20059_Capital Blvd Self Storage_Brownfields Receptor Survey

North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Site:
Address:
City:
County:
Brownfields Project Number:
Property and Building Characteristics
a. Provide occupancy and use information.
c. Describe the foundation construction. Include details on type, floor construction, and depth below grade.
e. Are any subslab ventilation systems or moisture barriers in place? If so, please provide details.
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
NA
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
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?).
% of property that is grassed areas
% of property that is agricultural crops
% of property that is paved
Rev. 09/2015 Page 1 of 3
Capital Boulevard Self-Storage
622 Capital Boulevard
Raleigh
Wake
20059-16-092
North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Surrounding Property Land Use
North
South
East
West
Utilities
Is there a septic system on-site? (Y or N) _________
Please provide the utility providers for the subject property
a. Natural Gas ___________________________
b. Sewer ___________________________
c. Electricity ___________________________
d. Other __________________________
For surrounding properties, please complete the following table with available information.
* If yes, please provide a map or detailed information (distance, direction, depth) of the utility in correlation with
the subject property. Please see attached Exhibit 1 for known utility locations (obtained from Wake County GIS
iMAPS and WithersRavenel, 2016 Phase II report for site. Telecommunications and electrical line run along site
boundary.
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?
Direction
Is there a basement within 1,000 ft of the Property
Is a septic system leach field within 500 ft of the Property boundary?
Distance
(ft)Address
Zoning/Land Use 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.
For the subject property, please provide a map of known buried utilites. If available, include depth to top,
construction material, and diameter of the utilities. In addition, please provide the following information on utilty
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. It is unknown is there is a basement within 1,000 ft of the Property. 614 Capital Blvd. refers to the
Cotton Mill Apartments (Exhibit 1). 15 East Peace St. refers to William Peace University (Exhibit 2).
Distance
(ft)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?
Is a sanitary sewer within 100 ft of the Property boundary?
Is there a residence within 1,000 ft of the Property?
Rev. 09/2015 Page 2 of 3
North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Water Supply
What is the potable water supply for the property? Public ______ Private ______
Surface Water & Wetlands
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
Provide Information regarding Surface Water
and 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.
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
bd?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.
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?
Are there surface water features on the
property? (If yes, please complete a. to d.)
Rev. 09/2015 Page 3 of 3
CAPITAL BOULEVARDRAILROADThe Cotton Mill Apartments(614 Capital Blvd.)(UST)
UHaul(716 Capital Blvd.)
0 30 60Feet
±
EXHIBITNO.
Drawn By: DWH
Checked By: MTJ
Project Number: 70167512
Scale: as shown
1
2401 Brentwood Road, Suite 107 Raleigh, NC 27604Phone: [phone] Fax: [phone]
Site Diagram
Proposed Storage Facility622-628 Capital BoulevardRaleigh, Wake County, North CarolinaDate Drawn: 05/17/17
Legend
Proposed Building FootprintPower (Electric) Line
Telecommunications Line
Natural Gas Line
Public Water Line
Storm Water Drain Pipe
Sanitary Sewer Line
Site boundary
Note:
-Former on-site building demolished (November 2016)-Site is currently being redeveloped
P
T
GW
S
S
ED
ED
ED
0 800 1,600Feet
±
EXHIBITNO.
Drawn By: DWH
Checked By: MTJ
Project No: 70167512
Scale: as shown
2
2401 Brentwood Road, Suite 107 Raleigh, NC 27604Phone: [phone] Fax: [phone]
Receptor Map
Proposed Storage Facility622-628 Capital BoulevardRaleigh, Wake County, North CarolinaDate Drawn: 05/08/17 Capital Boulevard1,500-ft
1,000-ft
500-ft
Legend
ED Potential Water Suppy Well
ED Irrigation Well (Active)
Site Boundary
Stream
Wake County Parcel Boundary
W. Peace Street
RaleighNurserySchool, Inc.(1035 Halifax Street)
WilliamPeaceUniversity(15 East Pease Street)
Communities InSchools/Smart Academy(971 Harp Street)
Notes:-Potential water supply wells are based on estimated locations provided in Wake County GIS iMAPS database-Irrigation well associated with Logan's One Stop Garden ShopPigeon House BranchCottonMillApartments
Owner:Housing AuthorityCity of Raleigh
Owner:Peace Collegeof Raleigh