WS-28371_47623_C_NFA_20210525

May 25, 2021

Quality Oil Company, LLC
Mr. Jon Shutt
P.O. Box 2736
Winston-Salem, NC 27127

Re: Conditional Notice of No Further Action 15A
NCAC 2L .0407(d)
Risk-based Assessment and Corrective Action
for Petroleum Underground Storage Tanks

Quality Mart #42
1465 River Ridge Road, Clemmons
Forsyth County
Incident Number: 47623
Risk Classification: Low
Ranking: L90A

Dear Mr. Shutt:

The Limited Site Assessment received by the UST Section, Division of Waste Management, Winston-
Salem Regional Office on March 31, 2021 and the Notice of Residual Petroleum received on May 11, 2021
have been reviewed. The review indicates that soil contamination exceeds the residential maximum soil
contaminant concentrations (MSCCs) established in Title 15A NCAC 2L .0411 and groundwater
contamination meets the cleanup requirements for a low-risk site but exceeds the groundwater quality
standards established in Title 15A NCAC 2L .0202.

The UST Section determines the subject incident to be eligible conditionally for no further action status.
However, final approval of no further action status is contingent on the filing of the approved NRP
(attached) with the Register of Deeds in the county in which the release is located, verified by the receipt
of a certified copy of the filed NRP by this office; and on receipt of confirmation that public notice
requirements have been completed, as described in the following paragraphs.

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. Be advised that
as soil contamination exceeds the residential MSCCs, the property containing the contamination is suitable
only for industrial/ commercial use or restricted residential use (The term "residential is inclusive of, but
not limited to, private houses, apartment complexes, schools, nursing homes, parks, recreation areas and
day care centers), as stipulated in the Notice of Residual Petroleum (attached).

As groundwater contamination exceeds the groundwater quality standards established in Title 15A NCAC
2L .0202 and soil contamination exceeds the residential MSCCs, pursuant to NCGS 143B-279.9 and 143B-
279.11, you must file the approved Notice of Residual Petroleum (attached) with the Register of Deeds in
the county in which the release is located and submit a certified copy to the UST Section within 30 days of
receipt of this letter.

As groundwater contamination exceeds the groundwater quality standards established in Title 15A NCAC
2L .0202 and soil contamination exceeds the lower of the soil-to-groundwater or residential MSCCs, public
notice in accordance with 15A NCAC 2L .0409(b) also is required. Thus, within 30 days of receipt of this
letter, a copy of the letter must be provided by certified mail, or by posting in a prominent place, if certified
mail is impractical, to the local health director, the chief administrative officer of each political jurisdiction
in which the contamination occurs, all property owners and occupants within or contiguous to the area
containing contamination, and all property owners and occupants within or contiguous to the area where
the contamination is expected to migrate. Within 60 days of receiving this letter, this office must be
provided with proof of receipt of the copy of the letter or of refusal by the addressee to accept delivery of
the copy of the letter or with a description of the manner in which the letter was posted. Interested parties
may examine the Soil Cleanup Report/ Site Closure Request by contacting this regional office and may
submit comments on the site to the regional office at the address or telephone number listed below.

This conditional No Further Action determination will not become valid until the UST Section
receives a certified copy of the Notice of Residual Petroleum which is filed with the Register of Deeds
and until public notice requirements are completed.

If you have any questions regarding this notice, please contact me at the address or telephone number listed
below.
Sincerely,
Karen J. Hall
Environmental Sr. Specialist
Winston-Salem Regional Office
UST Section, Division of Waste Management, NCDEQ
Attachments: Notice of Residual Petroleum
cc: Forsyth County Health Department

Winston-Salem Regional Office | 450 West Hanes Mill Road | Suite 300 | Winston-Salem, NC 27105 | [phone]