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297-305 BRIDGE STREET - BUILDING JACKET %Q 297-305 BRIDGE STREET s CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120WASFBNGTONSTREET,31DFLOOR TEL. (978) 745-9595 FAx(978) 740-9846 KIMBERLEY DRISCOLL MAYOR TY omm STYIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER May 24,2011 Mass. D.E.P 205- B Lowell Street Willmington Ma. 01887 Art. Steve Johnson R.E 297-299 Bridge Street Dear Mr. Johnson, I would like to thank you for your efforts at the old Universal Steel Site.(Bowley Steel) Tearing down the dangerous rear building , securing the existing building as well as installing a new section of fence will greatly improve the safety of the site. These efforts also provide City Departments (ie Police , Fire, and LS.D ) a clear site line to prevent illegal activities and unauthorized entry. I would also like to thank Paul Giddings, who oversaw the actual site work. Everything was done without a hitch. We look forward to working with your Department in the future. Sincere Thomas St.Pierre Director of Inspectional Services/Building Commissioner Five Centennial Drive < Peabody,MA 01960-7985 tel:978-532-1900 fax:978-977-0100 www.westonandsam psorl Planning.pannittln9. �g,�ld eq�ai�t WOMed,9mpson® opaatbn,man[o'rance, January 5, 2015 Thomas J. St. Pierre Inspectional Services Director and Zoning Enforcement Officer City of Salem 120 Washington Street, 3rd Floor Salem, Massachusetts 01970 Re: Notice of Activity and Use Limitation sEormer Universal-Steel &Trading-Comp--ani 297-305 Bridge Street Salem, Massachusetts RTN 3-11726 Dear Mr. St. Pierre: The purpose of this letter is to inform you that on December 17,2014,a Notice of Activity and Use Limitation ("AUL"), a copy of which is enclosed, was recorded with the Essex County Registry of Deeds (Southern District) in Book 33745, Page 313.The AUL affects all of the former Universal Steel property located at 297- 305 Bridge Street in Salem, Massachusetts 01970.The AUL identifies certain activities and uses which are inconsistent with maintaining a condition of No Significant Risk at the property. Such activities and uses are identified in order to prevent exposures to contaminated soil located beneath a geotextile liner installed at the property.The AUL identifies those activities and uses which are consistent with maintaining a condition of No Significant Risk and those obligations and conditions necessary to ensure that a condition of No Significant Risk continues to exist at the property for the foreseeable future. This public notification is being provided pursuant to the Massachusetts Contingency Plan, 310 CMR 40.1090 and 310 CMR 40.1403(7)(a). If you have any questions, please contact Mr. Tom Devine, AICP, Senior Planner, at (978) 619-5682. Very truly yours, WESTON & SAMPSON James S. Currier, LSP, LEED GA Project Manager cc: Salem Chief Municipal Officer, Board of Health, and Massachusetts Department of Environmental Protection Northeast Regional Office Massachusetts Connecticut Rhode Island New Hampshire Maine Vermont New York Florida Five Centennial Drive(110) 273 Dividend Road 2778 Tiogue Avenue 100 International Drive PC Bax 189 98 South Main Street 301 Manchester Road 1990 Main Street Peabody,MA 01960-7985 Rocky Hlll,CT 06067 Coventry,RI 02816 Suite 152 York,ME 03909 Suite Suite 201A Suite 750 100 Foxborough Blvd.,Suite 250 Portsmouth,NH 03801 Waterbury,VT 05676 Poughkeepsie,NY 12603 Sarasota,FL 34236 Foxborough,MA 02035 225 New Boston Street When it's essential...il weston&sampson.o Woburn,MA 01801 Illllllllllllllllllllllllllllll 2014121100385 Bk:33145 Pg:313 Form 1075 12/17/2014 02:28 NOTC RUL P9 1116 Note: Pursuant to 310 CMR 40.1074(5), upon transfer of any interest in or a right to use the property or a portion thereof that is subject to.this Notice of Activity and Use Limitation, the Notice of Activity and Use Limitation shall be incorporated either in full or by reference into all future deeds, easements, mortgages, leases, licenses, occupancy agreements or any other instrument of transfer. Within 30 days of so incorporating the Notice of Activity and Use Limitation in a deed that is recorded or registered, a copy of such deed shall be submitted to the Department of Environmental Protection. NOTICE OF ACTIVITY AND USE LIMITATION M.G.L. c. 21E, § 6 and 310 CMR 40.0000 Disposal Site Name: Former Universal Steel & Trading Company DEP Release Tracking No.