RA-1931_11828_CA_LTTRPT_20150921

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

1

September 21, 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
Judy Faulkner-Smith
1300 Vicksboro Road
Henderson, Vance County, North Carolina
NCDENR Incident # 11828
ATC Project No. 11828TA01

Dear Ms. Blalock:

ATC Associates of North Carolina, P.C. (ATC) is pleased to submit the results of a water supply well
sampling event conducted on May 12, 2015, at the Judy Faulkner-Smith site located at 1300
Vicksboro Road in Henderson, North Carolina. A site topographic map is included as Figure 1.
Currently on-site is a single-story single-family residential dwelling. Adjacent to the property is the
former Faulkner Store that operated as a convenience store and retail petroleum facility. The
underground storage tank (UST) system were taken out of service in 1958 and removed from the site in
July 2012. The former Faulkner Store is an abandoned building. A site map is included as Figure 2. A
current site photograph is included in Appendix A. The sampling event was performed based on a
April 13, 2015, Task Authorization (TA-1) by the Trust Fund Branch of the 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 initial file review, obtained historical
aerial photographs in an attempt to determine the possible source of contamination, and sampled three
water supply wells (3-6, 3-1, B-29). ATC obtained historical aerial photographs of the property and
vicinity from Environmental Data Resources, Inc. (EDR). Aerial photographs reviewed range from
1970 to 2012. Based on the review of the aerial photographs, no structures indicating other potential
sources of groundwater impact to the site vicinity other than the Faulkner Store were observed. A copy
of the aerial photographs is provided in Appendix B.

On May 12, 2015, ATC mobilized to the site to conduct water supply well sampling. ATC collected
water supply well samples from water supply wells 3-6, 3-1, and B-29. Field notes from the May 12,
2015, sampling event are included in Appendix C. Water supply well information is included in
Table 1 and water supply well locations are shown on Figure 2.

The 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

TABLES

TABLE 1WATER SUPPLY WELL INFORMATION Judy Faukner-Smith1300 Vicksboro RoadHenderson, Vance County, North CarolinaIncident #11828ATC Project #11828TA01Water 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 2
WATER SUPPLY WELL ANALYTICAL DATA

Judy Faukner-Smith
1300 Vicksboro Road
Henderson, Vance County, North Carolina
Incident #11828
ATC Project #11828TA01
BenzeneTolueneEthylbenzeneTotal XylenesNaphthaleneChlorodibromomethaneChloromethaneChloroformAcetone5/12/2015 <0.079 <0.09 <0.092 <0.18 <0.12 8 <0.32 36 13J
5/12/2015 <0.079 0.32J <0.092 <0.18 <0.12 <0.054 0.38J <0.14 <4.7
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 3 70 6,000
5,000 260,000 84,500 85,500 6,000 400 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
3. Concentrations highlighted and in bold print equal or exceed the January 1, 2010, NCDENR 15A 2L NCAC
Groundwater Standard (2L Standard).
B-29
2L GW Standard
GCL
Water Supply
Well Date
3-6
3-1
Method 6200B

FIGURES

2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
FIGURE 1
SITE TOPOGRAPHIC MAP
PROJECT NO: 11828TA01
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: 11828TA01
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
Former UST
Locations
500 Foot Radius
3-1

APPENDIX A

CURRENT SITE PHOTOGRAPH
Current Site Photograph

Judy Faulkner-Smith Property
1300 Vicksboro Road
Henderson, North Carolina
Incident #11828

