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501 S Salisbury StDavie Ccrunty, NC Tax Parcel Rennrt Thursday. October 6. 2016 WAK1V11NU: 1ri1J 1J 1VU1 A NURVEY Parcel Information Parcel Number: J4040G0005 Township: Mocksville NCPIN Number: 5738623221 Municipality: MOCKSVILLE Account Number: 2742000 Census Tract: 37059-806 Listed Owner 1: ATKINSON MEADE R JR Voting Precinct: SOUTH MOCKSVILLE Mailing Address 1: 501 SALISBURY STREET Planning Jurisdiction: MOCKSVILLE City: MOCKSVILLE 001120581 Zoning Class: MOCKSVILLE NR State: NC Zoning Overlay: Zip Code: 27028-0000 Voluntary Ag. District: No Legal Description: OFF SALISBURY ST (1.17 ac) Fire Response District: MOCKSVILLE Assessed Acreage: 1.17 Elementary School Zone: MOCKSVILLE Deed Date: 12/1980 Middle School Zone: SOUTH DAVIE Deed Book / Page: 001120581 Soil Types: WeC,CeB2 Plat Book: Flood Zone: Plat Page: Watershed Overlay: MOCKSVILLE Building Value: 214970.00 Outbuilding & Extra Freatures Value: 0.00 Land Value: 35000.00 Total Market Value: 249970.00 Total Assessed Value: 249970.00 101 All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to NCor arising out of the use or Inability to use the GIS data provided by this website. .7 Waste Management ENVIRONMENTAL QUALITY RECEIVED JUL 062016 DC HEALTH June 28, 2016 Mr. Randy Atkinson 501 S. Salisbury Street Mocksville, North Carolina 27028-2529 Re: Conditional Notice of No Further Action 15A NCAC 2L .0407(d) Risk-based Assessment and Corrective Action for Petroleum Underground Storage Tanks �---Atrinson Residence, Mem ad6 R!�-, 501 S. Salisbury Street ac Svitt�Davi�@orm Incident Number (if applicable): 44698 Risk Classification: Low Ranking: LOR Dear Mr. Atkinson: PAT MCCRORY c, rno/- DONALD R. VAN DER VAART SiATO T MICHAEL SCOTT Information received by the UST Section, Division of Waste Management, Winston-Salem Regional Office on June 10, 2016 and the Notice of Residual Petroleum received on June 28, 2016 have been reviewed. The review indicates that soil and groundwater contamination meet the cleanup requirements for a low-risk noncommercial site under Title 15A NCAC 2L .0202 and .0400, as modified by Session Law 2015-241, but contamination exceeds the limits allowed for unrestricted closure of a site. The UST Section determines the subject incident to be eligible conditionally for no further action status. However, final approval of no further action status is contingent on the filing of the approved NRP (attached) with the Register of Deeds in the county in which the release is located, verified by the receipt of a certified copy of the filed NRP by this office; and on receipt of confirmation that public notice requirements have been completed, as described in the following paragraphs. Be advised that, as contamination may exceed the groundwater quality standards established in Title 15A NCAC 2L .0202, groundwater within the area where contamination is present or is expected to migrate is not suitable for use as a. water supply. Be advised that as soil contamination may exceed the residential MSCCs, the property containing the soil contamination is suitable only for restricted residential use ("residential" being inclusive of, but not limited to, private houses, apartment complexes, schools, nursing homes, parks, recreation areas and day care centers), as stipulated in the Notice of Residual Petroleum (attached). As groundwater contamination may exceed the groundwater quality standards established in Title 15A NCAC 2L .0202, and soil contamination may exceed the residential MSCCs, pursuant to NCGS 14313- 279.9 and 14313-279.11, you must file the approved Notice of Residual Petroleum (attached) with the Register of Deeds in the county in which the release is located and submit a certified copy to the UST Section within 30 days of receipt of this letter. State of North Carolina I Environmental Quality I Waste Management Winston-Salem Regional Office 1 450 W. Hanes Mill Road, Suite 300 1 Winston-Salem, NC 17105 336 776-9800 T As groundwater contamination may exceed the groundwater quality standards established in Title 15A NCAC 2L .0202, and soil contamination may exceed the lower of the residential or soil -to -groundwater MSCCs, public notice in accordance with 15A NCAC 2L .0409(b) also is required. Thus, within 30 days of receipt of this letter, a copy of the letter must be provided by certified mail, or by posting in a prominent place, if certified mail is impractical, to the local health director, the chief administrative officer of each political jurisdiction in which the contamination occurs, all property owners and occupants within or contiguous to the area containing contamination, and all property owners and occupants within or contiguous to the area where the contamination is expected to migrate. Within 60 days of receiving this letter, this office must be provided with proof of receipt of the copy of the letter or of refusal by the addressee to accept delivery of the copy of the letter or with a description of the manner in which the letter was posted. Interested parties may examine the incident file by contacting this regional office and may submit comments on the site to the regional office at the address or telephone number listed below. This conditional No Further Action determination will not become valid until the UST Section receives a certified copy of the Notice of Residual Petroleum which is filed with the Register of Deeds and until public notice requirements are completed. Sincerely, Carin Lee Kromm Regional Supervisor Winston-Salem Regional Office UST Section, Division of Waste Management, NCDEQ cc: `Davie County Health Department Alex McGilvary, CSM Environmental, PLLC UST Regional Offices Asheville (ARO) — 2090 US Highway 70, Swannanoa, NC 28778 (828) 2964500 Fayetteville (FAY) — 225 Green Street, Suite 714, Systel Building, Fayetteville, NC 28301 (910) 433-3300 Mooresville (MOR) — 610 East Center Avenue, Suite 301, Mooresville, NC 28115 (704) 663-1699 Raleigh (RRO) — 1628 Mail Service Center, Raleigh, NC 27699 (919) 791-4200 Washington (WAS) — 943 Washington Square Mall, Washington, NC 27889 (252) 946-6481 Wilmington (WIL) — 127 Cardinal Drive Extension, Wilmington, NC 28405 (910) 796-7215 Winston-Salem (WS) — 450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105, (336) 776-9800 Guilford County Environmental Health, 400 West Market Street, Suite 300, Greensboro, NC 27401, (336) 641-3771 State of North Carolina I Environmental Quality I Waste Management Winston-Salem Regional Office 1 450 W. Hanes Mill Road, Suite 300 1 Winston-Salem, NC 17105 336 776-9800 T