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HAZARDOUS WASTE / RISK SUPPLEMENT
A.
IDENTIFICATION
Owner's Name(s):
Property Address or Brief Description:
Date of Inspection: June 1, 2015
Does the existence of any identified/recognized environmental conditions, risks, green
construction amenities, or certifications effect any of the report conclusions/values?
☒ Yes ☒ No
If Yes, main results to be summarized in the report. Identify Primary Sections/Pages where addressed:
Example: Appraisal Report Comments Section
If Applicable - Was the Client notified of the condition(s) / Risks at the time of discovery
(prior to report completion/delivery)?
Notified:
☒ Yes ☒ No
Any known independent environmental studies or physical need assessments been performed
on the subject property?
☒ Yes ☒ No
Type/Scope: None Identified
Provided: ☒ Yes ☒ No
Type/Scope: None Identified
Provided: ☒ Yes ☒ No
Type/Scope: None Identified
Provided: ☒ Yes ☒ No
Does the property benefit from any sustainable/green construction amenities (solar, lighting
control, micro-grid, air quality, etc.) or have any energy certifications (LEED / NAHB Green
☒ Yes ☒ No
Building / ENERGY STAR / other)?
Certification Type: Other - See Report
B.
TENANTS/OCCUPANTS/USES (Environmental High Risk)
☒ Yes
Is there any evidence or knowledge that the property or any contiguous parcels are currently used or
known to have been used as: a gasoline station, auto repair facility, marina, dry cleaner, photo/print
facility, paint shop or paint booth, junkyard, dump or landfill, rail line, crop dusting, pesticide use,
medical waste, clandestine drug labs/former methamphetamine facility, contagious disease clinic,
military base, bombing range, shooting range, fire training facility, commercial plating facility, or as
a waste treatment, storage, disposal, processing or recycling facility (etc.)?
☒ No
Identify:
Occupant: Business Name
Type of Business/Use
Smith’s Dry Cleaners
Medical Waste Inc
Dry Cleaner
Storage/Disposal Medical Waste
Private
5250 Valley Forge Drive, Suite 805
Contiguous / Adjoining / Neighborhood
Fuel Distribution
Alexandria, VA 22304
(703) 969-6997
Current /
Date Left
Current
2010
Years on Site
Current
Unknown
15 years
2 years
b.ginter@thepyramidnetwork.com
C.
STORAGE TANKS ☒ Yes – See Below ☒ None Observed
Any observed or known (current/historical) above or underground storage tanks (including heating
oil tanks) located on the site? To include observations of stand/fill pipes, abandoned pumps,
systems requiring such tanks (new/use-oil heating systems), or any unexplained one inch (1'') or
larger pipeline or opening with metal rim (a possible indicator of an UGST).
Provide the following information, if applicable. (Use additional pages if necessary.)
Tank #1
D.
Tank #2
Is tank in use?
☒ Yes ☒ No
☒ Unable to determine
Is tank in use?
☒ Yes ☒ No
☒ Unable to determine
Tank is:
☒ Above Ground
☒ Below Ground
Tank is:
☒ Above Ground
☒ Below Ground
Location:
Storage / Use:
Not Applicable
Unknown
Location:
Storage / Use:
Not Applicable
Unknown
DRUMS and/or CONTAINERS
Any observed or known (current/historical) damaged or discarded industrial drums (typically
55-gallon), automotive or industrial batteries, pesticides, paints, hazardous wastes, petroleum
products, or other chemicals in individual containers or sacks of greater than 5 gallons (19 L) in
volume or 50 gallons (190 L) in the aggregate stored on or used at the property or at the facility?
☒ Yes ☒ No
If yes, photograph for report and provide the following (in report or under a separate cover):
a. Secondary Containment(s) implemented to prevent an uncontrolled release?
b. A rough count by size (number of gallons) and type.
c. Number of unlabeled drums.
d. Evidence of spills or leaks.
e. Location of drums.
E.
ASBESTOS
Any observed or known (current/historical) evidence of asbestos at any of the improvements?
☒ Yes ☒ No
If yes, is the asbestos friable (subject to crumbling)?
F.
☒ Yes ☒ No
PITS/PONDS/DUMPS/COLLECTION/SOIL/MINING
Any observed or known (current/historical) pits, ponds, lagoons, storm water retention
ponds, or associated discharge dry wells located on the property in connection with waste
treatment/evaporation, chemical waste effluents, or waste disposal?
☒ Yes ☒ No
Any observed or known (current/historical) gullies partially filled-in, edges of mounds with
containers exposed, dumps, or landfills located on the property?
☒ Yes ☒ No
Is there any evidence of pollutants in the water or around the edges of the ponds?
☒ Yes ☒ No
Are you aware of any fill dirt that has been brought onto the property from an off-site source?
☒ Yes ☒ No
Any observed or known (current/historical) natural gas drilling, oil drilling/fracking,
coal mining, or dry wells on or near the site?
☒ Yes ☒ No
5250 Valley Forge Drive, Suite 805
Alexandria, VA 22304
(703) 969-6997
b.ginter@thepyramidnetwork.com
G.
MISCELLANEOUS
Is there evidence or other noteworthy conditions which have not been previously discussed -?
Identify Below (Use additional sheets if necessary):
 Is property is served by a private well or non-public water system?
☒ Yes (Assumed to Code)
 Is the property served by a private septic system or non-public water
treatment facility?
☒ Yes (Assumed to Code)
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H.
Are there identified wetlands or hydric soils conditions associated with the site.
Is the site located in or subject to utilization restrictions; Chesapeake Bay
Preservation, historical preservations districts, conservation districts, etc.?
Is the property located in a FEMA Flood Zones (100 year)?
Any observed or known (current/historical) groundwater monitoring wells on the
property (Define)?
Are there any transformers, capacitors, or any hydraulic equipment (for example:
elevators, car lifts) located on the site?
 If Yes – Does Maintenance and condition appear adequate? ☒ Yes ☒ No
Do on-site activities require a storm water (NPDES), air, discharge, hazardous waste, or
any other environmental federal, state, or local permit(s) to operate the current business?
Any observed or known (current/historical) water damage to the walls, floors,
ceilings or any structure on the property that may have been caused from intruding
rainwater, HVAC ducts, or leaking water/sewage pipes?
Any observed or known (current/historical) evidence of mold in any of the site
Improvements?
Is there currently or has there ever been any stained or discolored soil, flooring, drains
or walls stained by substances other than water on the property?
Is there any evidence or knowledge that any part of the property is or has been used for
or exposed to pesticide or herbicides application (i.e.; farming operations)?
Is there any evidence or knowledge that any part of the property is or has been
used for chemical manufacturing or major industrial use?
Other: Any observed or known detrimental issues caused by light pollution, noise
pollution, odor pollution, or indoor air quality?
☒ No
☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
☒ Yes ☒ No
APPRAISAL/VALUATION REPORT
If Applicable - Any identified/recognized environmental conditions the locations are to be mapped/identified,
observations photographed, and commentary provided within the report as to any effect on report conclusions (value).
The observations in this Hazardous Waste / Risk Supplement are true and correct to the best of my/our knowledge
and belief.
Date: May 6, 2015
Appraiser/Contractor:
(Primary)
Date: May 6, 2015
Appraiser/Contractor:
By completing the above, the appraiser/contractor does not imply, warrant, or represent that he/she has expertise in
the field of environmental contamination.
5250 Valley Forge Drive, Suite 805
Alexandria, VA 22304
(703) 969-6997
b.ginter@thepyramidnetwork.com