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Okaloosa County BOCC — December 4, 2012 — NLF 2013 GrantofEasement — reading text

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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. EXHIBIT A VICINITY MAP. | Noi_TO SCALE LEGAL DESCRIPTION OKALOOSA COUNTY, FL, SECTIONS }] OF PARCEL 1 EvVOIRIT R_1 SET V0" ow oo ano can stauPeD “Ave Un 3203" TWOP mftnoc to hae ‘We BW CONE) SCN 26 OLD NICEVILLE LANDFILL ON EGLIN AIR FORCE BASE, NICEVILLE, 25, 26, 35 & 36, TIN, R23W Z i come & ENO 2828 38 HDR ENGINEERING, INC. 3001000 360 400 200 Feet Sat ——— "3 LUNE TABLE, ‘UNE VT omecnon (F) [uENGMs (F) [une | OIREGHON (FD [LENGTH (FD _| sno 10" 2are tae [sr a7 astw | 130.30 @ 712.00 o 153.35 rT] 720810 5.33 3 631.40 ‘5446 te 30.80 8307 a 7 100463 is 3.00 149.00 i 127 60 7a06 ti [nz a7 sew | 00.80 172.00 ut_[szor 4s" sew] 33280 ti2_[w7a se" ssw] 630,70 13 [wre 101 ao'w 73.10 tie [nos ser aw] t0086 tis [sve se ssw] 201 ue 200.31 uy 202.08 ue 287 uo 122.60 = tata SURVEYOR'S. CERTIFICATE iar 78.00 a2 374.00 as 305.70 RET STAN, FEW TORR TEST WO ORT UNE TABLE teNGM (FD 716.90 Tio 134680 7298.10 oto 80,80 110470 4390 327.60 172.00 1904.76 2200.25 037.70 ae 102620 2005 06 38019 225.86 08.43 oro S30" 58 15°W, 796 Pt i VICINITY MAP Not TO SCALE SSURVEYOR'S CERTIMCATE PONT OF COMMENCEVENT soit uc recy sent a, TSAR TENE WO” WTOT OLD NICEVILLE LANDFILL ON EGLIN AIR FORCE BASE, NICEVILLE, HDR ENGINEERING, INC. DESCRIPTION OKALOOSA COUNTY, FL, SECTIONS ]}OF PARCEL 2 25, 26, 35 & 36, TIN, R23W Revs WwitrwpiT D4 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

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