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 7 C.Water and Wastewater 1.Does the property currently or has it ever been supplied by an onsite drinking water supply well? If yes, provide the well locations and construction dates. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ a)Have contaminants ever been identified in the onsite drinking water well or the water system that exceeded acceptable levels? If yes, describe the contamination and indicate the dates, contaminant levels and the source of the contamination, if known. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ b)If an onsite drinking water well is no longer used, has it been properly abandoned according to applicable regulatory requirements? If yes, indicate the date the well was abandoned. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ 2.Has the property ever had an onsite wastewater treatment and disposal systems (e.g., septic systems or sewage lagoons). If yes, please describe of the system, including the locations, size, date constructed, and which buildings discharge to the system. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ a)If the onsite wastewater treatment and disposal system is no longer used, has it been closed? If yes, describe method of closure and date closed. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ 3.Does the property have any monitoring wells? If yes, explain the purpose of the wells and provide the locations, dates of construction, and any analytical results. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ a)If the monitoring wells are no longer used, were they properly abandoned according to applicable regulatory requirements? If yes, indicate the date the well was abandoned. Yes □ No □ N/A □ Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ 4.Does the property have surface water (e.g., pits, ponds, lagoons, rivers, creeks, or oceans)? If yes, describe the locations and type of surface water. Yes □ No □ Unknown □ ________________________________________________________________________________________ ________________________________________________________________________________________ a)If the property has surface water, are you aware of any unnatural characteristics such as color, sheens, odors, or sterility? If yes, please describe and indicate whether the situation is new or pre-existing. Yes □ No □ N/A □Unknown □ _________________________________________________________________________________ _________________________________________________________________________________ DocuSign Envelope ID: 480AFBD4-654C-48FA-9CB8-F7C8D7E98DB2