20170418 Ver 1_More Info Received - Email_20170410

North Carolina Department of Envirorunent
and Natural Resources
Division of Waste Management
Superfund Section
Inactive Hazardous Sites Branch
Pre -Regulatory Landfill Unit
Spring Hope Dump
ID# NONCD0000452
Tax Ill: 2769 11671248
Parcel PIN#: 1248
Deed Reference: 664 317
Your Honorable Mr. James Gwaltney, III, Mayor
Town of Spring Hope
118 W. Railroad Street
P. O. Box 87
Spring Hope, NC 27882
ty;-
I represent the above referenced corporation and am authorized by the corporation to make decisions about
the property.
I hereby grant permission to the State and the State's representatives access to my/our property to conduct an
environmental investigation to determine what public health and environmental hazards, if any, may exist and
conduct cleanup actions of an imminent hazard resulting from past operations of a landfill that ceased
operation prior to January 1, 1983. I understand that this permission does not obligate the State in any way to
perform or conduct any such activities, and no representation has been or is being made regarding the extent
or quality of the investigation or cleanup.
Town of Spring Hope
Name of Corporation (Print)
Signature prese i e
Name (Print)
Date it 2-012—
Return
-0!Z
AAa ftw.
Title (Print)
Return to: Zi-Qiang Chen, PhD
Pre -Regulatory Landfill Unit
Inactive Hazardous Sites Branch, NC Superfund Section
401 Oberlin Road — Suite 150
Raleigh, NC 27605-135

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The USFWS website http:www.fws.gov/Raleigh including IPaC, NC Natural Heritage Program's online database, GIS
data of Elemental Occurrences.and Significant Natural Heritage Areas (January 2017) for the project area downloaded
from the North Carolina Center for Geographic Information and Analysis website, NCOneMap,com. See PCN attachment
for additional information.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The USFWS website http:www.fws.gov/Raleigh including INC, NC Natural Heritage Program's online database, GIS data
of Elemental Occurrences and Significant Natural Heritage Areas (January 2017) for the project area downloaded from the
North Carolina Center for Geographic Information and Analysis website, NCOneMap.com, and the Essential Fish Habitat
Mapper on the NOAA Habitat Conservation Website.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would Impact historic or archeological resources?
Review of the historic properties on the North Carolina State Historic Preservation Office Geographic Information
Systems (GIS) Virtual Workroom (Http //ais,ncdcr.gov/hooweb/) did not reveal any historic properties in the project area.
See PCN attachment for additional information.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur In a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? Available FEMA mapping and the Project Engineer
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only If an authorization letter from the applicant
Isprovided.)
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