RA-971_6422_CA_LTTRPT_20150209

2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
www.atcassociates.com
N.C. Engineering License No. C-1598

1

February 9, 2015

Ms. Linda Blalock
North Carolina Department of Environment and Natural Resources
Division of Waste Management – Underground Storage Tank Section
1637 Mail Service Center
Raleigh, North Carolina 27699

Re: Federal/State-Lead Letter Report
J.C. Woody Store
295 Ashley Avenue
Timberlake, Person County, North Carolina
NCDENR Incident # 6422
ATC Project No. Z045000076

Dear Ms. Blalock:

ATC Associates of North Carolina, P.C. (ATC) is pleased to submit the results of an updated receptor
survey and a groundwater and water supply well sampling event conducted on December 20, 2014, at
the J.C. Woody site located at 295 Ashley Avenue in Timberlake, North Carolina. A site topographic
map is included as Figure 1. Currently on-site is a single-story building formerly used as a convenience
store and retail gasoline facility. It is currently utilized as a small engine sales and repair shop. A site
map is included as Figure 2. The sampling event was performed based on a November 13, 2014,
Task Authorization (TA-1) by the Trust Fund Branch of the Underground Storage Tank (UST)
Section, Division of Waste Management, North Carolina Department of Environment and Natural
Resources (NCDENR). The work is being performed as part of the State Lead Contract #N14004i
between NCDENR and ATC.

As authorized in Task Authorization TA-1, ATC performed an updated water supply well survey in the
surrounding vicinity of the site by conducting a visual reconnaissance. The survey was performed by
driving and/or walking throughout the surrounding area and visually assessing the individual parcels of
land for evidence of water supply wells, well houses, and/or water meters. In addition, ATC interviewed
property owners when available. The water supply well survey was performed within a radius of 1,000
feet from the source area. Following visual reconnaissance, ATC mailed water supply well survey
letters to owners of properties that either showed evidence of a water supply well or were located within
500 feet of the site. ATC also contacted Ms. Pam Daye with the City of Roxboro Utilities Department
to confirm whether or not suspect properties were connected to a municipal water supply. Water supply
well information is included as Table 1 and potential receptors are presented in Figure 3. Based on
ATC’s findings and historical reports, it appears 32 water supply wells are located within 1,000 feet of
the site, eight of which are used for drinking purposes, eight which are used for irrigation, twelve which
are inactive, and four with an unknown use. Water supply well information forms are included as
Appendix A.

Federal/State-Lead Letter Report Febraury 9, 2015
J.C. Woody Store – Incident # 6422 ATC Project Number Z045000076
2

According to the site topographic map, the nearest surface water body is located approximately 325
feet south southwest of the site. According to the NCDENR Division of Water Resources, it appears
the surface water body is an unnamed pond and has no classification.

On December 20, 2014, ATC mobilized to the site to conduct monitoring well sampling and water
supply well sampling. ATC collected samples from monitoring well MW-1 and MW-2 and water
supply well samples from water supply wells WSW-1A and WSW-6. ATC had costs approved to
sample up to four water supply wells; however, ATC only gained access from owners at WSW-1A
and WSW-6. Field notes from the December 20, 2014, monitoring event are included in Appendix B.
Water supply well information is included in Table 1 and water supply well locations are shown on
Figure 3. Current site photographs are included in Appendix C.

The monitoring well and water supply well samples were collected in laboratory-supplied, preserved
containers; entered into chain of custody control; placed on ice; and shipped to North Carolina-
accredited Con-Test Analytical Laboratory in East Longmeadow, Massachusetts. The samples were
analyzed by EPA Method 6200B for volatile organic compounds. The analytical report is included in
Appendix D. The analytical results were compared to the North Carolina Title 15A, NCAC,
Subchapter 2L, Part .0202 (2L Standards) for groundwater and Gross Contamination Levels (GCLs).
Based on the results, no compounds were present above the laboratory detection limits in the
monitoring wells or the potable wells. Well construction details and groundwater elevation data for
monitoring wells MW-1 and MW-2 are included as Table 2. Monitoring well analytical data is
included as Table 3. Water supply well analytical results are included as Table 4.

