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Attachments:
Andy McClish
Bell, Wes
Doug Hall; Clayton Reid; Sheila Johnsen
[External] Gasoline release; Charlotte Terminal; follow-up report
Tuesday, March 8, 2022 10:55:23 AM
030422-TransMontaiane (former Hess) Charlotte Terminal - UST-62 form.odf
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Dear Mr. Bell,
Per your request and our recent conversations, attached please find the UST-62 (24-Hour
Notification of Discharge Form), which was submitted to Ron Taraban (also w/NC DENR) last
Friday (3/4). We believe this document should contain all of the information that you require.
However, if there's anything else you need, please let me know.
Also, confirming your message and our conversation this morning, we understand that there
will be no additional sampling requirements (other than normal permit parameters) prior to
our discharging stormwater from the site. Our intent is to aerate and recirculate the water in
both retention ponds (sampling before & after) prior to any future discharge.
Thanks for your assistance, and best regards,
Andy UVl cClish
Manager, Regulatory Compliance
TLP Management Services LLC
200 Mansell Court East, Suite 600
Roswell, Georgia 30076
Ph: 770.518.3701; Fax: 770.650.3372
UST-62
24-Hour Notification of Discharge Form
For Non -UST This form should be completed and submitted to the UST Section's regional office following a known or suspected release of
Releases of petroleum from a source other than an underground storage tank. This form is required to be submitted within 24 hours of
Petroleum in NC discovery of a known or suspected petroleum release
(DWM USE ONLY)
Incident # Priority Rank (H,I,L,U)
Suspected Contamination? (Y/N) Y
Confirmed GW Contamination? (Y/N) N
Confirmed Soil Contamination ?(Y/N) Y
Samples taken?(Y/N) N Free product? (Y/N) N
If Yes(free product), state greatest thickness: feet
Release discovered
(time/date):
Received (time/date)
Received by Region
Reported by (circle one): Phone, Fax or Report
INCIDENT DESCRIPTION
Incident Name: TransMontaigne-Charlotte (former Hess) terminal
Address (street number/name):761 5 Old Mt Holly Road
County: Mecklenbur
City/Town: Charlotte
Zip Code: 28214
Regional Office (circle one): Ashevill Mooresville, ayetteville,
Raleigh, Washington, Wilmington, Win wn-o fern
Latitude (decimal degrees): 35.278247 Longitude (decimal degrees) : 80.933608
Obtained by:
❑ GPS
XElectronic topographic map
❑ GIS Address matching
❑ Other
❑ Unknown
Describe location:
Describe suspected or confirmed release (nature of release, time/date of release, quantity of release, amount of free
product):
Describe initial response/abatement (time/date release stopped, cleanup begun/completed, quantity of product
soil removed, confirmation sampling):
Describe impacted receptors: None known.
HOW RELEASE WAS DISCOVERED
(Check
❑ Observation of Release at Occurrence
XVisual or Olfactory Evidence
❑ Soil Contamination
(Release Code)
one)
❑ Water Supply Well Contamination
❑ Surface Water Contamination
❑ Other (specify)
❑ Groundwater Contamination
SOURCE OF CONTAMINATION
Source of Release Cause of Release Type of Release Product Type Released
(Check one to indicate primary
source)
(Check one to indicate primary
cause)
(Check one)
(Check one to indicate primary petroleum product
type released)
❑ AST (tank)
❑ Spill (Accidental)
X Petroleum
X Gasoline/ •iesel/ ❑ Diesel/Veg. Oil
X AST Piping/ Dispenser
❑ AST Delivery Problem
❑ OTR Vehicle Tank
❑ OTR Bulk Transport Tank
❑ Spill (Intentional)
❑ Corrosion
❑ Physical or Mechanical
Damage
❑ Both Petroleum
& Non -Petroleum
Location
'erosene Blend
❑ Ell — E20 ❑ Vegetable Oil 100%
❑ E21 — E84 ❑ Heating Oil
❑ E85 — E99 ❑ Waste Oil
❑ RR Bulk Transport Tank
❑ Transformer
❑ Unknown
❑ Other
❑ Equipment Failure
❑ AST Overfill
❑ AST Installation Problem
❑ Unknown
(Check one)
0 Facility
❑ Residence
❑ Highway/Road
❑ Ethanol 100% ❑ Mineral Oil -no
PCBs
❑ Mineral Oil -PCBs
❑ Other Petroleum
❑ Other
❑Railway
Products
Definitions presented on reverse
Definitions presented on reverse
❑ Other
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
Guidance presented on reverse
UST Form 62 (04/10)
Page 1 of 2
IMPACT ON DRINKING WATER SUPPLIES
Water Supply Wells Affected? 1. Yes 2. No t. Unknown Number of Water Supply Wells Affected
List of Water Supply Wells Contaminated: (Include Users Names, Addresses and Phone Numbers. Attach additional sheet if necessary)
1.
2.
3.
PARTY RESPONSIBLE FOR RELEASE
(if the source of the release is not an AST system or if it is an AST system and there is a responsible party other than the AST system owner/ operator)
Name of Person/Company
Address
City
State
Zip Code
Telephone Number
AST SYSTEM OWNER (if the source of the release is an AST system)
AST Owner/Company
TransMontaigne
Address
1670 Broadway, Suite 3200
City Denver
State CO
Zip Code 80202
Telephone Number, F
j
AST SYSTEM OPERATOR (if the source of the release is an AST system)
UST Operator/Company
SAME AS OWNER
Address
City
State
Zip Code
Telephone Number
LANDOWNER AT LOCATION OF INCIDENT
Landowner SAME AS OWNER
Address
City
State
Zip Code
Telephone Number
Draw Sketch of Area or Provide Map (showing incident site, location of release, two major road intersections, potential
receptors)
Attach sketch or map to form.
Give Directions to Incident Site Attach directions to form if necessary.
From 1-485, take Exit 14 for NC-27/Mt Holly Rd. Continue southeast on NC-27/Mt Holy Rd for 1.9 miles. Turn
right onto Tom Sadler Rd, then turn left onto Old Mt Holly Rd. Facility entrance is on the right.
Person Reporting Incident Jonathan Murphrey
Company Piedmont Geologic
Telephone Number919-854-9700
Title Staff Geologist
Address 6003-145 Chapel Hill Road, Raleigh, NC 27607
Date 3/4/2022
UST Form 62 (04/10)
Definitions of Sources
AST (Tank): means the tank is used to store product
AST Piping: means the piping and connectors running from the tank to the dispenser or other end -use equipment
AST Dispenser: includes the dispenser and the equipment used to connect the dispenser to the piping
AST Delivery Problem: identifies releases that occurred during product delivery to the tank.
OTR Vehicle Tank: means the tank is used to store product to fuel an over the road vehicle
OTR Bulk Transport Tank: means a tank that is used to transport product in bulk over the road (by truck)
RR :bulk Transport Tank: means a tank that is used to transport product in bulk by train
Transformer: means electrical transformer
Other: serves as the option to use when the release source is known but does not fit into one of the preceding categories
Unknown: identifies releases for which the source has not been determined
Definitions of Causes
Spill (Accidental): use this cause when a spill occurs accidentally(e.g., when the delivery hose is disconnected from a fill pipe)
Spill (Intentional): use this cause when a spill occurs intentionally (e.g., intentional dumping or breakage)
Corrosion: use when a metal tank, piping, or other component has a release due to corrosion
Physical or Mechanical Damage: use for all types of physical or mechanical damage, except corrosion
Equipment failure: use when a release occurs due to equipment failure other than corrosion or physical or mechanical damage
AST 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)
AST Installation Problem: use when the problem is determined to have occurred specifically because the AST system was not installed properly
Other: use this option when the cause is known but does not fit into one of the preceding categories
Unknown: use when the cause has not been determined
Guidance: Ownership and Operator Type
Ownership select the category which describes owner of the AST system, bulk transport tank, or other release source
Operator Type select the category which describes the operation in which owner uses the AST system, bulk transport tank, or other release source
Page 2 of 2
r
Underground
stormwater piping
Stormwater catch
basin
Stormwater holding
ponds
.4701140wmgiiiit.
Aboveground
storage tank
0
50
100
150
200
250 ft
Release location
Approximate footprint
of release path
Legend
X Release location
Approximate footprint of release path
— Release flow direction
• Stormwater catch basin
- - - Underground stormwater piping
FIGURE 1
Release Area Details for UST 62 Form
TransMontaigne-Charlotte (former Hess) Terminal
7615 Old Mt Holly Road, Charlotte, NC 28214
PIEDMONT
GEOLOGIC
SMART EARTH SOLUTIONS
CLIENT: TransMontaigne
PROJECT #:
DRAWING DATE: 3/4/22
DRAWN BY: JDM
DATA SOURCE: NC Digital
Orthoimagery, NC CGIA, 2019.