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WINTER ISLAND RDG✓itiTuZ vi t�Yi �VL.Q.��,1 IlaAlliance Environmental Group, Inc. 0 24 Mc Auburn Street, Suite zoo North, Cambridge, MA oz 138 too Jefferson Boulevard, Warwick, R1 02888 December 18, 2008 Ms. Janet Mancini Acting Health Agent Salem Board of Health 120 Washington Street Salem, MA 01971 RE: Public Involvement Notification Motor -Boat -UST), Wiriter_Island Salem, Massachusetts RTN 3-18002 AEG Project No. 1670-01 Dear Ms. Mancini: 617-492-6500 401-732-7600 Pursuant to 310 CMR 40.1403(3)(e), we hereby notify you that a report, entitled "Phase V Status Report #1 " has been filed today with the Massachusetts Department of Environmental Protection (MADEP) for your above -referenced property ("Site"). This Phase V Status Report details the operation of a groundwater remediation system and evaluates the effectiveness the system is having on improving groundwater quality. Presently, the system is operating properly, and continued operation and maintenance according to 310 CMR 40.0000 will be continued. If you wish to review or copy the Phase V Status Report, Mr. Thomas St. Pierre of the City of Salem has copies available for such use. Please call me during normal business hours at 617-492-6500 if you have any questions. Very truly yours, Alliance Environmental Group, Inc. Michael F. Geisser, PE, LSP Principal . ENVIRONMENTAL CONSULTING & MANAGEMENT ROUX ASSOCIATES INC 67 SOUTH BEDFORD STREET SUITE 101W BURLINGTON, MASSACHUSETTS 01803 TEL: 781-270-6600 FAX: 781-270.9066 November 18, 2008 Janet Dionne Acting Health Agent Salem City Hall 120 Washington Street 4th Floor Salem, MA 01970 �FE: CE IVED NOV 2 6 2008 Li I r Ur SALEM BOARD OF HEALTH Re: Notice of Availability of a Phase II/IV Remedial Implementation Plan Peabody Essex Museum Salem, Massachusetts RTN 3-23396 Dear Ms. Dionne: This letter is being sent to you in accordance with the public notification requirements established by the Massachusetts Contingency Plan (310 CMR 40.0000). Specifically, in accordance with 310 CMR 40.1403(3)(e) and (f), Roux Associates is notifying you, on behalf of the Peabody Essex Museum, of the availability of a Phase III/Phase IV Remedial Implementation Plan (RIP) for the Peabody Essex Museum (RTN 4-23396) located on 161 Essex St. in Salem, Massachusetts (the Site). The remedial activity proposed is to install an electrical resistance heating enhanced light non -aqueous phase liquid extraction system to remove No.4 fuel oil from the groundwater due to historical leaking of underground storage tanks. The construction of the system is expected to begin during December 2008 and will take approximately four months to complete. Once complete the system will operate for approximately one year. A copy of the report is available for review at the Northeast Regional office of the Massachusetts Department of Environmental Protection located at 205B Lowell Street in Wilmington, Massachusetts. PEM1673.0001 M002.103/APPA L2 Janet Dionne November 18, 2008 Page 2 If you have any questions concerning this notification please contact the undersigned. Sincerely, ROUX ASSOCIATES, INC. Glen Gordon, LSP Senior Engineer cc: DEP, NERO, Wilmington, MA ROUX ASSOCIATES, INC. PEM1673.0001 M002.103/APPA L2 June 23, 2009 Alliance Environmental Group, Inc. 124 Mt. Auburn Street, Suite zoo North, Cambridge, MA 02138 617-492-65oo iooJefferson Boulevard, Warwick, RI 02888 401-732-7600 Mr. David Greebaum Acting Health Agent City of Salem Salem, MA 01970 RE: Public Notification Site Construction 10 Blaney Street, Salem, MA MADEP RTN: 3-21067 Dear Mr. Greebaum: JUN 302009 `'uf+RD pFH�EM �lTy Pursuant to 310 CMR 40.1403(3)(a) of the Massachusetts Contingency Plan (MCP), Alliance Environmental Group, Inc. (AEG) is providing notice that construction activities associated with the Salem Wharf Project redevelopment located at the above -referenced property ("Site") will require the use of particulate respirators during some portions of the work The respirators will be used in accordance with a site specific Health and Safety Plan (HSP) & Soil Management Plan (SMP) developed by AEG and available upon request. Site soils have been investigated and found to contain levels of metals and poly -nuclear aromatic hydrocarbons (PAHs) exceeding applicable risk levels at depths below 3'. Consequently, when earthwork (i.e. utility, catch basin, etc.) extending below 3' from surface grade is conducted, workers will be required to where particulate respirators. Dust levels will be monitored on a real time basis and dust suppression methods including soil wetting with water will be available. If you have questions or concerns please contact the undersigned at 617-492-6500. Very truly yours, Alliance Environmental Group, Inc. Michael F. Geisser, PE, LSP Principal UNITED STATES ENVIRONMENTAL 4?' PROTECTION AGENCY OFFICE OF ECOSYSTEM PROTECTION REGION I 9ft,9 BOSTON, MASSACHUSETTS 02114 PUBLIC NOTICE OF A DRAFT NATIONAL POLLUTANT DISCH, E ELIMINATION SYSTEM (NPDES) PERMIT MODIFICATION TO DISCHARGE INTO THE WATERS OF THE UNITED STATES UNDER SECTION 301 AND 402 OF THE CLEAN WATER ACT (THE "ACT"), AS AMENDED. DATE OF NOTICE: February 19, 2009 PERMIT NUMBER: MA0040258 NAME AND MAILING ADDRESS OF APPLICANT: Mr. Juan M. Restrepo Neptune Deepwater Port One Liberty Square, 10th Floor Boston, MA 02109 NAME AND ADDRESS OF THE FACILITY WHERE DISCHARGE OCCURS: Massachusetts Bay, Federal Waters RECEIVING WATER: Massachusetts Bay PREPARATION OF THE DRAFT PERMIT MODIFICATION: The U.S. Environmental Protection Agency, (EPA) has developed a permit modification for the above identified facility. The effluent limits and permit conditions imposed have been drafted to assure that the provisions of the Clean Water Act will be met. INFORMATION ABOUT THE DRAFT PERMIT MODIFICATION: The draft permit modification is in regards to the construction related discharge of treated hydrostatic test water containing corrosion inhibitor from its new subsea pipeline which connects the Neptune LNG Deepwater Port with the existing Spectra HubLine. A fact sheet or a statement of basis (describing the type of facility; type and quantities of wastes; a brief summary of the basis for the draft permit modification conditions; and significant factual, legal and policy questions considered in preparing this draft permit modification) and the draft permit modification may be obtained at no cost at ham://www.ei)a. og v/regionl/npdes/offshorelniz/index.html or by writing or calling EPA's contact person named below: Ellen Weitzler US EPA 1 Congress Street, Suite 1100 (CWQ) Boston, MA 02114-2023 Telephone: (617) 918-1582 The administrative record containing all documents relating to this draft permit modification is on file and may be inspected at the EPA Boston office mentioned above between 9:00 a.m. and 5:00 p.m., Monday through Friday, except holidays. PUBLIC COMMENT AND REQUEST FOR PUBLIC HEARING: All persons, including applicants, who believe any condition of this draft permit modification is inappropriate, must raise all issues and submit all available arguments and all supporting material for their arguments in full by March 20, 2009, to the U.S. EPA, 1 Congress Street, Suite 1100, Boston, Massachusetts 02114-2023. Any person, prior to such date, may submit a request in writing to EPA and the State Agency for a public hearing to consider this draft permit modification. Such requests shall state the nature of the issues proposed to be raised in the hearing. A public hearing may be held after at least thirty days public notice whenever the Regional Administrator finds that response to this notice indicates significant public interest. In reaching a final decision on this draft permit modification the Regional Administrator will respond to all significant comments and make the responses available to the public at EPA's Boston office. FINAL PERMIT DECISION: Following the close of the comment period, the Regional Administrator will issue a final permit modification decision and forward a copy of the final decision to the applicant and each person who has submitted written comments or requested notice. Stephen S. Perkins, Director OFFICE OF ECOSYSTEM PROTECTION ENVIRONMENTAL PROTECTION AGENCY Jan 12 08 05:38p KIMBFJUY.Y DIMCOIS. MAYOR JANKI'MANI:INI AC11140 NVA1311 &.&N 1 Joanne Scott Salem BOH 878 745 0343 p.2 CITY OF SALEM, MASSAC.HUSEM, Ao, W of HLAI:11-1 120 W:1aHwvct* StakirT, 4"' VI A1nA '117.. (978)'141-1800 [vkx (7713) 74.5-0003 IMPJ.NI@sxI.Iw.(:t1M Well Construction Permit Ao011cation Fee: $180. Check Payable to the City of Salem (no cash. No charge to monitoring wells) MA. 01970 gj.a -*e--44s-5-jtis Type of well:Ar I 6ri��( _welluse: Env;mr*{A.1 As&ess,-tJ Well Contractor.&eo5e Trl� Pump Contractor. Address:80 A.A..,' Address: Phone: DrI a Phone: Req. M 9 -4g -345'-1,7V Have abutters been notifiedzA) (y)_ HOW, in the space Amvlded below (or a1 back) show the location of the proposed welt a1 relation to existing or propased above or below ground structures. A desorption of vd#* prlcr and current land use withal CAW) teat or tae prulweent was location, which represent a Menhat source of contaminefko. There is no fee for monNornng wells but a puma Is required for instasation. B.O.H. um only. Check k: Check dote` Permit tk wdlw=pwmlappl m vI$WIIrZ*0x [N MIS Environmental, L.L.C. RECEIVED June 22, 2009 'JON 2 3 2009 CITY OF SALEM Ms. Janet Mancini BOAA9 OF HE=ALTH Health Agent 120 Washington Street, 4`h Floor Salem, MA 01970 Re: Notice of Availability of Class B-1 Resnonse Action Outcome Statement 278 Lafayette Street Salem, MA 01970 MADEP RTN# 3-27920 SAK Project No.: 09.03.00 Dear Ms Mancini: This letter has been prepared in accordance with the public notification requirements of the Massachusetts Contingency Plan (MCP) regulations (310 CMR 40.1403) notifying you that a Class B-2 Response Action Outcome (RAO) Statement has been submitted to the Massachusetts Department of Environmental Protection (MADEP) for a release of oil at 278 Lafayette Street in Salem, MA. The submittal is available for public review at MADEP's Northeast Regional Office at 205E Lowell Street in Wilmington, Massachusetts. If you have questions, please contact me at 978-688-7804. Sincerely, SAK Environmental, LLC By: G�--- Zachary M. Taylor Environmental Scientist cc: DEP Northeast Regional Office Francine Small, Trustee 1538 Turnpike Street* North Andover, MA 018454 phone: 978 688 78044 fax: 978 688 78014 www.sakenvironmental.com IMPORTANT MESSAGE FOR T /L DATE-P.M. A M �,l.��TIME P. M. //J� M :A /0764 : 1Jkygvi OF n� O PHONE to / % is 22 %02 NUMBER EXTENSION U FAX U MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED : - ll'PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE: YOU f RUSH RETURNED YOUR CALL fVILLFAXTOYOU NOTES_ __ _ %Q I E S, INC. ENVIRONMENTAL CONSULTANTS 5 Middlesex Avenue • Suite 307 Somerville, MA 02145 617-623-8880 • Fax: 617-629-2920 W W W.IESING-ENVIRONMENTAL.COM IESINCOAOL.COM September 15, 2008 Ms. Janet Dionne Salem Board of Health 120 Washington Street, 4th Floor Salem, MA 01970 Direct Dial Numbers David P. Borons: (617) 776-8549 Daniel G. Jaffe: (617) 776-2715 Kerry R. Asetta: (617)776-0578 John Beck: (617)623-9813 David Brincheno: (617) 776-1950 Christopher D. Buchanan: (617) 623-5168 Mary Oliveira: (617) 776-4405 Melissa Randolph: (617) 776-0829 Jordan Schwabe: (860)724-3273 even G. Schwabe: (860) 724-4420 Taylor: (860) 724-3117 Ocl ` Wo- �i4rarY� X2008 Re: Release Abatement Measure f Response Action Outcome 11 15 & 16 Scotia Street F p= ,a Dear Ms. Dionne: , { Salem, MA RTN 3-21960 IES, Inc. of Somerville, MA has completed a Response'Action Outcome (RAO) for the above referenced site. In accordance with the Massachusetts Contingency Plan (310 CMR 40.1403(3)(f)),`notice must be given to the Chief Municipal Officer and the Board of Health in the Town in which the disposal site`is located. lP : Based on the completion of an "Immediate Response Action" (IRA) and a "Release Abatement Measure" (RAM), , which included the excavation and off-site disposal of 378.20 tons of contaminated soil-, along with confirmatory testing of soil samples and the completion of a MCP Method 1 Risk Assessment, the Class A-2 RAO stated that a condition of "No Significant Risk" of harm to health, public, welfare; and the environmental has been achieved for the site, in accordance N; ttAO10,CMR 40.0973(7).' Additional information regarding the Response Action Outcome Statement can be obtained from the DEP's Northeast Regional Office at 205B Lowell Street in Wilmington, MA, or directly from IES, Inc. at 5 Middlesex Avenue, Suite 4307 in Somerville, MA. If you or any member of your staff should have any questions regarding this matter, please do not hesitate to contact this office. Respectfully Submitted, IES, Inc. i Daniel G. Jaff , SP President Connecticut: 20 Lindbergh Drive • Hartford, CT 06114 • (860) 724-1020 Florida: 433 Cerromar Lane • Venice, FL 34293 • (941) 493-7167 Maine: 7 Camp Road • West Newfield, ME 04095 (207) 636-2034 E S. INC. ENVIRONMENTAL CONSULTANTS 5 Middlesex Avenue • Suite 307 Somerville, MA 02145 617-623-8880• Fax: 617-629-2920 W W W.IESINC-ENVIRONMENTAL.COM IESINC®AOL.COM October 3, 2008 Ms. Janet Dionne Salem Board of Health 120 Washington Street, 4th Floor Salem, MA 01970 f Dear Ms. Dionne: LL' Re: Release Abatement Measure Response Action Outcome 15 & 16 Scotia Street Salem, MA RTN 3-21960 IES, Inc. of Somerville,' MA has completed a Response Action Outcome (RAO) for the above referenced site. In' accordance 'with the Massachusetts Contingency Plan (310 CMR 40.1403(3)(f)), notice must be given to the Chief Municipal Officer and the Board of Health in the Town in which the disposal site is located. _ Based on the completion of an "Immediate Response Action" (IRA) and a "Release Abatement Measure" (RAM), which included the excavation and off-site disposal of 378.20 tons of contaminated soil; along with confirmatory testing of soil samples and the completion of a MCP Method 1 Risk Assessment, the Class A-2 RAO stated that a condition of "No Significant Risk" of harm to health, public welfare, and the environmental has been achieved for the site, in accordance with 310 CMR 40.0973(7). _ Additional information regarding the 4Response Action Outcome Statement can be obtained from the DEP's Northeast Regional Office at 205B Lowell Street in Wilmington, MA, or directly from IES, Inc. at 5 Middlesex Avenue, Suite #307 in Somerville; MA. If you or any member of your staff should have any questions regarding this matter, please do not hesitate to contact this office. Respectfully Submitted, IES, Inc. Daniel G. Jaffe, LSP President Connecticut: 20 Lindbergh Drive • Hartford, CT 06114 • (860) 724-1020 Florida: 433 Cerromar Lane • Venice, FL 34293 • (941) 493-7167 Maine: 7 Camp Road • West Newfield, ME 04095 (207) 636-2034 Direct Dial Numbers David P. Borans: (617) 776-8549 Daniel G. Jaffe: (617) 776-2715 Kerry R. Asetta: (617) 776-0578 John Beck: (617)623-9813 David Brincheiro: (617) 776-1950 Christopher D. Buchanan: (617) 623-5168 Mary Oliveira: (617) 776-4405 Melissa Randolph: (617) 776-0829 Jordan Schwabe: (860) 724-3273 �/r ® Kevin G. Schwabe: (860) 724-4420 Kevin W. Taylor: (860) 724-3117 Gly op BOLD t:;; OPS S-4lrh Re: Release Abatement Measure Response Action Outcome 15 & 16 Scotia Street Salem, MA RTN 3-21960 IES, Inc. of Somerville,' MA has completed a Response Action Outcome (RAO) for the above referenced site. In' accordance 'with the Massachusetts Contingency Plan (310 CMR 40.1403(3)(f)), notice must be given to the Chief Municipal Officer and the Board of Health in the Town in which the disposal site is located. _ Based on the completion of an "Immediate Response Action" (IRA) and a "Release Abatement Measure" (RAM), which included the excavation and off-site disposal of 378.20 tons of contaminated soil; along with confirmatory testing of soil samples and the completion of a MCP Method 1 Risk Assessment, the Class A-2 RAO stated that a condition of "No Significant Risk" of harm to health, public welfare, and the environmental has been achieved for the site, in accordance with 310 CMR 40.0973(7). _ Additional information regarding the 4Response Action Outcome Statement can be obtained from the DEP's Northeast Regional Office at 205B Lowell Street in Wilmington, MA, or directly from IES, Inc. at 5 Middlesex Avenue, Suite #307 in Somerville; MA. If you or any member of your staff should have any questions regarding this matter, please do not hesitate to contact this office. Respectfully Submitted, IES, Inc. Daniel G. Jaffe, LSP President Connecticut: 20 Lindbergh Drive • Hartford, CT 06114 • (860) 724-1020 Florida: 433 Cerromar Lane • Venice, FL 34293 • (941) 493-7167 Maine: 7 Camp Road • West Newfield, ME 04095 (207) 636-2034 I RACHEL EVANGELOS ROOF RECHARGE BED - SEE DETAIL-SHT. 2 KA THLEEN LEOSZ i 9w ROOF RECHARGE BED n SEE DEATIL-SHT. 2 _ W O � p�0 's N O �iLo DANA o DUHAINF I� O Ln m z CARLOS & LAURA PACHECO z 92 110 100 S=3% (3 / II Em L 8 0 FOR REGISTRY USE ONLY r'O r'r1=I nI/ I AIAnn A 77 \9Z DANG DUNG SUU I IA S I REE [P _— /00 �Ir^i MYRON Q) PASKOWSKI �— V.C. L=40' I u d 1 I Q_ 0 0 O N — fr- PROFILE 12" DI SDR 35 PVC SEWER S=q. 12" CL n NCL1 - W O � p�0 N O �iLo ",D � -101 to I� O 0) m _ I z z z �> -- N = 0 0 O N — fr- PROFILE 12" DI SDR 35 PVC SEWER S=q. 12" CL +50 to W O � p�0 o o ",D � °D Ir I� O 2 Z O t z z �> N = In N M FU O. m .._i it (0 , O b co U i V" r N � QD 117 Qp 0NC3) r •-� `4 i--� — - r (O n Cp r- r i J co n I In C3) OR cv n r , c6 o6 13-1-0 +50 12+0 +50 CONTRACTOR TO DETERMINE LOCATION OF END OF EXISTING WATER MAIN AND INSTALL A NEW GATE VALVE AND TRANSITION FITTINGS AS NECESSARY TO NEW 8' CLDI WATER MAIN. \ D I PRIVATE-- `PUBLIC IJ CD 11; Go coCD D 10.0 S CORE DRILL Al -FLEXIBLE RUBI AT EXISTING I r• S ✓po; �— EXISTING PROFILE 00 Ln d I � CID Cr 0 i # z� = O to co Cl) N— om ODCO M � EE SCOTIA STREET 2" CL 111 RC DRAIN S- -OI 018 A 11SDR 1_35 PVC SEWER S___ 9 11+0 +50 10+0 APPROXIMATE LOCATION EXISTING 6' WATER EXISTING DRAIN EXISTING SEWER GENERAL UTILITY NOTES 1) THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING AND DETERMINING THE LOCATION, SIZE AND ELEVATION OF ALL EXISTING UTILITIES, SHOWN OR NOT SHOWN ON THESE PLANS, PRIOR TO ANY CONSTRUCTION. THE ENGINEER SHALL BE NOTIFIED IN WRITING OF ANY UTILITIES FOUND INTERFERING WITH THE PROPOSED CONSTRUCTION AND APPROPRIATE REMEDIAL ACTION BEFORE PROCEEDING WITH THE WORK. 2) TRENCHES CUT INTO EXISTING PAVEMENT SHALL BE HEAT PATCHED. 3) ALL WATER MAINS SHALL BE CLASS 52 CEMENT LINED DUCTILE IRON PIPE. 4) ALL SANITARY SEWER MAINS SHALL BE 8" DIAMETER SDR 35 PVC. ALL SANITARY SEWER SERVICES SHALL BE 6" DIAMETER SDR 35 PVC, PITCHED A MINIMUM OF 1/4" PER FOOT. 5) WATER AND SEWER SHALL BE CONSTRUCTED WITH A MIN— IMUM HORIZONTAL SEPARATION OF 10 FEET. THE SEWER CROWN SHALL BE 18 INCHES BELOW THE INVERT OF THE WATER MAIN, WHERE WATER AND SEWER FACILITIES CROSS. IF BOTH OF THESE CONDITIONS CANNOT BE MET, THE SEWER AND WATER MAIN SHALL BE ENCASED IN CONCRETE. 6) WATER AND SEWER SERVICES SHALL BE CONSTRUCTED FROM THE APPROPRIATE MAIN TO THE EXTERIOR LINE OF THE WAY FOR EACH PROPOSED LOT. 7) EXISTING WATER AND SEWER SERVICES ENCOUNTERED DURING CONSTRUCTION OF THE NEW MAINS SHALL BE CONNCECTED TO THE NEW MAINS. 8) MINIMUM PITCH FROM CATCH BASINS TO DRAIN MANHOLES SHALL BE .005 FEET PER FOOT. 9) ALL UTILITIES SHALL BE INSTALLED UNDERGROUND IN ACCORDANCE WITH THE UTILITY AGENCY HAVING JURISDICTION. 10) /ALL ROOF RUNOFF FROM THE PROPOSED HOUSES ON LOTS 4 AND 5 SHALL BE D I RECTFD TO, TH11E FROI � USED 1�iOOF RECHARGE RFPS. y L E G E N D 0 SMH EXISTING SEWER MANHOLE • SMIH PROPOSED SEWER MANHOLE 0 DMH EXISTING DRAIN MANHOLE • DMIH PROPOSED DRAIN MANHOLE FB EXISTING CATCH BASIN ■ PROPOSED CATCH BASIN eoa EXISTING HYDRANT -►' PROPOSED HYDRANT EXISTING WATER GATE -- PROPOSED WATER GATT= — — 100 — EXISTING CONTOUR 100 PROPOSED CONTOUR 100.00 EXISTING SPOT GRADE 100x0 PROPOSED SPOT GRADE o UTILITY POLE RETAINING WALL cx�ooc�o��o STONE WALL CURB _—x — x — FENCE SCOTIA STREET SALEM, MASSACHUSETTS PLAN & PROFILE: SCOTIA ST. Prepared For Prepared By. Dan Hibbard Eastern Land Survey Assoc., Inc. 2 Northrield Rd. Christopher R. Mello P.L.S. Peabody, MA 01960 104 Lowell St, Peabody, Mass, 01960 (978) 531-8121 SCALE HORIZONTAL 1 " = 20' VERTICAL 1 " = 4' 0 10 20 40 60 DATE A: 146 JULY 17, 2003 Christopher R. Mello Clayton A. Alodi PLS 31317 PE 309691 2 5 REVISIONS F— SHEET 1 OF 2 W O � p�0 Q °D Ir 2 Z w N = In N M FU :2 CONTRACTOR TO DETERMINE LOCATION OF END OF EXISTING WATER MAIN AND INSTALL A NEW GATE VALVE AND TRANSITION FITTINGS AS NECESSARY TO NEW 8' CLDI WATER MAIN. \ D I PRIVATE-- `PUBLIC IJ CD 11; Go coCD D 10.0 S CORE DRILL Al -FLEXIBLE RUBI AT EXISTING I r• S ✓po; �— EXISTING PROFILE 00 Ln d I � CID Cr 0 i # z� = O to co Cl) N— om ODCO M � EE SCOTIA STREET 2" CL 111 RC DRAIN S- -OI 018 A 11SDR 1_35 PVC SEWER S___ 9 11+0 +50 10+0 APPROXIMATE LOCATION EXISTING 6' WATER EXISTING DRAIN EXISTING SEWER GENERAL UTILITY NOTES 1) THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING AND DETERMINING THE LOCATION, SIZE AND ELEVATION OF ALL EXISTING UTILITIES, SHOWN OR NOT SHOWN ON THESE PLANS, PRIOR TO ANY CONSTRUCTION. THE ENGINEER SHALL BE NOTIFIED IN WRITING OF ANY UTILITIES FOUND INTERFERING WITH THE PROPOSED CONSTRUCTION AND APPROPRIATE REMEDIAL ACTION BEFORE PROCEEDING WITH THE WORK. 2) TRENCHES CUT INTO EXISTING PAVEMENT SHALL BE HEAT PATCHED. 3) ALL WATER MAINS SHALL BE CLASS 52 CEMENT LINED DUCTILE IRON PIPE. 4) ALL SANITARY SEWER MAINS SHALL BE 8" DIAMETER SDR 35 PVC. ALL SANITARY SEWER SERVICES SHALL BE 6" DIAMETER SDR 35 PVC, PITCHED A MINIMUM OF 1/4" PER FOOT. 5) WATER AND SEWER SHALL BE CONSTRUCTED WITH A MIN— IMUM HORIZONTAL SEPARATION OF 10 FEET. THE SEWER CROWN SHALL BE 18 INCHES BELOW THE INVERT OF THE WATER MAIN, WHERE WATER AND SEWER FACILITIES CROSS. IF BOTH OF THESE CONDITIONS CANNOT BE MET, THE SEWER AND WATER MAIN SHALL BE ENCASED IN CONCRETE. 6) WATER AND SEWER SERVICES SHALL BE CONSTRUCTED FROM THE APPROPRIATE MAIN TO THE EXTERIOR LINE OF THE WAY FOR EACH PROPOSED LOT. 7) EXISTING WATER AND SEWER SERVICES ENCOUNTERED DURING CONSTRUCTION OF THE NEW MAINS SHALL BE CONNCECTED TO THE NEW MAINS. 8) MINIMUM PITCH FROM CATCH BASINS TO DRAIN MANHOLES SHALL BE .005 FEET PER FOOT. 9) ALL UTILITIES SHALL BE INSTALLED UNDERGROUND IN ACCORDANCE WITH THE UTILITY AGENCY HAVING JURISDICTION. 10) /ALL ROOF RUNOFF FROM THE PROPOSED HOUSES ON LOTS 4 AND 5 SHALL BE D I RECTFD TO, TH11E FROI � USED 1�iOOF RECHARGE RFPS. y L E G E N D 0 SMH EXISTING SEWER MANHOLE • SMIH PROPOSED SEWER MANHOLE 0 DMH EXISTING DRAIN MANHOLE • DMIH PROPOSED DRAIN MANHOLE FB EXISTING CATCH BASIN ■ PROPOSED CATCH BASIN eoa EXISTING HYDRANT -►' PROPOSED HYDRANT EXISTING WATER GATE -- PROPOSED WATER GATT= — — 100 — EXISTING CONTOUR 100 PROPOSED CONTOUR 100.00 EXISTING SPOT GRADE 100x0 PROPOSED SPOT GRADE o UTILITY POLE RETAINING WALL cx�ooc�o��o STONE WALL CURB _—x — x — FENCE SCOTIA STREET SALEM, MASSACHUSETTS PLAN & PROFILE: SCOTIA ST. Prepared For Prepared By. Dan Hibbard Eastern Land Survey Assoc., Inc. 2 Northrield Rd. Christopher R. Mello P.L.S. Peabody, MA 01960 104 Lowell St, Peabody, Mass, 01960 (978) 531-8121 SCALE HORIZONTAL 1 " = 20' VERTICAL 1 " = 4' 0 10 20 40 60 DATE A: 146 JULY 17, 2003 Christopher R. Mello Clayton A. Alodi PLS 31317 PE 309691 2 5 REVISIONS F— SHEET 1 OF 2 NNNNNNNNN DETAIL FIRE HYDRANT no scale DARLING B 62 B Pumper Connection to Face Roadway 0 _ 1'-6" MIN. 4I _ o0 U Z Standard C.I. Road Box and Cover 8" x 6" 1--c-L.D.I. TEE 6" Gate Valva CONCRETE RUST BLOCK \ TIE RODS J " r 12" Square By 4" Thick Stone or Conclrete Base CONCRETE THRUST BLOCK DETAIL CATCH BASIN no scale 24" x 24" CAST IRON FRAME AND GRATE LEBARON LK 123 OR LK 124 SET 1 1/4" BELOW PAVING Full Mortar nod LIIIVu 2 to 5 Couraee Leveling Brick PPEC!'CT CONCRETE OR BARREL BLOCK WALLS 4'-0" INSIDE DIAM. (MORTAR JOINTS IF BARREL BLOCK USED) C.I. TRAP NEENAH FOUNDRY R3701-12 OR — FOUIVALENT OUTLET n. 6" MIN. ZE 0 CoiS°� 0 004PRECAST OR CAST—IN—PLACE ftmffim,1�2LCONCRETE BASE ON CRUSHED STONE FOUNDATION DETAIL TYPICAL TRENCH SECTION no scale w MIN 0 00 o JO.D/2 ppp 0p01" CRUSHED p ppoo MIN. STONE DETAIL MANHOLE no scale 24" DIAM. MANHOLE FRAME AND COVER LEBARON LK 110A, DRAIN OR SEWER qIN 3" CAST—IN LETTERS Full Mortar Bed 2 to 5 Courses Leveling Brick II' PRECAST CONCRETE CONE a ECAST CONCRETE WALL SECTION ll Joints and Penetrations to be made fully Watertight) RGED ALUMINUM ALLOY FETY TYPE MANHOLE P AT 12" O.C. OUTLET 1.5" MIN \ %. I PRECAST CONCRETE BASE Crushed Stone BRICK INVERT Foundation TYPICAL CROSS SECTION STORMWATER STORAGE AREA no Scale PARTIAL SECTION Fin. Grade DETAIL EROSION CONTROL SILT FENCE 2'x2"x4'-6' WOODEN POSTS AT 8' O.C. (MAX) V.r— o. 100 SEDIMENT L FABRIC HAY BALES FLOW DIRECTICN EXISTING GROUND _=IIII —IIII IIII= IIII. =IIII —IIII UNDISTURBED SUBGRADE DETAIL BITUMINOUS BERM N.T.S. I- 6" I MATERIAL VARIES BITUMINOUS 6" QO PAVING MACHINE MOLDED FINISH COURSE 0 BITUMINOUS CONCRETE BINDER COURSE Rise & Manhole Frame & Cover " Tee flet Inw = 94.75 6" Outflow Inv= 94.50 PLAN (OUTLET SIDE) 6" Outlet 3" Outflow (Typ) Inv = 92.00 now (T—r In = 92.50 TEES AS REO'D 12" Outlet 6" Overflow (Typ) Inv. = 94.50 NOTES 1. 24" DIAM. ACCESS MANHOLES SHALL BE BROUGHT TO FINISH GRADE NEAR THE OUTLET END OF EACH STORAGE PIPE. 2. STORAGE PIPES SHALL BE SET ON A STABILIZED AND LEVEL CRUSHED STONE FOUNDATION. 