported to the Department of Environmental Quality (DEQ) using a
UST-61 form on September 27, 2020. Although the State no longer requires further assessment
of the contamination, the State does require the filing of a Notice of Residual Petroleum (NRP)
prior to conveying the property to another party. The NRP includes land use restrictions
prohibiting any disturbance of site soils within a specified radius of the estimated extent of soil
contamination and prohibits the use or installation of any water supply wells on the property.
Cedar Rock is in the process of filing the NRP. The DEQ will issue a Conditional Notice of No
Further Action (NFA) letter within the next few days. Upon receipt of proof that the local officials
and adjacent property owners have been notified of the release by receiving a copy of the
Conditional NFA letter, and that the NRP has been filed, the DEQ will reissue the NFA letter with
no conditions to officially close out the petroleum release incident.
Enclosed is an invoice for this work effort. If you have any questions, please do not hesitate to
contact meat 336-376-0394. Thank you for your consideration of Cedar Rock to provide you with
this service.
Sincerely,
Robert A. Payne, Z.G.
President
RAP:rp
Attachments

UNDERGROUND STORAGE TANK
CLOSURE ASSESSMENT REPORT FOR
4411 BELLWOOD LANE
CHARLOTTE, NORTH CAROLINA
Prepared for:
Mr. Tim Cool
Charlotte, North Carolina
Prepared by:
Cedar Rock Environmental, P.C.
107 Pioneer Trail
Graham, North Carolina
Robert A. Payne, L.G.
President
October 17, 2020
CR #304022590

Section
TABLE OF CONTENTS
1.0 INTRODUCTION
2.0 PROJECT
FIGURE
Site Map
APPENDICES
A Fluid Disposal Manifest
B Photographic Documentation
Page No.

I hereby certify this 17th day of October 2020 that this report was prepared by me or under my
direct supervision. ..&#"
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Robert A. Payne, L.G
Geologist
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1.0 INTRODUCTION
Cedar Rock Environmental, P.C. (Cedar Rock) was contacted by Mr. Tim Cool of Charlotte, North
Carolina to abandon in -place an underground storage tank (UST) located at 4411 Bellwood Lane
in Charlotte, North Carolina. The UST was first inspected on September 21, 2020. An inactive
UST was observed to be located perpendicular to and centered approximately 17.0 feet off the
northernmost foundation wall of the house and about 51.0 feet west of the northeastern foundation
corner of the house. The fill and vent pipes of the UST were observed to be intact. The depth to
the top of the UST is approximately 28 inches below land surface (bls). The UST has a length of
about 72 inches with a diameter of approximately 47 inches and a capacity of about 550 gallons.
The UST was measured to contain approximately 31 gallons of fluid. White flagging was installed
to mark the ends of the UST. No other USTs on the property were discovered using a metal
detector to survey the outside perimeter of the residence where USTs are usually located. No
copper fuel delivery/return lines, petroleum odors or stains were observed in the crawlspace from
the rear crawlspace entry, however, the crawlspace had been sealed which limited inspection.
Once the orientation of the UST was determined, a soil boring was performed beneath the northern
end of the UST using a 3.25-inch diameter stainless steel hand auger. The boring was advanced
to a depth of approximately 6.5 feet bls. A strong petroleum odor was observed in the soils from
a depth of approximately 5.7 to 6.5 bls suggesting significant leakage from the UST has occurred.
No soil discoloration was observed. The native soil underlying the UST consists of a light orange
brown micaceous sandy silt.
2.0 PROJECT
The in -place abandonment of the UST was performed on October 16, 2020. The abandonment
consisted of the hand excavation of the soils overlying the northern end of the UST to expose the
topside of the tank. A hole approximately 1.5 feet in diameter was then cut on the top of the UST
to allow for removal of the tank contents, cleaning and visual inspection of the UST interior, and
subsequent filling. The tank was pressure washed to remove all residual petroleum sludge.
Approximately 61 gallons of fluid and sludge (including rinsate) were removed from the UST.
The fluid disposal manifest for the tank contents is included in Appendix A.
After the interior of the UST was cleaned, the tank was then entirely filled with an excavatable
flowable fill cement slurry. Once filled, the exposed portion of the UST was then covered with
site soils (see Appendix B - Photographic Documentation).

