Orange County NC Website
Browse       Search
U.S. Department of Agriculture <br />Natural Resources Conservation Service Hazardous Materials Field Inspection Checklist <br />3 <br />□ □ <br />□ □ <br />□ □ □ <br />Other Authorities <br />I.AGRICULTURAL HISTORY: <br />Type, Duration and Extent of Agricultural Activity: <br />Surface Drains Present PRESENT NOT PRESENT <br />Subsurface Drains Present PRESENT NOT PRESENT <br />J.RECOMMENDATION: <br />In my professional opinion and based on my inspection of the site this project should move forward: <br />YES NO FURTHER INVESTIGATION NEEDED <br />K.CERTIFICATION: <br />I hereby certify that on , 20 I made a personal examination and inspection of the tract or <br />parcel of land identified above, and that I am fully informed as to the boundaries, lines and corners of said tract. Based <br />upon a careful and thorough investigation and inquiry I hereby certify that the Hazardous Materials Field Inspection <br />Checklist and the attachments are true to the best of my knowledge and belief. <br />EXAMINER (Name and Signature)OFFICIAL TITLE <br />DocuSign Envelope ID: 480AFBD4-654C-48FA-9CB8-F7C8D7E98DB2