HomeMy WebLinkAbout05004_Anchor Mill_LURU Model_20170913NC BROWNFIELDS
LAND USE RESTRICTIONS (“LUR”) UPDATE
Year Certification Made: 2017
Name: Anchor Mill
Project #: 05004-01-060
Address: 404 North Church Street
County: Mecklenburg
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
No water supply wells may be installed or used at the Property, and groundwater at the Property shall not be accessed or used for any purpose.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
No mining activities may be conducted on or under the Property.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
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 such activities are to be conducted, submittal of the analytical results to the Department of Environmental
Quality (“DEQ”) or its successor in function along with plans and procedures to protect human health and the environment during those activities, and approval of those activities by
DEQ or its successor in function.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
No basements and no fountains, ponds, lakes, swimming pools 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: ______________________________________________________________
No compounds containing arsenic, chromium or lead, and no petroleum hydrocarbon compounds or chlorinated solvents, including but not limited to those listed above in the Notice of Brownfields
Property (“Notice”) may be used, warehoused or otherwise stored at the Property, without prior approval of DEQ or its successor in function. The approval of DEQ or its successor in
function shall not be required for petroleum hydrocarbon compounds or chlorinated solvents used in de minimis amounts for cleaning and for other routine housekeeping activities.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
Within seven (7) days of each anniversary of the effective date of the Brownfields Agreement (“Agreement”), the then current owner(s) of each portion of the Property, shall submit a
notarized Land Use Restriction Update to DEQ or its successor in function certifying that the Notice remains recorded at the Mecklenburg County Register of Deeds office, that the land
use restrictions contained in the Notice are being complied with, and that any impervious surface installed pursuant to paragraph 10.c of the Agreements being properly maintained. The
Land Use Restrictions Update shall be addressed to DEQ official referenced in paragraph 28.a. of the Agreement.
☐ 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 Mecklenburg 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: _________________