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HomeMy WebLinkAboutMO-29372_48527_CA_CLO_20220621_UST Leak Reporting Form & UST Closure ReportMid Atlantic Engineering & Environmental Solutions 1125 E. Morehead Street, Suite 104 Charlotte, NC 28204-2849 Office: 980. 585.1271 Facsimile: 980. 585.1272 MAAONLINE.COM June 21, 2022 Mr. Daniel P. Bowser, P.G. North Carolina Department of Environmental Quality Underground Storage Tank Section -Corrective Action Branch 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115 Subject: Residential Heating Oil UST Closure Report & UST-61 Form Cudia Property — 2114 Salome Church Road Charlotte, North Carolina 28207 Mid -Atlantic Project No.: 021 H1547.00 Dear Mr. Bowser: Mid -Atlantic submits our UST Closure Report and UST-61 Form for the above property. This is being submitted on behalf of our client, Bradford Preparatory School, the purchaser of the property from the responsible party, the Cudia family. It was discovered that this release had not been reported during a refinancing of the property by the current property owner and non -responsible party. As the refinancing of the property is ongoing, we would appreciate your review and feedback as soon as practicable. We appreciate your attention to this matter. Please contact the undersigned should you have any questions. With best regards, MID -ATLANTIC ASSOCIATES, INC. Greg D. Icenhour, P.G., MBA Principal Geologist Attachments: UST Closure Report UST-61 Form Cameron D. Moore, P.G. Project Geologist EXPERIENCED CUSTOMER FOCUSED INNOVATIVE UST-61 24-Hour Release and UST Leak Reporting Form. For Releases This form should be completed and submitted to the UST Section's regional office following a known or suspected release from an underground storage tank (UST) system. This form is required to be submitted within 24 hours of discovery of a known or in NC suspected release (DWM USE ONLY) Suspected Contamination? (Y/N) Y Facility ID Number Unassigned Incident # Risk (H,I,L,U) Confirmed GW Contamination? (Y/N) N Date Leak Discovered 2/17/2021 Received On Received By Confirmed Soil Contamination ?(Y/N) Y Comm/Non-Commercial? Non -Comm Reported by (circle one): Phone, Fax or Report Samples Taken?(Y/N) y Reg/Non-regulated? Non -Regulated Region Free Product? (Y/N) N If Yes, State Greatest Thickness N/A INCIDENT DESCRIPTION Incident Name: Former Heating Oil UST - 2114 Salome Church Road Address: 2114 Salome Church Road County: Mecklenburg Regional Office (circle one): Asheville, Mooresville, Fayetteville, City/Town: Charlotte Zip Code: 28262 Raleigh, Washington, Wilmington, Winston-Salem Latitude (decimal degrees): N 35.340515 Longitude (decimal degrees) : W-80.717940 Obtained by: ❑GPS Briefly describe suspected or confirmed release: (including but not limited to: nature of release, date of release, amount of release, amount of free product present and recovery efforts, initial responses conducted, impacts to receptors) ❑Topographic map ❑GIS Address matching [g]Other ❑ Unknown One UST, a 500-gallon capacity heating oil UST, was removed during closure activities on February 17, 2021. Post excavation soil sampling indicated that soil concentrations above the Action Limit for TPH-DRO (1,120 mg/kg) were detected in the base of the UST excavation. No water supply wells were identified within 150 feet of the source area, and groundwater was not encountered within the extent of the excavation. Excavation ceased at five feet below land Describe location: surface when rock was encountered. Google Earth location of UST HOW RELEASE WAS DISCOVERED (Release code) (Check one) ❑Release Detection Equipment or Methods ❑Visual/Odor ❑Groundwater Contamination x]During UST Closure/Removal ❑Water in Tank ❑Surface Water Contamination ❑Property Transfer ❑Water Supply Well Contamination ❑Other (specify) SOURCE OF CONTAMINATION Source of Release Cause of Release Type of Release Product Type Released (Check primary source) (Check primary cause) (Check one) (Check primary product type released) xj Tank ❑ Spill X❑ Petroleum ❑ Gasoline/ Diesel/ ❑ Diesel/Veg. Oil ❑ Piping ❑ Overfill ❑ Non -Petroleum Kerosene Blend X❑ Heating Oil ❑ Vegetable Oil 100% ❑ Dispenser ❑X Corrosion ❑Both ❑ Other Petroleum ❑ E10 - E20 ❑ Submersible Turbine Pump ❑Physical/Mechanical Location Products ❑ (Check one) Metals Delivery Problem Damage ❑ E21 - E84 ❑ ❑ Install Problem ❑ E85 - E99 ❑ Spill Bucket ❑ Other Inorganics ❑ Other [-]Facility ❑Ethanol 100% ❑ Other ❑ Other Organics ❑ Unknown X❑Residence ❑ E01 - E09 ❑ Unknown ❑Other Definitions presented on reverse Definitions presented on reverse Ownership 1. Municipal 2. Military 3. Unknown 4. Private 5. Federal 6. County 7. State Operation Type 1. Public Service 2. Agricultural 3. Residential 4. Education/Relig. 5. Industrial 6. Commercial 7. Mining UST Form 61 (02/19) Page 1 of 2 IMPACT ON DRINKING WATER SUPPLIES Water Supply Wells Affected? 1. Yes 2. No 3. Unknown Number of Water Supply Wells Affected Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary) 1. 2. 3. UST SYSTEM OWNER UST Owner/Company Benigno Cudia, Aurora Cudia, and Benjamin Cudia Point of Contact Address Cameron Moore 2114 Salome Church Road City State Zip Code Telephone Number Charlotte NC 28262 704-230-8059 UST SYSTEM OPERATOR UST Operator/Company Address Same as UST System Owner City State Zip Code Telephone Number LANDOWNER AT LOCATION OF UST INCIDENT Landowner Address Same as UST System Owner City State Zip Code Telephone Number Draw Sketch of Area (showing two major road intersections) or Attach Map SEE ATTACHED MAPS Person Reporting Incident Cameron Moore Company Mid -Atlantic Associates, Inc. Telephone Number 980-585-1271 Title Project Geologist Address 1125 E. Morehead St. Suite 104, Charlotte, NC 28204 Date 06/17/2022 UST Form 61 (02/19) Page 2 of 2 Definitions of Sources Tank: means the tank that stores the product and is part of the underground storage tank system Piping: means the piping and connectors running from the tank or submersible turbine pump to the dispenser or other end -use equipment (Vent, vapor recovery, or fill lines are excluded.) Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping (e.g., a release from a suction pump or from components located above the shear valve) Submersible Turbine Pump (STP) Area includes the submersible turbine pump head (typically located in the tank sump), the line leak detector, and the piping that connects the submersible turbine pump to the tank Delivery Problem: identifies releases that occurred during product delivery to the tank. (Typical causes associated with this source are spills and overfills.) Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories (e.g., for releases from vent lines, vapor recovery lines, and fill lines) Unknown: identifies releases for which the source has not been determined Definitions of Causes Spill: use this cause when a spill occurs (e.g., when the delivery hose is disconnected from the tank fill pipe or when the nozzle is removed from the dispenser) Overfill: use when an overfill occurs (e.g., overfills may occur from the fill pipe at the tank or when the nozzle fails to shut off at the dispenser) Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion (e.g., puncture of tank or piping, loose fittings, broken components, and components that have changed dimension) Corrosion: use when a metal tank, piping, or other component has a release due to corrosion (e.g., for steel, corrosion takes the form of rust) Installation Problem: use when the problem is determined to have occurred specifically because the UST system was not installed properly Other: use this option when the cause is known but does not fit into one of the preceding categories (e.g., putting regulated substances into monitoring wells) Unknown: use when the cause has not been determined �N\ 4 f � C7--� Siloam Cem M ■ u a RY�RD � to C:�] Ired)ll• I Ijcwan Lincoln Concord • Cabarrus --x,-� }� /% • AREA SHOWN WITHIN NORTH CAROLINA RP os � a � Stowes Chapel 11 Cem Ol'pb �+ = y0 I-T_E LO_CATJONgy ��Fcfi o ,4MERry� NEAD�IIgRT C 49 S y o yP I 8Gy p V O � { t- T ' AI 4d o M�R91y fpRp UR ­RSHAM PR a G"eNl; LN CONTOUR INTERVAL = 10 FEET REFERENCES: SCALE:1:24,000 1. USGS TOPOGRAPHIC QUADRANGLE: HARRISBURG, NC - 2019 0 1,000 2,000 4,000 2. INSET MAP DATA DOWNLOADED FROM DATA.GOV Feet DRAWN DATE: BY: MARCH 2O21 SITE LOCATION MAP DRAFT JOB NO: IN Mid Atlantic 2114 SALOME CHURCH ROAD CHECK: CDM 021H1547.00 Eng.neering 6 Environmental Solutions CHARLOTTE, NORTH CAROLINA ENG. GIS NO: CHECK: 05G-H 1547.00-01 APPROVAL: GD1 DWG NO: 1 �. `f ' '' .;;;;`' LOCATION � `• i - + r 1 Ar I; Legend UNDERGROUND r STORAGE TANK y, (UST) ; 2114 SITE BOUNDARY m + STREET PARCEL BOUNDARY � r � SCALE:1:480 0 20 40 80 120 160 Feet DRAWN BY: f DATE: MARCH 2O21 UST LOCATION MAP DRAFT CHECK JOB NO.: 021H1547.00 MidAtlantic 2114 SALOME CHURCH ROAD BY CDM Engineering & Environmental Solutions CHARLOTTE, NORTH CAROLINA -BY: YGINEERCHECK GIS NO.: 05G-H1547.00-02 APPROVED DRAWING NO.: 2 REFERENCE: 2020 AERIAL IMAGERY, PARCEL, AND ROAD GIS DATA FROM MECKLENBURG COUNTY GIS. MID -ATLANTIC FIELD NOTES. UST CLOSURE REPORT 2114 SALOME CHURCH ROAD CHARLOTTE, MECKLENBURG COUNTY, NORTH CAROLINA MID -ATLANTIC JOB NO. 021 H1547.00 Risk Classification: Unassigned Land Use: Residential Latitude: N 35.340515 Longitude: W-80.717940 Date Discovered: February 17, 2021 Estimated Quantity of Release: Unknown Cause/Source of Release: Heating Oil UST Prepared For: Mr. Darius Grady HEPACO, LLC. 2711 Burch Drive Charlotte, North Carolina 28269 Prepared By: Mid -Atlantic Associates, Inc. 1125 E. Morehead Street, Suite 104 Charlotte, North Carolina 28204 March 10, 2021 Mid Atlantic Engineering & Environmental Solutions A. Site Information Site Identification D Date of Report: March 10, 202 D Facility I.D.: NIA UST Incident Number (if known): NIA Y Site Name: Single Family Residential Mom_e at 2114 Salome Church Road A Site Street Address: 2114 Salome Churr_goad _ D CltyiTown: Charlotte Zip Code: 28262 County:_ _ Mecklenhurg County ➢ Description of Geographical Data Point (e.g. diesel fill port): Nome Heating Oil Tank D Location method (GPS, topographical map, other): ggpqle Earth Software > latitude (decimal degrees): 35.340515° N Longitude (decimal degrees):-80.717940° W Information about Contacts Associated with the Release (Addresses must include street, city, state, rip code and mailing address, if different). UST Owner: 8enigno _Cudia, Aurora Cudia, and Benjamin Cudla_ _ D Address: 2114 Salome_ Church Road, Charlotte, NC 28207 Phone: UST Operatcr: NIA D Address: Phone: D Property Owner: Same as UST Owner A Address: Same as UST Owner Phone-. Same ➢ Property Occupant: Same as UST Owner _ ➢ Address: Phone: Y Consultant/Contractor:— Mid -Atlantic Associates. Inc. A Address., 1125 E. Morehead %reet, Charlotte, NC 28204 Phone: _(980) 586-1271 D Analytical Laboratory: Pace Analytical _ State Certification No. 32.9 A Address:106 Vantage Point Drive, West Calumbi2 SC 29172 Phone: 803 2272706 Information about Release: A Date Discovered: _. February 17, 2021 D Estimated Quantity of Release:_ _ Unknown _ Cause of Release Corrosion of UST system. 