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hereby accepts this Grant of Easement and agrees to be bound by its terms.
DATED: day of , 2013.
GRANTEE:
Okaloosa County Board of County Commissioners
By:
DON R. AMUNDS
Chairman of the Board
Attest:
NAME:
LILLE:
Page 10 of 10
FTFA-EG-2-13-002
IN WITNESS WHEREOF, I have hereunto set my hand the day of '
2013.
THE UNITED STATES OF AMERICA
by its Secretary of the Air Force
By:
Brigadier General David A. Harris
Commander, 96" Test Wing
ACCEPTANCE
The Grantee hereby accepts this Grant of Easement and agrees to be bound by its terms.
DATED: day of , 2013.
GRANTEE:
Okaloosa County Board of County Commissioners
By:
DON R. AMUNDS
Chairman of the Board
Attest:
NAME:
LITLE:
Page 10 of 10
FTFA-EG-2-13-002
IN WITNESS WHEREOF, I have hereunto set my hand the day of ;
2013.
THE UNITED STATES OF AMERICA
by its Secretary of the Air Force
By:
Brigadier General David A. Harris
Commander, 96" Test Wing
ACCEPTANCE
The Grantee hereby accepts this Grant of Easement and agrees to be bound by its terms.
DATED: day of , 2013.
GRANTEE:
Okaloosa County Board of County Commissioners
By:
DON R. AMUNDS
Chairman of the Board
Attest:
NAME:
‘TEELE:
Page 10 of 10
DESCRIPTION
Easement area consist of Parcel 1 (70.148 acres) and Parcel 2 (238.387acres+) and is located
off State Road 85. Easement renewal authorizes Okaloosa County Board of County
Commissioners continued access to the Niceville Sanitary Landfill located off State Road 85 to
inspect, operate and maintain pollution monitoring wells.
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DESCRIPTION
OKALOOSA COUNTY, FL, SECTIONS ]}OF PARCEL 2
25, 26, 35 & 36, TIN, R23W
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DEPARTMENT OF THE AIR FORCE
USE OF PROPERTY ON EGLIN AIR FORCE BASE, FLORIDA
PHYSICAL CONDITION REPORT (PCR)
Date of Report: 9 January 2013 Instrument Type & No: Easement #FTFA-EG-2-13-002
Instrument Start Date: 22 May 2012 Date Possession Taken: Renewal
Activity: Okaloosa County Board of Total Area for New Instrument: 238.387 acres +
County Commissioners
DESCRIPTION, LOCATION, AND CONDITION OF PROPERTY:
Easement area consist of Parcel 1 (70.148 acres+) and Parcel 2 (238.387acres+) and is located off State
Road 85. Easement renewal authorizes Okaloosa County Board of County Commissioners continued
access to the Niceville Sanitary Landfill located off State Road 85 to inspect, operate and maintain
pollution monitoring wells.
Said land is in excellent (g008) fair / poor condition. Said building(s) is in excellent/good/fair/poor
condition.
Remarks:
Easement area appears to be in good condition.
JOINT AGREEMENT ON CONDITION OF PROPERTY
We, the undersigned, jointly surveyed and inspected the condition of the property identified above.
We agree that as of the date of survey, the condition of said property is as described herein.
SS AH2 V/A Qnode A. don oe,
Mr. Scott R. Henson Jodi L. Georgulis
Public Works Project Manager Realty Specialist
Okaloosa County 96 CEG/CEAR
1759 South Ferdon Blvd 501 DeLeon Street Suite 100
Crestview FL 32536 Eglin AFB FL 32542-5133
EXHIBIT C
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS 96TH TEST WING (AFMC)
EGLIN AIR FORCE BASE FLORIDA
November 13, 2012
MEMORANDUM FOR 96 CEG/CEAR
FROM: 96 CEG/CEVSP
SUBJECT: Environmental Baseline Survey for Okaloosa County RCS 12-669
1. Attached is a certified Environmental Baseline Survey of the property required for Okaloosa
County Board of Commissioners continued use of the Niceville Sanitary Landfill. This easement
renewal authorizes inspection, operation and maintenance of the site and the monitoring wells.
The site is located off the western shoulder of SR 85 just north of College Blvd in Niceville.
This EBS is necessary for Okaloosa County to continue to utilize the requested property.
2. The Environmental Baseline Survey was approved by 96 CEG/CC on 9 November 2012. If
you have any questions or need additional information, pl contact Terry Perkins,
96 CEG/CEVSP, at 882-9906, or terry.perkins@eglin.af,
Acting Chief,
Attachment:
Certified/Approved Environmental Baseline Survey
EXHIBIT D
WAIVER OF ENVIRONMENTAL BASELINE SURVEY
Grant a 25-Year Easement Renewal to Okaloosa County
RCS 12-669
CERTIFICATION
The 96 CEG/CEAR proposes to grant an easement renewal to Okaloosa County Board of Commissioners for
continued use of the county’s easement which provides access to the Niceville Sanitary Landfill. This landfill
is located off Highway 85, and access is granted for inspections, operation, installation and maintaining
pollution monitoring wells. The original parcel (parcel 1), consist of 70.148 acres. Parcel 2 consist of 168.239
acres and is combined with Parcel 1 to meet the requirements of this new easement. The easement was last
surveyed in 1985. The survey results and the increase in acreage of this site will be included in this 25 year
easement renewal. The granting of this easement renewal/addition is recommended for a waiver of an
Environmental Baseline Survey (EBS). This action will allow Okaloosa County the continued use of this
important section of property that provides road access and use of the landfill site for Okaloosa County.