(s): 3-11726 This Notice of Activity and Use Limitation ("Notice") is made as of this $ day of December; 2014, by The CITY OF SALEM, MASSACHUSETTS, a public body, politic and corporate, organized and existing under the laws of the Commonwealth of Massachusetts and having a usual place of business at 120 Washington Street, Salem, Essex County, Massachusetts, 01970, together with its successors and assigns (collectively "Owner"). WITNESSETH: WHEREAS, THE CITY OF SALEM, is the owner in fee simple of those certain parcels of vacant land located in Salem, Essex County, Massachusetts, with improvements thereon, pursuant to an Instrument of Taking recorded with the Essex County Registry of Deeds in Book 24937, Page 350. WHEREAS, said parcels of land, which are more particularly bounded and described in Exhibit A, attached hereto and made a part hereof ('Property") are subject to this Notice of Activity and Use Limitation. The Property is shown on a plan recorded in the Essex County Registry of Deeds in Book 180 Plan 92, being shown as Parcel A on a plan entitled "Plan of Land in Salem", dated January 5, 1983, drawn by Essex Survey Service, Inc., and on a plan recorded in the Essex County Registry of Deeds in Book 1102 Page 300. WHEREAS, the Property comprises all of a disposal site asthe result of a release of oil and/or hazardous material. Exhibit B is a sketch plan showing the relationship of the Property subject to this Notice of Activity and Use Limitation to the boundaries of said disposal site existing within the limits of the Property and to the extent such boundaries have been established. Exhibit B is attached hereto and made a part hereof; and WHEREAS, one or more response actions have been selected for the Disposal Site in accordance with M.G.L. c. 21E ("Chapter 21E"), the Massachusetts Contingency Plan, 310 CMR 40.0000 ("MCP"), and the Toxic Substance Control Act ("TSCA"), 40 CFR Part 761. Said response actions are based upon (a) the restriction of human access to and contact with oil and/or hazardous material in soil and/or (b) the restriction of certain activities occurring in, on, through, over or under the Property. A description of the basis for such restrictions, and the oil and/or hazardous material release event(s) or site history that resulted in the contaminated media subject to the Notice of Activity and Use Limitation is attached hereto as Exhibit C and made a part hereof, Form 1075: continued NOW, THEREFORE, notice is hereby given that the activity and use limitations set forth in this Notice of Activity and Use Limitation are as follows: 1. Activities and Uses Consistent with Maintaining No Significant Risk Conditions. The following Activities and Uses are consistent with maintaining a Permanent Solution and a condition of No Significant Risk and, as such, may occur on the Property pursuant to 310 CMR 40.0000: (i) Industrial uses including, but not limited to, a parking lot; (ii) Activities and uses including, but not limited to, normal commercial and industrial operations, pedestrian and/or vehicle traffic, and vehicle parking; (iii) Any landscaping activities including, but not limited to, lawn mowing, mulching, weeding, and/or planting of flowers, trees, and shrubs, provided the pavement, orange geotextile liner and soils located beneath the liner at 1.5 feet or more below the surface grade are not disturbed by the landscaping activities; (iv) Underground utility and/or construction activities including maintenance or repair of site improvements, or utility repair and maintenance, excavation, movement and handling of soils below the geotextile liner at depths greater than 1.5 feet or more provided that such activities are conducted in accordance with a Soil Management Plan and a Health and Safety Plan in accordance with Conditions (iv) and Conditions (v) in Paragraph 3 of this Notice, the remediation waste management procedures of the MCP cited at 310 CMR 40.0030 et seq., all applicable worker health and safety practices pursuant to 310 CMR 40.0018, and TSCA requirements pursuant to 40 CFR 761; (v) Such other activities or uses which, in the Opinion of a Licensed Site Professional, shall present no greater risk of harm to health, safety, public welfare or the environment than the activities and uses set forth in this Paragraph; and (vi) Such other activities and uses not identified in Paragraph 2 as being Activities and Uses Inconsistent with maintaining No Significant Risk Conditions. 