As part of ATC’s quality assurance and quality control (QA and QC) measures, a data review of the
laboratory reports was conducted. During the review, it was found that the samples were received
from the laboratory in acceptable condition and properly preserved. The samples were analyzed
within correct holding times and reported within the lab report, and the chain of custody was properly
completed by all parties. The laboratory QC report shows that an internal blank was analyzed for each
method that was used for the original samples. The laboratory fortified blank (LFB) and laboratory
control sample (LCS) data results were also provided for each analytical method. Refer to the
laboratory reports in Appendix C for details regarding QA results for the laboratory samples and any
noted exceptions. Overall, ATC concludes that the laboratory results are usable.

Based on historical groundwater monitoring data, C5-C8 aliphatics and C9-C22 aromatics were
detected above 2L Standards during the November 2004 sampling event. Therefore, ATC
recommends sampling the two monitoring wells for volatile petroleum hydrocarbons (VPH) by the
Massachusetts Department of Environment Protection (MADEP) method. Soil analytical results
reported in the January 10, 2005, Phase I Limited Site Assessment, did not indicate petroleum
compounds above laboratory detection limits. Therefore, if MADEP VPH values are detected below
2L Standard in MW-1 and MW-2, then site closure activities can commence.

TABLES

TABLE 1
WATER SUPPLY WELL INFORMATION

J.C. WOODY STORE
295 ASHLEY AVENUE
TIMBERLAKE, PERSON COUNTY, NORTH CAROLINA
INCIDENT #6422
ATC PROJECT #Z045000076
Water Supply
Well Property Owner(s) Property Address
Distance from Source (feet)
and Direction
Connected to Municipal
Water Usage
Shirley Clayton 335 Ashley Avenue
(Parcel 5434) Timberlake, NC 27583
Shirley Clayton 335 Ashley Avenue
(Parcel 5433) Timberlake, NC 27583
Floyd and Jane Woody 244 Ashley Avenue
(Parcel 6481) Timberlake, NC 27583
Gregory K. Slade 209 Ashley Avenue
(Parcel 5248) Timberlake, NC 27583
Willie and Katherine Reaves 206 Ashley Avenue
(Parcel 6212) Timberlake, NC 27583
David and Elease Chambers 89 Dobber Road
(Parcel 5335) Timberlake, NC 27583
Robert Britton 88 Misty Rose Lane
(Parcel 21349) Timberlake, NC 27583
Deborah Cash and Others, Trustee Off Helena-Moriah Road
(Parcel 5124) Timberlake, NC 27583
Emma Gene Gray 165 Ashley Avenue
(Parcel 5513) Timberlake, NC 27583
Donald and Kathleen Klovski 79 Taylor Street
(Parcel 5272) Timberlake, NC 27583
Willie and Katherine Reaves Birchwood Lane (mobile home)
(Parcel 20120) Timberlake, NC 27583
David and Elease Chambers 396 Helena-Moriah Road
(Parcel 5919) Timberlake, NC 27583
David and Elease Chambers Ashley Ave
(Parcel 5351) Timberlake, NC 27583
David and Elease Chambers Off Ashley Ave
(Parcel 19624) Timberlake, NC 27583
Elbert Painter 149 Ashley Avenue
(Parcel 6139) Timberlake, NC 27583
Bernard and Mary Gentry 104 Helena-Moriah Road
(Parcel 5640) Timberlake, NC 27583
Doughton and Virginia Hodges Helena-Moriah Road
(Parcel 5911) Roxboro, NC 27574
Elbert Painter 149 Ashley Avenue
(Parcel 6138) Timberlake, NC 27583
Linda Allen Knott P.O. Box 33 (Helena-Moriah Rd)
(Parcel 5037) Timberlake, NC 27583
HT Brooks Family Ltd & Others Ashley Ave/Helena-Moriah Rd (SW)
(Parcel 5221) Timberlake, NC 27583
Helena United Methodist Church 290 Helena-Moriah Road
(Parcel 16559) Timberlake, NC 27583
WS Rogers AI Properties LLC Ashley Ave
(Parcel 6236) Timberlake, NC 27583
Robert and Velma Woody 244 Ashley Avenue
(Parcel 6488) Timberlake, NC 27583
Timberlake Volunteer Fire Department 350 Ashley Avenue
(Parcel 5229) Timberlake, NC 27583
Michael and Mary Smith 74 Misty Rose Lane
(Parcel 21348) Timberlake, NC 27583
Ray Hicks &Ann Marie Pulliam 180 Helena-Moriah Road
(Parcel 5760) Timberlake, NC 27583
Ray Hicks &Ann Marie Pulliam 180 Helena-Moriah Road
(Parcel 5760) Timberlake, NC 27583
Bobby and Maxine Brooks Off Helena-Moriah Road
(Parcel 5220) Timberlake, NC 27583
Bobby and Maxine Brooks Off Helena-Moriah Road
(Parcel 5220) Timberlake, NC 27583
Angela Walker 101 Ashley Avenue
(Parcel 6362) Timberlake, NC 27583
2. AW= Abandoned Well
3. Wells that are listed as "Unknown" for municipal connection do not have street addresses identified in the GIS; thererfore, the water department could not determine
Irrigation/Car-washing
Irrigation/Car-washing
Irrigation/Car-washing
Not in Use (House is Vacant)
Not in Use (House is Vacant)
Drinking
Yes - according to prior
report
Yes
Yes - according to prior
report
Unknown
Unknown
Yes
Notes:
1. Only water supply wells within 1,000 feet are included on this table
WSW-1
WSW-2
WSW-3
WSW-4
WSW-5
WSW-1A
WSW-28
WSW-16
WSW-17
WSW-18
WSW-19
WSW-20
WSW-11
WSW-12
WSW-13
WSW-14
WSW-15
WSW-24
WSW-25
WSW-26
WSW-27
Yes
WSW-21
WSW-22
WSW-23
200 feet East
300 feet Southeast
700 ft Northeast
750 ft Northwest
325 feet Northeast
Yes
WSW-29
850 ft Northeast
850 ft Northeast
1,000 ft South
connections with certainty.
No
No
No
Unknown
750 ft Northwest
Yes
Yes
Yes
WSW-6
WSW-7
WSW-8
WSW-9
WSW-10
700 feet North
750 feet Northwest
775 feet South
675 feet Northwest
700 feet Southeast
Not in use
Not in Use
Drinking
Drinking
Unknown
Drinking
Drinking
Not in Use (Property Vacant)
675 feet South Yes Irrigation/Car-washing
600 feet East
750 feet Northwest
No
No
125 feet Northeast
300 feet West
275 feet Northeast
450 feet South
500 feet Southeast
500 feet North
No
Yes
No
1,100 feet West
850 feet Northwest
1000 feet Northwest
Yes
No
No
No
Unknown
Unknown
Unknown
No
No
Irrigation/Car-washing
Drinking
Not in Use (House is Vacant)
Drinking
Unknown
Not in Use
Drinking
Unknown
Unknown
Not in Use
Irrigation/Car-washing
Property Vacant, Well Not
Observed 12/20/2014
Irrigation/Car-washing
Irrigation/Car-washing
WSW Survey indicated they do
not have well
850 feet North
875 feet South
875 feet North
950 feet North
Page 1 of 2
TABLE 1
WATER SUPPLY WELL INFORMATION

