16019_Quality Forest Products_Receptor Survey Form__20170104

Page 1 of 4
General Instructions
1.)
2.)
3.)
Site: Enfield Timber - BF# 16019-12-042
Address: 21144 Highway 301 South
City: Enfield
County: Halifax
Section 1 - Property Characteristics
Section 2 - Surrounding Properties
XNorth
XEast
XSouth
XWest
Applicable to Site
(DENR Use Only)
Direction from Subject
Brownfield Property Current Zoning/Land Use 2
BROWNFIELDS AREA RECONNAISSANCE AND RECEPTOR SURVEY GUIDANCE FORM
Provide Information for the following potential receptors Current Usage Proposed Usage1
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.
58.78Size of Property (acres)
% of property that is wooded 60%
20%
2 - A figure with the current zoning information is provided in Appendix B. The BF property is outlined in red. Zoning
information for Halifax County was obtained from Chris Rountree of the Halifax County planning department. According to
Mr. Rountree there is no zoning map of the county available. Edgecombe County and Nash County zoning were obtained
from the County GIS mapping web sites. A copy of the Edgecombe County Development Plan (zoning map) is included in
Appendix B. No changes to zoning or land use are planned.
1 - A site map is provided in Appendix A. Redevelopment of the site has included the removal of some small structures and
the refurbishment of the larger structures. No significant changes to the site have been made or are pending.
60%
58.78
20%
0%
0%
0%
20%
0%
HI/ RA
Heavy industrial/Residential agricultural
RA
Residential agricultural
A1, AR-30
Agricultural/rural residential
HI
Heavy Industrial
% of property that is scrub/shrub
% of property that is open land
% 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
Proposed Zoning/Land Use
RA
Residential agricultural
HI/ RA
Heavy industrial/Residential
agricultural
0%
20%
0%
0%
HI
Heavy Industrial
A1, AR-30
Agricultural/rural residential
0%
Rev. 06/05/02
Page 2 of 4
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?
NY 1/4/2017
X
Is a school or daycare center
within 1000 ft of the Property
boundary?
NY 1/4/2017
X Is a storm sewer within 1000 ft of
the Property boundary?YY 1/4/2017
X Is a sanitary sewer within 1000 ft
of the Property boundary?NY 1/4/2017
X
Is a septic system leach field
within 1000 ft of the Property
boundary?
Y Y 1/4/2017
X Is a water line main within 1000 ft
of Property boundary?NN 1/4/2017
X Is a natural gas line main within
1000 ft of the Property boundary?NN 1/4/2017
X
Is a buried telephone/ cable main
within 1000 ft of the Property
boundary?
YY 1/4/2017
X
Is a buried electrical cable main
within 1000 ft of Property
boundary?
YY 1/4/2017
The closest school, Enfield Middle
School, is greater than 1 mile north
of the site.
Storm drains/drop inlets are
located along Highway 301, which
drain into Fishing Creek.
Field
Verified
According to Piedmont Natural
Gas, there are no gas lines at the
property or surrounding areas.
3 - A site map showing the location of the septic system and associated drain fields is provided in Appendix C. SIES could
not obtain complete utility location maps for the site and immediately adjacent properties; however, telephone calls and
email correspondence, as well as the site reconnaissance provided utility location information. A map obtained from Century
Link indicating the fiber and cable lines along US 301 also provided in Appendix C. Photographs of utilities at the site and
surrounding properties are provided in Appendix D.
Municipal water is not available to
the site. A waterline in Edgecombe
County lines terminates
approximately 1,200 feet south
from the property boundary. A
map showing the Edgecombe
County waterline is provided in
Appendix C. 3

Y/N
Electric line markers were noted
along Highway 31.
A map provided by Century Link
indicating the location of fiber
Telephone line markers were
observed along US 301 at the
property boundary. Photographs of
utility markers are provided in
Appendix D.
Municipal water and sewer are not
available to the site, which has its
own water supply well and septic
system including tanks and leach
fields.
A septic system including an on-
site septic tank and field are located
on the east side of the property.
Additional water is pumped north
disposed and an off-site septic tank
and field. 3
No basements or subsurface
structures were identified within
1,000 feet of the property
boundary.
Complete and attach map as
appropriate
Date VerifiedApplicable to Site
(DENR Use Only)
Provide Information for the
following potential receptors
Rev. 06/05/02
Page 3 of 4
Section 4 - Local Water Supply
Public: Halifax County Public Utilities Private:
Potable Water Supplier Name:
Potable Water Supply Source:
Distance: <1,000 ft Direction:
Potable Water Source Intake:
Distance:<1,000 feet Direction:
Section 5 - Water Supply Wells
Distance Direction Depth
X
Is a public water supply well
within 1 mile of the Property
boundary?
NY 1/4/2017
X
Is a private water supply well
within 1/2 mile of the Property
boundary?4
YY 1/4/2017
X
Is a irrigation supply well within
1/2 mile of the Property
boundary?
NY 1/4/2017
X Is a monitoring well within 1500
ft of the Property boundary?YY 1/4/2017
Applicable to Site
(DENR Use Only)
Provide Information for the
following potential receptors Y/N

Field
Verified Date Verified
Upstream
The existing on-site water supply
well, WSW-1, is 230 feet deep with
the pump set at 180 feet below
ground surface. Additional water
supply wells are either upgradient
of the site or across Fishing Creek, a
hydraulic barrier.No irrigation wells were
specifically identified within 1/2
mile of the Property boundary;
however, the wells noted at the
Franklin Center at Bricks may be
irrigation wells since they are
connected to municipal water.
A monitoring well network is on
site. See figure in Appendix C for
locations of monitoring wells.
Complete and attach map as
appropriate
Three transient community wells
are located across Fishing Creek
from the site. These wells serve the
Franklin Center at Bricks, a
conference center. According to the
Edgecombe Co. Water Department,
the center is also connected to
municipal water.
4 - On-site water supply wells WS-1 and WS-2 were sampled on 5/2/2007. The laboratory results indicated no constituents
of concern at concentrations above the 15A NCAC 2L Groundwater Standards. Water supply well WS-2 was abandoned on
7/22/2016. A copy of the abandonment record is provided in Appendix E. The locations of these two wells are on the Septic
Fields Map in Appendix C.
Halifax County Public Utilities
Fishing Creek
Fishing Creek
West (upstream)
Rev. 06/05/02
Page 4 of 4
Section 6 - Water Bodies on Property
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
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 1000 ft of the Property
boundary?
Y Fishing
Creek
Class C; NSW and WS-
IV, NSW, CA (from
0.6 miles upstream to
Enfield Intake)
Additional water bodies, if needed
Section 8 - Additional Requests/ Observations

Silty and sandy bottom.
Yes. Low lying areas on the property contain standing water.
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 Comments
Creek bounds property to the
south. WS-IV designation ends at
the property boundary. 6
Applicable to Site
(DENR Use Only)
Provide Information for the
following potential receptors Type Complete and attach map as
appropriate
Y/N Name
Fishing Creek, a natural water body, bounds the property to the south. 5
Fishing Creek is used a municipal water source and for recreational activities,
including fishing.
Fishing Creek is fed by streams further inland. Fishing Creek is a tributary of
the Tar River.
5 - Photographs showing the surface water bodies, including the on-site wetlands, are provided in Appendix D. A map
showing the location of the creek and the surface water uptake location is also provided in Appendix F.
6 - A copy of the Source Water Protection report is provided in Appendix G. A definition of the stream class designation is
included in Appendix G.
Rev. 06/05/02