No changes in land use have occurred since the last instrument was issued. The granting of this waiver of EBS
should be allowed as there are no known changes or land use restrictions on the subject parcel.
96 CEG/CEVSP has conducted an initial record review, personnel interviews, and a site inspection to
determine there are no potential sources of contamination. Also, the proposed land area has been examined to
determine the following:
1. The condition of the property wil! not create health or safety risks when used as intended.
2. The allowable activities will not introduce hazardous material or petroleum products on the property.
3. No material alteration or change in the physical condition of the property will occur if the property is
held by the Air Force, such that the Air Force could be deemed an owner/operator of the facility under
the Comprehensive Environmental Response, Compensation, and Liability Act.
The above described property use meets the conditions identified in Section 1.5.2 of the Air Force Instruction
32-7066 (25 April 1994) and thereby qualifies for this waiver of EBS. The information contained within this
waiver is based on records made available and to the best of my knowledge is correct and current as of
7 Nov 2012.
CERTIFIED BY: & x DATE: “lt Nov old
TERRY L. PERKINS, GS-09
Environmental Protection Specialist
APPROVED BY: +edltgu I DATE: ‘| Now 1a
ANTHONY A-tHGDON, Colonel, USAF
Commander, 96th Civil Engineer Group
ENVIRONMENTAL CONDITIONS REPORT
Grant a 25-Year Easement Renewal to Okaloosa County
RCS 12-669
Site Visitation Report
On 16 October 2012, a team consisting of Terry Perkins and April Lawrence (96 CEG/CEVSP)
conducted a site inspection of the Niceville Landfill easement along the west side SR 85 in
Niceville. A thorough inspection of the parcels and adjacent areas was conducted.
The site inspections revealed no visible evidence of any stained soil, contamination, or suspected
contamination. There was no visible evidence of petroleum substances used or released near the
subject parcels. To the best of my knowledge, the site conditions have not changed since the
previous site visit when license instruments were issued.
Interviews and Records Reviews
Note: All interviews were conducted by e-mail.
1. 96 CEG/CEVSNW (Bruce Hagedorn, 26 Oct 12). No comments.
2. 96 CEG/CEVCP (Stephen Kauffman, 18 Oct 12). Mr. Kauffman said he had no records of
any hazardous substance or petroleum spills on the subject property.
3. 96 CEG/CEVCE (Bruce Stippich, 24 Oct 12). Mr. Stippich had no concerns with the subject
parcel.
4. 96 CEG/CEVSH (Lynn Shreve, 26 Oct 12). CEVSH has no concerns with combining the two
easements into one real estate lease agreement.
5. 96 TW/SEG (Bradley Bien, 19 Oct 12). There were no known safety concerns with the
subject parcel.
6. 96 CEG/CEVCE (Timothy Langley, 24 Oct 12). Mr. Langley had no concerns with the
subject parcel.
7. 96 CEG/CEVR (Leon Johnson, 29 Oct 12). Mr. Johnson said he had no concerns with the
subject parcel.
8. 96 CEG/CEVCE (Russell Brown, 24 Oct 12). Mr. Brown had no concerns with the subject
parcel.
‘ See BENS
Monitoring Station at Entrance of Landfill
North Entrance of Landfill
East Side of Entrance
de of Landfill 1
West S
West Side of Landfill 2
South Side of Landfill 1
South Side of Landfill 2
Southeast Corner of Landfill
CERTIFICATE OF COVERAGE ISSUED ON: 10/4/2012
COVERAGE PROVIDED BY: PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER: PX FL1 0461046 12-03 COVERAGE PERIOD: 10/1/2012 TO 10/1/2013 12:01 AM
COVERAGES: This is to certify that the agreement below has been issued to the designated member for the coverage period indicated. Notwithstanding any
requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the coverage afforded by the
agreement described herein subject to all the terms, exclusions and conditions of such agreement.
Mail to: Certificate Holder
The United States of America acting by and through the Secretary of the Air
Force
Department of the Air Force 96th Civil Engineering Squadron
501 DeLeon Street, Suite 101
Eglin, AFB, FL 32542
Designated Member
Okaloosa County BOCC
601-A North Pearl Street
Crestview, FL 32526
LIABILITY COVERAGE WORKERS' COMPENSATION COVERAGE
X Comprehensive General Liability, Bodily Injury, Property Damage
and Personal Injury
Eimte$ L000. 000A $100,000 SIR X Self Insured Workers' Compensation
a “$350,000. Self Insured Retention
Limit . — X Statutory Workers' Compensation
Employment Practices Liability
Limit X Employers Liability
X Employee Benefits Liability $1,000,000 Each Accident
Limit $1,000,000 / N/A $100,000 SIR $1,000,000 By Disease
X Law Enforcement Liability $1,000,000 Aggregate Disease
Limit $1,000,000 $100,000 SIR
PROPERTY COVERAGE AUTOMOBILE COVERAGE
Buildings & Personal Property Automobile Liability
Limit Limit $1,000,000 $50,000 SIR
Note: See coverage agreement for details on wind, flood, and other X All Owned
edictlpies: Specifically Described Autos
Rented, Borrowed and Leased Equipment X Hired Autas
Limit X Non-Owned Autos
a omer Inland Marine Automobile Physical Damage
imi
X Comprehensive See Schedule for Deductible
X Collision See Schedule for Deductible
X Hired Auto with limit of $35,000
Garage Keepers
Liability Limit
Liability Deductible
Comprehensive Deductible
Collision Deductible
NOTE:The most we will pay is further limited by the limitations set forth in Section 768.28(5), Florida Statutes (2010) or the equivalent limitations of successor