9 Source of Release (e.g. Dlspenser/PipinglUST) _UST 9 Sizes and Contents of UST(s) (or other Containment from which the release occurred): One 500-galion heating oil UST Certification (Tice title page must display the seal and signature of the certifying PE. or L.G. and the name and certify caftan number of the company or corporation, if applicable (See 15A NCAC 2LO103(e)1.) I, Cameron D, Moore _ , a Professional Engineer! icensed eologist (circle one) for Mid -Atlantic Associates Inc. (firm or company of employment), do certify that the information con arced in this report is Correct and accurate to the treat of my knowledge. (Please Aix Sear and Signature) Mid-AllanticlAssacistes_Ipq. (Name of Company or Corporation) is licensed to practice geology/engineeflng (circle one or both) in North Carolina. The certification number of the companpive ptlt'8t46 is C-186 and_F-0967 CARO 11��" /1XR � 242 Li �1. 1 ++04111i 1 Mid Atlantic Engineering & Environmental Solutions r.. Mid Atlanb'c Engineering & Environmental SaWtions 409 Rogers View Court. Raleigh, NC 27610 office 919.250.9918 facsimile 919.250.995D MAAONLINE.COM UST CLOSURE REPORT 500-GALLON HEATING OIL UST 2114 SALOME CHURCH ROAD CHARLOTTE, MECKLENBURG COUNTY, NORTH CAROLINA March 10, 2021 Mid -Atlantic Job No. 021 H1547.00 Prepared For: Prepared By: HEPACO, LLC. 2711 Burch Drive Charlotte, North Carolina 28269 MID -ATLANTIC ASSOCIATES, INC. �/Ltew�- Cameron D. Moore, P.G. Project Geologist Greg D. Icenhour, P.G. Principal Geologist EXPERIENCED CUSTOMER FOCUSED INNOVATIVE TABLE OF CONTENTS 1.0 SITE HISTORY AND CHARACTERIZATION..............................................................................1 1.1 Introduction................................................................................................................1 1.2 Owner/Operator of the UST.......................................................................................1 1.3 Property Owner..........................................................................................................1 1.4 Facility Information.....................................................................................................1 1.5 Contacts.....................................................................................................................2 1.6 UST Information.........................................................................................................2 1.7 Site Characteristics....................................................................................................2 1.8 Summary of Activities Performed To Date................................................................2 2.0 UST CLOSURE PROCEDURES..................................................................................................3 2.1 Pre -Closure Procedures............................................................................................3 2.2 Excavation Procedures..............................................................................................3 2.3 Excavated Soil...........................................................................................................3 2.4 Sampling Procedures.................................................................................................3 2.5 Quality Control Measures..........................................................................................4 2.6 Investigative Results..................................................................................................4 3.0 REGULATORY STATUS..............................................................................................................4 4.0 SUMMARY, CONCLUSIONS AND RECOMMENDATIONS a]:7_Vi9IzccRI Drawing 1 Topographic Site Map Drawing 2 UST Location Map TABLES Table 1 UST Information Table 2 Soil Sampling Results APPENDICES 5 Appendix A UST Disposal Documentation Appendix B Photo Log Appendix C Laboratory Analytical Report and Chain -of -Custody Record for Soil Samples Mid Atlantic Engineering & Environmental Solutions UST Closure Report March 10, 2021 2114 Salome Church Road Page 1 Charlotte, North Carolina 1.0 SITE HISTORY AND CHARACTERIZATION 1.1 Introduction The subject site is the location of a single-family residential home. The subject site is located at 2114 Salome Church Road, Charlotte, Mecklenburg County, North Carolina (Drawing 1). During field activities on February 17, 2021, HEPACO employees uncovered and removed a 500-gallon capacity heating oil underground storage tank (UST). The location of the former UST is shown on Drawing 2. This report presents background information; a summary of the UST removal and closure assessment procedures; documentation of the over -excavation of contaminated soil; the laboratory analytical results; and our findings, conclusions and recommendations. The opinions included herein are based on our experience and the information obtained during the study. This report is based on limited observations made on the dates noted using the procedures described herein. If additional information becomes available, we request the opportunity to review the information, reassess the potential environmental concerns and modify our conclusions and recommendations, if appropriate. 1.2 Owner/Operator of the UST Benigno Cudia, Aurora Cudia, & Benjamin Cudia 2114 Salome Church Road Charlotte, North Carolina 28262 1.3 Property Owner Benigno Cudia, Aurora Cudia, & Benjamin Cudia 2114 Salome Church Road Charlotte, North Carolina 28262 1.4 Facility Information 2114 Salome Church Road Charlotte, North Carolina 28262 Latitude: 35.440515' N Longitude:-80.717940' W Mid Atlantic Engineering & Environmental Solutions UST Closure Report 2114 Salome Church Road Charlotte, North Carolina 1.5 Contacts Closure Contractor: HEPACO, LLC. 2711 Burch Drive Charlotte, North Carolina 28269 Consultant: Mid -Atlantic Associates, Inc. 1125 E. Morehead Street Suite 104 Charlotte, North Carolina 28204 (980) 585-1271 Mr. Troy L. Holzschuh Laboratory: Pace Analytical 106 Vantage Point Drive West Columbia, South Carolina 29172 (803) 227-2706 Mr. Michael Kilpatrick 1.6 UST Information March 10, 2021 Page 2 One 500-gallon capacity heating oil UST was used at the subject site to provide fuel for the associated former residence. See Drawing 2 for the former location of the tank and Table 1 for UST Information. 