J.C. WOODY STORE
295 ASHLEY AVENUE
TIMBERLAKE, PERSON COUNTY, NORTH CAROLINA
INCIDENT #6422
ATC PROJECT #Z045000076
Water Supply
Well Property Owner(s) Property Address
Distance from Source (feet)
and Direction
Connected to Municipal
Water Usage
Person County Board of Ed Ashley Ave/Taylor Ave (SW)
(Parcel 16680) Timberlake, NC 27583
WS Rogers AI Properties LLC Ashley Ave
(Parcel 6275) Timberlake, NC 27583
Dean West 120 Misty Rose Lane
(Parcel 17555) Timberlake, NC 27583
David and Elease Chambers Ashley Ave/Taylor Ave (NW)
(Parcel 6355) Timberlake, NC 27583
Joe C. Woody Ashley Ave
(Parcel 6485) Timberlake, NC 27583
Joe C. Woody 241 Ashley Ave
(Parcel 6483) Timberlake, NC 27583
2. AW= Abandoned Well
3. Wells that are listed as "Unknown" for municipal connection do not have street addresses identified in the GIS; thererfore, the water department could not determine
Abandoned
DrinkingYes
Unknown
Abandoned
AW-2 175 feet South No Abandoned
WSW-31
AW-1 500 feet North No
Not in Use - Home is Vacant
WSW-30 375 feet North
Notes:
1. Only water supply wells within 1,000 feet are included on this table
225 feet East
AW-3 300 feet South No
connections with certainty.
WSW-32 665 feet East Yes Inactive
Page 2 of 2
TABLE 2
WELL CONSTRUCTION AND GROUNDWATER ELEVATION DATA
J.C. WOODY STORE
295 ASHLEY AVENUE
TIMBERLAKE, PERSON COUNTY, NORTH CAROLINA
INCIDENT #6422
ATC PROJECT #Z045000076
Well ID Date Installed
Well Casing
depth (ft.)
Screened
Interval
(ft.)
Depth of
Well (ft.)
TOC Elev.
(ft.)
Date
Measured
Depth to
Product
Depth to
Water
Product
Thickness
Groundwater
Elevation
11/22/2004 ND 1.85 ND NS
12/20/2014 ND 3.70 ND NS
11/22/2004 ND 5.06 ND NS
12/20/2014 ND ~ 0.6 ND NS
Notes:
2. NS = Not Surveyed
MW-1
3. TOC = Top of casing
4. NA = Not Applicable
NS
MW-2 11/10/2004 5 5-20 20 NS
11/10/2004 5 5-20 20
1. NM = Not Measured
Page 1 of 1
TABLE 3
GROUNDWATER ANALYTICAL DATA

