2022-508-E-DEAPR-North Carolina Department of Agriculture and Consumer Services-Approval of NCADFP grant contract for matached funds in acquisition of conservation easement of Poteat family farm

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U.S. Department of Agriculture Natural Resources Conservation Service Hazardous Materials Field Inspection Checklist 2 □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ 19.Treatment for vegetation or invasive species 20.Spills or releases of pollution D.EVIDENCE OF PAST USE (check all that are applicable) Manufacturing Service station Dry cleaning Air Strip Pipeline Railroad line Facilities with large electrical transformers Petroleum production Landfills Scrap metal, auto, or battery recycling Military Laboratories Wood preserving Tanning Monitoring wells Wells no longer providing water Piles of soil, rock, debris Any unnatural topographic features Other (describe) E.PHYSICAL EVIDENCE OF EASEMENTS OR RIGHTS-OF-WAY (power lines, pipelines, railroads, roads) F.NEARBY LAND USES: (describe all surrounding land uses – especially those upstream or upgradient) G.CONTAMINATED SITES RECORD SEARCH: List all known contaminant sites within a 1-mile radius of the site. Check with Federal or State environmental protection agencies and local authorities. Are there any known hazardous material problems on or near the site (National Priority List, State sites, etc.)? (Attach additional sheets as necessary) H.INTERVIEWS:(Interviewee Name) (Title) (Interview Date) Present Owner(s) Past Owner(s) County Agent DocuSign Envelope ID: 480AFBD4-654C-48FA-9CB8-F7C8D7E98DB2