WA-27676_38805_CA_RPTS_20200323_20-DAY

3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]

March 23, 2020

Mr. Jared Edwards
North Carolina Department of
Environmental Quality
Washington Regional Office
943 Washington Square Mall
Washington, North Carolina 27889

Re: 20-Day Report
March 2020
Village Marina, LLC
57980 NC Highway 12
Hatteras, Dare County
North Carolina
Facility ID Numbers: 0-00-0000036672
Incident Numbers: Pending
GRI Project No. 5246

Dear Mr. Edwards,

Please find enclosed the referenced report, for the above mentioned site.
If you have any questions, please contact William Regenthal at 704-845-4010.

Sincerely,
Geological Resources, Inc.

Leslie Maxtone-Graham
Administrative Assistant

Enclosure

Cc: Mr. Tim Banks; Mid Atlantic Petroleum Services, Inc. file

3502 Hayes Road • Monroe, North Carolina 28110
113 West Firetower Road, Suite G • Winterville, North Carolina 28590
Phone [phone] • [phone] • Fax [phone]
20-Day Report
March 2020
Village Marina, LLC
57980 NC Highway 12
Hatteras, Dare County
North Carolina
Facility ID Number: 0-00-0000036672
Incident Number: Pending
GRI Project Number: 5246

Prepared for:

Mr. Tim Banks
Mid Atlantic Petroleum Services, Inc.
814 Professional Place West
Chesapeake, VA 23320

March 23, 2020

William Regenthal, P.G.
Project Manager
Lisa Weathersby
Report Writer

_____________________________________________________________________________________
Prepared by: Geological Resources, Inc. 20-Day Report
Prepared on: March 23, 2020 Village Marina, LLC
Project Manager: William Regenthal GRI Project No. 5246
ii

EXECUTIVE SUMMARY
Village Marina, LLC is a marina, motel and gift shop. The site is located at 57980 NC Highway 12 in
Hatteras, Dare County, North Carolina. The adjoining properties are commercial and residential.
Municipal water is available to the site. A UST system consisting of one 12,000-gallon gasoline UST was
removed from the site on March 10, 2020.

During UST closure activities, no contaminated soil was observed. Ground water was encountered in the
UST basin at approximately 3.25 feet below grade. UST closure soil samples were collected from the
overburden and sidewalls of the UST basin. The collected soil samples were submitted for on-site analyses
of gasoline-range and diesel-range total petroleum hydrocarbons using a mobile UVF laboratory. Based
on the field observations and UVF results, no over-excavation activities were conducted following the UST
removal. Overburden soil was returned to the UST basin as backfill following excavation activities.

Additional information will be included in the Initial Abatement Action Report.

_____________________________________________________________________________________
Prepared by: Geological Resources, Inc. 20-Day Report
Prepared on: March 23, 2020 Village Marina, LLC
Project Manager: William Regenthal GRI Project No. 5246
TABLE OF CONTENTS

SITE INFORMATION ............................................................................................................................ i
EXECUTIVE SUMMARY ....................................................................................................................... ii
A. SITE HISTORY AND CHARACTERIZATION ...................................................................................1
B. INITIAL RESPONSE AND ABATEMENT ACTIVITIES ......................................................................2
C. SOURCE INVESTIGATION ..........................................................................................................2
D. SUMMARY AND CONCLUSIONS ................................................................................................3
E. LIMITATIONS ...........................................................................................................................3
FIGURES
Figure 1: Site Location Map
Figure 2: Site Map
Figure 3: Soil Sample Location Map

TABLES
Table 1: UST Owner/Operator Information
Table 2: UST System Information

APPENDICES
Appendix A: 24-Hour Release and UST Leak Reporting Form (UST-61)
Appendix B: Notice of Intent form (UST-3)
Appendix C: Site Investigation Report for Permanent Closure or Change-in-Service of UST (UST-2A)
Appendix D: Health and Safety Plan

____________________________________________________________________________________________
Prepared by: Geological Resources, Inc. 20-Day Report
Prepared on: March 23, 2020 Village Marina, LLC
Project Manager: William Regenthal GRI Project No. 5246
1
A. SITE HISTORY AND CHARACTERIZATION
1. UST Owner and Operator Information:
In accordance with the 20-Day Report guidelines, the underground storage tank (UST) owner and operator
information has been summarized in Table 1.
2. UST System Information:
In accordance with the 20-Day Report guidelines, the UST system information has been summarized in
Table 2. A copy of the Registered Tank Report is shown below:

