14040_Union Carbide_Receptor Survey

Page 1 of 5
General Instructions
1.)
2.)
3.)
Site:CSX Intermodal Yard Expansion
Address:5400 Hovis Road
City:Charlotte
County:Mecklenburg
Section 1 - Property Characteristics
17.3
30 30
0
0
0
0
0
70 70
Section 2 - Surrounding Properties
BROWNFIELDS AREA RECONNAISSANCE AND RECEPTOR SURVEY GUIDANCE FORM
Provide Information for the following potential receptors Current Usage Proposed Usage
This form was created to facilitate the preparation of a receptor survey for a given brownfield property. This is a guidance
document only, and Prospective Developers may complete and submit their own receptor survey, if they desire. Any receptor
survey submitted must be completed by a qualified environmental professional.
Complete "Property Characteristics" Section and all portions of other sections where an "X" has been placed in
the far left column under “Applicable to Site,” as determined by the DENR Brownfields Project Manager on a site
specific basis.
% of property that is agricultural crops
% of property that is barren
% of property that is used for commercial or industrial usage
including paved areas
% of property that is scrub/shrub
% of property that is open land
The search-radius distances to potential receptors from the Property boundary will be determined by the DENR
Brownfields Project Manager on a site by site basis.
Search-radius distances are measured from the site Property Boundary unless otherwise indicated by the DENR
Brownfield’s Project Manager.
Size of Property (acres)
% of property that is wooded
% of property that is grass area
Rev. 06/05/02
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X North I-2 Industrial (general)
X South I-2 Industrial (general)
X East I-2 Industrial (general)
X West I-2 Industrial (general)
Proposed Zoning/Land UseApplicable to
Site (DENR Use
Only)
Direction from Subject
Brownfield Property Current Zoning/Land Use
Rev. 06/05/02
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Section 3 - Potential Receptors - include burial depth, construction material and diameter, when available.
Distance Direction Depth
X
Is a basement or subsurface
foundation within 1000 ft of the
Property boundary?N Y 12/29/2010
X
Is a school or daycare center
within 1000 ft of the Property
boundary?N Y 12/29/2010
X
Is a storm sewer within 1000 ft of
the Property boundary?
Y Y 12/29/2010 0 West 2 feet
X
Is a sanitary sewer within 1000 ft
of the Property boundary?
Y Y 12/29/2010 0
West, East,
South unknown
X
Is a septic system leach field
within 1000 ft of the Property
boundary?N N 1/5/2011
X
Is a water line main within 1000
ft of Property boundary?
Y Y 12/29/2010 0 West unknown
X
Is a natural gas line main within
1000 ft of the Property boundary?
Y Y 12/29/2010 0 West/SW unknown
X
Is a buried telephone/ cable main
within 1000 ft of the Property
boundary?Y Y 12/29/2010 0 West unknown
X
Is a buried electrical cable main
within 1000 ft of Property
boundary?N Y 12/29/2010
Section 4 - Local Water Supply
Public:X Private:
Potable Water Supplier Name:Charlotte-Mecklenburg Utilities
Potable Water Supply Source:Mountain Island Lake (Catawba River)
Distance:5 miles Direction:Northwest
Potable Water Source Intake:Charlotte Reservoir (5200 Brookshire Blvd)
Distance:0.5 miles Direction:North
Complete and attach map as
appropriate
Applicable to
Site (DENR Use
Only)
Provide Information for the
following potential receptors Y/N Field
Verified
Date
Verified
Rev. 06/05/02
Page 4 of 5
Section 5 - Water Supply Wells
Distance Direction Depth
X
Is a public water supply well
within 1 mile of the Property
boundary?N N 12/29/2010
X
Is a private water supply well
within 1/2 mile of the Property
boundary?Y Y 12/29/2010 800 feet North unknown
X
Is a irrigation supply well within
1/2 mile of the Property
boundary?N N 12/29/2010
X
Is a monitoring well within 1500
ft of the Property boundary?
Y Y 12/29/2010 600 feet West unknown
Section 6 - Water Bodies on Property
X
Is water body naturally
developed or man made?
NA
X
List the uses of the water body
NA
X
What is the source of the water
for the water body
NA
X
What is the nature of the bottom
of the water body (e.g., rocky or
concrete bottom, drainage ways
or impoundments)NA
X
Are there any wetlands present
on the property?
No
Applicable to
Site (DENR Use
Only)
Provide Information for the
following potential receptors Comments
Complete and attach map as
appropriate
Applicable to
Site (DENR Use
Only)
Field
Verified
Date
Verified
Provide Information for the
following potential receptors Y/N
Rev. 06/05/02
Page 5 of 5
Section 7 - Surface Water Body
Distance Direction Depth
X
Are there surface waters located
within 500/1000 ft of the
Property boundary?Y N/A Stream on-site East Unknown
Additional water bodies, if needed
Section 8 - Additional Requests/ Observations
Did not send letters to surrounding properties.
Applicable to
Site (DENR Use
Only)
Provide Information for the
following potential receptors Comments
Complete and attach map as
appropriate
Applicable to
Site (DENR Use
Only)
Provide Information for the
following potential receptors Y/N Name Type
Rev. 06/05/02
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1,000 Ft. Buffer
Parcel Boundary
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700 Feet
Figure
DR: W. Blaylock CHK: K. Watkins
DATE: 01/07/2011
RECEPTOR SURVEY MAP 1CLIENT:
PROJ.: 643008041
TITLE:
SCALE: 1" = 700'SITE:FORMER UNION CARBIDE PROPERTYBROWNFIELDS PROJECT NUMBER: 14040-10-605400 HOVIS ROADCHARLOTTE, NORTH CAROLINA
AMEC Earth & Environmental2200 Gateway Centre Blvd., Suite 205Morrisville, NC 27560(919) 447-2750
P:\ProjectFiles\643008041_CSX Hovis Road\GIS\Mxds\Wells.mxd