2. Activities and Uses Inconsistent with Maintaining No Significant Risk Conditions. The following Activities and Uses are inconsistent with maintaining a Permanent Solution and a condition of No Significant Risk pursuant to 310 CMR 40.0000, and, as such, may not occur on the Property: (i) Residential uses, including but not limited to, , one family or two-family dwellings, apartments, tenement houses, condominiums or town houses, mobile homes, lodging houses, nursing or rest homes, or dormitories; (ii) Agricultural uses, including but not limited to, tilling and planting of gardens or crops for human consumption; (iii) Institutional uses, including but not limited to, public or private schools and day care facilities; Form 1075: continued (iv) Activities or uses which are likely to involve the removal and/or disturbance of the contaminated soil located beneath the geotextile liner at the Property with the exception of underground utility and/or construction work carried out in accordance with the Conditions set forth under Paragraph 3, unless an LSP renders an Opinion which states that a Level of No Significant Risk is maintained at the site consistent with the MCP; (v) Any use or activity that may involve direct ongoing contact to the contaminated soil located beneath the geotextile liner, or any use or activity that may not comply with the Conditions set forth under Paragraph 3; and (vi) Such other activity and uses not identified in Paragraph 2 of the AUL, but identified as being Activities and Uses inconsistent with maintaining No Significant Risk Conditions. 3. Obligations and Conditions. The following obligations and/or conditions are necessary and shall be undertaken and/or maintained at the Property to maintain a Permanent Solution and a condition of No Significant Risk: (i) Maintain existing asphalt pavement, concrete blocks, and sidewalks such that the physical integrity of each surface is not compromised; (ii) Maintain existing landscaped areas such that soil erosion does not degrade and compromise the existing asphalt pavement; (iii) Perform annual inspections to confirm that existing asphalt pavement, concrete blocks, sidewalks and landscaping are properly maintained; (iv) A Soil Management Plan (SMP) must be prepared by a LSP in accordance with the remediation waste management procedures of the MCP (310 CMR 40.0030 et seq) and TSCA (40 CFR 761) and implemented at the commencement of any activity that may disturb contaminated soil located beneath the geotextile liner at the Property. The SMP should describe appropriate soil excavation, characterization, handling, storage, transport, and disposal procedures and include a description of the engineering controls and air monitoring procedures necessary to ensure that workers and receptors in the vicinity are not affected by fugitive dust or particulates. On-site workers who may come in contact with the contaminated soil should be appropriately trained on the requirements of the SMP, and the plan must be available on-site throughout the course of a project; (v) A Health and Safety Plan (HASP) must be prepared by a certified Industrial Hygienist or other qualified individual sufficiently trained in worker health and safety requirements, and implemented prior to the commencement of any activity that may disturb contaminated soil located beneath the geotextile liner at the Property. The HASP should specify the type of personal protection (i.e., clothing, respirators), engineering controls, and environmental monitoring necessary to prevent worker exposures to contaminated soil through dermal contact, ingestion, and/or inhalation. On-site workers who may come in contact with the contaminated soil