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NC BROWNFIELDS
LAND USE RESTRICTIONS (“LUR”) UPDATE
Year Certification Made:2017
Name: Address:
R. W. McCollum 107 West Meadowview Road
Project #: County:
09038-05-41 Guilford
Property Owner (In part or whole):
Read the following LURs and mark each restriction accordingly. Additional remarks may be added for
compliance status clarification. Attach any required or supplemental documentation, sign, notarize and
submit to the following address:
NC Division of Waste Management
Brownfields Program
1646 Mail Service Center
Raleigh, NC 27699-1646
LUR 1:\[No use may be made of the Brownfields Property other than as a tanker trailer
cleaning and repair facility, a trucking dispatch terminal, as office space, and for truck wash and
diesel repair facilities or other commercial endeavors approved in writing in advance by the
Department of Environmental Quality (“DEQ”). For purposes of this restriction, “commercial”
refers to an occupation, employment or enterprise carried on for profit by the owner, lessee or
licensee.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
LUR 2:Surface water and underground water at the Brownfields Property may not be
used for any purpose without the prior written approval of DEQ.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
R.W. McCollum (09038-05-41) LUR Update
LUR 3:No activities that encounter, expose, remove or use groundwater (for example,
installation of water supply wells, fountains, ponds, lakes or swimming pools, or construction or
excavation activities that encounter or expose groundwater) may occur on the Brownfields
Property without prior sampling and analysis of groundwater to the written satisfaction of DEQ in
any areas proposed for such activities, and submittal of the analytical results to DEQ. If such
results disclose to DEQ contamination in excess of North Carolina’s groundwater quality
standards, the proposed activities may not occur without the prior written approval of DEQ on
such conditions as DEQ imposes, including at a minimum compliance with plans and procedures,
approved pursuant to applicable law, to protect public health and the environment during the
proposed activities.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
LUR 4:Soil
a.underlying buildings and paved surfaces,
b.in the area denominated “Area of Potential Soil Contamination” on the plat
component of the Notice of Brownfields Property (“Notice”), and
c.at a depth greater than four (4) feet throughout the rest of the Brownfields Property,
may not be exposed without a minimum of ten (10) business days advance written notice to DEQ,
which may choose to inspect, and may require screening or sampling for contamination in, the
exposed soil. If screening or sampling discloses contamination that DEQ determines would make
the Brownfields Property unsuitable for the uses specified in LUR 1 above even if the soil is
capped, the soil may not remain exposed without the approval of DEQ on such conditions as it
imposes, compliance with which shall be determined by DEQ, to make the Brownfields Property
suitable for the uses specified in said LUR 1. Such conditions shall include, at a minimum,
preparation of and compliance with plans to protect public health and the environment while the
soil is exposed, and may include without limitation a requirement that soil be removed and
disposed of in accordance with applicable law. Alternatively, if DEQ determines that such soil
contamination would not make the Brownfields Property unsuitable for the uses specified in said
LUR 1 if the soil is capped, DEQ may offer the option of capping the soil and perpetually
maintaining the cap to DEQ’s written satisfaction, or removing and disposing of the soil in
accordance with applicable law to the written satisfaction of DEQ.
In compliance ____ Out of compliance ____
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
R.W. McCollum (09038-05-41) LUR Update
LUR 5:No mining may be conducted on or under the Brownfields Property, including,
without limitation, extraction of coal, oil, gas or any other minerals or non-mineral substances.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
LUR 6:No building may be constructed on the Brownfields Property until DEQ has been
consulted regarding the proximity of the planned building to the Brownfields Property’s volatile
contaminant plume. If DEQ determines that the footprint of the building would fall within one
hundred (100) feet of said plume, it may not be constructed without a vapor barrier system and/or
mechanical or passive vapor barrier mitigation system, at DEQ’s discretion, installed in
accordance with a plan approved in writing in advance by DEQ. Unperforated sheeting at least
ten (10 ) mils thick, a spray membrane liner system consisting of a material resistant to the
contaminants listed in Table A of the Notice, or another vapor barrier system may be proposed.
No vapor barrier shall be approved that is not to be installed under the entire slab-on-grade
foundation of the building, and sealed around any vertical pilings and other support structures
underneath the slab, overlapped, and taped, glued or otherwise stabilized, so as to minimize air
migration pathways. Within thirty (30) days following installation of the vapor barrier system
and/or vapor mitigation system, DEQ shall be provided certification of proper installation under
the seal of a professional engineer registered in North Carolina, as well as photographs illustrating
the installation and a brief narrative describing it.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
LUR 7:No basements may be constructed on the Brownfields Property unless and until
DEQ has been consulted regarding the proximity of the planned basement to the Brownfields
Property’s volatile contaminant plume. If DEQ determines that the footprint of the basement
would fall within one hundred (100) feet of said plume, the basement it may be constructed only
in compliance with such conditions as DEQ may impose, which may include without limitation
vapor barriers, vapor mitigation systems and mechanical ventilation.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
R.W. McCollum (09038-05-41) LUR Update
LUR 8:None of the contaminants known to be present in the environmental media at the
Brownfields Property, including those listed in Table A of the Notice, may be used or stored at the
Brownfields Property without the prior approval of DEQ, except (i) in de minimis amounts for
cleaning and other routine housekeeping activities; (ii) as constituents of fuel for vehicles and
landscaping equipment; and (iii) as constituents of products for sale in grocery stores, drug stores,
photo processing operations, paint and wallpaper stores or other commercial endeavors approved
by DEQ for the Brownfields Property, so long as such products are stored, used and disposed of
in compliance with all applicable laws and regulations.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
LUR 9:The Brownfields Property may not be used as a park or for sports of any kind,
including, but not limited to, golf, football, soccer and baseball, without the prior written approval
of DEQ.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
LUR 10:The Brownfields Property may not be used as a playground, or for child care
centers or schools.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
LUR 11:No party conducting environmental assessment or remediation at the
Brownfields Property at the direction of, or pursuant to a permit or order issued by, DEQ may be
denied access to the Brownfields Property for purposes of conducting such assessment or
remediation.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
R.W. McCollum (09038-05-41) LUR Update
LUR 12:During January of each year after the year in which the Notice was recorded, the
then current owner of any part of the Brownfields Property shall submit a notarized LURU to DEQ
certifying that the Notice remains recorded at the Guilford County Register of Deeds office, and
that the LURs are being complied with.
In compliance Out of compliance
☐☐
Remarks: ______________________________________________________________
Notarized signing and submittal of this Land Use Restrictions Update constitutes certification
that the Notice of Brownfields Property remains recorded at the County Register
\[Enter County\]
of Deeds office and that the Land Use Restrictions are being complied with.
This Land Use Restrictions Update is certified by _____________, owner of at least part of the
Brownfields Property on this ___day of _________, 20__.
Name typed or printed of party making certification: __________________
\[Note: additional entities or owners may be added if appropriate (i.e. multiple managing members/entities)\]
By: __________________________ (signature)
Name typed or printed: __________________
Title typed or printed: ___________________
NORTH CAROLINA
GUILFORD COUNTY
I certify that the following person(s) personally appeared before me this day, each
acknowledging to me that he or she voluntarily signed the foregoing document for the purpose
stated therein and in the capacity indicated: ______________________.
Date: ____________ ___________________________________
Official Signature of Notary
____________________________________
Notary’s printed or typed name, Notary Public
(Official Seal) My commission expires: _________________