4' ROLLED BITUMINOUS BERM ROOF RECHARGE BED 12" PERF. LIMIT OF - _ o PIPE (lYP) RECHARGE 09S. �! (30' LONG) BED WELL LL in .c --_ 32' — --._ <~ LOAM AM SEED I m 4~ INLET 12~ DIAM. PERF. H.D.P.E. 0 CI 6- rl I �� TYP. I 2' Min.I 1 1/2~ TO 3' WASHED STONE EST S.H.W.T. EXCAVATION SHALL BE A MINIMUM OF 10 FEET FROPA BUILDINGS OR PROPERTY LINES AND 2 FEET ABOVE THE WATER TABLE. Pitch 3/8 " per foot TYPICAL CROSS SECTION SCOTIA STREET no scale — 30' LAYOUT — 22' 4 1/2` BIT. CONIC. PAVEMENT, TYPE 1-1 LAID IN TWO COURSES: 3" BINDER, 1 1/2" FINISH 12" Gravel Base - No Stone Over 3" Dimension ------------ ---- Approved Subgrade 10' MINIMUM O I 8" Sewer 8" diem. Water O 5' Min. Cover 12" Drain O SErTION A A 1" 20' Horizontal " 4' Vertical I SCOTIA I STREET 6" Loam do Seed F 4` LOT 6 LOT 3 7 u I o F- o W F c o c0 -j v PROPOSED GRADE —1— — P/ 12' MANIFOLD •—�� O Ii O II LL B' DISTRIBUTION Z I LINT —I2" DI - - 3 36' HDPE N - -- -- 40' LONG (TYP—) BASE ELEV,90 Alliance Environmental Group, Inc. 0 Q 124 Mt. Auburn Street, Suite zoo North, Cambridge, MA 02138 617-492-65oo 4406 o 1ooJefferson Boulevard, Warwick, R1 02888 401-732-7600 March 26, 2008 (99t, REC r 1 1ED ' Ms. Joanne Scott, MPH, RS MAR 312008 Health Agent CITY 0,_ SALEM Salem Board of Health BOARD OF HEALTH 120 Washington Street Salem, MA 01971 RE: Public Involvement Notification Motor Boat UST Winter Island Salem, Massachusetts RTN 3-18002 AEG Project No. 1670-02 Dear Mayor: Pursuant to 310 CMR 40.1403(3)(e), we hereby notify you that a report, entitled `Phase IV -Implementation of the Selected Remedial Action Alternative " has been filed today with the Massachusetts Department of Environmental Protection (MADEP) for your above-i6erenced property ("Site"). This Phase IV Report contains details on the pilot testing, design, and implementation for the groundwater remediation system (in -well air sparging and off -gas treatment) that has been installed at the Site. If you wish to review or copy the Phase IV Report, Mr. Thomas St. Pierre of the City of Salem has copies available for such use. Please call me during normal business hours at 617-492-6500 if you have any questions. Very truly yours, Alliance Environmental Group, Inc. Michael F. Geisser; PE, LSP Principal a0 Alliance Environmental Group, Inc. e O 124 Mt. Auburn Street, Suite zoo North, Cambridge, MA 02138 loo Jefferson Boulevard, Warwick, RI 02888 August 24, 2007 Ms. Joanne Scott, MPH, RS, CHO Health Agent Salem Board of Health 120 Washington Street Salem, MA 01971 RE: Public Involvement Notification Motor Boat UST inter Islan 3 Salem, Massachusetts RTN 3-18002 AEG Project No. 1670-01 Dear Ms. Scott: VEr% Al ir, 2 9 2007 617-492-65oo 401-732-760o Pee Pursuant to 310 CMR 40.1403(3)(e), we hereby notify you that a Phase 77 Comprehensive Site Assessment Report has been filed today with the Massachusetts Department of Environmental Protection (MADEP) for your above -referenced property ("Site"). This Phase II Report indicates that the Site has both groundwater and soil contamination that needs to be remediated or controlled to mitigate a threat to human health and the environment. The upcoming Phase III Report will outline the proposed remedial actions. If you wish to review or copy the Phase II Report, Mr. Thomas St. Pierre of the City of Salem has copies available for such use. Please call me during normal business hours at 617-492-6500 if you have any questions. Very truly yours, Alliances Environmental Gr p; lnc. Mich . Geisser, PE, LSP Principal e Alliance Environmental Group, Inc. 0 O ioo Jefferson Boulevard, Warwick, Rhode Island 02888 Telephone: 4or.732.7600; Fax: 401,732.7670 December 24, 2007 Honorable Mayor Kimberley M. Driscoll Salem City Hall Salem Board of Health 155 Washington Street Salem, MA 01971 RE: Public Involvement Notification Motor B inter Is a assachusetts RTN 3-18002 AEG Project No. 1670-01 Dear Mayor: to 144-�— RECEIVED 'JAN 0 7 2008 CITY OF SALEM BOARD OF HEALTH Pursuant to 310 CMR 40.1403(3)(e), we hereby notify you that a Phase III Identification and Selection of Comprehensive Remedial Action Alternatives Report has been filed today with the Massachusetts Department of Environmental Protection (MADEP) for your above -referenced property ("Site"). This Phase III Report concludes that the best remedial alternative for the groundwater contamination on the Site is air sparging into wells screened within the contaminated plume. If you wish to review or copy the Phase III Report, Mr. Thomas St. Pierre of the City of Salem has copies available for such use. Please call me during normal business hours at 617-492-6500 if you have any questions. Very truly yours, Alliance Environmental Group, Inc. Michael F - eisser, PE, LSP Pri ' al a 0 Alliance Environmental Group, Inc. Q 48 Inman Street, Cambridge, NLS 02139 617-492-6500 iooJefferson Boulevard, Warwick, RI 02888 401-732-7600 December 24, 2007 Ms. Joanne Scott, MPH, RS, CHO Health Agent Salem Board of Health 120 Washington Street Salem, MA 01971 RE: Public Involvement Notification Motor Boat UST Winter Island Salem, Massachusetts RTN 3-18002 AEG Project No. 1670-01 Dear Ms. Scott: DEC 2 81001 -7: kLEM Pursuant to 310 CMR 40.1403(3)(e), we hereby notify you that a Phase III Identif cation and Selection of Comprehensive Remedial Action Alternatives Report has been filed today with the Massachusetts Department of Environmental Protection (MADEP) for your above -referenced property ("Site"). This Phase III Report concludes that the best remedial alternative for the groundwater contamination on the Site is air sparging into wells screened within the contaminated plume. If you wish to review or copy the Phase III Report, Mr. Thomas St. Pierre of the City of Salem has copies available for such use. Please call me during normal business hours at 617-492-6500 if you have any questions. Very truly yours, Alliance Environmental Group, Inc. Michael isser, PE, LSP BETA Engineering, Inc. Engineers • Scientist • Planners February 23, 2000 Ms. Joanne Scott Board of Health 9 North Street Salem, MA 01970 ROCETWED FEB 2 8 20.100 Re: Notice of Initial Site Investigation and Tier II Classification Winter Island Salem, MA DEP RTN: 3-18002 Dear Ms. Scott: CITY OF SALEM HEALTH DEPT. Pursuant to 310 CMR 40.1403, BETA Engineering, Inc., on behalf of the City of Salem, is providing notification that an Initial Site Investigation and Tier 11 Classification Statement for the above referenced site is being submitted to the Massachusetts Department of Environmental Protection (MADEP). A copy of the report, including the scoring sheet utilized to determine that the site ranks as a Tier II site is available at the Department of Environmental Protection Northeast Regional Office located at 205 Lowell Street, Massachusetts. If you have any questions please do not hesitate to contact Mr. Richard C. Hittinger at (401) 333-2382 or myself at (781) 255-1982. Sincerely, BETA Engineering, Inc. �a ao Nicholas B. Haddad Senior Environmental Engineer cc: MADEP- Northeast Region File RHODE ISLAND 6 Blackstone Valley Place, Lincoln, RI 02865 401.333.2382 taz:401.333.9225 BETA®BETA-eng.com MASSACHUSETTS 1420 Providence Highway, Suite 117, Norwood, MA 02062 781.255.1982 fax: 781.255.1974 BETA®BETA-en9.com CONNECTICUT 8BD Howard Street, New London, CT 06320 860.437.0239 fax 880.444.0274 BETAInfoSys.com iN CITY OF SALEM HEALTH DEPT. NOTICE OF INITIAL SITE INVESTIGATION AND TIER 11 CLASSIFICATION WINTER ISLAND SALEM, MASSACHUSETTS MADEP RTN: 3-18002 Pursuant to the Massachusetts Contingency Plan (MCP) (3 10 CMR 40.0480), an Initial Site Investigation has been performed at the above referenced location. A release of oil and/or hazardous materials has occurred at this location which is a disposal site (as defined by M.G.L. c. 21E, Section 2). This site has been classified as a Tier II, pursuant to 310 CMR 40.0500. Response actions at this site will be conducted by the City of Salem who has employed Mr. Richard C. Hittinger, LSP, to manage response actions in accordance with the MCP (310 CMR 40.000). M.G.L. c. 21E and the MCP provide additional opportunities for public notice of and involvement in decisions regarding response actions at disposal sites: 1) The Chief Municipal Official and Board of Health of the community in which the site is located will be notified of major milestones and events, pursuant to 310 CMR 40.1403; and 2) Upon receipt of a petition from ten or more residents of a municipality potentially affected by a disposal site, a plan for involving the public in decisions regarding response actions at the site will be prepared and implemented, pursuant to 310 CMR 40.1405. To obtain more information on this disposal site and the opportunities for public involvement during its remediation, please contact Mr. Richard C. Hittinger, LSP, BETA Engineering, Inc., 6 Blackstone Valley Place, Lincoln, RI 02865, at 401- 333-2382. BETA Engineering, Inc. Engineers • Scientists • Planners March 24, 1999 BETA Project No. 1421-01 Ms. Joanne Scott, Health Agent Board of Health City of Salem 9 North Street Salem, MA RE: Public Involvement Notification V6 Underground Storage Tank (UST) Release Fort icke inter s Salem, Massachusetts RTN 3-17897 Dear Ms. Scott: MAR 2 9 1999 CITY OF SALEM HEALTH DEPT. Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby submit to you a copy of the Immediate Response Action (IRA) Plan that has been forwarded to the MADER This IRA Plan provides for remediation of soil that is contaminated with gasoline resulting from historic spillage during overfilling of the subject UST at the Site. A copy of the IRA Completion Report will be forwarded to you as soon as it is issued. Please call me anytime at 401-333-2382 if you have any questions. Very truly yours, BETA Engineering, Inc. MGeisser, PE, RLS, LSP enior Project Manager Enc. 1420 Providence Highway (Rte.t) Norwood, MA 02062 781.255.1982 fax: 781.255.1974 email: BETA@BETA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com D BETA Engineering, Inc. Engineers • Scientists • Planners ' March 24, 1999 C y Mr. Brad Stewart 1' Bureau of Waste Site Cleanup - Northeast Regional Office MA Department of Environmental Protection 205 Lowell Street Wilmington, Massachusetts 01887 Re: Immediate Response Action Plan ' Underground Storage Tank Release Fort Pickering Winter Island Salem, MA RTN 3-17897 IMMEDIATE RESPONSE ACTION (IRA) PLAN �Vt �ErWE MAR 2 9 1999 CITY OF SALEM HEAI_TH DEPT. IDear Mr. Stewart The following information comprises our IRA Plan for the release of an undetermined quantity 1 of gasoline from a 5,000 -gallon underground storage tank (UST) at the location listed above, hereinafter the "Site." ' During the closure of two 5,000 -gallon USTs at the Site on January 25, 1999, a release of an undetermined quantity of gasoline was discovered to have impacted soil in the vicinity of one of the former USTs (southerly UST). The release is believed to be the result of historic overfilling. ' Headspace from two soil samples from the release -impacted area was screened at approximately 12:30 p.m. for total volatile compounds with a HNu Model DL -101 photo -ionization detector (PID). The headspace of a soil sample from the northwestern base of the excavation evidenced a ' concentration of 180 parts per million per volume (ppmv). Because a headspace reading of greater than 100 ppmv associated with soil adjacent to a UST requires notification to the MADEP within 72 hours of knowledge of the release, you were contacted at 2:20 p.m. on 1/25/99. The release was ' assigned release tracking number RTN 3-17897 and permission was granted to perform an IRA which included the excavation and temporary stockpiling of up to 50 cubic yards of contaminated soil and confirmatory analysis of representative soil samples. The Disposal Site consists of the northeasterly area of Fort Pickering off Winter Island Road in Salem, Massachusetts. A Site Locus Map and Site Plan are provided for reference as Figures 1 and 1 2, respectively. Site photographs are also included. ' 1420 Providence Highway (Rte.1) Norwood, MA 02062 781.255.1982 fax: 781.255.1974 email: BETA@BETA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com 1421 FP IRAplan.dep.doc BETA's activities and investigations will be detailed in the upcoming IRA Completion Report. In the meantime, if you have any questions, please contact me at 401-333-2382. Very truly yours, BETA Engineering, Inc. Mich . Geisser, PE, RLS, LSP Senior Project Manager Attachments: Figure 1 — Site Locus Map Figure 2 — Site Plan Photographs Copy of Release Notification Form (BWSC-103) ' Original IRA Transmittal Form (BWSC-105) Copies of Municipal Notifications 1 1 II 1421 MRAplan.dep.doc RIZL 'Poin71 .• : r s r �--� � tip" j'ro Neck INiper '' •• ont r CdA �¢a :r. `- • • •�•••..• _ �� 1. •'�� ' SITE bot y ` .s. .. r fY: '�:. J- va• � SOI \. ' - �ri ,/� �_f Q •�r:.7.-:••Ci:�.Y. •..♦ • • J - � '� Til � y r � t + ml O I I ; I�•u Subs V y 1 �• f��/�Q A .i +rceV�-slfdejarS �f! Knapp Rock - ,cSo Sa' m Terminate Area locus .*) rf �� j�S p U T H B Moto^%et --IF Salem- r.l Marble 3 i Fo/ger. ,Point . 1&16� wit, Legend figure 1 Q Area Location IRA Plan O Site Location Winter Island USGS Locus Map NOT TO SCALE Salem, MTA BETH Engineenng, Inc. Source- AIIAGIS and USGS [1 FORT PICKERING FORMER 5,000 -GALLON GASOLINE USTs 100+pp FORMER BUNKERS -- LIMIT OF TANK EXCAVATION GRASSY AREA DRAWN BY: Figure 2: Site Plan NK Fort Pickering CHECKED BY: (Pinter Island CMR Salem, MA PROJ. CHECK: SCALE: NONE DATE: MARCH 1999 MFG BETA PROJECT NO. 1421-01 (phiifig3.dwg) BETA I] 1 1 1 Massachusefts Department of Environmental Protection BWSC-103 Bureau of Waste Site Cleanup Release Tracking RELEASE NOTIFICATION & NOTIFICATION RETRACTION Ifl - 17897 FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart If assigned by DEP A. RELEASE OR THREAT OF RELEASE LOCATION: Street: Winte,- T lard Road Location Aid: port Pickeri.nc- Man 43, Lnt-1 Cityfrown: Salern ZIP 01370-0000 B. THIS FORM IS BEING USED (check [,L Submit a Release Notification (complete all sections of this form). C Submit a Retraction of a Previously Reported Notification of a Release or Threat of Release (complete Sections A. B, E, F and G of this form). You MUST attach the supporting documentation required by 310 CMR 40.0335. C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE (TOR): Date and time you obtained knowledge of the Release or TOR. 01/25/99 Time: ) Z :_30 Specify: ❑ AM I� PM The date you obtained knowledge is always required. The time you obtained knowledge is not required it reporting only 120 Day IF KNOWN, record date and time release or TOR occurred. Time: Specify: ❑ AM PM � rieca here a you previously pruviueu an vrai ivounrauun co ucr Iz nuur arra rz pour nepurung wnumom 1 . 1i Provide date and time of Oral Notification. 01 / 9 S / e 9 Time: 2 3Q Specify: ❑ AM PM Check all Notification Thresholds that apply to the Release or Threat of Release: (for more information see 310 CMR 40.0310 - 40.0315) 2 HOUR REPORTING CONDITIONS 72 HOUR REPORTING CONDITIONS 120 DAY REPORTING CONDITIONS Sudden Release CI Subsurface Non -Aqueous Phase Release of Hazardous Matenal(s) to Soil or Liquid (NAPL) Equal to or Greater Groundwater Exceeding Reportable L ! Threat of Sudden Release than 112 Inch Concentranon(s) �I Oil Sheen on Surface `Nater Underground Storage Tank Release of Oil to Soil Exceeding Reportable (UST) Release Concentration(s) and Affecting More than 2 Cubic —'; Poses Imminent Hazard Yards ❑I Threat of UST Release L Could Pose Imminent Hazard Release of Oil to Groundwater Exceeding - Reease uecectec in rnvare Release to Groundwater near Reportable Concentration(s) —� mrou Water Supply ❑ Subsurface Non -Aqueous Phase Liquid (NAPL) Release to Storm Drain � LJ Release to Groundwater near � Equal to or Greater than 1I8 Inch and Less than School or Residence 1/2 Inch Sanitary Sewer Release — (Imminent Hazard Only) List below the Oils or Hazardous Materials that exceed their Reportable Concentration or Reportable Quantity by the greatest amount. If necessary, attach a list of additional Oil and Hazardous Material substances subject to reporting. Name and Quantities of Oils (0) and Hazardous Materials (HM) Reportable Concentrations O or HM Released 0 HM CAS m Amount or Units Exceeded. if Applicable (check one) (if known) Concentration (RCS -1, RCS -2, RCGW-1, RCGW-2) Aga nnmv }row 100 oam �I �I ❑ D. ADDITIONAL INVOLVED PARTIES: Check here if attaching names and addresses of owners of properties affected by the Release or Threat of Release, other than an owner who is submitting this Release Notification (required). Check here if attaching Licensed Site Professional (LSP) name and address (optional). You may write in names and addresses on the bottom of the second page of this form. ' Revised 311/95 Supersedes Form BWSC-003 Page 1 or z Do Not Alter This Form I I 1 1 I u Massachusetts Department of Environmental Protection BWSC-103 Bureau of Waste Site Cleanup Release Tracking RELEASE NOTIFICATION & NOTIFICATION RETRACTION 0 - 176x7 k1i FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) If assigned by DEP E. PERSON REQUIRED TO NOTIFY: Name of Tnwn of c>>e e„a,,tmpnr of public Pronerties Name of _ pETER. K. 77—A a KT Title: 0r/a4cc7a.e 11 L') / n21�. Street: one Salem Gre n City/rown: diem State MA ZIPCode: 01970-0000 Telephone: 978— '7+.:r. 9SPS Ext.: - — FAX: — — — F. RELATIONSHIP OF PERSON REQUIRED TO NOTIFY TO RELEASE OR THREAT OF RELEASE: (check one) RP or PRP Specify �2 Owner O Operator O Generator O Transporter Other RP or ❑ Fiduciary, Secured Lender or Municipality with Exempt Status (as defined by M.G.L. c. 21 E. s. 2) Agency or Public Utility on a Right of Way (as defined by M.G.L c 21E, s. 50)) Any Person Otherwise Required to Notify Specify G. CERTIFICATION OF PERSON REQUIRED TO NOTIFY: I, H ('f P(A b L /C GE/tl6,,P , attest under the pains and penalties of perjury (i) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this transmittal form, (ii) that, based on my inquiry of those individuals immediately responsible for obtaining the information, the material information contained in this submittal is, to the best of my knowledge and belief, We, accurate and complete, and (iii) that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. I/the person or entity on whose behalf this submittal is made antis aware that there are significant penalties, including. but not limited to. oossible fines and imodsonment for willfully submittino false. inaccurate. or incomolete information. By Title: 44 E.v/ .telt o c.i ,9,C (signature) For c r -r rl iAx-elf Date: 3 — Z¢ -pi (print nameopSsofity recorded in Se 'on E) Enter address of the person providing certification, if different from address recorded in Section E: Street: VIA.- 6`7� r�cnc-E City/Town: LlN"C. State g1 ZIPCode: O Z BG S Telephone: 4-0( —3.7T — Z38 Z Ext. — ' — FAX: L --773— pZZ.S` YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM, YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Revised 3/1/95 Supercedes Form BWSC-003 Page 2 or 2 Do Not Alter This Form I 1 I 1 I 1 Massachusetts Department of Environmental Protection BWSC-105 Bureau of Waste Site Cleanup IMMEDIATE RESPONSE ACTION (IRA) Release Tracking TRANSMITTAL FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart 3] " Ileal A. RELEASE OR THREAT OF RELEASE LOCATION: Release Name: _Fd.fT PrG Kcric-t�+G Street: Winter Tsiand Road Location Aid: Fort P' k n. Mandl Lctl Cityfrown: Salem ZIP 01970-0000 LJ Check here if a Tier Classification Submittal has been provided to DEP for this Release Tracking Number. ❑cneck nere It tnis Location is Adequately Kegulated, pursuant to 31u UMN 4n.n11 n-0114. Specify Program: CERCLA ❑ HSWA Conective Action [] Solid Waste Management Ej RCRA State Program (21C Facilities) Related Release Tracking Numbers That This IRA B. THIS FORM IS BEING USED TO: (check all that apply) Submit an IRA Plan (complete Sections A, B, C, D, E. H, 1, J and K). Check here if this IRA Plan is an update or modification of a previously approved written IRA Plddate Submit an Imminent Hazard Evaluation (complete Sections A, B, C, F, H. I, J and K). Submit an IRA Status Report (complete Sections A, B, G E, H, I, J and K). ❑ Submit a Request to Terminate an Active Remedial System and/or Terminate a Continuing Response Action(s) Taken to Address an Imminent Hazard (complete Sections A, B, G D, E. H, 1, J and K). ^I Submit an IRA Completion Statement (complete Sections A, B, C, D, E, G, H, I, J and K). You must attach all supporting documentation required for each use of form indicated, including copies of any Legal Notices and Notices to Public Officials required by 310 CMR 40.1400, C. RELEASE OR THREAT OF RELEASE CONDITIONS THAT WARRANT Identify Media and Receptors Affected: (check all that Air [:] Groundwater [:] Surface Water I`! Sediments W Soil Wetland ❑ Storm Drain rave, Private Well Public Water Supply `'., Zane 2 E, Residence School r-1 Other Specify Identify Conditions That Require IRA, Pursuant to 310 CMR 40.0412: (check all that ❑ 2 Hour Reporting Condition(s) 72 Hour Reporting Conditlon(s) Substantial Release Migration Other Condition(s) Describe Heardsuace readiriciHeardof 1130 nom from northw -n orn - of crasolie UST arave. IdentifyOils and Hazardous Materials Released: (check all that Oils i,rn,nnare, cnionna El Heavy Metals Others Specify: na r)1 i ne D. DESCRIPTION OF RESPONSE ACTIONS: (check all that Assessment and/or Monitoring Only U ueproymenr or rsomem or i,oncainmenc Excavation of Contaminated Soils Temporary Covers or Caps Re -use, Recycling or Treatment Bioremediation O On Site Qj' Off Site Est. Vola 50 cubic yards 0011 vapor Describe Structure Venting System C rruuucr,T IN�rrt ❑ Store O On Site O Off Site Est. Vol.: cubic yards Ards orounuwarer Ireaunem cubit L Landfill O Cover O Disposal Est. Vol.:_ Y El ❑ Removal of Drums, Tanks or Containers ❑ Air Sparging' Describe ❑ Temporary Water Supplies SECTION 0 IS CONTINUED ON THE NEXT PAGE. Revised 2/24/95 Supersedes Forms BWSC-006, 006, 070 can part) and 077 rage 1 or a Do Not Alter This Form I 1 1 1 LJ Massachusetts Department of Environmental Protection BWSC-105 Bureau of Waste Site Cleanup IMMEDIATE RESPONSE ACTION (IRA) Release Tracking k1i TRANSMITTAL FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart - 17897 D. DESCRIPTION OF RESPONSE ACTIONS (continued): 1 emporary ❑vaaranon or netocanon or Removal of Other Contaminated Media Specify Type and Fencing and Sign Posting Other Response Actions Describe Check here if this IRA involves the use of Innovative Technologies (DEP is interested in using this information to aid in creating an Innovative Technologies Clearinghouse). Describe E. TRANSPORT OF REMEDIATION WASTE: (if Remediation Waste has been sent to an off-site facility, answer the following Name of Town and Quantity of Remediation Waste Transported to F. IMMINENT HAZARD EVALUATION SUMMARY: (check one of the following) ❑ Based upon an evaluation, an Imminent Hazard exists in connection with this Release or Threat of Release. Raseo upon an evaivauon, an imminent nazam aces not exist in connecuon wim uns meiease or i nreat or Rcic�ec Based upon an evaluation, it is unknown whether an Imminent Hazard exists in connection with this Release or Threat of Release, and further assessment activities will be undertaken. ❑ Based upon an evaluation, it is unknown whether an Imminent Hazard exists in connection with this Release or Threat of Release. However, response actions will address those conditions that could pose an Imminent Hazard. G. IRA COMPLETION STATEMENT: E] Check here if future response actions addressing this Release or Threat of Release will be conducted as part of the Response Actions planned for a Site that has already been Tier Classified under a different Release Tracking Number, or a Site that is identified on the Transition List as described in 310 CMR 40.0600 (i. e., a Transition Site, which includes Sites with approved Waivers). These additional response actions must occur according to the deadlines applicable to the earlier Release Tracking Number (i. e., Site ID Number). State Release Tracking Number (i. e., Site ID Number) of Tier Classified Site or Transition If any Remediation Waste will be stored, treated, managed, recycled or reused at the site following submission of the IRA Completion Statement, you must submit either a Release Abatement Measure (RAM) Plan or a Phase IV Remedy Implementation Plan, along with the appropriate transmittal form, as an attachment to the IRA Completion Statement. H. LSP OPINION: I attest under the pains and penalties of perjury that I have personally examined and am familiar with this transmittal form, including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of (i) the standard of care in 309 CMR 4.02(1), (ii) the applicable provisions of 309 CMR 4.02(2) and (3), and (iii) the provisions of 309 CMR 4.03(5), to the best of my knowledge, information and belief, > if Section B of this form indicates that an Immediate Response Action Plan is being submitted, the response action(s) that is (are) the subject of this submittal (i) has (have) been developed in accordance with the applicable provisions of M.G.L. c. 21E and 310 CMR 40.0000, (ii) is (are) appropriate and reasonable to accomplish the purposes of such response actions) as set forth in the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000 and (iii) complies(y) with the identified provisions of all orders, permits, and approvals identified in this submittal: > if Section B of this form indicates that an Imminent Hazard Evaluation is being submitted, this Imminent Hazard Evaluation was developed in accordance with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000, and the assessment activity(ies) undertaken to support this Imminent Hazard Evaluation complies(y) with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000; > if Section B of this form indicates that an Immediate Response Status Report is being submitted, the response action(s) that is (are) the subject of this submittal (i) is (are) being implemented in accordance with