Orange County NC Website
44 <br /> USDA -Natural Resources Conservation Services Landowner Hazmat Interview <br /> HAZARDOUS MATERIALS LANDOWNER INTERVIEW <br /> A.Property Information <br /> NRCS PROGRAM LANDOWNER NAME <br /> PROPERTY ADDRESS NUMBER OF ACRES <br /> NEST APPLICATION NUMBER COUNTY STATE <br /> Interview Information <br /> INTERVIEWER NAME INTERVIEW DATE <br /> INTERVIEWEE NAME INTERVIEWEE PHONE NO. <br /> AFFILIATION WITH PROPERTY(e.g., Owner, Operator, TIME FRAME OF AFFILITION <br /> Caretaker,Previous Owner, Tenant,Neighbor) (YRs&MOs) <br /> "To the Best of Your Knowledge..." <br /> A. <br /> Property Uses <br /> 1. Do you have or know of the existence of any of the following Yes No Copy No Copy <br /> records related to the property? Qf yes,please provide copies or Attached Available <br /> make them available. <br /> a. Radon, asbestos, or lead-based paint surveys <br /> b. Environmental compliance audit reports <br /> c. Environmental permits related to current or previous site activities <br /> (e.g.,waste disposal permits,wastewater permits,NPDES permits) <br /> d. Registrations for underground and above-ground storage tanks. <br /> e. Hazardous materials management plans(Emergency Planning and <br /> Community Right-To-Know Act EPCRA <br /> f. Facility safety plans <br /> g. Preparedness and prevention plans <br /> h. Spill prevention, control, and countermeasure (SPCC)plans <br /> i. Hydrogeologic and geotechnical reports on the property or <br /> surrounding area <br /> j. Notices or other correspondence from any government agency <br /> relating to past or current violations of environmental laws with <br /> respect to the property <br /> k. Notices or other correspondence from any government agency <br /> relating to environmental liens encumbering the property <br /> 1. Hazardous waste generator notices or reports <br /> m. Risk assessments <br /> n. Recorded deed or environmental land use restrictions <br /> o. Other environmental studies or investigations <br /> 1 <br />