WS-3254_9547_C_NFA_20230103_Jerrys Place

January 3, 2023
Mathew Kennedy 983 US 21
State Road, NC 28676 Re: Notice of No Further Action 15A NCAC 2L .0407(e) Risk-based Assessment and Corrective Action for Petroleum Underground Storage Tanks
Former Jerry’s Place 983 US 21
State Road, Surry County, NC UST Incident Number 9547 Risk Classification: Low

Dear Mr. Kennedy :
A review of information on file with the Underground Storage Tank (UST) Section, Division of Waste
Management, Central Office indicates that soil and groundwater contamination meet the cleanup
requirements for the above low-risk releases under Title 15A NCAC 2L .0202 and .0400, but contamination
exceeds the limits allowed for the unrestricted use of a site closed under risk-based cleanup standards.
The UST Section determines that no further action is warranted for this incident. All required actions have been completed. On 1/3/23, the UST Section received a certified copy of the Notice of Residual Petroleum,
which is filed with the Register of Deeds, Book 1840, Pages 801-802. This determination shall apply unless the UST Section later finds that the discharge or release poses an unacceptable risk or a potentially unacceptable risk to human health or the environment. Pursuant to Title 15A NCAC 2L .0407(a) you have a continuing obligation to notify the Department of any changes that might affect the risk or land use classifications that have been assigned.
Be advised that as groundwater contamination exceeds the groundwater quality standards established in Title 15A NCAC 2L .0202, groundwater within the area of contamination or within the area where groundwater contamination is expected to migrate is not suitable for use as a water supply. Interested parties may examine the file by contacting this regional office and may submit comments on the site to the regional office at the address or telephone number listed below.

Notice of No Further Action Page 2 of 2
January 3, 2023

This No Further Action determination applies only to the subject incident; for any other incidents at the subject site, the responsible party must continue to address contamination as required. If you have any questions regarding trust fund eligibility or reimbursement from the Commercial Leaking
Petroleum Underground Storage Tank Cleanup Funds, please contact the UST Section Trust Fund Branch
at [phone].
If you have any questions regarding this notice, please contact me at the address or telephone number listed
below.

Sincerely,

Wayne Randolph, CPM
Trust Fund Branch Head
UST Section, Division of Waste Management, NCDEQ
Copied under separate letter: James Brown, WSRO Surry County Health Director, Samantha Ange, 118 Hamby Road, Dobson, NC 27017 Surry County Manager, Chris Knopf, 114 W Atkins St, Dobson, NC 27017
Sammy Evans, PO Box 53, State Road, NC 28676
Melinda Lenard, 165 Lake Vista Trail, Rural Hall, NC 27045 Kevin Brown, 876 Klondike Rd, State Road, NC 28676 Mark Greene, 516 White Rock Rd, Thurmond, NC 28683
WS-3254_9547_C_NFA_20230103