3. Comprehensive Description of the Release:
Geological Resources, Inc. (GRI) initiated UST closure activities at the site on March 10, 2020. The UST
system consisted of one 12,000-gallon gasoline UST. During UST closure activities, no contaminated soil
was observed within the UST basin.
4. Description of the Site Characteristics:
The Village Marina, LLC site is a marina, motel and gift shop located at 57980 NC Highway 12 in Hatteras,
Dare County, North Carolina (Figure 1). The site is bordered to the south and by NC Highway 12 and to
the west by Gulf Stream Way. A site map has been included as Figure 2.
5. Summary of Initial Abatement Actions, Assessment Activities, and Corrective Actions:
Prior to closure, the appropriate officials were notified by GRI (i.e. Fire Marshal and NCDEQ). A copy of
the UST-3 Notice of Intent form is included as Appendix B. One 12,000-gallon gasoline UST was removed
from the site on March 10, 2020. Ground water was encountered in the UST basin at approximately 3.25
feet below grade. No over-excavation was conducted in the former UST basin.

A copy of the Site Investigation Report for Permanent Closure or Change-in-Service of UST (UST-2A) Form
has been included as Appendix C. A copy of the site specific health and safety plan used during UST
closure activities site is included as Appendix D.

____________________________________________________________________________________________
Prepared by: Geological Resources, Inc. 20-Day Report
Prepared on: March 23, 2020 Village Marina, LLC
Project Manager: William Regenthal GRI Project No. 5246
2
B. INITIAL RESPONSE AND ABATEMENT ACTIVITIES
1. Removal of Regulated Substances from UST:
Prior to the initiation of the UST closure activities the USTs were emptied. A copy of the liquid disposal
manifest will be included in the Initial Abatement Action Report (IAAR).
2. Source Control Actions:
One 12,000-gallon gasoline UST was removed from the site on March 10, 2020.
3. Contaminant Migration Control Measures:
The release was to the subsurface. No petroleum affected soil was removed from the site.
4. Measures Taken to Mitigate Fire/Safety Hazards:
The Dare County Fire Department approved Mid Atlantic Petroleum Services Inc.’s tank inertion methods
and removal procedures. Prior to closure, the atmosphere of the UST was checked with an LEL/02 meter;
once the UST atmosphere reached less than 10% LEL, the tank was removed. There did not appear to be
any immediate fire or safety hazards present as a result of the release. Photos of the UST closure activities
are shown below:

5. Measures Taken to Identify and Mitigate Pollution Hazards:
The release was to the subsurface. No petroleum affected soil was removed from the site.
6. Contaminated Soil Storage/Treatment and/or Disposal:
No contaminated soil was removed from the site.

C. SOURCE INVESTIGATION
Mid Atlantic Petroleum Services, Inc. contracted GRI to conduct closure activities of one 12,000-gallon
gasoline UST. The removal activities were conducted at the site on March 10, 2020. The UST was located
in the one UST basin and covered with concrete and soil. The 12,000-gallon UST measured 8 feet in
diameter by 31 feet 11 inches in length. The UST was visually inspected and appeared to be in good
condition. The UST was constructed of steel. The UST was transported off site for proper disposal. A UST
disposal manifest will be included in the IAAR.

____________________________________________________________________________________________
Prepared by: Geological Resources, Inc. 20-Day Report
Prepared on: March 23, 2020 Village Marina, LLC
Project Manager: William Regenthal GRI Project No. 5246
3
During excavation activities, GRI personnel collected soil samples for on-site analyses by Rapid
Environmental Diagnostics (REDLab) for total petroleum hydrocarbons gasoline range organics (TPH-GRO)
and diesel range organics (TPH-DRO) using North Carolina accepted QED Environmental Systems
ultraviolet fluorescence (UVF) technology. The on-site analyses were used to screen excavated soil to
determine the extent of over-excavation activities.

