RA-1931_11828_CA__LTTRPT_20160105

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

1

January 5, 2016

Ms. Linda Blalock
North Carolina Department of Environmental Quality
Division of Waste Management – Underground Storage Tank Section
1637 Mail Service Center
Raleigh, North Carolina 27699

Re: Federal/State-Lead Letter Report
Judy Faulkner-Smith
1300 Vicksboro Road
Henderson, Vance County, North Carolina
NCDENR Incident # 11828
ATC Project No. SL1182802

Dear Ms. Blalock:

ATC Associates of North Carolina, P.C. (ATC) is pleased to submit the results of a groundwater and
water supply well sampling event conducted on December 2, 2015, for the Judy Faulkner-Smith site
located at 1300 Vicksboro Road in Henderson, North Carolina. Adjacent to the Judy Faulkner-Smith
property is the former Faulkner Store (source property) that operated as a convenience store and retail
petroleum facility. The underground storage tank (UST) system at the former Faulkner Store was taken
out of service in 1958 and removed from the site in July 2012. The property is currently developed with
an abandoned building. A site topographic map is included as Figure 1. A site map is included as
Figure 2. The sampling event was performed based on an October 6, 2015, Task Authorization (TA-
2) by the Trust Fund Branch of the UST Section, Division of Waste Management, North Carolina
Department of Environmental Quality (NCDEQ). The work is being performed as part of the State
Lead Contract #N14004i between NCDEQ and ATC.

On December 2, 2015, ATC personnel mobilized to the site to supervise the installation of temporary
well TW-1 advanced in the former UST basin of the former Faulkner Store. Regional Probing, Inc., a
North Carolina-licensed drilling contractor, advanced boring TW-1 using hand auger methods from the
ground surface to 5 feet below ground surface (bgs) and direct-push Geoprobe rods from 5 feet bgs to 20
feet bgs. ATC utilized a peristaltic pump to collect a sample from boring TW-1. The sample was
collected in laboratory-supplied, preserved containers; entered into chain of custody control; placed
on ice; and shipped to Con-Test Analytical Laboratory (Con-Test) in East Longmeadow,
Massachusetts. The samples were analyzed by Environmental Protection Agency (EPA) Method
6200B for volatile organic compounds (VOCs), volatile petroleum hydrocarbons (VPH) by the
Massachusetts Department of Environmental Protection (MADEP) method, and lead by EPA Method
6020A. Following collection of the sample the boring was abandoned. The location of TW-1 is shown
on Figure 2. Field notes from the event are included as Appendix A.

On December 2, 2015, ATC also conducted a water supply well sampling event. ATC collected
samples from water supply wells 3-6 and 3-1. The samples were collected in laboratory-supplied,
preserved containers; entered into chain of custody control; placed on ice; and shipped to North

TABLES

TABLE 1WATER SUPPLY WELL INFORMATION Judy Faukner-Smith1300 Vicksboro RoadHenderson, Vance County, North CarolinaIncident #11828Water Supply WellProperty Owner(s) Property AddressDistance from Source (feet) and DirectionConnected to Municipal WaterUsageWSW-3-6WSW-B-29WSW-3-1Notes: 1. Only water supply wells approved for sampling in TA-1 are included on this table.Judy and Carl Smith1300 Vicksboro RoadHenderson, CNC 27537Phone Number Not Available1300 Vicksboro Road1360 Vicksboro RoadPatricia Roberts1802 Willow LaneHenderson, NC 27536Phone Number Not Available1367 Vicksboro RoadDrinkingDrinkingDrinkingSite450300NoNoNoPage 1 of 1
TABLE 2TEMPORARY WELL ANALYTICAL DATA Judy Faukner-Smith1300 Vicksboro RoadHenderson, Vance County, North CarolinaIncident #118286010BenzeneTolueneEthylbenzeneTotal Xylenesn-Butylbenzenesec-ButylbenzeneIsopropylbenzenep-Isopropyltoluene1,2,4-Trimethylbenzene1,3,5-TrimethylbenzeneLeadC5-C8 AliphaticsC9-C18 AliphaticsC9-C22 AromaticsTW-112/2/2015 <0.32 1.4 <0.52 13.8 5.4 2.4 2.8 4.9 17 10 2.8 4.9 17 101 600 600 500 70 70 70 25 400 400 15 400 700 2005,000 260,000 84,500 85,500 6,900 8,500 25,000 11,700 28,500 25,000 15,000 NE NE NENotes:1. "<" = Not detected at or above the laboratory detection limit or reporting limit2. Concentrations are reported in micrograms per liter (ug/l) = parts per billion (ppb)4. GCL = Gross Contamination LevelMADEP VPH3. Concentrations highlighted and in bold print equal or exceed the January 1, 2010, NCDENR 15A 2L NCAC Groundwater Standard (2L Standard).2L GW StandardGCLWater Supply Well DateMethod 6200B
TABLE 3
WATER SUPPLY WELL ANALYTICAL DATA