1.7 Site Characteristics The subject site is the location of a single-family residential home. The area surrounding the subject site is residential. Surface drainage is generally to the east. An unnamed tributary of Mallard Creek runs approximately 1000 feet to the southeast of the subject site. According to the North Carolina Department of Environment and Natural Resources (NCDENR), Division of Water Resources (DWR) webpage, Mallard Creek is a Class C waterbody. During UST closure excavation activities, stained soils exhibiting a petroleum odor were encountered in the subsurface adjacent to the UST system. Groundwater was not encountered during excavation activities. 1.8 Summary of Activities Performed To Date The subject parcel has no known previous releases. The subject UST was excavated on February 17, 2021. '�•- Mid Atlantic Engineering & Environmental Solutions UST Closure Report March 10, 2021 2114 Salome Church Road Page 3 Charlotte, North Carolina 2.0 UST CLOSURE PROCEDURES 2.1 Pre -Closure Procedures Prior to removal, HEPACO personnel ensured the tank was empty and free of potentially hazardous vapors. 2.2 Excavation Procedures The top of the UST was located approximately 2 feet below land surface (BLS). Soil was initially removed from the top and three sides of the UST so that it could be removed from the excavation. Upon removal of the tank, heavy corrosion and pitting were noted along the bottom of the UST. HEPACO removed the UST from the excavation, loaded it onto a trailer and transported the UST to Zero Waste of Charlotte, North Carolina. A UST Disposal certificate is included in Appendix A. A photographic log documenting excavation activity on site is provided in Appendix B. 2.3 Excavated Soil Tank overburden soil removed from the excavation was screened for evidence of volatile organic vapors with a Flame Ionization/Photo Ionization Detector combination unit (FID/PID). During removal activities, the FID/PID was used to determine the presence of potentially contaminated soils. No potentially contaminated soils were encountered while removing the first three feet of overburden soil from the UST. The FID/PID combination unit recorded field screening values between 35 and 55 parts per million (ppm) from soils removed in the four to five foot below land surface (BLS) range. The top of the UST was located approximately one foot BLS. Excavation ceased at 5 feet BLS where rock was encountered. No contaminated soil was removed from the site during this UST closure. 2.4 Sampling Procedures Upon UST removal, one closure soil sample UST-1 (5) was collected according to procedures outlined in the NCDENR's Underground Storage Tank Section Guidelines for Site Checks, Tank Closure, and Initial Response and Abatement. The closure sample was collected from the native soil below the former UST at an approximate depth of 5 feet BLS. The sample was placed into pre -labeled, laboratory -supplied glassware, placed into an ice -filled cooler and transported under chain -of -custody to Pace Analytical (Pace) in West Columbia, South Carolina for analysis of total petroleum hydrocarbons gasoline range organics (TPH-GRO) and diesel range organics (TPH-DRO) by EPA Methods 5035 and 3550, respectively. Ob Mid Atlantic Engineering & Environmental Solutions UST Closure Report 2114 Salome Church Road Charlotte, North Carolina 2.5 Quality Control Measures March 10, 2021 Page 4 The UST closure sample was collected from the track hoe bucket. New nitrile gloves were worn during the collection and handling of the soil. Each sample was placed into pre - labeled, laboratory -supplied glassware, placed into an ice -filled cooler and shipped under chain -of -custody control to Pace for analysis. 2.6 Investigative Results A laboratory analytical report for the UST closure soil sample is provided in Appendix C and summarized in Table 2. As summarized, the closure sample UST-1 (5) exhibited DRO concentrations exceeding the NCDENR UST Section's action level of 100 milligrams per kilogram (mg/Kg). 3.0 REGULATORY STATUS UST closure soil sampling indicated that a release had occurred from the UST. The UST is a non -regulated, non-commercial tank based on the capacity being less than 1,000 gallons and contained heating oil that was oil on the premises where stored. For releases from non -regulated non-commercial USTs, the responsible party is required to take action to address any emergency conditions, such as vapor, fire, explosion hazards, or imminent threats to public health, safety, welfare, or the environment. However, the responsible party is not required to comply with the initial response and initial abatement action requirements of 15A NCAC 2N .0702, 30703, and .0705, and 15A NCAC 2L .004(1), unless specifically directed to by the NCDEQ based upon risk posed by the release. Post excavation soil sampling indicates that soil concentrations above the Action Limit for TPH-DRO were detected in the base of the UST excavation. No water supply wells were identified within 150 feet of the source area, and groundwater was not encountered within the extents of the excavation. As such, the subject site is considered low risk. Mid Atlantic Engineering & Environmental Solutions UST Closure Report March 10, 2021 2114 Salome Church Road Page 5 Charlotte, North Carolina 4.0 SUMMARY, CONCLUSIONS AND RECOMMENDATIONS UST closure and initial abatement activities are summarized as follows: • One UST, a 500-gallon capacity heating oil UST, was removed during closure activities; • No petroleum -contaminated soil was excavated or transported