Soil samples (UST-1-3’ through UST-8-3’) were collected from the UST basin and stockpile samples (ST-1
through ST-7) were submitted for on-site analyses by REDLab for TPH-GRO and TPH-DRO. Based on the
UVF results, petroleum contamination was not observed and the overburden soil was returned to the
excavation as backfill upon the removal of the UST and soil excavation activities.

Based on the field observations and UVF results, no over-excavation activities were conducted in the UST
basin.

All soil samples were collected using either a hand auger or directly from the bucket of the excavator. Soil
sample locations are shown on Figure 3.

2. Ground Water Sampling Performed to-date:
Ground water was encountered in the UST basin at approximately 3.25 feet below grade.

D. SUMMARY AND CONCLUSIONS
 The Village Marina, LLC site is located in Hatteras, Dare County, North Carolina. The site is a marina,
motel and gift shop.
 One 12,000-gallon gasoline UST was removed from the site on March 10, 2020.
 Ground water was encountered in the UST basin at approximately 3.25 feet below grade.
 UST closure soil samples were collected from the overburden and along the UST basin sidewalls and
were submitted for on-site analyses of TPH-GRO and TPH-DRO.
 Based on field observations and UVF results, no over-excavation activities were conducted.
 Additional information will be provided in the IAAR.
E. LIMITATIONS
This report has been prepared for the exclusive use of Mid Atlantic Petroleum Services, Inc. for specific
application to the referenced site in Dare County, North Carolina. The assessment was conducted based
on the scope of work and level of effort desired by NCDEQ and with resources adequate only for that
scope of work. Our findings have been developed in accordance with generally accepted standards of
environmental practices in the State of North Carolina, available information, and our professional
judgment. No other warranty is expressed or implied.

The data that are presented in this report are indicative of conditions that existed at the precise locations
sampled and at the time the samples were collected. In addition, the data obtained from samples would

____________________________________________________________________________________________
Prepared by: Geological Resources, Inc. 20-Day Report
Prepared on: March 23, 2020 Village Marina, LLC
Project Manager: William Regenthal GRI Project No. 5246
4
be interpreted as being meaningful with respect to parameters indicated in the laboratory report. No
additional information can logically be inferred from these data.

FIGURES
SITE LOCATION
Figure 1
Site Location
Village Marina LLC
57980 Highway 12 Hatteras, Dare
County, NC
Incident No. Pending
GRI Project No. 5246
500 M
2000 FT
Date: 03/22/2020 Location: 35.218627° N 75.695448° W
D
a
d

TABLES
UST ID Number 1 Facility ID Number
Owner or Operator?
Owner/Operator
[phone]
Name of Owner or Operator Dates of Ownership / Operation
TABLE 1
UST OWNER/OPERATOR INFORMATION
HATTERAS HARBOR MARINA (INCIDENT NO. PENDING)
00-0-000036891
Village Marina LLC 04/07/2004 - current
Address Telephone Number
Post Office Box 503, Hatteras, NC 27943
Page 1 of 1
Date: 03/18/2020
Was Release
Associated
with UST
System?
(Yes / No)
1 Gasoline 12,000 04/07/2004 Single Wall Steel 8' x 31' 11"Double Wall Flex Removed
(03/10/2020)Yes
Tank
Dimensions
Description of
Associated
Product Piping
and
Pumps
Status
of
UST
TABLE 2
UST SYSTEM INFORMATION
VILLAGE MARINA (INCIDENT NO. PENDING)
Facility ID #: 00-0-0000036672
UST
ID
No.
Current
or Most
Recent
Contents
Capacity
(gallons)
Date
Installed
Construction
Details
Page 1 of 1

APPENDICES

APPENDIX A
24-Hour Release and UST Leak Reporting Form (UST-61)

UST-61 24-Hour Release and UST Leak Reporting Form.
For Releases
in NC
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
suspected release
(DWM USE ONLY) Incident # ________ Risk (H,I,L,U)_______ Received On ________ Received By ________
Reported by (circle one): Phone, Fax or Report Region _______
Suspected Contamination? (Y/N) ________ Confirmed GW Contamination? (Y/N) ______ Confirmed Soil Contamination ?(Y/N) ______
Samples Taken?(Y/N) ______ Free Product? (Y/N) _____ If Yes, State Greatest Thickness ______________
Facility ID Number ______________ Date Leak Discovered ___________ Comm/Non-Commercial? ________
Reg/Non-regulated? _____________
INCIDENT DESCRIPTION
Incident Name:
Address: County:
City/Town: Zip Code: Regional Office (circle one): Asheville, Mooresville, Fayetteville, Raleigh, Washington, Wilmington, Winston-Salem
Latitude (decimal degrees): Longitude (decimal degrees) : Obtained by:
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)  GPS
 Topographic map
 GIS Address matching
 Other
 Unknown
Describe location:

HOW RELEASE WAS DISCOVERED (Release Code)
(Check one)
 Release Detection Equipment or Methods
 During UST Closure/Removal
 Property Transfer
 Visual/Odor
 Water in Tank
 Water Supply Well Contamination
 Groundwater Contamination
 Surface Water Contamination
 Other (specify) _______________

SOURCE OF CONTAMINATION
Source of Release (Check primary source) Cause of Release (Check primary cause) Type of Release (Check one) Product Type Released (Check primary product type released)

 Tank
 Piping
 Dispenser
 Submersible Turbine Pump
 Delivery Problem
 Spill Bucket
 Other
 Unknown
Definitions presented on reverse

 Spill
 Overfill
 Corrosion
 Physical/Mechanical
Damage
 Install Problem
 Other
 Unknown
Definitions presented on reverse

 Petroleum
 Non-Petroleum
 Both
Location
(Check one)
 Facility
 Residence
 Other

 Gasoline/ Diesel/
Kerosene
 Heating Oil
 Other Petroleum
Products
 Metals
 Other Inorganics
 Other Organics

 Diesel/Veg. Oil
Blend
 Vegetable Oil 100%
 E10 – E20
 E21 – E84
 E85 – E99
 Ethanol 100%
 E01 – E09
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
Point of Contact Address
City State Zip Code Telephone Number
UST SYSTEM OPERATOR
UST Operator/Company Address
City State Zip Code Telephone Number
LANDOWNER AT LOCATION OF UST INCIDENT
Landowner Address
City State Zip Code Telephone Number
Draw Sketch of Area (showing two major road intersections) or Attach Map
Person Reporting Incident Company Telephone Number
Title Address Date
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

APPENDIX B
Notice of Intent form (UST-3)

APPENDIX C
Site Investigation Report for Permanent Closure or Change-in-Service of UST (UST-2A)

APPENDIX D
Health and Safety Plan

1
GEOLOGICAL RESOURCES, INC.
Site Specific Health and Safety Plan

1.0 General Information:
a. Project name: Village Marina
b. Location: 57980 NC Highway 12, Hatteras, NC Dare County
c. GRI Job #: 5246

2.0 Project Organization:
a. Site Supervisor/H&S Officer: Terry Kennedy, PG
b. Project Manager: William Regenthal
c. Subcontractor(s):

3.0 Safety Plan Preparation:
a. Prepared by & date: William Regenthal 03/06/20
b. Reviewed/approved by & date: Justin Radford 03/06/20

4.0 Site History and Description:
a. Type of site (i.e., spill, leaking UST system, etc.): Petroleum retail facility
b. Site/project description: UST Closure

5.0 Potential Hazards:
Physical Hazards: (check)
X Slips X Overhead X Explosion Sun burn X Electricity
X Trips utilities X Noise Cold Weather Pressurized line/vessels
X Falls X Underground X Pinch points Hot Weather
X Fire utilities X Burns Crush

Chemical Hazards: (check)
x Gasoline Used Oil
Diesel Solvents
Kerosene Antifreeze
New Oil Acid (sample preservative)

Equipment/Vehicular/Other: (i.e., Geoprobe, drill rig, back hoe, track hoe, traffic, skid steer etc.)