should be appropriately trained on the requirements of the HASP, and the plan must be available on-site throughout the course of a project; and Form 1075: continued (vi) The contaminated soil located beneath the geotextile liner must remain at depth and may not be relocated, unless such activity is first appropriately evaluated by an LSP who renders an Opinion which states that such relocation is consistent with maintaining a condition of No Significant Risk. 4. Proposed Changes in Activities and Uses. Any proposed changes in activities and uses at the Property which may result in higher levels of exposure to oil and/or hazardous material than currently exist shall be evaluated by a Licensed Site Professional who shall render an Opinion, in accordance with 310 CMR 40.1080, as to whether the proposed changes are inconsistent with maintaining a Permanent Solution and a condition of No Significant Risk. Any and all requirements set forth in the Opinion to meet the objective of this Notice shall be satisfied before any such activity or use is commenced. 5. Violation of a Permanent or Temporary Solution. The activities, uses and/or exposures upon which this Notice is based shall not change at any time to cause a significant risk of harm to health, safety, public welfare, or the environment or to create substantial hazards due to exposure to oil and/or hazardous material without the prior evaluation by a Licensed Site Professional in accordance with 310 CMR 40.1080, and without additional response actions, if necessary, to maintain a condition of No Significant Risk. If the activities, uses, and/or exposures upon which this Notice is based change without the prior evaluation and additional response actions determined to be necessary by a Licensed Site Professional in accordance with 310 CMR 40.1080, the owner or operator of the Property subject to this Notice at the time that the activities, uses and/or exposures change, shall comply with the requirements set forth in 310 CMR 40.0020. 6. Incorporation Into Deeds, Mortgages, Leases, and Instruments of Transfer. This Notice shall be incorporated either in full or by reference into all future deeds, easements, mortgages, leases, licenses, occupancy agreements or any other instrument of transfer, whereby an interest in and/or a right to use the Property or a portion thereof is conveyed in accordance with 310 CMR 40.1074(5). Owner hereby authorizes and consents to the filing and recordation and/or registration of this Notice, said Notice to become effective when executed under seal by the undersigned Licensed Site Professional, and recorded and/or registered with the appropriate Registry(ies) of Deeds and/or Land Registration Office(s). WITNESS the execution hereof under seal this day of December, 2014. 4et�� e ' Mayor Kimberley Driscoll CITY OF SALEM, MASSACHUSETTS COMMONWEALTH OF MASSACHUSETTS Essex, ss December, 2014 r/. On this G day of December, 2014, before me, the undersigned notary public, personally appeared Mayor Kimberley Driscoll, proved to me through satisfactory evidence of identification, which were Mla 1)( 1 V�4S (�( _ to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose. as Mayor for THE CITY OF SALEM, MASSACHUSETTS (official signature and seal of notary) \\,\\\\111111N11111/11j,,1,,, .. WF tb `ry c The undersigned Licensed Site Professional hereby certifies that in his Opinion this Notice of Activity and Use Limitation is consistent with a Permanent Solution and maintaining a condition of No Significant Risk. Date: ] �� 12— .l— Prasanta K. Bhunia, Ph.D., LSP [LSP SEAL] PRASANt vBHU A, r, No.2999 �a�S�FG1Si'F.R� g�0 de COMMONWEALTH OF MASSACHUS) a aa0F�5,ma . �€-mow ESSEX, ss December, 2014 On this 1 Z day of December, 2014, before me, the undersigned notary public, personally appeared Prasanta K. Bhunia, Ph.D., LSP #2999, proved to me through satisfactory evidence of identification, which were Livens c, , to be the person whose name is signed on the preceding or attached document, and acknowledged to me tha (he (she) signed it voluntarily for its stated purpose. As LSP for THE CITY OF SALEM, MASSACHUSETTS officiaa� v&wN ,seal of notary) *o Q o* o o a p�. o A1� g' ,WE2i S nC.0 ` