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 4 d)If remediation is completed, does the property now have contamination or residual contamination present? 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 □ _________________________________________________________________________________ _________________________________________________________________________________ 3.Have there ever been any easements, rights-of-way, pipelines, utility lines, railways, entry or exit ports and associated structures, either buried or overhead, crossing the property? If yes, please describe and indicate the locations, approximate construction date, and the owner’s identity. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ a)If yes, are you aware of any spills or releases associated with these features? If yes, please describe the spills and releases and indicate the date, type, and quantities of materials involved. Yes □ No □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ b)If a spill or release has occurred, are you aware if the release has been mitigated? If yes, who did the mitigation and what regulatory agency oversaw the mitigation? If known, indicate whether the lead regulatory agency issued a no-further action (NFA) determination. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ c)If remediation is completed, are you aware if there the property still has 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 □ _________________________________________________________________________________ _________________________________________________________________________________ 4.Are you aware if the property’s topography has been altered or if the property has any unnatural topographic features present? If yes, please describe the topographic alterations or unnatural features. Indicate their locations on the property and, if known, when the alterations occurred and by whom. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ 5.Has fill material ever been brought onto the property that originated from a contaminated site or that was of an unknown origin? If yes, describe the date and quantity of material brought to the property, indicate the location where the material was placed. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ a)If fill material came from a contaminated site, identify the fill’s origin and describe the contamination. _________________________________________________________________________________ _________________________________________________________________________________ b)Is there any evidence that waste materials were dumped above grade, buried, or burned, either currently or previously, on the property? Examples include hazardous materials, petroleum products, labeled or unlabeled drums or containers, pesticide containers, household and farm debris, automotive DocuSign Envelope ID: 480AFBD4-654C-48FA-9CB8-F7C8D7E98DB2