J.C. WOODY STORE
295 ASHLEY AVENUE
TIMBERLAKE, PERSON COUNTY, NORTH CAROLINA
INCIDENT #6422
ATC PROJECT #Z045000076
BenzeneTolueneEthylbenzeneTotal XylenesNaphthaleneMTBEIsopropyl Ether1,2,4-Trimethylbenzene1,3,5-TrimethylbenzeneLeadC5-C8 AliphaticsC9-18 AliphaticsC9-C22 Aromatics11/22/2004 88 56 <20 254 <20 <20 <20 56 30 <5 1,600 97 430
12/20/2014 <0.079 <0.090 <0.092 <0.18 <0.12 <0.090 <0.18 <0.18 <0.1 NA NA NA NA
11/22/2004 <0.50 <0.50 <0.50 <1.5 <0.50 <0.50 <0.50 <0.50 <0.50 <5 <150 <100 <50
12/20/2014 <0.079 <0.090 <0.092 <0.18 <0.12 <0.090 <0.18 <0.18 <0.1 NA NA NA NA
1 600 600 500 6 20 70 400 400 15 420 4200 210
5,000 260,000 84,500 85,500 6,000 20,000 70,000 28,500 25,000 15,000 NE NE NE
Notes:
1. "<" = Not detected at or above the laboratory detection limit or reporting limit
2. Concentrations are reported in micrograms per liter (ug/l) = parts per billion (ppb)
4. GCL = Gross Contamination Level
5. MTBE = Methyl Tertiary Butyl Ether
6. J = Estimated value below method reporting limit
7. C9-C18 Aliphatics values are equal to C9-C12 aliphatics reported in the laboratory report
8. C9-C22 Aromatics are equal to C9-C10 aromatics reported in the laboratory analytical report
MADEP VPHMethod 6200B
2L GW Standard
GCL
3. Concentrations highlighted and in bold print equal or exceed the January 1, 2010, NCDENR 15A 2L NCAC Groundwater Standard (2L Standard).
Monitoring
Well Date
MW-1
MW-2
TABLE 4
WATER SUPPLY WELL ANALYTICAL DATA

J.C. WOODY STORE
295 ASHLEY AVENUE
TIMBERLAKE, PERSON COUNTY, NORTH CAROLINA
INCIDENT #6422
ATC PROJECT #Z045000076
BenzeneTolueneEthylbenzeneTotal XylenesNaphthaleneMTBEIsopropyl EtherLead11/22/2004 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <5.0
3/23/2006 <0.5 <0.5 <0.5 <1.5 <0.5 <0.5 <0.5 NA
12/20/2014 <0.079 <0.090 <0.092 <0.18 <0.12 <0.090 <0.18 NA
WSW-2 11/22/2004 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <5.0
11/22/2004 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <5.0
3/23/2006 <0.5 <0.5 <0.5 <1.5 <0.5 <0.5 <0.5 NA
11/22/2004 <0.5 <0.5 <0.5 <0.5 <0.5 13 0.7 <5.0
3/23/2006 <0.5 <0.5 <0.5 <1.5 <0.5 18 <0.5 NA
WSW-6 12/20/2014 <0.079 <0.090 <0.092 <0.18 <0.12 <0.090 <0.18 NA
11/22/2004 <0.5 <0.5 <0.5 <0.5 <0.5 29 1.5 8.9
3/23/2006 <0.5 <0.5 <0.5 <1.5 <0.5 49 2.7 NA
1 600 600 500 6 20 70 15
5,000 260,000 84,500 85,500 6,000 20,000 70,000 15,000
Notes:
1. "<" = Not detected at or above the laboratory detection limit or reporting limit
2. Concentrations are reported in micrograms per liter (ug/l) = parts per billion (ppb)
4. GCL = Gross Contamination Level
5. MTBE = Methyl Tertiary Butyl Ether
6. J = Estimated value below method reporting limit
Water Supply
Well Date
Method 6200B
WSW-1/WSW-
1A
WSW-3
3. Concentrations highlighted and in bold print equal or exceed the January 1, 2010, NCDENR 15A 2L NCAC
Groundwater Standard (2L Standard).
WSW-4
WSW-22
2L GW Standard
GCL

