WS-30245_49284_G_NORR_20231117_NRP

North Carolina Department of Environmental Quality | Division of Waste Management
Winston-Salem Regional Office | 450 West Hanes Mill Road | Suite 300 | Winston-Salem,
NC 27105 | [phone]

November 17, 2023

Carmen Lewis
349 Wilkesboro Street
Mocksville, NC 27028

Re: Notice of Regulatory Requirements
NCGS 143B-279.9 and 143B-279.11
Notice of Residual Petroleum

Lewis Property, Carmen
349 Wilkesboro Street
Mocksville, Davie County
Incident Number (if applicable): 49284
Risk Classification: Low
Ranking: L0R

Dear Ms. Lewis:

Information received by the UST Section, Division of Waste Management, Winston-Salem Regional Office
on November 16, 2023 has been reviewed.

North Carolina General Statute (NCGS) 143B-279.9 and 143B-279.11 require a Notice of Residual
Petroleum (Notice) to be filed with the Register of Deeds in Davie County, where the release is located,
when a release from an underground storage tank has not been remediated to below ‘unrestricted use
standards’. The Notice is required either prior to conveyance of a contaminated property or prior to
receiving a Notice of No Further Action. ‘Unrestricted use standards’ are the groundwater quality standards
and interim standards contained in Title 15A NCAC 2L .0202, and the residential maximum soil
contaminant concentrations (MSCCs) established in Title 15A NCAC 2L .0411. The Notice must be filed
for both soil and groundwater.

The Notice must be prepared in accordance with the attached instructions and format. It must contain a
legal description of the property containing the source of contamination and legal descriptions of any other
properties which you own (or control) which are contaminated by the release. The Notice must also include
appropriate land use restrictions for these properties. In addition, the Notice must identify all other
properties (adjacent, adjoining, downgradient, etc.) on which contamination is known to exist at the time
the Notice is prepared.

The Notice must be sent to this regional office of the UST Section within 30 days of the date of this letter
for approval and notarization. The approved and notarized Notice must then be filed by you with the
Register of Deeds, and a certified copy of the filed Notice must be submitted to this office within 30 days
of its return to you.

Failure to comply with this letter is a violation of North Carolina law and may result in the assessment
of civil penalties and/or the use of other enforcement mechanisms available to the state. If you have
any questions regarding this letter, please contact me at the address or telephone number below.

Page 2 of 2
49284
November 17, 2023

North Carolina Department of Environmental Quality | Division of Waste Management
Winston-Salem Regional Office | 450 West Hanes Mill Road | Suite 300 | Winston-Salem,
NC 27105 | [phone]

Sincerely,

Karen J. Hall
Environmental Sr. Specialist
Winston-Salem Regional Office
UST Section, Division of Waste Management, NCDEQ

Attachment: Instructions for Preparing Alternate Notice of Residual Petroleum