off -site for disposal; • Based on the laboratory results for the post -excavation confirmatory soil sample, the base of the former UST area contains soil above NCDEQ standards; and, • The site is considered low risk according to the NCDEQ Guidelines for Site Checks, Tank Closure, and Initial Response and Abatement for UST Releases. Mid Atlantic Engineering & Environmental Solutions DRAWINGS Mid Atlantic Engineering & Environmental Solutions �N\ 4 f � C7--� Siloam Cem M ■ u a RY�RD � to C:�] Ired)ll• I Ijcwan Lincoln Concord • Cabarrus --x,-� }� /% • AREA SHOWN WITHIN NORTH CAROLINA RP os � a � Stowes Chapel 11 Cem Ol'pb �+ = y0 I-T_E LO_CATJONgy ��Fcfi o ,4MERry� NEAD�IIgRT C 49 S y o yP I 8Gy p V O � { t- T ' AI 4d o M�R91y fpRp UR ­RSHAM PR a G"eNl; LN CONTOUR INTERVAL = 10 FEET REFERENCES: SCALE:1:24,000 1. USGS TOPOGRAPHIC QUADRANGLE: HARRISBURG, NC - 2019 0 1,000 2,000 4,000 2. INSET MAP DATA DOWNLOADED FROM DATA.GOV Feet DRAWN DATE: BY: MARCH 2O21 SITE LOCATION MAP DRAFT JOB NO: IN Mid Atlantic 2114 SALOME CHURCH ROAD CHECK: CDM 021H1547.00 Eng.neering 6 Environmental Solutions CHARLOTTE, NORTH CAROLINA ENG. GIS NO: CHECK: 05G-H 1547.00-01 APPROVAL: GD1 DWG NO: 1 �. `f ' '' .;;;;`' LOCATION � `• i - + r 1 Ar I; Legend UNDERGROUND r STORAGE TANK y, (UST) ; 2114 SITE BOUNDARY m + STREET PARCEL BOUNDARY � r � SCALE:1:480 0 20 40 80 120 160 Feet DRAWN BY: f DATE: MARCH 2O21 UST LOCATION MAP DRAFT CHECK JOB NO.: 021H1547.00 MidAtlantic 2114 SALOME CHURCH ROAD BY CDM Engineering & Environmental Solutions CHARLOTTE, NORTH CAROLINA -BY: YGINEERCHECK GIS NO.: 05G-H1547.00-02 APPROVED DRAWING NO.: 2 REFERENCE: 2020 AERIAL IMAGERY, PARCEL, AND ROAD GIS DATA FROM MECKLENBURG COUNTY GIS. MID -ATLANTIC FIELD NOTES. TABLES Mid Atlantic Engineering & Environmental Solutions TABLE 1 UST SYSTEM INFORMATION 2114 SALOME CHURCH ROAD CHARLOTTE, MECKLENBURG COUNTY, NORTH CAROLINA MID -ATLANTIC JOB NO: 021H1547.00 Release UST ID Current/Last Previous Capacity Tank Construction Date Installed Status of UST Associated Number Contents Contents (Gallons) Dimensions Details with System? Single -walled Removed 0001 Heating Oil Same 500 36"-D X 96"-L Unkown Yes steel 2/17/2021 TABLE 2 SOIL SAMPLING RESULTS 2114 SALOME CHURCH ROAD CHARLOTTE, NORTH CAROLINA MID -ATLANTIC PROJECT NO.: 0211-11547.00 Method TPH Action Level 50 100 Sample Depth PID Measurement GRO DRO Sample Sample Date (FT) (PPM) (mg/kg) (mg/kg) UST-1 5' 02/17/21 5 52.0 < 1.0 1,120 Notes: mg/kg - milligrams per kilogram Bold values exceed the NCDEQ Action Level APPENDIX A UST DISPOSAL DOCUMENTATION '�•- Mid Atlantic Engineering & Environmental Solutions NONHAZARDOUS I. Ganeralar* Nombar 2; Pogo i o[. 1 EmArgency Raspanse Phone c. waste Tracking Number ;. WASTE MANIFEST S. Gannmipr'S Name and Mallh> Address Gancratcr's Site Address fI dllferani than m'alling address) Genaratar's Phone: i 6. Transpador 1 Company Name U,S, FPA ID Number 7. Transporiar 2 Company Name US. EPA ID Number 8, Deslgnalod I'Millly Mama and Silo Address U.B. EPA ID Number y4 Fadllt 's Phone -far- q43 ig - 9. Waste ShOping Nama and Descrlpllan 10. Contalnera il. Told f2, Unit Na. o Quarnily WUVol, TyP s > : y:. 64 W I$, &po;lpl Handling Inslnrslions and Addhiaeal Informalloh % GiN RATOR-8/OFFERCR'S CE'RTIFICA71ON: I hereby declare Oat tho conlenio of This conolghmodl ago iully dnc a0wrately descabod o4ove by Wo propor shipping name, and are ctasaMed, packaged, inagked'and lahalad ararcied, and are In al mspeets In proper condllion for IranFporl aaeording to appllCaO Inlamallanal and ndilandl gowmmental reguialions, i GoneralatarDigarar a PrintsdlTypod Name Slgnaiule Monih Day Year u itx lntamaliannl SMpmanle ❑ Impod to U.B. ❑ Fxport irum u&. PAR of enlryfoxll: Tens ader 5 naltre or ex cds on : Pals leaving U.S.: rx 16, Transporter AckrWadgment of Reaetpt of Materials T Ira r t PdMe ypod Nam Signelure Month Day Year Transpadar 2,PrinledlTypnd Name Slgealure Month Day Year S7: D 500parlty. ITu. Dlicrepsncy uldlCallon Space Qupnllly ❑ Typo ❑ Hooldue ❑ Pedial Rajeollan ❑ Full Raleotion WHIM Referanoa Number: 17b, Allomaio Facility (orGanaralor) U.S. EPA IDNumbar Fadlity'a Phone: . tk Slgnatureof Allelllalo Faclllly (ar Gerleralaq Munih D&y Year e Ia. f)esignaled PacRy sooner or Operator. CCrillicofran of mcalpi of Malaria Is cavpred by the donifasl ezca'pl as noted fh Item S Pri d pad Name Sign Month Day Yew I II I— - 7l- 169.OLC-0 5 11977 (Rov. 9109) DE-SK-k dlll"-r M FACILITYTO GENERATOR APPENDIX B PHOTO LOG Mid Atlantic Engineering & Environmental Solutions ' 11irr, K Moto , - A 0 'V rr, K �vm- N, 4 L i E UST Closure Report March 10, 2021 2114 Salome Church Road, Charlotte, NC Appendix B Photograph 6: View of the UST pit after the tank was removed. Mid Atlantic Engineering & Environmental Solutions APPENDIX C LABORATORY ANALYTICAL REPORT AND CHAIN -OF -CUSTODY RECORD FOR SOIL SAMPLES Mid Atlantic Engineering & Environmental Solutions �t w W44 i aceAnalXical o ANALYTICAL tional Center for Testing &Innovation March 03, 2021 Mid -Atlantic Associates, Inc. Sample Delivery Group: L1319515 Samples Received: 02/24/2021 Project Number: 021H1547 Description: REPORT Report To: Mr. Chuck Hoffman 409 Rogers View Court Raleigh, NC 27610 Entire Report Reviewed By iLllc�' T. Alan Harvill Project Manager Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067 and ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided, and as the samples are received. M FSS 4 Cn FSr FC-1 E7GI rAl FSC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/21 16:24 1 of 11 TABLE OF CONTENTS ONE LAB. NATIONWIDE. Cp: Cover Page 1 Fn Tc: Table of Contents 2 Ss: Sample Summary 3 Cn: Case Narrative 4 Sr: Sample Results 5 FS UST-1 (5') L1319515-01 5 [Cn] Qc: Quality Control Summary 6 Total Solids by Method 2540 