FIGURES

2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
FIGURE 1
SITE TOPOGRAPHIC MAP
PROJECT NO: Z045000076
REVIEWED BY: JC SCALE: 1:69 DATE: 1/15/15
J.C. WOODY – INCIDENT #6392
295 ASHLEY AVENUE
TIMBERLAKE, NORTH CAROLINA
Source: Person County, NC GIS, 2013 Timberlake Quadrangle
N
Site
2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
FIGURE 2
SITE MAP
PROJECT NO: Z045000076
REVIEWED BY: JC SCALE: 1:70 DATE: 1/15/15
J.C. WOODY – INCIDENT #6422
295 ASHLEY AVENUE
TIMBERLAKE, NORTH CAROLINA
Source: Person County, NC GIS
N
Site
MW-1
MW-2
Monitoring Well
2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
FIGURE 3
POTENTIAL RECEPTOR SURVEY MAP
PROJECT NO: Z045000076
REVIEWED BY: JC SCALE: 1” = 275’DATE: 1/15/15
J.C. WOODY – INCIDENT #422
295 ASHLEY AVENUE
TIMBERLAKE, NORTH CAROLINA
Source: Person County NC GIS
500 Foot Radius
1,000 Foot Radius
Well IdentificationWSW-3
N
WSW-1
WSW-10
WSW-6
LEGEND:
ACTIVE WATER SUPPLY WELL
INACTIVE WATER SUPPLY WELL
IRRIGATION/VEHICLE WASHING WELL
UNKNOWN USAGE
ABANDONED WATER SUPPLY WELL
WSW-24
WSW-
16WSW-20
WSW-9
WSW-25
WSW-26
WSW-7
WSW-8
WSW-14
WSW-17
WSW-29
WSW-4
WSW-31
WSW-21
WSW-22
WSW-3
AW-2
AW-3
Site
WSW-1A
WSW-30
AW-1
WSW-5
WSW-12
WSW-11
WSW-19WSW-18
WSW-27
WSW-28
WSW-2
WSW-13
WSW-32
Note: Only water supply wells located within 1,000 feet of the site
are shown on the figure.

APPENDIX A

WATER SUPPLY WELL INFORMATION FORMS

APPENDIX B

FIELD NOTES

APPENDIX C

CURRENT SITE PHOTOGRAPHS

Photo 2:
Ph
Current S
J.C.
Inc
295 A
Timberlak
Photo 1: Mo
Water Supply
hoto 3: View
Site Photog

Woody Store
cident #6422
Ashley Avenue
ke, North Car
onitoring well
y Well WSW
w of the site fa

raphs
e
e
rolina
l MW-1. 
W-1A behind h
acing west.

house. 

APPENDIX D

LABORATORY ANALYTICAL REPORTS
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Sample Summary 3
Case Narrative 4
Sample Results 5
14L0998-01 5
14L0998-02 7
14L0998-03 9
Sample Preparation Information 11
QC Data 12
Volatile Organic Compounds by GC/MS 12
B112746 12
Flag/Qualifier Summary 16
Certifications 17
Chain of Custody/Sample Receipt 19
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Sample Summary 3
Case Narrative 4
Sample Results 5
14L1151-01 5
Sample Preparation Information 7
QC Data 8
Volatile Organic Compounds by GC/MS 8
B112812 8
Flag/Qualifier Summary 12
Certifications 13
Chain of Custody/Sample Receipt 15
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