HomeMy WebLinkAbout01002_Pilot Mills_LURU ModelNC BROWNFIELDS
LAND USE RESTRICTIONS (“LUR”) UPDATE
Year Certification Made: 2017
Name: Pilot Mills
Project #: 01002-97-092
Address: 1121 Haynes Street
County: Wake
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
Attn: Brownfields Program Staff
1646 Mail Service Center
Raleigh, NC 27699-1646
LUR 1: No water supply wells may be installed or used at the property.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
LUR 2: No mining activities may be conducted on the property.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
LUR 3: No activities which result in direct exposure to or removal of groundwater (for example, construction or excavation activities which encounter or expose groundwater) may be conducted
on the property without prior sampling and analysis of groundwater in the area where activities are to be conducted, provision of the analytical results to the Department of Environmental
Quality (“DEQ”) or its successor in function along with plans and procedures to protect public health and the environment during those activities, and approval of those activities by
DENR.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
LUR 4: Without the approval of DEQ, the property shall not be used for child care facilities, playground facilities, and/or organized ground contact sporting activities of any kind,
including, but not limited to golf, football, soccer, and baseball.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
LUR 5: No fountains, ponds, lakes, or other items which are supplied, in whole or in part, by groundwater may be constructed on the property.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
Pursuant to exhibit A of the Notice of Brownfields Property Section V. paragraph 13 submittal of this LURU will occur on each biennial anniversary starting with December 1998 and provide
information below addressing the condition of the parking lot and planter referenced in section V. paragraph 11a(ii).
Remarks: ______________________________________________________________
Notarized signing and submittal of this Land Use Restrictions Update constitutes certification that the Notice of Brownfields Property remains recorded at the Wake County Register 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
__________ 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: _________________