Judy Faukner-Smith
1300 Vicksboro Road
Henderson, Vance County, North Carolina
Incident #11828
BenzeneTolueneEthylbenzeneTotal XylenesNaphthaleneChlorodibromomethaneBromodichloroethaneBromoformChloromethaneChloroformAcetone5/12/2015 <0.079 <0.09 <0.092 <0.18 <0.12 8----<0.32 36 13J
12/2/2015 <0.079 <0.1 <0.13 <0.25 <0.12 7.9 17 0.59 31 <0.22 <4.9
5/12/2015 <0.079 0.32J <0.092 <0.18 <0.12 <0.054 -- -- 0.38J <0.14 <4.7
12/2/2015 <0.079 <0.1 <0.13 <0.18 <0.12 <0.1 <0.088 <0.21 <0.32 <0.22 <4.9
5/12/2015 <0.079 0.15J <0.092 <0.18 <0.12 <0.054 -- -- <0.32 <0.14 <4.7
1 600 600 500 6 0.4 0.6 100 3 70 6,000
5,000 260,000 84,500 85,500 6,000 400 NE 100,000 3,000 70,000 6,000,000
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. J = Estimated value below method reporting limit
6. -- = Not documented in historical report
GCL
3. Concentrations highlighted and in bold print equal or exceed the January 1, 2010, NCDENR 15A 2L NCAC
Groundwater Standard (2L Standard).
3-6
3-1
Water Supply
Well Date
Method 6200B
B-29
2L GW Standard

FIGURES

2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
FIGURE 1
SITE TOPOGRAPHIC MAP
PROJECT NO: SL1182802
REVIEWED BY: JC SCALE: 1’=1,700’DATE: 5/28/15
JUDY FAULKNER SMITH – INCIDENT #11828
1300 VICKSBORO ROAD
HENDERSON, NORTH CAROLINA
Source: Vicksboro, NC Quadrangle, 1970
N
Site
2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
FIGURE 2
SITE MAP
PROJECT NO: SL1182802
REVIEWED BY: JC SCALE: 1” = 40’DATE: 12/15/15
JUDY FAULKNER SMITH – INCIDENT #11828
1300 VICKSBORO ROAD
HENDERSON, NORTH CAROLINA
Source: Vance County NC GIS
Temporary Well
N
Former
Faulkner’s
Store
Former UST
System
TW-1
Judy
Faulkner-
Smith Site
2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
FIGURE 3
POTENTIAL RECEPTOR MAP
PROJECT NO: SL1182802
REVIEWED BY: JC SCALE: 1” = 290’DATE: 6/16/15
JUDY FAULKNER SMITH – INCIDENT #11828
1300 VICKSBORO ROAD
HENDERSON, NORTH CAROLINA
Source: Google Earth
N
Former
Faulkner’s
Store3-6
B-29
Potable Water Supply Well
500 Foot Radius
3-1

APPENDIX A

FIELD NOTES

APPENDIX B

ACCESS LETTER TO OWNER OF WATER SUPPLY WELL B-29
2725 East Millbrook Road
Suite 121
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
www.atcassociates.com
N.C. Engineering License No. C-1598

October 8, 2015

Patricia Roberts
1802 Willow Lane
Henderson, NC 27536

Re: Water Supply Well Information
Judy Faulkner-Smith Property
1300 Vicksboro Road
Henderson, Vance County, North Carolina
NCDENR Incident No: 11828

An investigation of groundwater quality is in progress at the former Judy Faulkner-Smith property located
along Vicksboro Road in Henderson, North Carolina. Your property located at 1367 Vicksboro Road
has a water supply well and is located within 1,000 feet of the above-referenced site. Because of the
groundwater investigation, ATC Associates of North Carolina, P.C. (ATC), on behalf of the North
Carolina Department of Environmental Quality (NCDEQ), is requesting permission to collect a sample
from your well. Please indicate below whether or not you are willing to allow ATC access to your water
supply well.

Access Approved Access Denied

Printed Name Telephone Number

Please note that you maybe have granted verbal approval in the past; however, current NCDEQ
regulations require written consent from the property owner prior to water supply well sampling. Please
return this letter in the supplied self-addressed and stamped envelope. If you have any questions, please
do not hesitate to contact this office at [phone].

Sincerely,

ATC Associates of North Carolina, P.C.
Ashley Winkelman, P.G.
Project Manager

APPENDIX C

LABORATORY ANALYTICAL REPORT
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Table of Contents
Table of Contents
Sample Summary 3
Case Narrative 4
Sample Results 5
15L0158-01 5
15L0158-02 9
15L0158-03 11
Sample Preparation Information 13
QC Data 14
Volatile Organic Compounds by GC/MS 14
B136999 14
B137084 18
Petroleum Hydrocarbons Analyses - VPH 22
B137151 22
Metals Analyses (Total) 24
B136871 24
Flag/Qualifier Summary 25
Certifications 26
Chain of Custody/Sample Receipt 29
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