the applicable provisions of M.G.L. c. 21E and 310 CMR 40.0000, (ii) is (are) appropriate and reasonable to accomplish the purposes of such response action(s) as set forth in the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000 and (iii) complies(y) with the identified provisions of all orders, permits, and approvals identified in this submittal; > if Section B of this form indicates that an Immediate Response Action Completion Statement or a Request to Terminate an Active Remedial System and/or Terminate a Continuing Response Action(s) Taken to Address an Imminent Hazard is being submitted, the response action(s) that is (are) the subject of this submittal (i) has (have) been developed and implemented in accordance with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000, (ii) is (are) appropriate and reasonable to accomplish the purposes of such response action(s) as set forth in the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000 and (iii) complies(y) with the identified provisions of all orders, permits, and approvals identified in this submittal. SECTION H IS CONTINUED ON THE NEXT PAGE. ' Revised 2/24195 Supersedes Forms BWSC-005, 006, 010 (in part) and 011 Page 2 of 3 Do Not Alter This Form I 1 1 1 RaMassachusettsDepartment of Environmental Protection BWSC-105 Bureau of Waste Site Cleanup Release Tracking IMMEDIATE RESPONSE ACTION (IRA) ❑ TRANSMITTAL FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) 3 7897 H. LSP Opinion (continued): I am aware that significant penalties may result, including, but not limited to, possible fines and imprisonment, if I submit information which I know to be false, inaccurate or materially incomplete. ❑ Check here if the Response Action(s) on which this opinion is based, if any, are (were) subject to any order(s), pernit(s) and/or approval(s) issued by DEP or EPA. If the box is checked, you MUST attach a statement identifying the applicable. prj . . ereof. LSP Michael F Gelsser, P E LSP#: !0997 Stamp: ZpIOF Telephone _ 401 — 3 33 — 33 9 Z Ext.: I Z S F. FAX: 401—333-9zz-s ° GEISSER ca _ No. 6997 Signature: Date: _7 — Z4 — I. PERSON UNDERTAKING IRA: Nameof Girt a SRC -lei -r y DEP.a.t>.�*f�rl �/ P�cdUc pta,e,f�PTrFf Name of PC-rEie if. S nod 4C 7- Title: nIAg 7v�e tL7G. Street: ONE S.4LFm 6/1661V City/Town: SA L Er -i State HA ZIP Code: 411 970 Telephone: 278 —74•.% 9r9 -r Ext.: — FAX: ❑ Check here if there has been a change in the person undertaking the IRA. J. RELATIONSHIP TO RELEASE OR THREAT OF RELEASE OF PERSON UNDERTAKING IRA: (check one) ® RP or PRP Specify V/ Owner 0 Operator 0 Generator 0 Transporter Other RP or Fiduciary, Secured Lender or Municipality with Exempt Status (as defined by M.G.L. c. 21 E, s. 2) Agency or Public Utility on a Right of Way (as defined by M.G.L. c. 21 E, s. 50)) Any Other Person Undertaking IRA Specify K. CERTIFICATION OF PERSON UNDERTAKING IRA: I, M uc Na E L F • G.EfftE7t attest under the pains and penalties of perjury (i) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this transmittal form, (ii) that, based on my inquiry of those individuals immediately responsible for obtaining the information, the material information contained in this submittal is, to the best of my knowledge and belief, true, accurate and complete, and (iii) that I am fully authorized to make this attestation on behalf of the entity legally responsible for this submittal. I/the person or entity on whose behalf this submittal is made amfis aware that there are significant penalties, including. but not limited to. oossible fines and imprisonment. for willfully submittino false, inaccurate, or incomplete information. By, i Title: ACE.v'r Pcogx oyrN�rp (signature) For rrY S.a �. uB/ .taFl. Date: .9 —Z4 —99 (print name of person or en ityrecorded in ,,tion I) Enter address of the person providing certification, if different from address recorded in $E7A F�/Cr NG�6.trNG, /.VC. Street: r- a LAC6(S'2T6N6 VA4-L.V7' lo? -AC -46 City/Town: !—/h' Cc g— yJ State `i'e 1 ZIP Code: O Z g G S Telephone: +0 1 — 3 3.7 — z-3 8 z- Ext. — FAX: ¢01 —3y.? — 9 7,7— YOU ZYOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM, YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Revised 2/24/95 Supersedes Forms BWSC-005, 006, 010 (in part) and 011 Page 3 of 3 Do Not Alter This Form I I I I I I I I I I I I I BETA Engineering, Inc. Engineers • Scientists • Planners January 27, 1999 BETA Project No. 142 1 -01 Hon. Stanley J. Usovicz, Jr., Mayor City of Salem City Hall 93 Washington Street Salem, SIA 01970 RE: Public Involvement Notification Underground Storage Tank (UST) Release Fort Pickering Winter Island Salem, Massachusetts RTN 3-17397 Dear NIr. Mayor: Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby notify you that an Immediate Response Action (IRA) will commence on or about February 1, 1999 at the above -referenced property ("Site"). The purpose of this IRA is to remediate soil that is contaminated with gasoline resulting from historic spillage during overfilling of the subject UST at the Site. It is anticipated that this IRA will be complete within approximately 7 business days, but may be extended if laboratory analytical results indicate that further work is required. Copies of reports associated with this IRA, and notice of any other related field activities at the Site, will be forwarded to you as they become available. Please call me anytime at 401- 333-2382 if you have any questions. ' Very truly yours, BETA Engineering, Inc. r � _ blich;e-h eisser, PE, RLS, LSP r S -C` or Project Manager I r1420 Providence Highway (Rte.1) Norwood. i%IA02062 781.255.1982 fax: 781255.1974 email: BETA@BETA-ena.com 6 Blackstone Valley Place Lincoln. RI 02565 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com I F 1 BETA Engineering, Inc. Engineers • Scientists • Planners January 27, 1999 BETA Project No. 1421-01 Ms. Joanne Scott, Health Agent Board of Health City of Salem 9 North Street Salem, MA 01970 RE: Public Involvement Notification ' Underground Storage Tank (UST) Release Fort Pickering Winter Island ' Salem, Massachusetts RTN 3-17897 11 Dear Ms. Scott: FJ I 11 FILE COPY Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby notify you that an Immediate Response Action (IRA) will commence on or about February 1, 1999 at the above -referenced property ("Site"). The purpose of this IRA is to remediate soil that is contaminated with gasoline resulting from historic spillage during overfilling of the subject UST at the Site. It is anticipated that this IRA will be complete within approximately 7 business days, but may be extended if laboratory analytical results indicate that further work is required. Copies of reports associated with this IRA, and notice of any other related field activities at the Site, will be forwarded to you as they become available. Please call me anytime at 401- 333-2382 if you have any questions. Very truly yours, BETA Engineering, Inc. MichaeL� 2�eisse RLS. LSP /�Ssnior Project Manager 1120 Providence Highway (Rte.1) Norwood. MA02062 751255.1982 tax: 781.255.1974 email: BETA@BETA-engoom 6 Blackstone Valley Place Lincoln, RI 02865 401.3332382 fax 401.333.9225 email: BETA@BE TA-eno.com I �l 1 1 BETA Engineering, Inc. Engineers • Scientists • Planners FILE COPY March 24, 1999 BETA Project No. 1421-01 Hon. Stanley J. Usovicz, Jr., Mayor City of Salem City Hall 93 Washington Street Salem, MA 01970 RE: Public Involvement Notification ' Underground Storage Tank (UST) Release Fon Pickering Winter Island Salem, Massachusetts RTN 3-17597 Dear Mr. Mayor: Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby t submit to you a copy of the Immediate Response Action (IRA) Plan that has been forwarded to the MADEP. This IRA Plan provides for remediation of soil that is contaminated with gasoline resulting from historic spillage during overfilling of the subject UST at the Site. A copy of the IRA Completion Report will 'De forwarded to you as soon as it is issued. Please call me anytime at 401-333-2352 if you have any questions. Very truly yours, ' BETA Engineering, Inc. ' Xic ael F� E, RLS, LSP % Senior Project Manager Enc. 1420 Providence Hichway (Rte.1) Nonveed. SIA 02062 781.255.1982 fax: 781.255.1974 email: BE—iA@BE—iA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@ BETA-eno.com I 1 1 1 1 1 1 BETA Engineering, Inc. Engineers • Scientists • Planners FILE COPY March 24, 1999 BETA Project No. 1421-01 Ms. Joanne Scott, Health Agent Board of Health City of Salem 9 North Street Salem, VLA RE: Public Involvement Notification Underground Storage Tank (UST) Release 1 Fort Pickerin.- Winter gWinter Island Salem, Massachusetts ' RTN 3-17397 1420 Providence Highway (Rte.1) Norwood, MA02062 781.255.1982 fax: 781.255.1974 email: BETA@BETA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com i Dear Ms. Scott: Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby submit to you a copy of the Immediate Response Action (IRA) Plan that has been forwarded 1 to the MADEP. This IRA Plan provides for remediation of soil that is contaminated with gasoline resulting from historic spillage during overfilling of the subject UST at the Site. 1 A copy of the IRA Completion Report will be forwarded to you as soon as it is issued. Please call me anytime at 401-333-2332 if you have any questions. ' Very truly yours, ' BETA Engineering, Inc. i Michael F Geisser, PE, RLS. LSP enior Project Manager Enc. 1420 Providence Highway (Rte.1) Norwood, MA02062 781.255.1982 fax: 781.255.1974 email: BETA@BETA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com i COMMONWEALTH OF MASSACHUSETTS TIAIRS FIERIVED EXECUVE OFFICE OF ENVIRONMENTAL AFFAAIIRR IISII"��MAR 18 1999 DEPARTMENT OF ENVIRONMENTAL PROTECTION CITY OF SALEM Metropolitan Boston - Northeast Regional OfficeHEALTH DEPT. ARGEO PAU1 CELLUCCI Go, emor JANE SWIFT �� Lieutenant Govemor �. City of Salem 1 Salem Green Salem, Massachusetts 01970 Attn: Peter K. Strout Dear Mr. Strout: MAR i 7 1999 RE: SALEM Winter Island RTN �f3-18002 RELEASE NOTIFICATION & NOTICE OF RESPONSIBILITY; MGL c. 21E & CMR 40.0000 BOB DURAND Se .eten DAVID B. STRUHS Commissioner On February. 17,-1999 at; 3:10 p.m., -the Department received oral notification of a releaselthreat of release of oil/hazardous material at the subject location. The Department has reason to believe that the release/threat of release which was reported is or may be a disposal site as=defined in the Massachusetts Contingency Plan (MCP), 310 CMR 40.0000. The Department.also has reason to believe that you (asused in this letter."you" refers to City of Salem) are a Potentially Responsible Party (PRP) with Liability under Section 5A of M.G.L. c. 21E. This liability is "strict" meaning that it is not based on fault but solely on your status as owner, operator, generator, transporter, disposer or other person specified in Section 5A. This liability is also "joint and several', meaning that responsible parties are liable for all response costs incurred at a disposal site even if there are other liable parties. The Department encourages parties with liabilities under M.G.L. c. 21E to take prompt action in response to releases and threats of release of oil and/or hazardous material. By taking prompt action, you may significantly lower your assessment and cleanup costs and avoid the imposition of, or reduce the amount of, certain permit and annual compliance fees for response actions payable under 310 CMR 4.00. Please refer to M.G.L. c. 21E for complete description of potential liability. GENERAL RESPONSE ACTION REQUIREMENTS Thesufi)site_shal: -moo"Gedeemed_=Yo have-h'ad all=the necessary -and -required--- respon'se;astions.taken unlessand uniiil all -substantial hazards -presented by the site have This information is av dlable in alternate format by calling our ADA Coordinator at (617) 574-6872. 205a Lowell St. Wilmington, MA 01887 • Phone (978) 661-7600 • Fax (978) 661-7615 • TDD # (978) 661-7679 0 PmW an Recycled Par City of Salem Page -2- been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c. 21E and the MCP. In addition, the MCP requires persons undertaking response actions at disposal sites to perform Immediate Response Actions (IRAs) in response to "sudden releases", Imminent Hazards and Substantial Release Migration. Such persons must continue to evaluate the need for IRAs and notify the Department immediately if such a need exists. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at the subject site. In addition, the MCP requires persons undertaking response actions at a disposal site to submit to the Department a Response Action Outcome Statement (RAO) prepared by an LSP in accordance with 310 CMR 40.1000 upon determining that a level of No Significant Risk already exists or has been achieved at a disposal site or portion thereof. [You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1091.] There are several other submittals required by the MCP which are related to release notification and/or response actions that may be conducted at the subject site in addition to an RAO, that, unless otherwise specified by the Department, must be provided to DEP within specific regulatory timeframes. The submittals are as follows: (1) If information is obtained after making an oral or written notification to indicate that the release or threat of release didn't occur, failed to meet the reporting criteria at 310 CMR 40.0311 through 40.0315, or is exempt from notification pursuant to 310 CMR 40.0317, a Notification Retraction may be submitted within 60 days of initial notification pursuant to 310 CMR 40.0335; otherwise, (2) If one has not been submitted, a Release Notification Form (RNF) [copy attached] must be submitted to DEP pursuant to section 310 CMR 40.0333 within 60 calendar days of the initial date of oral notification to DEP of a release pursuant to 310 CMR 40.0300 or from the date the Department issues a Notice of Responsibility (NOR), whichever occurs earlier; (3) Unless an RAO or Downgradient Property Status Submittal is provided to DEP earlier, an Immediate Response Action (IRA) Plan prepared in accordance with 310 CMR 40.0420, or an IRA Completion Staterrient (310 CMR 40.0427) must be submitted to - - DEP_vvithmrfi0=calendarila s of the,rnmal_date =of oral,ndttfcatron_.to:-DEP_of=a=�eleas-__ pursuant to 310 .CMR 40.03 or. -from, the date the. Department issues an NOR, whichever occurs earlier; and _- _. - (4) Unless an RAO or Downgradient Property Status Submittal, is provided to DEP earlier, a completed Tier Classification Submittal pursuant to 310 CMR 40.0510, and, if appropriate, a completed Tier I Permit Application pursuant to 310 CMR City of Salem Page -3- 40.0700, must be submitted to DEP within one year of the initial date of oral notification to DEP of a release pursuant to 310 CMR 40.0300 or from the date the Department issues an NOR, whichever occurs earlier. (5) Pursuant to the Department's "Timely Action Schedule and Fee Provisions", 310 CMR 4.00, a fee of $750 must be included with an RAO statement that is submitted to the Department more than 120 calendar days after the initial date of oral notification to DEP of a release pursuant to 310 CMR 40.0300 or after the date the Department issues an NOR, whichever occurs earlier, and before Tier Classification. A fee is not required for an RAO submitted to the Department within 120 days of the date of oral notification to the Department, or the date the Department issues an NOR, whichever date occurs earlier, or after Tier Classification. It is important to note that you must dispose of any Remediation Waste generated at the subject location in accordance with 310 CMR 40.0030 including, without limitation, contaminated soil and/or debris. Any Bill of Lading accompanying such waste must bear the seal and signature of an LSP or, if the response action is performed under the direct supervision of the Department, the signature of an authorized representative of the Department. If you have any questions relative to this notice, you should contact the undersigned at the letterhead address or (978) 661-7600. All future communications regarding this release must reference the Release Tracking Number (RTN #3-18002) contained in the subject block of this letter. Sincerely, My BesterColby Chief, Notification Branch Emergency Response MBC/fc ---cc:-- Boar�of-�ealfh,- 9-t-orth-Street, Salem; IvtA-01-970-- Fire -Headquarters, -48-Lafayette Street., Salem, MA 01970 - Attachment: -Release -Notification Form; BWSC- 103 DEP data entry/file ARGEO PAUL CELLUCCI Governor JANE SWIFT Lieutenant Govemor COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Metropolitan Boston - Northeast Regional Office City of Salem 1 Salem Green Salem, Massachusetts 01970 Attn: Peter Strout Dear Mr. Strout: PD tt oMayDURAND Semmry FEB Z 5 1999 DAVID B. STRUHS commissioner FEB 1 9 1999 CITY OF SALEM HEALTH DEPT. RE: SALEM Winter Island RTN #3-17897 RELEASE NOTIFICATION & NOTICE OF RESPONSIBILITY; MGL c. 21E & CMR 40.0000 On January 25, 1999 at 2:20 p.m., the .Department received oral notification of a release/threat of release of,oil/hazardous inaterial at the subject location. The Department has reason to believe that the release/threatof release which was reported is or may be`a disposal site'as,defined;in.the Massachusetts;Coringency.Plan (MCP),.3.10,CMR 40.0000. The Department also has reason to believe that you (as used in this letter "you" refers' to City of Salem) are a Potentially Responsible Party (PRP with liability under Section 5A of M.G.L. c. 21 E. This liability is "strict", meaning that it is not based on fault. but solely.on your status as owner, operator, generator, transporter, disposer o- other person specified in Section 5A. This liability is also "joint and several", meaning that responsible parties are liable for all response costs incurred at a disposal site even if there are ot�er liable parties. The Department encourages parties with liabilities under M.G.L. c. 21E to take prompt action in response to releases and threats of release of oil and/or hazardous material. By taking prompt action, you may significantly lover your assessment and cleanup costs and avoid the imposition of, or reduce the amount of, certain permit and annual compliance fees for response actions payable under 310 CMR 4.00. Please refer to M.G.L. c. 21E for complete description of potential liability. GENERAL RESPONSE ACTION REOUIREMENTS The subject site shall not be deemed to have had all the necessary and required response actions taken unless and until all substan'.ial hazards presented by the site have This information is available in alternate format by calling our ADA Coordinator at (617) $74-6872. 205a Lowell St. Wilmington, MA 0_887.•,Phone (978)'- 66T'-7600 •' Fax (978) 661-7615 • T=D # (978) 661-7679 0 Pmted on Recv_ec Paper City of Salem Page -2- been eliminated and a level of No Significant Risk exists or has been achieved in compliance with M.G.L. c. 21E and the MCP. In addition, the MCP requires persons undertaking response actions.at disposal sites to perform Immediate Response Actions (IRAs) in response to "sudden releases", Imminent Hazards and Substantial Release Migration. Such persons must continue to evaluate the need for IRAs and notify the Department immediately if such a need exists. You must employ or engage a Licensed Site Professional (LSP) to manage, supervise or actually perform the necessary response actions at the subject site. In addition, the MCP requires persons undertaking response actions at a disposal site to submit to the Department a Response Action Outcome Statement (RAO) prepared by an LSP in accordance with 310 CMR 40.1000 upon determining that a level of No Significant Risk already exists or has been achieved at a disposal site or portion thereof. [You may obtain a list of the names and addresses of these licensed professionals from the Board of Registration of Hazardous Waste Site Cleanup Professionals at (617) 556-1091.] There are several other submittals required by the MCP which are related to release notification and/or response actions that may be conducted at the subject site in addition to an RAO, that, unless otherwise specified by the Department, must be provided to DEP within specific regulatory timeframes. The submittals are as follows: (1) If information is obtained after making an oral or written notification to indicate that the release or threat of release didn't occur, failed to meet the reporting criteria at 310 CMR 40.0311 through 40.0315, or is exempt from notification pursuant to 310 CMR 40.0317, a Notification Retraction may be submitted within 60 days of initial notification pursuant to 310 CMR 40.0335; otherwise, (2) If one has not been submitted, a Release Notification Form (RNF) [copy attached] must be submitted to DEP pursuant to section 310 CMR 40.0333 within 60 calendar days of the initial date of oral notification to DEP of a release pursuant to 310 CMR 40.0300 or from the date the Department issues a Notice of Responsibility (NOR), whichever occurs earlier; (3) Unless an RAO or Downgradient Property Status Submittal is provided to DEP earlier, an Immediate Response Action (IRA) Plan prepared in accordance with 310 CMR 40.0420, or an IRA Completion Statement (310 CMR 40.0427) must be submitted to DEP within 60 calendar days of the initial date of oral notification to DEP of a release pursuant to 310 CMR 40.0300 or from the date the Department issues an NOR, whichever occurs earlier; and (4) Unless an RAO or Downgradient Property Status Submittal is provided to DEP earlier, a completed Tier Classification Submittal pursuant to 310 CMR 40.0510, and, if appropriate, a completed Tier I Permit Application pursuant to 310 CMR City of Salem Page -3- 40.0700, must be submittec to DEP within one year of the initial date of oral notification to DEP of a re»ase pursuant to 310 CMR 40.0300 or from the date the Department issues an NOR, whichever occurs earlier. (5) Pursuant to the Departmen-: "Timely Action Schedule and Fee Provisions", 310 CMR 4.00, a fee of 5750 must be included with an RAO statement that is submitted to the Departme-T more than 120 calendar days after the initial date of oral notification to DEP of a re =ase pursuant to 310 CMR 40.0300 or after the date the Department issues an NOR. whichever occurs earlier, and before Tier Classification. A fee is not required for an RAO submitted to the Department within 120 days of the date of oral notification to the Department, or the date the Department issues an NOR, whichever date occu - earlier, or after Tier Classification. It is important to note that •ou must dispose of any Remediation Waste generated at the subject location in accordant= with 310 CMR 40.0030 including, without limitation, contaminated soil and/or debris. . -ny Bill of Lading accompanying such waste must bear the seal and signature of an LSP or. if the response action is performed under the direct supervision of the Department, the signature of an authorized representative of the Department. If you have any questions -=_lative to this notice, you should contact the undersigned at the letterhead address or (978) E,51-7600. All future communications regarding this release must reference the Release Trackire Number (RTN #3-17897) contained in the subject block of this letter. Si rely r Mary Bester-Colby Chief, Notification Branch Emergency Response MBC/fc cc: Board of Health, 9 North S:.reet, Salem, MA 01970 Fire Headquarters, 48 Lafa,•-tte St., Salem, MA 01970 Attachment: Release Notification Form; BWSC- 103 DEP data entry/file rl , BETA Engineering, Inc. Engineers •Scientists •Planners °511yItoo n � f OR 1 2 1999 CITY OF SALEM HEALTH DEPT. April 7, 1999 BETA Project No. 1421-01 Ms. Joanne Scott, Health Agent Board of Health City of Salem 9 North Street Salem, MA RE: Public Involvement Notification Underground Storage Tank (UST) Release Motorboat UST Winter Island Salem, Massachusetts RTN 3-18002 Dear Ms. Scott: Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby submit to you a copy of the Immediate Response Action (IRA) Plan that has been forwarded to the MADEP. This IRA Plan provides for remediation of soil that is contaminated with gasoline resulting from leaking of the subject UST at the Site. Copies of IRA Status and/or Completion Reports will be forwarded to you as soon as they are issued. Please call me anytime at 401-333-2382 if you have any questions. Very truly yours, BETA Engineering, Inc. Mic —66isser, PE, RLS, LSP enior Project Manager Enc. 1420 Providence Highway (Rte.1) Norwood, MA 02062 781.255.1982 fax: 781.255.1974 email: BETA@BETA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com ' It t BETA Engineering, Inc. ' Engineers • Scientists • Planners 1 April 7, 1999 Mr. Brad Stewart ' Bureau of Waste Site Cleanup - Northeast Regional Office MA Department of Environmental Protection ?nc r ,,,Voll (;troot ' Wilmington, Massachusetts 01887 Re: Immediate Response Action Plan ' Underground Storage Tank Release Motor Boat UST Winter Island ' Salem, MA RTN 3-18002 F"EIVED APR 12 1999 CITY OF SALEM HEALTH DEPT. ' ININIEDIATE RESPONSE ACTION (IRA) PLAN ' Dear Mr. Stewart ' The following information comprises our IRA Plan for the release of an undetermined quantity of gasoline from a 2,000 -gallon underground storage tank (UST) located approximately 215 feet southeast of the hangar building at Winter Island in Salem, Massachusetts, hereinafter the "Site." ' During the closure of this 2,000 -gallon UST on February 17, 1999, a release of an undetermined quantity of gasoline was discovered to have impacted soil in the vicinity of the UST. The release is ' believed to be the result of leakage through several small pinholes in the bottom of the UST. Headspace from two soil samples from the release -impacted area was screened at approximately 2:00 p.m. for total volatile compounds with a HNu Nlodel DL -101 photo -ionization detector (PID). The ' headspace of soil samples from the southerly and northerly portions of the base of the excavation evidenced concentrations of 4�0 and 595 parts per million per volume (ppmv), respectively. Because a headspace reading of greater than 100 ppmv associated with soil adjacent to a UST requires notification to the MADEP within 72 hours of knowledge of the release, you were contacted at 3:10 p.m. on 2,/17799. The release was assigned release tracking number RTN 3-18002 and permission was granted to perform an IRA, which included the excavation and temporary stockpiling of up to 50 cubic yards of contaminated soil, confirmatory analysis of representative soil samples. and further ' assessment. The Disposal Site consists of an area approximately 215 feet southeast of the hangar building off Winter Island Road in Salem, Massachusetts. A Site Locus Map and Site Plan are provided for reference as Figures I and 2, respectively. Site photographs are also included. ' 1420 Providence Highway (Rte.1) Norwood. MA02062 781.255.1982 fax: 781255.1974 email: BETA@BETA-ene.cern 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETAS BETA-eng.com '1421 motorboatlRApIan .dep.doc I I 1 1 1 1 BETA's activities and investigations will be detailed in upcoming IRA Status and/or Completion Reports. In the meantime, if you have any questions, please contact me at 401-333-2382. Very truly yours, BETA Engineering, Inc. Mic . Geiser, PE, RLS, LSP nior Project Manager Attachments: Figure 1 — Site Locus Map Figure 2 — Site Plan Photographs Copy of Release Notification Form (BWSC-103) Original IRA Transmittal Form (BWSC-105) Copies of Municipal Notifications 1421 motorboad RAplan.dep.doc 11 1 1 1 I re r 4 Pani it _, ate 1Veck -• , •; ci � � .