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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USDA - Natural Resources Conservation Services Landowner Hazmat Interview 3 includes staining or soils and floors in areas utilized for the use and storage of hazardous materials. Yes □ No □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ b)If there had been a spill or release of hazardous substances or petroleum products, did someone report the incident to the National Response Center or a local or State emergency response authority? If yes, identify the agency. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ c)If a spill or release of hazardous substances or petroleum products has occurred, has the release been mitigated? If yes, describe the mitigation, identify the lead regulatory agency that oversaw the mitigation and indicate if the lead regulatory agency issued a no-further action (NFA) determination. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ d)If remediation is completed, does the property have contamination or residual contamination? If yes, are there any institutional controls or land use restrictions in place or long-term monitoring and maintenance requirements? Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ 2.Are there any past operations at the property that involved the use or storage of hazardous materials and substances? If yes, describe the operations and the locations, types, and quantities of materials. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ a)If yes, has there been a spill or release of hazardous substances, petroleum products, or other potential environmental problems on the property associated with past operations or tenants? If yes, describe the nature and locations of the release and the quantities and types of hazardous substances. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ b)If a spill or release of hazardous substances or petroleum products had occurred, was it reported to the National Response Center or a local or State emergency response authority? If yes, identify the agency. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ c)If a release of hazardous substances or petroleum products had occurred, was the release mitigated? If yes, describe the mitigation, identify the regulatory agency that oversaw the mitigation and indicate if the lead regulatory agency issued a no-further action (NFA) determination. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ DocuSign Envelope ID: 480AFBD4-654C-48FA-9CB8-F7C8D7E98DB2