FIGURE
SITE MAP

JT1
0 10 20 40
T1 = 550-Gallon UST
1 Inch = 20 Feet
PROJECT: Tim Cool Property
INCIDENT # Pending
LOCATION: 4411 Bellwood Lane
Charlotte Mecklenburg Co.
CRE PROJECT NUMBER: 304022590
CEDAR ROCK
ENVIRONMENTAL, P.C.
FILENAME:
VERSION DATE
3040-Figl.fc7
10/16/2020
SITE MAP
FIGURE 1

APPENDIX A
FLUID DISPOSAL MANIFEST

MATERIAL Manifest Document No.
wbra Page of I
MANIFEST __7a
EMERGENCY PHONE NO. POST OFFICE BOX 357 TEL [phone] Zebra Job No.
[phone] HIGH POINT, NC 27261 FAX [phone]
GENERATOR INFORMATION
Name
Street Address
DESCRIPTION OF MATERIALS
Mailing Address
ID No.
Phone No.
Contact
USDOT Proper Shipping Name
HMI (Complete All Items for Hazardous Materials)
Hazard
Class or Div
UN / NA
ID No.
Packing
Group
Containers
Qty. Type
Total
Quantity
Unit
Wt./Vol.
a.
b.
C.
ADDITIONAL INFORMATION
ERG No.
Zebra Profile Code
Facility Use
a.
b.
C.
ULNtKAIUK'5 GtKIIFIGAIIUN
This is to certify that the above -described materials are properly classified, described, packaged, marked and labeled, and are in
proper condition for transportation according to the applicable regulations of the Department of Transportation. 1 further certify that
none of the materials described above are a hazardous waste as defined by EPA 40 CFR Part 261 or any applicable state law, and
unless specifically identified above, the materials contain less than 1, 000 ppm total halogens and do not contain quantifiable levels
(2 ppm) of PCBs as defined by EPA 40 CFR Parts 279 and 761.
TRANSPORTER
INFORMATION
Transporter Zebra Environmental & Industrial Services Inc
I hereby acknowledge receipt of the above -described materials for transport
from the generator site listed above.
Address
901 East Springfield Road
High Point, NC 27263
Signature Shipment Date
I hereby acknowledge receipt of the above -described materials were received
from the generator site and were transported to the facility listed below.
Transporter or NC0991302669
Unit No.
EPA ID No.
Signature Delivery Date
Phone [phone]
FACILITY INFORMATION
Facility Zebra Environmental & Industrial Services, Inc.
I hereby acknowledge receipt of the materials covered by this manifest
except for any discrepancy noted below.
Address
901 East Springfield Road
High Point, NC 27263
Signature Receipt Date
Discrepancies/ Routing Codes/ Handing Methods
Facility or NC0991302669
EPA ID No.
a.
Phone
[phone]
b.
Contact gill Hunter
C.
ORIGINAL - Facility Retain COPY 2 - Return to Generator COPY 3 - Transporter Retain COPY 4 - Generator Retain

APPENDIX B
PHOTOGRAPHIC DOCUMENTATION

Photo 1. View of the UST site prior to abandonment activities.
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Photo 2. View of the UST interior prior to the removal of tank contents.

Photo 3. View of the UST interior after the removal of UST contents and
pressure wash cleaning of the tank interior.
Photo 4. View of the UST being filled with flowable fill cement slurry.

Photo 5. View of the UST after filling with flowable fill cement slurry.
Photo 6. View of the UST site after the completion of abandonment activities.

Beverly, Trudy
From: Beverly, Trudy
Sent: Tuesday, December 22, 2020 11:04 AM
To: [e-mail]'
Subject: RE: [External] Tim Cool Property reports
Received.
Trudy
Trudy Beverly, L.G.
D
IE �1
Hydrogeologist, Division of Waste Management
_ North Carolina Department of Environmental Quality
Q�
LF Pa.rI n. of Lnorun,w 0MOT ` UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy. B everlykncdenn gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: ht_pt s://deg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: hgps:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://deu.nc. gov/about/divisions/waste-management/waste-management-rules-data/waste-management-gis-mans
File Review Procedures:
ht_pt s://deq.nc.gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
htt2s://deg.nc.gov/about/divisions/waste-mana2ement/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
httys:Hfiles.nc.eov/nedea/Waste%2OMana2ement/DWM/UST[WhatsNew/Final-Electronic-Document-Submittal-Policy.odf
https:Hfiles.nc.gov/ncdeg/Waste%2OManagement/D WM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: [e-mail] [mailto:[e-mail]]
Sent: Tuesday, December 22, 2020 10:59 AM
To: Beverly, Trudy <[e-mail]>
Subject: [External] Tim Cool Property reports
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Reports for the Tim Cool Property attached.
Damien