G-2011 6 Fr Volatile Organic Compounds (GC) by Method 8015C 7 Semi -Volatile Organic Compounds (GC) by Method 8015C 8 RC GI: Glossary of Terms 9 F Al: Accreditations & Locations 10 Sc: Sample Chain of Custody 11 rAl FSC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/21 16:24 2 of 11 SAMPLE SUMMARY ONE LAB. NATIONWIDE. Collected by Collected date/time Received date/time UST-1 (5') L1319515-01 Solid Troy Holzschuh 02/17/2113:00 02/24/2110:30 , C P Method Batch Dilution Preparation Analysis Analyst Location date/time date/time Total Solids by Method 2540 G-2011 WG1627359 1 03/02/2109:44 03/02/2109:58 KDW Mt. Juliet, TN Volatile Organic Compounds (GC) by Method 8015C WG1626192 25 02/17/2113:00 02/26/2122:39 ADM Mt. Juliet, TN Semi -Volatile Organic Compounds (GC) by Method 8015C WG1626149 5 02/28/2107:45 02/28/2117:18 JN Mt. Juliet, TN ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/21 16:24 3 of 11 FTC M [Cn] FSr RC F, FAI FSC CASE NARRATIVE ONE LAB. NATIONWIDE. All sample aliquots were received at the correct temperature, in the proper containers, with the FP1 appropriate preservatives, and within method specified holding times, unless qualified or notated within the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples FTChave been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form or properly qualified within the sample results. By my digital signature below, I affirm to the best of my FSS knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. FSr 6 QC r �GI iz T. Alan Harvill FAI Project Manager FSC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/21 16:24 4 of 11 UST-1 (5') Collected date/time: 02/17/21 13:00 Total Solids by Method 2540 G-2011 SAMPLE RESULTS - 01 L1319515 Result Qualifier Dilution Analysis Analyte % date / time Total Solids 81.7 1 03/02/202109:58 Volatile Organic Compounds (GC) by Method 8015C Batch WG1627359 Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis Analyte mg/kg mg/kg mg/kg date / time TPH (GC/FID) Low Fraction U 0.819 3.77 25 02/26/202122:39 (S) a, a, a-Trifluorotoluene(FID) 97.5 77.0-120 02726/202122:39 Semi -Volatile Organic Compounds (GC) by Method 8015C Analyte TPH (GC/FID) High Fraction (S) o-Terphenyl Result (dry) Qualifier MDL (dry) RDL (dry) Dilution Analysis mg/kg mg/kg mg/kg date / time 1120 4.71 24.5 5 02/28/202117:18 148 18.0-148 02728/20211718 ONE LAB. NATIONWIDE. FP1 FTC FSS Batch 4 Cn WG1626192 WG1626192 6 QC Batch WG1626149 G I WG1626149 FAI FSC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/21 16:24 5 of 11 WG1627359 Total Solids by Method 2540 G-2011 Method Blank (MB) (MB) R3626828-1 03/02/21 09:58 MB Result MB Qualifier MB MDL Analyte % % Total Solids 0.00200 L1319517-03 Original Sample (OS) • Duplicate (DUP) MB RDL (OS) L1319517-03 03/02/21 09:58 • (DUP) R3626828-3 03/02/21 09:58 Original Result DUP Result Dilution DUP RPD Analyte % % Total Solids 88.3 87.1 1 1.37 Laboratory Control Sample (LCS) (LCS) R3626828-2 03/02/21 09:58 Spike Amount LCS Result LCS Rec. Analyte % %_ % Total Solids 50.0 50.0 100 QUALITY CONTROL SUMMARY L1319515-01 DUP Qualifier DUP RPD Limits 10 Rec. Limits LCS Qualifier o/ 85.0-115 ONE LAB. NATIONWIDE. — I Cp FTc FSS 4 — Cn FSr — �GI FAI FSC ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/2116:24 6 of11 WG1626192 Volatile Organic Compounds (GC) by Method 8015C Method Blank (MB) QUALITY CONTROL SUMMARY L1319515-01 (MB) R3625698-3 02/26/21 13:24 MB Result MB Qualifier MB MDL MB RDL Analyte mg/kg mg/kg mg/kg TPH (GC/FID) Low Fraction U 0.0217 0.100 (S) o, o, o-Trifluorotoluene(FID) 96.4 77.0-120 Laboratory Control Sample (LCS) (LCS) R3625698-1 02/26/21 12:21 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/kg mg/kg % % TPH (GC/FID) Low Fraction 5.50 5.84 106 72.0-127 (S) 106 77.0-120 a, a, a- Trifluorotoluene(FID) L1319231-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1319231-02 02/26/21 21:37 • (MS) R3625698-4 02/27/21 04:18 • (MSD) R3625698-5 02/27/21 04:39 Spike Amount Original Result MSD Result MS Result (dry) MS Rec. MSD Rec. (dry) (dry) (dry) Analyte mg/kg mg/kg mg/kg mg/kg % % TPH (GC/FID) Low Fraction 70.1 4.27 82.9 89.1 112 121 oo-Trifluorotoluene(FID) a,, 112 114 Dilution Rec. Limits MS Qualifier MSD Qualifier RPD 25 10.0-151 7.23 77.0-120 ONE LAB. NATIONWIDE. RPD Limits 28 FP1 FTc FSS H 5 Sr �GI FAI [Sc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/2116:24 7 of11 WG1626149 Semi -Volatile Organic Compounds (GC) by Method 8015C Method Blank (MB) (MB) R3625954-1 02/28/21 13:57 MB Result MB Qualifier MB MDL MB RDL Analyte mg/kg mg/kg mg/kg TPH (GC/FID) High Fraction U 0.769 4.00 (S) o-Terpheny/ 81.5 18.0-148 Laboratory Control Sample (LCS) QUALITY CONTROL SUMMARY L1319515-01 (LCS) R3625954-2 02/28/21 14:11 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/kg mg/kg % % TPH (GC/FID) High Fraction 50.0 38.1 76.2 50.0-150 (S) o-Terpheny/ 84.5 18.0-148 L1319470-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) ONE LAB. NATIONWIDE. (OS) L1319470-02 02/28/21 14:24 • (MS) R3625954-3 02/28/21 14:38 • (MSD) R3625954-4 02/28/21 14:51 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/kg mg/kg mg/kg mg/kg % % % % % TPH (GC/FID) High Fraction 48.5 U 23.7 29.5 48.9 60.7 1 50.0-150 J6 J3 21.8 20 (S) o-Terphenyl 53.7 62.3 18.0-148 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/2116:24 8 of11 FP1 FTc FSS 4 Cn s Sr �GI FAI [Sc GLOSSARY OF TERMS ONE LAB. NATIONWIDE. Guide to Reading and Understanding Your Laboratory Report The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not intended as a comprehensive explanation, and if you have additional questions please contact your project representative. Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name, Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received. Abbreviations and Definitions (dry) Results are reported based on the dry weight of the sample. [this will only be present on a dry report basis for soils]. MDL Method Detection Limit. MDL (dry) Method Detection Limit. RDL Reported Detection Limit. RDL (dry) Reported Detection Limit. Rec. Recovery. RPD Relative Percent Difference. SDG Sample Delivery Group. Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and (S) Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be detected in all environmental media. U Not detected at the Reporting Limit (or MDL where applicable). Analyte The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported. If the sample matrix contains an interfering material, the sample preparation volume or weight values differ from the Dilution standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the result reported has already been corrected for this factor. These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal Limits for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or duplicated within these ranges. Original Sample The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control sample. The Original Sample may not be included within the reported SDG. This column provides a letter and/or number designation that corresponds to additional information concerning the result Qualifier reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable. The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL" Result (Below Detectable Levels). The information in the results column should always be accompanied by either an MDL (Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect or report for this analyte. Uncertainty (Radiochemistry) Confidence level of 2 sigma. A brief discussion about the included sample results, including a discussion of any non -conformances to protocol Case Narrative (Cn) observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report. Quality Control This section of the report includes the results of the laboratory quality control analyses required by procedure or Summary (Qc) analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not being performed on your samples typically, but on laboratory generated material. This is the document created in the field when your samples were initially collected. This is used to verify the time and Sample Chain of date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This Custody (Sc) chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the samples from the time of collection until delivery to the laboratory for analysis. This section of your report will provide the results of all testing performed on your samples. These results are provided Sample Results (Sr) by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for each sample will provide the name and method number for the analysis reported. Sample Summary (Ss) This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis. Qualifier Description J3 The associated batch QC was outside the established quality control range for precision. J6 The sample matrix interfered with the ability to make any accurate determination; spike value is low. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/21 16:24 9 of 11 FP1 FTC FSS [Cn] FSr FC-1 $AI FSC ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. Pace National is the only environmental laboratory accredited/certified to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory campus. The model is conducive to accelerated productivity, decreasing turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. Not all certifications held by the laboratory are applicable to the results reported in the attached report. Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace National. Pace Analytical National 12065 Lebanon Rd Mount Juliet, TN, 37122 Alabama 40660 Nebraska NE-OS-15-05 Alaska 17-026 Nevada TN000032021-1 Arizona AZ0612 New Hampshire 2975 Arkansas 88-0469 New Jersey—NELAP TN002 California 2932 New Mexico TN00003 Colorado TN00003 New York 11742 Connecticut PH-0197 North Carolina Env375 Florida _ E87487 North Carolina' _ DW21704 Georgia NELAP North Carolina' 41 Georgia' 923 North Dakota R-140 Idaho TN00003 Ohio—VAP CL0069 Illinois _ 200008 Oklahoma 9915 Indiana C-TN-01 Oregon TN200002 Iowa 364 Pennsylvania 68-02979 Kansas E-10277 Rhodelsland LA000356 Kentucky' 6 KY90010 South Carolina 84004002 Kentucky z 16 South Dakota n/a Louisiana A130792 Tennessee' 4 2006 Louisiana LA018 Texas T104704245-20-18 Maine TN00003 Texas 5 LAB0152 Maryland 324 Utah TN000032021-11 Massachusetts M-TN003 Vermont VT2006 Michigan 9958 Virginia 110033 Minnesota 047-999-395 Washington C847 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 998093910 Montana CERT0086 Wyoming A21LA A21LA— ISO 17025 1461.01 AIHA-LAP,LLC EMLAP 100789 A21LA — ISO 17025 5 1461.02 DOD 1461.01 Canada 1461.01 USDA P330-15-00234 EPA—Crypto TN00003 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: Mid -Atlantic Associates, Inc. 021H1547 L1319515 03/03/21 16:24 10 of 11 FP1 FTc FSS [Cn] FSr RC �GI FSC CHAIN -OF -CUSTODY Analytical Request Document _- c3CB.7;1)c7��lCe3�e Chain -of -Custody is a LEGAL DOCUMENT - Complete all relevent fields LMIlISEONLY- Affix Woriwrder/Login Label Here or111APam Wrw<rmdusftmderor MTIL Logan Number Here 8198 ALL SHADED AREAS are for LAB USE ONLY _ Container Preservative Type•• Lab Project Manager- u 1 s 1 i Company: Mid Atlantic Associates Bolling Information: 409 Rogersview Ct. Raleigh, NC 27610 Mdress.-1125 E Morehead St Report To: TroyL. Holzschuh Email To: boglesby a@maaonline.com •• Prmervative (6) nredwwl, (C) anwrorrum Tom: (I) nitriradd, (2) sum (7) sodiwn blsr ftM (8) sorixrm etvosulfare, hydnmude, (D) IV, (u) Unpreserved, add, (o) (3) hydruchkiric (9) Other add, (4) smd"n ��dt5) � ate, hmne. V4 asmrtie add. (g) amru>:m �ilaie Copy To: Site Collection I nfo/Address: u omr" Ame Cheriolte Analyses Lab profiejliDc Customer Project flame/Number. 