HomeMy WebLinkAbout06011_Hillsborough Ventures & Addition_LURU ModelNC BROWNFIELDS
LAND USE RESTRICTIONS (“LUR”) UPDATE
Year Certification Made: 2017
Name: Hillsborough Ventures & Hillsborough Addition
Project #: 04003-02-092 & 06011-02-092
Address: 3011-3027 Hillsborough St., 6-9 McKnight St., 110 Friendly Dr., 3 Concord St., 24 McKnight Ave. & 3101 Stanhope Ave.
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
No water supply wells may be installed or used at the Brownfields Property.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
No mining activities may be conducted on the Brownfields 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 fountains, ponds, lakes, swimming pools or other items which are supplied, in whole or in part, by groundwater may be constructed on the Brownfields Property.
☐ In compliance ☐ Out of compliance
Remarks: ______________________________________________________________
LUR 5: (Letter Amendment Sept. 29, 2009) During January of each year after the year in which the Amended Notice is recorded , the owner of any part of the property as of January 1st
of that year shall submit a notarized LURU to DEQ, and to the chief public health and environment officials of Wake County, certifying that, as of said January 1st, the Notice remains
recorded at the Wake County Register of Deeds office, the land use restrictions are being complied with and all caps installed at the Brownfields Property in accordance with subparagraph
9.d. of the Amended Agreement are in place and in good repair and stating:
The name, mailing address, telephone and facsimile numbers, and contact person’s e-mail address of the owner submitting the LURU if said owner acquired any part of the Property during
the previous calendar year. Insert information:
______________________________________________________________
The transferee’s name, mailing address, telephone and facsimile numbers, and contact person’s e-mail address, if said owner transferred any part of the Property during the previous calendar
year. Insert information:
______________________________________________________________
☐ 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 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: _________________