WSECU Wet Pond BPA-OCR

Brownfields Property Application
North Carolina Brownfields Program
www .ncbrownfields.org
I. PROSPECTIVE DEVELOPER (PD) INFORMATION {USE TAB KEY TO GET TO NEXT
DATA ENTRY LINE -DO NOT USE THE RETURN KEY}
A. PD information:
Entity name
Principal Officer
Representative
Mailing Address
E-mail address
Phone No.
Fax No.
Web site
Prospective Developer not yet identified.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
B. PD contact person information (i.e .. individual who will seNe as the NCBP's point of
contact if different than above):
Name
Company
Mailing Address
E-Mail Address
Phone No.
Fax No.
Prospective Developer not yet identified.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
C. Information regarding all parent companies. subsidiaries or other affiliates of PD (attach
separate sheet(s) if necessary):
(Use for LLCs)
Member-managed or manager-managed? Answer: Not applicable at this time
If manager-managed, provide name of manager and percent of ownership:
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Name
Ownership(%)
Mailing Address
E-Mail Address
Phone No.
Fax No.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
For all LLCs, list all members of the LLC and provide their percent of ownership:
Name Not applicable at this time.
Ownership(%) Not applicable at this time.
Mailing Address Not applicable at this time.
E-Mail Address Not applicable at this time.
Phone No. Not applicable at this time.
Fax No. Not applicable at this time.
Name Not applicable at this time
Ownership (%) Not applicable at this time
Mailing Address Not applicable at this time
Not applicable at this time
E-Mail Address Not applicable at this time
Phone No. Not applicable at this time .
Fax No. Not applicable at this time
Name Not applicable at this time
Ownership(%) Not applicable at this time
Mailing Address Not applicable at this time
Not applicable at this time
E-Mail Address Not applicable at this time
Phone No. Not applicable at this time
Fax No. Not applicable at this time
Managers of manager-managed LLCs are required to execute all brownfield documents
for the LLC; as to member-managed LLCs, state name of member who will sign these
documents.
Not applicable at this time.
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E-Mail Address
Phone No.
Fax Na.
Not applicable at this time
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
List all parent companies, subsidiaries and other affiliates:
Not applicable at this time.
(Use for individuals)
(If individual is the same as shown in 1.A., -please indicate "same as 1.A." above.)
Name
Mailing Address
E-Mail Address
Phone No.
Fax Na.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
D. Does PD have or can it obtain the financial means to fully implement a brownfields
agreement and assure the safe reuse of the property? (Attach supporting documentation
such as letters of credit, financial statements, etc.)
Answer Prospective Developer not yet identified.
Explanation Not applicable at this time.
E. Does PD have or can it obtain the managerial means to fully implement a brownfields
agreement and assure the safe use of the property?
Answer Prospective Developer not yet identified.
Explanation Not applicable at this time.
F. Does PD have or can it obtain the technical means to fully implement a brownfields
agreement and assure the safe use of the property?
Answer Prospective Developer not yet identified.
Explanation Not applicable at this time.
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II. SITE INFORMATION
A. Information regarding the proposed brownfields property:
Proposed project name WSECU Stormwater Wet Pond
acreage 4.26 County Forsyth
street address(es) 711 Salem Avenue
city Winston-Salem, NC. zip 27102
tax ID(s) or PIN(s) 6835-42-7543
past use(s) None
current use(s) None
cause(s)/source(s) of contamination:
known Metals impact from fly-ash fill and crushed battery casings and diesel fuel
impact from adjoining former Winston Salem City Yard Asphalt Plant. Environmental
Assessment report is attached to this application.
suspected
B. Regulatory Agency Involvement: list the site names and all identifying numbers (ID No.)
previously or currently assigned by any federal, state or local environmental regulatory
agencies for the property. The ID No's may include CERCLIS numbers, RCRA generator
numbers for past and present operations, UST database, Division of Water Quality's
incident management database, and/or Inactive Hazardous Sites Branch inventory
numbers. (In many instances, the PD will need to actively seek out this information by
reading environmental site assessment reports, reviewing government files, contacting
government officials, and through the use of government databases, many of which may
be available over the internet.)
Agency Name/ID No: IHSB Pre-Regulatory Landfill Unit (Currently Under Review)
Agency Name/ID No:
Agency Name/ID No:
Agency Name/ID No:
Agency Name/ID No:
Agency Name/ID No:
C. In what way(s) is the property is abandoned. idled, or underused?
The property is currently idled and has been so since at least 1951. As a result of its
position within the flood plain of Salem Creek, the property has restrictive uses that
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dictate land development. Also, the identified waste streams currently located on site
make development cost-prohibitive, thus causing the under utilization of this land parcel
to date. The proposed construction of a storm water wet pond on this idled property is an
acceptable use that will provide water quality benefits to the Salem Creek Watershed.
D. In what way(s) is the actual or possible contamination at the property a hindrance to
development or redevelopment of the property (attach anv supporting documentation
such as letters from lending institutions)?
