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1.0 CONSULTECH ENVIRONMENTAL, LLC.
2021 Energy Dr * Apex, NC 27502 919-234-4238 * FAX 919-234-4239
September 28, 2023
North Carolina Department of Environmental Quality
Division of Waste Management, UST Section
1628 Mail Service Center
Raleigh, North Carolina 27699-1628
Attention: Mr. Scott Ryals
Reference: Receptor Survey
Henry Sloan Estate
801 W Main Street
Forest City, Rutherford County, NC
NCDEQ Incident No: 10249
Dear Mr. Ryals:
Please find attached a Receptor Survey for the above referenced facility. Please contact the
undersigned if you have any questions or comments regarding the report.
Respectively,
Consultech Environmental, LLC.
John Liebig
Project Manager
2.0 CONSULTECH ENVIRONMENTAL, LLC.
2021 Energy Dr * Apex, NC 27502 919-234-4238 * FAX 919-234-4239
Prepared by:
Consultech Environmental, LLC.
2021 Energy Drive
Apex, NC 27502
September 28, 2023
RECEPTOR SURVEY
Henry Sloan Estate
801 W Main St
Forest City, Rutherford County, NC
NCDEQ Incident No: 10249
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SITE INFORMATION
1. Site Identification
Henry Sloan Estate
801 W Main St
Forest City, Rutherford County, NC
Date of Report: September 28, 2023
Facility I.D.: N/A UST Incident No.: 10249
Site Risk: Low Land Use
Classification:
Commercial
Site Name
(NCDEQ Incident Name):
Henry Sloan Estate
Site Street Address: 801 W Main St
City/Town: Forest City Zip Code: 28043 County: Rutherford
Description of Geographical Data Point: Center of Lot
Location Method: Google Earth
Latitude (decimal degrees): N 35.344683o Longitude (decimal degrees): W 81.884197o
2. Contact Information
UST Owner/Operator:
Address:
Quality Oil Company LLC
P.O. Box 2736
Winston Salem, NC
Tel: 336-721-9515
Property Owner: Quality Oil Company LLC
P.O. Box 2736
Winston Salem, NC
Consultant/Contractor: Consultech Environmental, LLC.
Address:
Tel:
2021 Energy Drive
Apex, NC 27502
(919) 234-4238
3. Information about Release
Date Discovered: 04/1993
Estimated Quantity of Release: Unknown
Cause of Release: Removal of USTs
Source of Release (Dispenser/Piping/UST): USTs
Size and Contents of UST System(s) from
which the release occurred:
Two 3,000 gal, two 6,000 gal, and one 15,000 gal UST
4. Certification
Certification: Jeffrey L. Gerlock, L.G.
I, ___________________, a Licensed Geologist (#1141) with Consultech Environmental, LLC, do certify
that the information contained in this report is correct and accurate to the best of my knowledge.
Consultech Environmental, LLC is licensed to practice geology in the State of North Carolina. Consultech
Environmental, LLC currently holds North Carolina Corporate Geology license number C-0497.
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RECEPTOR INFORMATION
In September 2023 Consultech personnel performed a receptor survey of the area near the former
UST system (source area). The survey consisted of a vehicular reconnaissance of the area on
September 14, 2023, interviews with available nearby property owners, and submitting requests
for information to the County health department and the local water authority / service. Outlined
below is a summary of our findings.
Water Supply Wells
No water supply wells were observed within 1500’ of the former UST basin. No previous reports
have any information on water supply wells within 1500 feet of the site. Water supply well
information is summarized in Table 1.
Monitoring Wells
No monitoring wells were located at the Henry Sloan Estate site location. Since the last report,
the site was cleared and a new gas station was built. All of the previously installed monitoring
wells have been destroyed. The site did have six monitoring wells before the new gas station was
built.
Public Water Supplies
The area surrounding the site utilizes municipal water for drinking purposes.
Surface Water
No surface water was located within 1500 feet of the site. Receptor information is Included in Table
1 and Figure 2.
Wellhead Protection Areas
Wellhead Protection Areas are administered by the North Carolina Division of Environmental
Quality, Public Water Supply (PWS) Section. According to the PWS, no Wellhead Protection
Areas are located within 1,500 feet of the source area.
Deep Aquifers of the Coastal Plain Physiographic Province
The site property is not located in the Coastal Plain Physiographic Province.
Subsurface Structures
Underground utilities are located along West Main St. The utilities include underground water
lines, communication lines, sanitary sewer lines and aboveground power and communication
lines. The utilities are located outside of the estimated former UST location.
Land Use
The current structures on site are the gas station pumps, convenience store, storage shed, and
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the current USTs. Adjacent properties include commercial buildings to the north, east, and west.
Residences are located to the south. The only public assembly locations (i.e., schools,
playgrounds, or churches) located within a 1,500-foot radius of the site is the Pleasant Grove
Methodist Church located 1,000 feet north of the site location and the Children’s Development
Center located 800 feet east of the site location.
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TABLES
Revision Date 9/11/2023 Incident Number / Name:10249/Henry Sloan Estate
Public and Private Water Supply Wells
UK: Unknown
Receptor ID
DescriptionLatitude/Longitudeofanysignificantpoint(s)*PhoneNumberUsageDistancefromsourceareaofrelease(ft.)Upordown-gradientNotes:Receptor distances were obtained from Google Earth and were approximated from the center of the former UST basin.
Latitude and longitude obtained from field measurements, Rutherford County GIS, or Google Earth.WellOwner/UserAddressPhoneNumberLatitude/LongitudeNo other receptors were identified within 1500' of the site
No other receptors were identified within 1500' of the site
Table 1
Receptor Information
Henry Sloan Estate
801 W Main St.
Forest City, Rutherford County, North Carolina
UpordowngradientOther Receptors
(Public water supplies, reservoirs, supply lines, surface water bodies, wellhead protection areas, recharge areas for deep
aquifers, subsurface structures)WellUseWellDepth(ftBGS)TypeofWellWellCasingDepth(ft.BGS)WellScreenIntervalDistancefromsourceareaofrelease(ft.)Receptor ID
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FIGURES
Approximate Scale
1” = 2,000’
1000’
2022 Forest City, NC 7.5’
USGS Topographic Map Site Location Map
Henry Sloan Estate (#10249)
801 W Main St,
Forest City,
Rutherford County, NC
Consultech
Environmental, LLC
2021 Energy Drive,
Apex, NC 27502
Compiled By: TGD
Figure
No: 1 Checked
By: RBS
Date:
September 11, 2023
SITE
N
Approximate Scale
1” = 400’
200
Google Earth 2022 Receptor Map
Henry Sloan Estate
Incident (#10249)
801 W Main St,
Forest City,
Rutherford, NC
Consultech
Environmental, LLC
2021 Energy Drive Apex, NC 27502
Drawn
By: TGD
Figure
No: 2 Checked
By: RBS Date: September 11, 2023 N
Site