63-19 Exhibit - Retention of Matrix to Prepare Preliminary Assessment Report as to Rock Spring Golf Course FE.pdf

MATRIXNEWORLD Engineering Progress Matrix New World Engineering, P.C. Prospective Landowner And/Or User Questionnaire Subject Property Name: Subject Property Address: QUESTION YES NO UNK? 22. Are there any monitoring wells at the subject property? 23. Does the purchase price being paid for this property reasonably reflect the fair market value of the property? If there is a difference, it is because of known contamination? 24. What type of property transaction is being performed? i.e. sales, purchase, exchange, refinance? 25. What is the fair market value of the property? 26. What is the purchase price of the property? Please attach additional explanation for questions answered “YES”, Please provide the following documentation to Matrix, if available: - Previous Phase | Environmental Site Assessment - Asbestos or Lead-Based Paint reports - Environmental Compliance Audit Reports - Environmental permits - Registrations for USTs and/or ASTs - Registrations for underground injection systems - Geotechnical reports - Hazardous waste generator notices Please return questionnaire to Matrix: fax 973-240-1818 or mail to 26 Columbia Turnpike, Florham Park, NJ 07932 PRINT NAME TITLE DATE COMPANY PROSPECTIVE LANDOWNER OR USER?