Track hoe, Bobcat, air compressor

Biological Hazards: (i.e., toxic insects, spiders, poisonous plants, poisonous snakes, aggressive dogs)

2
6.0 Site Organization and Safety Control: (Evaluate the need for site control to protect
persons from exposure to hazardous conditions; i.e. work permits, cones, barricade tape,
exclusion zones, etc.)
a. Work area(s) identified: ____________________________________________________
b. Work area marked _____ Yes_____ No
c. Work area barricaded _____ Yes _____ No
d. Support area established: __________________________________________________
e. Entry and escape routes identified: ___________________________________________
f. Rally point identified: _____ Yes ____ No Location:________________
g. Emergency shut-off for water identified _____ Yes _____ No
h. Emergency fuel shut-off identified _____ Yes _____ No
i. Site map attached: __X__ Yes _____ No
**Emergency Response Procedures**
Action (i.e. shut off all power equipment) Assemble at rally point
Call 911 for medical or utilities emergency Do NOT enter confined spaces
Discuss what to do if …..cut product line, water line, cable/electric line

7.0 Job Activities in Work Plan:
X UST Removal X Soil Sampling Manual FP Recovery
Soil Excavation System O&M _ Other (specify)
Powered Drilling MMPE/AFVR ___ AST Removal
Hand Augering Water sampling __________________

8.0 Required Education and/or Training:
X OSHA 40 hr X Annual 8 hr Refresher OSHA Site Supervisor

9.0 Air Monitoring:
If, in the opinion of the site supervisor, petroleum hydrocarbon vapor concentrations are
excessive, site activities will cease until petroleum hydrocarbon vapor concentrations diminish to
acceptable levels.

10.0 Equipment:
X FID/PID Combustible gas indicator Interface Probe
O2 meter Other

11.0 Personnel Protection Equipment:
X Hard hat Rubber boots Respirator X Hearing
X Safety glasses X Work gloves X Sun screen protection
X Steel toe boots X First aid kit Repellent X Nitrile
Tyvek suit S Fire extinguisher Dust mask gloves

12.0 Decontamination Procedures: (evaluate need for decon, describe procedures)

3
13.0 Emergency Contacts:
a. Local Assistance:
Site Phone NA Fire Department 911
Police 911 Ambulance 911
Water Department Sanitary Sewer
Natural Gas Power Company

Nearest Urgent Care (directions attached)
Name Healtheast Family Care - Avon
Address 57635 NC Highway 12, Buxton, NC

Number [phone]

b. National or Regional Sources of Assistance:
1) Geological Resources, Inc. [phone]
2) Chemtrec (24 Hours) [phone]
3) Bureau of Explosives (24 Hours) [phone]
4) National Response Center, NRC [phone]
(Oil/Hazardous Substances)
5) DOT, Off. Of Haz. Operations [phone]

14.0 Signatures:

This plan has been reviewed by all on-site personnel and all provisions are clear (signatures
required).

Project Manager:
Site Supervisor:
Other personnel:

4
15.0 Amendments:

a. Site Specific Health and Safety Plans are based on information available at the time of
plan preparation. Unexpected conditions may arise. It is important that personal
protective measures be thoroughly assessed prior to and during the planned activities.
Unplanned activities and/or changes in the hazard status should initiate a review of this
plan and may result in major changes to it.
b. Changes in the hazard status or unplanned activities are to be submitted on “Amendment
to the Site Specific Health and Safety Plan” which is included bellow.
c. Amendment must be approved by the Project Manager prior to implementation of the
amendment.

AMENDMENT TO THE SITE SPECIFIC HEALTH AND SAFETY PLAN

A. Changes in field activities or hazards:

B. Proposed amendment:

C. Approval:

Proposed by: ___________________________________date ______________________

Approved by: ___________________________________date _____________________

Amendment number: ____________________________

Amendment effective date: _______________________
3/6/2020 58088 NC-12, Hatteras, NC to Healtheast Family Care-Avon - Google Maps
https://www.google.com/maps/dir/58088+NC-12,+Hatteras,+NC/Healtheast+Family+Care-Avon,+57635+NC-12,+Buxton,+NC+27920/@35.242178,-7…1/1
Map data ©2020 2 mi
These directions are for planning purposes only.
You may nd that construction projects, trac,
weather, or other events may cause conditions to
differ from the map results, and you should plan
your route accordingly. You must obey all signs or
notices regarding your route.
Hatteras, NC 27943
57635 NC-12, Buxton, NC 27920
58088 NC-12
1.Head northeast on NC-12 N toward Waltham Ln
Destination will be on the right
Healtheast Family Care-Avon
11.3 mi
Drive 11.3 miles, 17 min58088 NC-12, Hatteras, NC to Healtheast Family
Care-Avon