021H1547 State: County/City: Time Zone Collected: NCMlecklenburg [ ]PTt [MT[ 1cT (SET 0 17 Q (7 laid Samle Reteipt Cttecid ist- Custody Seals Present/Intact(NA custody Signatures Present Coll�tHotslesotntact Signature PresentNA Correct Bottles Sufficient valme Saerples Received on Ice VOA - Headspaae Acceptable Y m USDA Regulated Soils N Samples is Holding Time 43g V Residual diiorine present T 4t Cl strips: sa.ple pw Acceptable Y au PH Strips: Sulfide Present Y 3u� Lea4 ]acetate Strips: LAB USE CIEL : tab S.Uwle s ! cam ts- P(�e:98Qr5B,rr1271 Email: #v vwhuh@mawdin.00m Site/Facility ID #: Compliance Monitoring? [ ] Yes ( ] No Collected By (print): Tro L. Holzschuh Purchase Order#: Quote #: OW PWS 10 #: DW Location Code: Collected By (signature): Turnaround Date Required: standard himmeditately Packed on Ice: Dyes [ ] No Sample Disposal: [t11 Dispose as appropriate [ ) Return [ ) Ard0ve: [ ]Hold: Rush: [ I Same Day [ j Next Day t ) 2 Day [ ] 3 Pay [ j 4 Day ( ) 5 Day (Expedite Charges Apply) Field Filtered (if applicable): [ ( Yes ( ] No Analysis: • Matrix Codes (Insert in Matrix box below): Drinking Water (DW), Ground Water (GW), Wastewater (WW), Product (P), So#/Solid (SL), Oil (OL), Wipe (WP), Air (AR), Tissue (TS), Bioassay (B), Vapor (V), Other (OT) Customer Sample ID Matrix Comp/ Grab Collected (or Composite Start) Composite End Res C1 `of Ctns Date Time Date Time UST-1 (6) Soil IS 2-12-21 1300 Customer Remitrts / Special Conditions / Possible Hazards: Type of Ice Used: Blue Dry None SHORT HOLDS PRESENT (c72 hours): Y N N/A Lab Sample Temnp watune Ydo: Temp Blank � N (i1 � Cooler � Lipon ^ ,� aC Coder 1 Therm Corr_ Factor aC Cooler I Corrected Temp: oC Comments: Packing Ma rial L C �`{' Lab Tracking g:_ I ' �j �f/� �7 �!/or+ V Radchem sample(s) screened (��r Y N NA Samples received via: FEDEX UPS bier) courier Pace Courier Relinquished / y: igna re) ,r _� ' M Datefrime: 2-98-21 �3,� Received by/Company: (Signature) �` I�cL Date/rime: �1?-r.t �3r�Table --�Acctnum: IIATIL LAB USE OILY Inquist►ed /Company: gnature) Date/Time:'Received /Company: (Signature) Date,/Tlme: Template: .Prelogin- Trip BDa1tReceired r>Y N HCL MKIN TV QUM Relinquished by/Company: {Signature) Dateffime: Received/Company: (Signature] Datefrime: ipM PB: Non ,�� ): YEs /` nu Page: of: ` K4PAI Beverly, Trudy From: Beverly, Trudy Sent: Tuesday, June 21, 2022 1:24 PM To: Bowser, Daniel P; Cameron Moore Subject: RE: [External] Residential Heating Oil UST Closure Report & UST-61 Form Received. I'll try to get it reviewed by the end of the week. I'll update you if that should change. Have a great day, Trudy Trudy Beverly, L.G. Hydrogeologist, Division of Waste Management ic���D,IEQ North Carolina Department of Environmental Quality rL�n[O ��" UST Section, Mooresville Regional Office LMW704.235.2182 (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: hops://deq.nc.gov/about/divisions/waste-manaaement/ust Branch's Above Ground Storage Tanks Website Address: ht!ps:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-proeram INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES: httns://deo.nc. eov/about/divisions/waste-management/waste-management-rules-data/waste-management-eis-mans File Review Procedures: https://deq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche): hops: //deg.nc. gov/about/divisions/waste-management/laserfiche Document Submittal & UST File Names for Laserfiche Policies: httys:Hfiles.nc.eov/nedeci/Waste%2OMana2ement/DWM/UST/WhatsNew/Final-Electronic-Document-Submittal-Policy.odf htips:Hfiles.nc. gov/ncdeq/\Vaste%2OManagement/D WMiUST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx From: Bowser, Daniel P Sent: Tuesday, June 21, 2022 1:05 PM To: Cameron Moore <CMoore@maaonline.com> Cc: Beverly, Trudy <trudy.beverly@ncdenr.gov> Subject: RE: [External] Residential Heating Oil UST Closure Report & UST-61 Form Trudy Beverly handles non -regulated incidents in Meck I have copied her on this. Thank you, Daniel P. Bowser, PG Hydrogeologist North Carolina Department of Environmental Quality Underground Storage Tank Section - Corrective Action Branch (704) 235-2172 dan.bowser(bncdenr.gov 610 East Center Ave Suite 301 Mooresville, North Carolina 28115 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Cameron Moore <CMoore@maaonline.com> Sent: Tuesday, June 21, 2022 1:02 PM To: Bowser, Daniel P <dan.bowser@ncdenr.gov> Subject: [External] Residential Heating Oil UST Closure Report & UST-61 Form Importance: High CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Mr. Bowser, It has recently been discovered that the UST-61 form and UST Closure Report (attached) associated with a petroleum release in Mecklenburg County have not been reported. As refinancing of the property is currently ongoing, we would appreciate your review and feedback as soon as practicable. We appreciate your attention to this matter. Please contact me should you have any questions. Thank you, Cameron Moore 'r. MidAtlantic Cameron Moore, P.G. Project Geologist MID -ATLANTIC ASSOCIATES, INC. 1125 E. Morehead Street, Suite 104 1 Charlotte, NC 28204-2816 980-585-1271 1 980-585-1272 (Facsimile) 1 704-230-8059 (Mobile) www.MAAONLINE.com I Outstanding Service Since 1993 Confidentiality Notice: The information contained in this e-mail is intended only for the individual or entity to whom it is addressed.lts contents (including any attachments) may contain confidential and/or privileged information. If you are not an intended recipient you must not use, disclose, disseminate, copy or print its contents. If you receive this e-mail in error, please notify the sender by reply e-mail and delete and destroy the message.