Photo 1: Former Faulkner Store with former UST location 

APPENDIX B

AERIAL PHOTOGRAPHS

The EDR Aerial Photo Decade Package
Judy Faulkner Smith Property
1300 Vicksboro Road
Henderson, NC 27537
Inquiry Number: 4290495.1
May 12, 2015
EDR Aerial Photo Decade Package
Environmental Data Resources, Inc. (EDR) Aerial Photo Decade Package is a screening tool designed to assist
environmental professionals in evaluating potential liability on a target property resulting from past activities. EDR’s
professional researchers provide digitally reproduced historical aerial photographs, and when available, provide one photo
per decade.
When delivered electronically by EDR, the aerial photo images included with this report are for ONE TIME USE
ONLY. Further reproduction of these aerial photo images is prohibited without permission from EDR. For more
information contact your EDR Account Executive.
Thank you for your business.
Please contact EDR at 1-800-352-0050
with any questions or comments.
Disclaimer - Copyright and Trademark Notice
This Report contains certain information obtained from a variety of public and other sources reasonably available to Environmental Data Resources, Inc.
It cannot be concluded from this Report that coverage information for the target and surrounding properties does not exist from other sources. NO
WARRANTY EXPRESSED OR IMPLIED, IS MADE WHATSOEVER IN CONNECTION WITH THIS REPORT. ENVIRONMENTAL DATA
RESOURCES, INC. SPECIFICALLY DISCLAIMS THE MAKING OF ANY SUCH WARRANTIES, INCLUDING WITHOUT LIMITATION,
MERCHANTABILITY OR FITNESS FOR A PARTICULAR USE OR PURPOSE. ALL RISK IS ASSUMED BY THE USER. IN NO EVENT SHALL
ENVIRONMENTAL DATA RESOURCES, INC. BE LIABLE TO ANYONE, WHETHER ARISING OUT OF ERRORS OR OMISSIONS, NEGLIGENCE,
ACCIDENT OR ANY OTHER CAUSE, FOR ANY LOSS OF DAMAGE, INCLUDING, WITHOUT LIMITATION, SPECIAL, INCIDENTAL,
CONSEQUENTIAL, OR EXEMPLARY DAMAGES. ANY LIABILITY ON THE PART OF ENVIRONMENTAL DATA RESOURCES, INC. IS STRICTLY
LIMITED TO A REFUND OF THE AMOUNT PAID FOR THIS REPORT. Purchaser accepts this Report AS IS. Any analyses, estimates, ratings,
environmental risk levels or risk codes provided in this Report are provided for illustrative purposes only, and are not intended to provide, nor should they
be interpreted as providing any facts regarding, or prediction or forecast of, any environmental risk for any property. Only a Phase I Environmental Site
Assessment performed by an environmental professional can provide information regarding the environmental risk for any property. Additionally, the
information provided in this Report is not to be construed as legal advice.
Copyright 2015 by Environmental Data Resources, Inc. All rights reserved. Reproduction in any media or format, in whole or in part, of any report or map
of Environmental Data Resources, Inc., or its affiliates, is prohibited without prior written permission.
EDR and its logos (including Sanborn and Sanborn Map) are trademarks of Environmental Data Resources, Inc. or its affiliates. All other trademarks
used herein are the property of their respective owners.
Date EDR Searched Historical Sources:
Aerial Photography May 12, 2015
Target Property:
1300 Vicksboro Road
Henderson, NC 27537
Year Scale Details Source
1970 Aerial Photograph. Scale: 1"=500'Flight Date: March 08, 1970 EDR
1983 Aerial Photograph. Scale: 1"=1000'Flight Date: April 04, 1983 EDR
1993 Aerial Photograph. Scale: 1"=500'DOQQ - acquisition dates: February 23, 1993 USGS/DOQQ
1999 Aerial Photograph. Scale: 1"=750'Flight Date: February 22, 1999 EDR
2005 Aerial Photograph. Scale: 1"=500'Flight Year: 2005 USDA/NAIP
2006 Aerial Photograph. Scale: 1"=500'Flight Year: 2006 USDA/NAIP
2008 Aerial Photograph. Scale: 1"=500'Flight Year: 2008 USDA/NAIP
2009 Aerial Photograph. Scale: 1"=500'Flight Year: 2009 USDA/NAIP
2010 Aerial Photograph. Scale: 1"=500'Flight Year: 2010 USDA/NAIP
2012 Aerial Photograph. Scale: 1"=500'Flight Year: 2012 USDA/NAIP
4290495.1
2
INQUIRY #:
YEAR:
4290495.1
1970
= 500'
INQUIRY #:
YEAR:
4290495.1
1983
= 1000'
INQUIRY #:
YEAR:
4290495.1
1993
= 500'
INQUIRY #:
YEAR:
4290495.1
1999
= 750'
INQUIRY #:
YEAR:
4290495.1
2005
= 500'
INQUIRY #:
YEAR:
4290495.1
2006
= 500'
INQUIRY #:
YEAR:
4290495.1
2008
= 500'
INQUIRY #:
YEAR:
4290495.1
2009
= 500'
INQUIRY #:
YEAR:
4290495.1
2010
= 500'
INQUIRY #:
YEAR:
4290495.1
2012
= 500'

APPENDIX C

FIELD NOTES

APPENDIX D

LABORATORY ANALYTICAL REPORT
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Sample Summary 3
Case Narrative 4
Sample Results 5
15E0673-01 5
15E0673-02 7
15E0673-03 9
Sample Preparation Information 11
QC Data 12
Volatile Organic Compounds by GC/MS 12
B122066 12
Flag/Qualifier Summary 16
Certifications 17
Chain of Custody/Sample Receipt 19
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