Receptor Survey form Southside East_6 9 14

Page 1 of 4
General Instructions
1.)
2.)
3.)
Site:Southside East - City of Durham Property - McCormack Baron Salazar Development, Inc.
Address:703 S. Roxboro Street, Durham, NC 27701
City:Durham
County:Durham
Section 1 - Property Characteristics
19.325 19.325
0% 0%
~30% 0%
~60% 0%
~60% ~30%
0% 0%
0% 0%
30% 58%
Section 2 - Surrounding and Adjacent Properties
X North commercial commercial
X South residential residential
Direction from Subject
Brownfield Property Current Zoning/Land Use Proposed Zoning/Land Use
Applicable to Site
(DENR Use Only)
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.
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.
SOUTHSIDE EAST BROWNFIELDS PROJECT
Size of Property (acres)
% of property that is wooded
% of property that is grass area
% 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
Rev. 06/05/02
Page 2 of 4
X East commercial commercial
X West residential residential
Section 3 - Potential Receptors - include burial depth, construction material and diameter, when available.
Distance Direction Depth
X
Is a basement or subsurface
foundation within 1,500 ft of the
Property boundary?
Y Y 5/19/14
X
Is a school or daycare center
within 2000 ft of the Property
boundary?Y Y 5/19/14
X
Is a storm sewer within 500 ft of
the Property boundary?Y Y 5/19/14
X
Is a sanitary sewer within 500 ft
of the Property boundary?Y Y 5/19/14
X
Is a septic system leach field
within 500 ft of the Property
boundary?
Y Y 5/19/14
X
Is a water line main within 500 ft
of Property boundary?Y Y 5/19/14
X
Is a natural gas line main within
500 ft of the Property boundary?Y Y 5/19/14
X
Is a buried telephone/ cable main
within 500 ft of the Property
boundary?Y Y 5/19/14
X
Is a buried electrical cable main
within 500 ft of Property
boundary?Y Y 5/19/14
Section 4 - Local Water Supply
Public: City of Durham Water Management Private: Not applicable
Potable Water Supplier Name: City of Durham Water Management
Potable Water Supply Source: Lake Michie Reservoir
Distance: 14 miles Direction: northeast
Potable Water Source Intake: Lake Michie Reservoir
Distance: 14 miles Direction: northeast
The electrical cables within 500 feet
of the property boundary are above
ground. Electrical cables within
the Southside East property will be
below Memphis and Chestnut
Streets.
Sanitary sewers within 500 feet of
the property boundary are
identified on the attached figure 1 .
There are no septic tanks located
within 500 feet of the property
boundary
Water line mains within 500 feet of
the property boundary are
identified on the attached figure 1 .
Natural gas line mains within 500
feet of the property boundary are
identified on the attached figure 2 .
Buried cable/fiber optic within 500
feet of the property boundary are
identified on the attached figure 2 .
Complete and attach map as
appropriate
Applicable to Site
(DENR Use Only)
Storm sewers within 500 feet of the
property boundary are identified
on the attached figure 1 .
Field Verified Date
Verified
Provide Information for the
following potential receptors Y/N
Three basements are identified on
the attached figure 2 within 1500
feet of the property boundary.
Two daycares and two schools are
identified on the attached figure 3
within 2000 feet of the property
boundary.
Rev. 06/05/02
Page 3 of 4
Section 5 - Water Supply Wells
Distance Direction Depth
X
Is a public water supply well
within 1,500 ft of the Property
boundary?
N Y 5/19/14
X
Is a private water supply well
within 1,500 ft of the Property
boundary?
N Y 5/19/14
X
Is a irrigation supply well within
1,500 ft of the Property boundary?N Y 5/19/14
X
Is a monitoring well within 500 ft
of the Property boundary?N Y 5/19/14
Section 6 - Water Bodies on Property
If Present, Please Complete
X
Is water body naturally
developed or man made?
X
List the uses of the water body
X
What is the source of the water
for the water body
The source is rain water
X
What is the nature of the bottom
of the water body (e.g., rocky or
concrete bottom, drainage ways
or impoundments)
X
Are there any wetlands present
on the property?
Section 7 - Surface Water Body
Distance Direction Depth
X
Are there surface waters located
within 2,000 ft of the Property
boundary?
Y
Tributary to Third
Fork Creek
Tributary
X
If water bodies within 2000 ft,
what are they used for?
The classification for this section of Third Fork Creek is WS-V; NSW.
Section 8 - Additional Requests/ Observations
See Figure 3.
Both water bodies on property are man made. The water body on the
southwest portion of the property is temporary and is not included in final
construction plans.
Compacted soil.
Both water bodies on property are stormwater retention ponds.
Type Complete and attach map as
appropriate
No
Complete and attach map as
appropriate
Applicable to Site
(DENR Use Only)Field Verified Date
VerifiedY/N
Applicable to Site
(DENR Use Only)
Provide Information for the
following potential receptors Comments
Applicable to Site
(DENR Use Only)
Provide Information for the
following potential receptors Y/N Name
Provide Information for the
following potential receptors
Rev. 06/05/02
Page 4 of 4
WS-V = Waters protected as water supplies which are generally upstream
and draining to Class WS-IV waters or waters used by industry to supply
their employees with drinking water or as waters formerly used as water
supply. These waters are also protected for Class C uses.
NSW = Nutrient Sensitive Waters
Applicable to Site
(DENR Use Only)
Provide Information for the
following potential receptors Comments
Rev. 06/05/02

FIGURES