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Home My WebLink About20029_Shops On Innes_Receptor Survey_03062017North Carolina Department of Environmental Quality Division of Waste Management Brownfields Program Rev. 09/2016 Page 1 of 3 Site:Shops on Innes Address:1517, 1539 & 1541 East Innes Street City:Salisbury County:Rowan Brownfields Project Number:20029-16-080 Property and Building Characteristics a. Provide occupancy and use information. 23,000 SF building - Recently Demolished - No longer present on-site. 3,000 SF building - Dentist Office Dentisit Office - Brick building on slab foundation. c. Describe the foundation construction. Include details on type, floor construction, and depth below grade. Slab foundation on grade. No crawl space or basement. Standard commercial HVAC unit. e. Are any subslab ventilation systems or moisture barriers in place? If so, please provide details. No Surface Conditions Size of Property (acres) % of property that is wooded/brush If an existing building is on-site, please respond to the following. Information can be provided on additional sheets as needed. If numerous buildings are on-site, consult with your PM as only information on specific buildings may be needed. b. Describe the construction of the building including materials (e.g. wood frame, block), type and size of openings (e.g. windows, bay doors), and height (number of stories). % of property that is covered by buildings 3.44 0 15 60 NA Commercial Retail Commercial Retail BROWNFIELDS PROPERTY RECEPTOR SURVEY This form was created to clarify and simplify preparing a receptor survey for a brownfield site. Please provide the information requested below. Distances are measured from the site property boundary unless otherwise indicated by the DEQ Brownfield’s Project Manager (PM). Current Usage Proposed Usage Commercial/Medical d. Describe the HVAC system in the building. Include available details on type, equipment location, source of air return, and design considerations (e.g. positive pressure?). 0 25 % of property that is grassed areas % of property that is agricultural crops % of property that is paved North Carolina Department of Environmental Quality Division of Waste Management Brownfields Program Rev. 09/2016 Page 2 of 3 Surrounding Property Land Use North South East West N East Y Y Utilities Is there a septic system on-site? (Y or N) ________N Please provide the utility providers for the subject property a. Natural Gas ___Piedmont Natural Gas b. Sewer ___Salisbury-Rowan Utilities c. Electricity ___Duke Energy d. Other ___Salisbury-Rowan Utilities For surrounding properties, please complete the following table with available information. Y See Fig Y See Fig N Y See Fig Y See Fig N N Overhead * If yes, please provide a map or detailed information (distance, direction, depth) of the utility in correlation with the subject property. Is a water line main within 100 ft of Property boundary? Is a natural gas line main within 100 ft of the Property boundary? Is a buried telephone/ cable main within 100 ft of the Property boundary? Is a septic system leach field within 500 ft of the Property boundary? Direction Is there a basement within 1,000 ft of the Property Distance (ft)Address Church Zoning/Land Use See Map See Map DirectionUtility/Potential Receptor Is a buried electrical cable main within 100 ft of Property boundary? Is a storm water pipe within 100 ft of the Property boundary? Proposed Usage Current Use/Occupant Please provide information on the following land uses in the vicinity of the subject site, including a map of the surrounding areas. If specific receptors are present, please provide addresses of the facilities. Commercial - Gasoline Station Commercial - Pharmacy Commercial - Gasoline Station Commercial - Retail, Restaurant, Car Wash For the subject property, please provide a map of known buried utilities. If available, include depth to top, construction material, and diameter of the utilities. In addition, please provide the following information on utility providers. If additional assessment is required, the public utility locators should be contacted. This information can then be added to a site map. Y/N * Is a school or daycare center within 1,000 ft of the Property? Specific Land Uses of Interest Y/N * * If numerous facilities of interest are present, their locations can be placed on a map in lieu of providing specific addresses. Distance (ft) Is a sanitary sewer within 100 ft of the Property boundary? Is there a residence within 1,000 ft of the Property? North Carolina Department of Environmental Quality Division of Waste Management Brownfields Program Rev. 09/2016 Page 3 of 3 Water Supply What is the potable water supply for the property? Public ______ Private ______ N N N Surface Water & Wetlands Y/NWater Supply Wells Please provide the following information regarding water supply wells in the vicinity of the Property. At a minimum, a windshield survey within 1,500 ft of the property boundaries should be completed to determine if water supply or irrigation wells may be present. Information from applicable databases can and should be utilized; however, should not be utilized in lieu of the windshield survey. If multiple wells are present within the requested radius, please provide a map of the well locations. If needed, please attach a separate table to list all wells. Please note, the PM may opt for a more extensive water supply well survey if needed. The purpose of this section is to provide information on the water supply for the site and surrounding areas. Provide Information regarding Surface Water and Wetlands No surface water features Are there surface water features on the property? (If yes, please complete a. to d.) If Private, please provide details of the water supply source (i.e. well location, well construction, etc). If public, please include the water providers name. Distance (ft)Direction Address a. Is the water body naturally developed or man-made? Is a public water supply well within 1 mile of the Property boundary? Is a private water supply well within 1,500 ft of the Property b d?Is an irrigation well within 1,500 ft of the Property boundary? Response/Comments The purpose of this section is to provide information on the presence of surface waters and/or wetlands on, or in the vicinity of the Property. Town Creek, 3,000 FT North No Wetlands b. List the uses of the water body. c. What is the source of the water for the water body? d. What is the nature of the bottom of the water body (e.g., rocky or concrete bottom, drainage ways or impoundments) If no on-site surface water features, what is the nearest surface water body? Are there any wetlands present on the property? If no wetlands on-site, are wetlands suspected on adjoining properties? X Source: Drawn by SUMMIT. Base Map provided by Rowan County GIS. Prepared By\Date:PL/03/17 Checked By\Date:MZ/03/17 Scale As Shown Salisbury, NC 1,000 FT Radius Map Centerlane Innes Street, LLC Shops on Innes 2820 Selwyn Ave, Suite 425 1517 E. Innes Street Charlotte, NC 28209 N 3 1,000 FT Receptor Information 1 -Church -1500 Council Street 2 -Church -205 Newsom Road 3 -Residential Area -Crawl Space only. 1 2 Source: Drawn by SUMMIT. Base Map provided by Metrolinna Engineering. Prepared By\Date:PL/03/17 Checked By\Date:MZ/03/17 Scale As Shown Salisbury, NC Utilities Map Centerlane Innes Street, LLC Shops on Innes 2820 Selwyn Ave, Suite 425 1517 E. Innes Street Charlotte, NC 28209 N Notes Water,Sewer utilites located in Innes Street ROW. Power and Telcom provided via Overhead lines. Natural Gas main located in Faith Road ROW. Key Sanitary Sewer (8-10" PVC) Storm water Pipe (12-36") Water Line (assumed) Gas Line (unknown size)