=��` � -�- -Ju iper • • s� Po - / !� nt t ` `�. •.'_ `09 ° Via. `� � t • F. ,..:y:'... ♦ s / f •.�' � >> r ::� .�> � •'r•• SITE ' �d .--.-...•. �. • . •� `.f .� �; = �+ �s� •� jand 7 r t mfr •' � f �C;. >. , `�� ••" ..r�SLIbrJ F9 tT �l ��C' i f .% �'-� Ii j, r cs t ��• { 4�avKerpla t Boat Nrti)d s •� �' - NalfFde Knapp x= Rock .+ h Salem �'� } 'r Rack f 1 $aem Terminal o %' ' S ( �' Area Locus ) _ Ulldarf ; _ Beverly Zl _ •' �. / r --C. low 6 Naugtis Peabody Salem r _ S /. Marble Lynn y Pant V � Legend IRA Plan Figure Q. Area Location OSite Location Motor Boat UST Motor pppp Locus Vus Map Winter Island NOT TO SCALE Salem, MA BETA Engineering, Gm. Source: AIAGIS and LSCS HANGAR BUILDING (2) 125—GALLON GASOLINE USTs (4) 4,000 -GALLON AVIATION GAS USTs O GASOLINE CONTAMINATED SOIL STOCKPII.E LIMIT OF UST EXCAVATION PAVED PARKING AREA LIMIT OF UST EXCAVATION -GALLON INE UST DRAWN BY: NK CHECKED BY: MFG PROJ. CHEC RCH Figure 2: Site Layout IRA Plan (Pinter Island Salem, MA SCALE: NONE DATE: APR.,1999 BETA PROJECT NO. 1421-01 Photograph Log Project Name: IRA Plan Site Location: Winter Island, Salem, MA Project Number: 1421 By: NEK Date: 4/5/99 F, Photo 1 Description: View of the former 2,000 -gallon gasoline UST. Photo 2 Description: View of the former gasoline UST excavation la aE SETA Engine,eria�i3 I, <.: __. Scientists/Engineers/Planners 6 Blackstone Valley Place Lincoln. R1 02865 (401) 333-2383 Providence Highway Norwood MA 02062 (781) 255-1982 FAX (7�, 1) 2 5-) 5":4 'I Massachusetts Department of Environmental Protection BWSC-103 Threat of Sudden Release Bureau of Waste Site Cleanup and you obtained knowledge of the Release or TOR. Cate: 2-1-7—/OP Time: Z Specify: n AM S PM Release Tracking Number ' RELEASE NOTIFICATION & NOTIFICATION RETRACTION ' 3 -'I J 8 p LOLO Specify: C FORM Pursuant to 310 CMR 40.0335 and 110 CMR 40.0371 (Subpart C) If assigned by OEP I� Check here if you previously provided an Oral Notification to DEP (2 Hour and 72 Hour Reporting Conditions only). A. RELEASE OR THREAT OF RELEASE LOCATION: Release 1 Street aril r/f C IGa✓D Cs.dD Location Aid: 1-r o7o t Ba47- r c STr AM 1% PM City/Town: _ <ACZIP Code: 0 1 970 Yards 'B. THIS FORM IS BEING USED TO: (check ane) 'd Submit a Release Notification (complete all sections of this farm). 4 ` ' F-1 Submit a Retraction of a Previously Reported Notification of a Release or Threat of Release (complete Sections A. B, E. F and G of this `-' U form). You MUST attach the supporting documentation required by 310 CMR 40.0335. 'I C. INFORMATION DESCRIBING THE RELEASE OR THREAT OF RELEASE (TOR): Date time 00 C, Threat of Sudden Release and you obtained knowledge of the Release or TOR. Cate: 2-1-7—/OP Time: Z Specify: n AM S PM ❑ The date you obtained knowledge is always required. The time you obtained knowledge is not required if reporting only 120 Day Conditions. ' IF KNOWN, record date and time release or TOR occurred. Date: Time: Specify: C AM1 PM L. ❑ I� Check here if you previously provided an Oral Notification to DEP (2 Hour and 72 Hour Reporting Conditions only). Release ' Provide date and time of Oral Notification. Date: Z -- 17- ?Q Time: -T 10 Specify: FI AM 1% PM Check all Notification Thresholds that apply to the Release or Threat of Release: (for more information see 310 CMR 40.0310 - 40.0315) ' 2 HOUR REPORTING CONDITIONS 72 HOUR REPCRTING CONDITIONS 120 DAY REPORTING CONDITIONS 1 ❑ Sudden Release C, Threat of Sudden Release Oil Sheen on Surface Water 11 Poses Imminent Hazard ❑ Could Pose Imminent Hazard Release Detected in Private Well (�71 Release to Storm Drain Sanitary Sewer Release (Imminent Hazard Only) ❑ Subsurface Non -Aqueous Phase Release of Hazardous Matenal(s) to Soil or Liauid (NAF!) Equal to or Greater than Groundwater Exceeding Reportable 1R Inch Concentration(s) (�71 Underground Storage Tank (UST) ❑ Release of Oil to Soil Exceeding Reportable Release Concentration(s) and Affecting More than 2 Cubic Yards Threat of UST Release Release of Oil to Grounmrater Exceeding Reportable U Release to Groundwater near Concentration(s) Water Succry n U Subsurface Nan -Aqueous Phase Liquid (NAPE) CRelease to Groundwater near Equal to or Greater than 118 Inch and Less than 112 School or Residence Inch List below the Oils or Hazardous Materials that exceed their Recorrable Concentration or Reportable Quantity by the greatest amount. If necessary, attach a list of additional Oil and Hazardous Material substances subject to reporting. Name and Quantities of Oils (0) and Hazardous Matenals (HM) Released Reconable Concentrations 0 or HM Released 0 HM CASA Amount or Units Exceeded, if Applicable (check one) (if known) Concentration (RCS -I. RCS -2, RCGW-1, RCISW 2) r11 D. ADDITIONAL INVOLVED PARTIES: Check here if attaching names and addresses of owners of properties affected by the Release or Threat of Release, other than an owner who is submitting this Release Notification (required). Check here if artaching Licensed Site Professional (LSP) name and address (optional). You may write in names and addresses on the bottom of the second page of this form. } Revised 3/1!95 Supersedes Form SWSC-003 Page 1 of 2 Co Not Atter This Form 1 1 1 1 1 Massachusetts Department of Environmental Protection BWSC-103 Sureau of Waste Site Cleanup - Release Tracking Number hilRELEASE NOTIFICATION & NOTIFICATION RETRACTION 3 -i $ OOZ FORM Pursuant to 310 CMR 40.0335 and 310 CMR 40.0371 (Subpart C) If assigned by DEP E. PERSON REQUIRED TO NOTIFY: Name of Organization: C1T71 2! /-y� olf,e ruTifl Name of Contact: PF—ER K ST.EauT Title: rJr.r r 4? C'. a, /NSP Street: �cIF SA(_��f 625EN City/Town: ;E4cJ'N! State: HA ZIP Cade: O t 9 70 Telephone: 2i9-74-1—pf7S Ext.: — —' — FAX: (optional) — — — F. RELATIONSHIP OF PERSON REQUIRED TO NOTIFY TO RELEASE OR THREAT OF RELEASE: (check one) iRP or PRP Specify: Owner ,J Operator (J Generator (J Transporter Other RP or PRP: I Fiduciary, Secured Lender or Municipality with Exempt Status (as defined by M.G.L. c. 21 E, s. 2) Agency or Public Utility on a Right of Way (as defined by M.G.L. c. 21E, s. 50)) 1 Any Person Otherwise Required to Notify Specify Relationsnio: G. CERTIFICATION OF PERSON REQUIRED TO NOTIFY: I, H 1 CHA6 L )1c. G6/SSS 1016 Wattest under the pains and penalties al e u i that I have y � F Pe P � ry h) personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this transmittal form, (ii) that, based on my inquiry of those individuals immediately responsible for obtaining the information, the material information contained in this submittal is, to the best of my knowledge and belief, true, accurate and complete, and (iii) that I am fulty authorized to make this attestation on benaif of the entity legally resconsible for this submittal. Ilthe person or entity an whose behalf this submittal is made arUis aware that there are significant penalties, including, but not limited to, possible fines and imprisonment, for willfully submitting false, inaccurate, or incomplete information. By: True: A6 f� Fa -C e Wn14 (signature) For: CI .1 jA-2 LErr DEi7.s/ ,d'c19. faut_:>il_J Date: (pont name of person or entity record in Section E) Enter address of the person providing certification, if different from address recorded in Section E: B Street: (Z A(-4CL-lS7dNac VAI L.�Y PP .AC -E Clty/fown: _ i iNGu [..y State: /9— 1— ZIP Cade: O Z Pe Telephone: 40!-333—Z3&Z Ex,: ZJr FAX (optional) -?-ol —,333 —9Zzs YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM, YOU MAYBE PENALIZED FOR 411SSING A REQUIRED DEADLINE. } Revised 3/1/95 Supercedes Form SWSC-003 Do Not Atter This Form P35e 2 cf2 I 1 1 1 Massachusetts Department of Environmental Protection BWSC-105 Bureau of Waste Site Cleanup IMMEDIATE RESPONSE ACTION (IRA) Release Tracking Number—, TRANSMITTAL FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) A. RELEASE OR THREAT OF RELEASE LOCATION: Release Name: (optional) H6yo,e0oA7- UJ -7`i* Street: Lj/M TE.0 IICA wO iea�4D Location Aid: — — City/Town: S.A L-61-4 ZIP Code: _ 01,970 ❑ Check here if a Tier Classification Submittal has been provided to DEP for this Release Tracking Number, F7 Check here if this location is Adequately Regulated, pursuant to 310 CMR 40.0110-0114. Specify Program: 7 CERCLA ❑ HSWA Corrective Action ❑ Solid Waste Management [] RCRA State Program (21C Facilities) Related Release Tracking Numbers That This IRA Addresses: B. THIS FORM IS BEING USED TO: (check all that apply) Submit an IRA Plan (complete Sections A, B, C, D, E. H, I, J and Iq. ❑ Check here if this IRA Plan is an update or modification of a previously approved written IRA Plan. Date Submitted: 7 Submit an Imminent Hazard Evaluation (complete Sections A, B, C, F, H, I, J and K). Submit an IRA Status Report (complete Sections A, 8, C, E, H, I, J and K). Submit a Request to Terminate an Active Remedial System and/or Terminate a Continuing Response Action(s) Taken to Address an Imminent Hazard (complete Sections A, 8, C, 0, E, H. 1, J and In. Submit an IRA Completion Statement (complete Sections A, 8, C, D, E, G, H, I, J and In. You must attach all supporting documentation required for each use of forth indicated, including copies of any Legal Notices and Notices to Public Officials required by 310 CMR 40.1400. C. RELEASE OR THREAT OF RELEASE CONDITIONS THAT WARRANT IRA: Identify Media and Receptors Affected: (check all that apply) Air E] Groundwater ❑ Surface Water ❑ SedimentsSoil ❑ Wetland ❑ Storm Drain LJ paved Surface ❑ Private Well ❑ Public Water Supply El Zone 2 [] Residence F7 School 7 Unknown 7 Other SPecity. Identify Conditions That Require IRA, Pursuant to 310 CMR 40.0412: (check all that apply) 2 Hour Reporting Condition(s) ® 72 Hour Reporting Condition(s) [] Substantial Release Migration Other Condition(s) Describe: i 100 L'Pd rsae'f Identity Oils and Hazardous Materials Released: (check all that apply) Oils Chlorinated Solvents Heavy Metals Others Specify: D. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply) Assessment and/or Monitoring Only ❑ Deployment of Absorbent or Containment Materials Excavation of Contaminated Sails Temporary Covers or Caps Re -use, Recycling or Treatment Bioremediation O On Site (& Off Site Est. Vol.: cubic yards Soil Vapor Extraction Describe: I fJC11V4i2A-f/oN Structure Venting System rl Store (:) On Site O Off Site Est. Vol.: cubic yards Product or NAPL Recovery Landfill O Cover O Disposal Est. Vol.: cubic yards �, Groundwater Treatment Systems Removal of Drums, Tanks or Containers Air Sparging Describe: ❑ Temporary Water Supplies SECTION D IS CONTINUED ON THE NEXT PAGE. l Nevised 2124/95 Supersedes Forms B WS"05, 006, 010 (in part) and 011 Page t of 3 Do Not Atter This Form I 1 1 1 Massachusetts Department of Environmental Protection BWSC-105 Bureau of Waste Site Cleanup NJIMMEDIATE RESPONSE ACTION (IRA) Release Tracking Number--� TRANSMITTALFORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) 13 -I%8302 j D. DESCRIPTION OF RESPONSE ACTIONS (continued): Removal of Other Contaminated Media [] Temporary Evacuation or Relocation of Residents Specify Type and Volume: U Other Response Actions Describe: ElFencing and Sign Posting 'J Check here if this IRA involves the use of Innovative Technologies (DEP is interested in using this information to aid in creating an Innovative Technologies Clearinghouse). Describe Technologies: E. TRANSPORT OF REMEDIATION WASTE: (if Remediation Waste has been sent to an off•sile facility, answer the following questions) Name of Facility: si6x-rNL.ANO Ew�t/r tcNM nr�AL /,VG Town and State: pied V1l>d'JC&11 qe t Quantity of Remediation Waste Transported to Date: _ ,j VAthN f F. IMMINENT HAZARD EVALUATION SUMMARY: (check one of the following) Based upon an evaluation, an Imminent Hazard exists in connection with this Release or Threat of Release. Based upon an evaluation, an Imminent Hazard does not exist in connection with this Release or Threat of Release Based upon an evaluation, it is unknown whether an Imminent Hazard exists in connection with this Release or Threat of Release, and further assessment activities will be undertaken. Based upon an evaluation, it is unknown whether an Imminent Hazard e>asts in connection with this Release or Threat of Release. However, response actions will address those conditions that could pose an Imminent Hazard. G. IRA COMPLETION STATEMENT Check here If future response actions addressing this Release or Threat of Release will be conducted as part of the Response Actions planned for a Site that has already been Tier Classified under a different Release Tracking Number, or a Site that is identified on the Transition List as described in 310 CMR 40.0600 (1. e., a Transition Site, which includes Sites with approved Waivers). These additional response actions must occur according to the deadlines applicable to the earlier Release Tracking Number (i. e., Site ID Number). State Release Tracking Number (i. e., Site ID Number) of Tier Claisified Site or Transition Site: If any Remediation Waste will be stored, treated, managed, recycled or reused at the site following submission of the IRA Completion Statement, you must submit either a Release Abatement Measure (RAM) Plan or a Phase N Remedy Implementation Plan, along with the appropriate transmittal form, as an attachment to the IRA Completion Statement H. LSP OPINION: I attest under the pains and penalties of perjury that I have personalty examined and am familiar with this transmittal form, including any and all documents accompanying this submittal. In my professional opinion and judgment based upon application of (i) the standard of care in 309 CMR 4.02(1), (ii) the applicable provisions of 309 CMR 4.02(2) and (3), and (iii) the provisions of 309 CMR 4.03(5), to the best of my knowledge, information and belief, > if Section B of this form indicates that an Immediate Response Action Plan is being submitted, the response action(s) that is (are) the subject of this submittal (i) has (have) been developed in accordance with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000, (ii) is (are) appropriate and reasonable to accomplish the purposes of such response action($) as set forth in the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000 and (iii) complies(y) with the identified provisions of all orders, permits, and approvals identified in this submittal; > if Section B of this form indicates that an Imminent Hazard Evaluation is being submitted, this Imminent Hazard Evaluation was developed in accordance with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000, and the assessment activity(ies) undertaken to support this Imminent Hazard Evaluation complies(y) with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.000; > if Section S of this form indicates that an Immediate Response Status Report is being submitted, the response action(s) that is (are) the subject of this submittal (1) is (are) being implemented in accordance with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000, (ii) is (are) appropriate and reasonable to accomplish the purposes of such response action(s) as set forth in the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000 and (iii) complies(y) with the identified provisions of all orders, permits, and approvals identified in this submittal; > if Section B of this form indicates that an Immediate Response Action Completion Statement or a Request to Terminate an Active Remedial System and/or Terminate a Continuing Response Action(s) Taken to Address an Imminent Hazard is being submitted, the response action(s) that is (are) the subject of this submittal (i) has (have) been developed and implemented in accordance with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000, (ii) is (are) appropriate and reasonable to accomplish the purposes of such response action(s) as set forth in the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000 and (ii) complies(y) with the identified provisions of all orders, permits, and approvals identified in this submittal. L SECTION H IS CONTINUED ON THE NEXT PAGE. ' Revised 2/24/95 Supersedes Forms SWSC-005, 006, 010 (in part) and 011 Do Not Atter This Form Page 2 of 3 I 1 d 1 i Massachusetts Department of Environmental Protection BWSC-105 Bureau of Waste Site Cleanup Release Tracking Number IMMEDIATE RESPONSE ACTION (IRA)ia — TRANSMITTAL FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) 131 H. LSP Opinion (continued): I am aware that significant penalties may result, including, but not limited to, possible fines and imprisonment, if I submit information which I know to be false, inaccurate or materially incomplete. Check here if the Response Action(s) on which this opinion is based, it any, are (were) subject to any order(s), permit(s) and/or approval(s) issued by DEP or EPA. If the box is checked, you MUST attach a statement identifying the applicable provisions ther f LSP Name: MICHAEL F• GE.r SS,E�E ?E LSP#: 6997 Stamp:,�OFsiAic` r A Telephone: !/ o I —3d3 _9 2 8 Z Ext.: ZSs' FAX: (optional) 401 — 3 33 —9L7:.S t GEIS -EER y� N0.6ayi Signature: Date: 4 —7 —99 a°ti. Tt I. PERSON UNDERTAKING IRA: Name of Organization: c / 7Y S.Q tEM P6,47% „-/ ,c4 G LT/.a r Name of Contact: P67,E�0— t! STA4(•cT Title: �lie.fc73� /��,pG tNli. Street: _4Ne: fa(.Erf 646" City/Town: � L-,E/`r State: ZIP Code: Q 1970 Telephone: _17P-7']%.i�9Sil Ext.: — — _ FAX: (optional) ❑ Check here if there has been a change in the person undertaking the IRA. J. RELATIONSHIP TO RELEASE OR THREAT OF RELEASE OF PERSON UNDERTAKING IRA: (check one) I� RP or PRP Specify: g Owner Q Operator O Generator Q Transporter Other RP or PRP: Fiduciary, Secured Lender or Municipality with Exempt Status (as defined by M.G.L. c. 21E, S. 2) Agency or Public Utility on a Right of Way (as defined by M.G.L. c. 21 E, s. Any Other Person Undertaking IRA Specify Relationship: K. CERTIFICATION OF PERSON UNDERTAKING IRA: I, Mf CWlAE c. F . GE t4r'Ge . Ff L r" , attest under the pains and penalties of perjury (1) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this transmittal form, (ii) that, based an my inquiry of those individuals immediately responsible for obtaining the information, the material information contained in this submittal is, to the best of my knowledge and belief, true, accurate and complete, and (iii) that I am fully authored to make this attestation on behalf of the entity legally responsible for this submittal. Itthe person or entity on whose behalf this submittal is made ams aware that there are significant penalties, including, but not limited to, possible fines and imprisonment, for willfully submitting false, inaccurate, or incomplete information. By: - Title: A46^rr Fo•C uw,.J.EiG (signature) pp For: Cr Sfl llfit rrE. O d'4G eAcu-6_r Date: (print peni of person or entity recorded in Section q Enter address of the person providing certification, if different from address recorded in Section 1: S-r7A ENG��f.E.tr^iG /Nc Street: 6 OCAC&el"'vC t,,6aty L.67- 0 C—A C4 City/Town: L//vCoC� State: ZIP Code: 07,d6S Telephone: ¢01 —333—Z38L EM.: z,SS FAX: (optional) 40(-3.73— 90-2:7S YOU MUST COMPLETE ALL RELEVANT SECTIONS OF THIS FORM OR DEP MAY RETURN THE DOCUMENT AS INCOMPLETE. IF YOU SUBMIT AN INCOMPLETE FORM, YOU MAY BE PENALIZED FOR MISSING A REQUIRED DEADLINE. Revised zt;e4/95 Supersedes Forms BWSC-005, 006, 010 (in part) and 011 Page 3 of 3 Do Not Atter This Form I BETA Engineering, Inc. Engineers • Scientists • Planners xY• / w A. M April 7, 1999 BETA Project No. 1421-01 Hon. Stanley J. Usovicz, Jr., Mayor City of Salem City Hall 93 Washington Street Salem, MA 01970 RE: Public Involvement Notification Underground Storage Tank (UST) Release Motorboat UST Winter Island Salem, Massachusetts RTN 3-13002 ' Dear Mr. Mayor 1420 Providence Highway (Rte.1) Norwood, MA 02062 781255.1982 fax: 781.255.1974 email: BETA@BETA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby ' submit to you a copy of the Immediate Response Action (IRA) Plan that has been forwarded to the MADEP. This IRA Plan provides for remediation of soil that is contaminated with gasoline resulting from leaking of the subject UST at the Site. Copies of IRA Status and/or Completion Reports will be forwarded to you as soon as they are issued. Please call me anytime at 401-333-2332 if you have any questions. Very truly yours, ' BETA Engineering, Inc. /% NG ;~. Geiser, PE, RLS, LSP eS nior Project Manager Enc. 1420 Providence Highway (Rte.1) Norwood, MA 02062 781255.1982 fax: 781.255.1974 email: BETA@BETA-eng.com 6 Blackstone Valley Place Lincoln, RI 02865 401.333.2382 fax: 401.333.9225 email: BETA@BETA-eng.com BETA Engineering, Inc. ' Engineers •Scientists •Planners April 7, 1999 ' BETA Project No. 1421-01 Ms. Joanne Scott, Health ALYent ' Board of Health City of Salem 9 North Street ' Salem, MA RE: PublieInvolvement iYotiftcation Underground Storage Tank (UST) Release Motorboat UST Winter Island ' Salem, Massachusetts RTN 3-18002 1 Dear Ms. Scott •'� 1420 Providence Highway (Rte.1) Norwood. MA02062 781.255.1982 tax: 781.255.1974 email: BETA@EE7A-ens.rcrr. 6 Blackstone Valley Place Lincoln, RI 02865 -101.333.2382 fax: 401.333.9225 email: BETA@ BETA-rnc.:,orn Pursuant to 310 CMR 40.1403(3)(b) of the Massachusetts Contingency Plan, we hereby ' submit to you a copy of the Immediate Response Action (IRA) Plan that has been forwarded to the MADEP. This IRA Plan provides for remediation of soil that is contaminated with gasoline resulting from leaking of the subject UST at the Site. Copies of IRA Status and/or Completion Reports will be forwarded to you as soon as they are issued. Please call me anytime at 401-333-2382 if you have any questions. Very truly yours, ' BETA Engineering, Inc. ivtic r-fi e6 sser, PE, RLS, LSP Senior Project Manager Enc. •'� 1420 Providence Highway (Rte.1) Norwood. MA02062 781.255.1982 tax: 781.255.1974 email: BETA@EE7A-ens.rcrr. 6 Blackstone Valley Place Lincoln, RI 02865 -101.333.2382 fax: 401.333.9225 email: BETA@ BETA-rnc.:,orn CLEAN SGILS ENVIRONMENTAL LTD 7i '0"''g" 1VE® August 21, 2012 1p1 t Mayor Kimberley Driscoll Larry Ramdin, RS/REHS, CHO, CP -FS, Board of Health Salem Salem City Hall 93 Washington Street Salem, MA 01970 Re: Public Notification Class A-2 Response Action Outcome Statement Gasoline Underground Storage Tank Release Winter Island Park Salem, MA MassDEP Release Tracking Number 3-18002 Dear City Officials: The Massachusetts Contingency Plan (310 CMR 40.0000) requires people submitting a closure report or Response Action Outcome (RAO) Statement for a release of oil and/or hazardous materials (OHM) or, in this case a Gasoline Underground Storage Tank Release, to notify the Chief Municipal Officer (CMO) and the Board of Health (BOH) when a cleanup report or RAO Statement is submitted to the Department of Environmental Protection (MassDEP). From February 17, 1999 to present, cleanup and assessment activities including Immediate Response Actions (IRA) and Comprehensive Response Actions (CRA) have reached a condition of No Significant Risk. An RAO Statement is required in accordance with 310 CMR 40.0000 to document that the release has been cleaned up to a condition of No Significant Risk. Clean Soils Environmental, Ltd., recently completed a Class A-2 RAO Statement for this release, which is on file at MassDEP's Northeast Regional Office Service Center in Wilmington, MA. If you are interested in reviewing the RAO Statement, please set up a file review appointment by calling MassDEP's Northeast Regional Service Center, Wilmington, MA at 978-694-3200 or go to the following Web Site http://i)ublic.dep.state.ina.us/wsc viewer/main asm and input REN 3-18002 to review of the electronic version of the RAO Statement. Respectfully, CLEAN SOILS ENVIRONMENTAL, LTD. 'Av William H. Mitchell, Jr., LSP President/Geologist cc: MassDEP NERO, Via Class A-2 RAO Statement Environmental Services since 1988 33 Estes Street, Post Office Box 591, Ipswich MA 01938 Voice: (978) 356-1177 Fax: (978) 356-1849 Web site: http://www.cleansoils.com