A storm water wet pond to accept run-off from the Piedmont Triad Research Park
(PTRP) has been proposed for this property. The storm water wet pond cannot be
constructed to promote local economic development until the identified contaminants are
removed from the proposed wet pond limits and risk based criteria is utilized to determine
remedial action beyond the limits of proposed construction activities. Also, infrastructure
required for the pond construction cannot be excavated and installed through existing site
contaminants.
E. In what way(s) is the redevelopment of the property difficult or impossible without a
brownfields agreement (attach any supporting documentation such as letters form
lending institutions)?
The redevelopment of the property would be very difficult without a Brownfields
Agreement because the cost of remedial activities would most likely exceed the budgeted
costs approved for construction of the storm water wet pond. As stated in Item C listed
above, the identified waste streams currently located on site make current development
cost-prohibitive. After remediation under a Brownfields Agreement, selling this property to a
Prospective Developer in the future would most likely allow total site development and
maintenance costs to ultimately remain within future allocated funding thus making it easier
for future transferrence to a Prospective Developer.
F. What are the planned use(s) of the redeveloped brownfields property to which the PD will
commit? Be as specific as specific as possible.
The redeveloped Brownfields property will be utilized as a storm water wet pond to
accept run-off in the future from the PTRP Research Park project. The pond will be
constructed to collect run-off from roadways and structures as they are completed in the
research park. The pond will stop suspended solids and pollutants from directly entering
Salem Creek from PTRP.
G. Current tax value of brownfields property: $40,000 was the purchase price paid by the
City of Winston Salem to the WSECU on January 14, 2011.
H. Estimated capital investment in redevelopment project: $1,217,949-(please reference
the attached spreadsheet denoted as Attachment G).
I. List and describe the public benefits that will result from the property's redevelopment.
Be as specific as possible. (Examples of public benefits for brownfields projects include
job creation, tax base increases, revitalization of blighted areas, preserved green space,
preserved historic places, improving disadvantaged neighborhood quality-of-life related
retail shopping opportunities, affordable housing, environmental cleanup activities or set
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asides that have community or environmental benefits. In gauging public benefit, NCBP
places great value upon letters of support from community groups and local government
that describe anticipated improvements in quality of life for neighboring communities that
the project will bring about. The inclusion of such support letters with this application is
recommended and encouraged.)
The redevelopment of this Brownfields property will allow expansion of PTRP to continue
into areas south of Business 1-40 thus bringing additional short term construction jobs and
long term professional jobs to downtown Wnston-Salem. This project will also increase the
long term tax base for the City of Winston Salem and revitalize an under-used parcel of
impacted flood plain property into a wet pond with aquatic vegetation and landscaping. A
stream bank repair project is also proposed during site redevelopment, in order to prevent
sediment gain into Salem Creek. This proposed wet pond project will provide the
infrastructure necessary to capture the run-off from up-gradient PTRP areas thus
contributing to the over-all economic development of Winston Salem.
Special Note: Please describe all environment-friendly technologies and designs PD
plans to utilize in its redevelopment strategy. For example, environment friendly
redevelopment plans could include: Leadership in Energy and Environmental Design
(LEED) Certification, green building materials; green landscaping techniques such as
using drought resistant plants; energy efficient designs, materials, appliances,
machinery, etc.; renewable sources of energy, and/or recycling/reuse of old building
materials such as brick or wood.
Add water quality enhancement to Salem Creek which is a biologically impaired 303d
listed stream. Also, reuse woody vegetation for landscape mulch for other city initiated
projects
J. Who will own the brownfields property when the Notice of Brownfields Property is filed
with the register of deeds at the conclusion of the brownfields process? (If information is
the same as 1.A. above, please indicate.)
Name
Mailing Address
E-Mail Address
Phone No.
Fax No.
Prospective Developer not yet identified.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
Not applicable at this time.
111. OTHER REQUIRED INFORMATION
A. Brownfields Affidavit: PD must provide its certification, in the form of a signed and
notarized original of the unmodified model brownfields affidavit provided by NCBP, that
it did not cause or contribute to contamination at the property and that it meets all other
statutory eligibility requirements. (Note: The form to use for this affidavit is attached to
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Answer Yes
F. Environmental Reports/Data: If it makes an affirmative eligibility determination, the
NCBP will request that PD provide any and all existing environmental reports and data
for the property on CD only. The brownfields process may be expedited if PD submits
such reports/data with this application.
Are any environmental reports/data being submitted with this application?
Answer Yes
If environmental reports/data are being submitted with this application. please provide the
title, date and author of each item being submitted:
Initial Site Sampling Report
Winston-Salem Employees Credit Union (WSECU Out-Parcel)
May 11, 2011
Griffith Enterprises, Inc.
M. Alan Griffith, LG.
IV. ADDITIONAL REQUIRED FORMS
The following forms are to be filled out and submitted with the application including
the Responsibility and Compliance Affidavit and the Proposed Brownflelds
Agreement. Submittal of the Affidavit requires signature and notarization, and the
Proposed Brownfields Application requires an initial.
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