HomeMy WebLinkAbout20029_Shops On Innes_Receptor Survey_03062017North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Rev. 09/2016 Page 1 of 3
Site:Shops on Innes
Address:1517, 1539 & 1541 East Innes Street
City:Salisbury
County:Rowan
Brownfields Project Number:20029-16-080
Property and Building Characteristics
a. Provide occupancy and use information.
23,000 SF building - Recently Demolished - No longer present on-site.
3,000 SF building - Dentist Office
Dentisit Office - Brick building on slab foundation.
c. Describe the foundation construction. Include details on type, floor construction, and depth below grade.
Slab foundation on grade. No crawl space or basement.
Standard commercial HVAC unit.
e. Are any subslab ventilation systems or moisture barriers in place? If so, please provide details.
No
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
3.44
0
15
60
NA
Commercial Retail
Commercial Retail
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
Commercial/Medical
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?).
0
25
% of property that is grassed areas
% of property that is agricultural crops
% of property that is paved
North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Rev. 09/2016 Page 2 of 3
Surrounding Property Land Use
North
South
East
West
N East
Y
Y
Utilities
Is there a septic system on-site? (Y or N) ________N
Please provide the utility providers for the subject property
a. Natural Gas ___Piedmont Natural Gas
b. Sewer ___Salisbury-Rowan Utilities
c. Electricity ___Duke Energy
d. Other ___Salisbury-Rowan Utilities
For surrounding properties, please complete the following table with available information.
Y See Fig
Y See Fig
N
Y See Fig
Y See Fig
N
N Overhead
* If yes, please provide a map or detailed information (distance, direction, depth) of the utility in correlation with
the subject property.
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?
Is a septic system leach field within 500 ft of the Property boundary?
Direction
Is there a basement within 1,000 ft of the Property
Distance
(ft)Address
Church
Zoning/Land Use
See Map
See Map
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?
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.
Commercial - Gasoline Station
Commercial - Pharmacy
Commercial - Gasoline Station
Commercial - Retail, Restaurant, Car Wash
For the subject property, please provide a map of known buried utilities. If available, include depth to top,
construction material, and diameter of the utilities. In addition, please provide the following information on utility
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.
Distance
(ft)
Is a sanitary sewer within 100 ft of the Property boundary?
Is there a residence within 1,000 ft of the Property?
North Carolina Department of Environmental Quality
Division of Waste Management
Brownfields Program
Rev. 09/2016 Page 3 of 3
Water Supply
What is the potable water supply for the property? Public ______ Private ______
N
N
N
Surface Water & 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.
Provide Information regarding Surface Water
and Wetlands
No surface water features
Are there surface water features on the
property? (If yes, please complete a. to d.)
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
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
b d?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.
Town Creek, 3,000 FT North
No Wetlands
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?
X
Source: Drawn by SUMMIT. Base Map provided by Rowan County GIS.
Prepared By\Date:PL/03/17
Checked By\Date:MZ/03/17
Scale
As Shown
Salisbury, NC
1,000 FT Radius Map
Centerlane Innes Street, LLC
Shops on Innes 2820 Selwyn Ave, Suite 425
1517 E. Innes Street Charlotte, NC 28209
N
3
1,000 FT
Receptor Information
1 -Church -1500 Council Street
2 -Church -205 Newsom Road
3 -Residential Area -Crawl Space only.
1
2
Source: Drawn by SUMMIT. Base Map provided by Metrolinna Engineering.
Prepared By\Date:PL/03/17
Checked By\Date:MZ/03/17
Scale
As Shown
Salisbury, NC
Utilities Map
Centerlane Innes Street, LLC
Shops on Innes 2820 Selwyn Ave, Suite 425
1517 E. Innes Street Charlotte, NC 28209
N
Notes
Water,Sewer utilites located in Innes
Street ROW.
Power and Telcom provided via
Overhead lines.
Natural Gas main located in Faith Road
ROW.
Key
Sanitary Sewer (8-10" PVC)
Storm water Pipe (12-36")
Water Line (assumed)
Gas Line (unknown size)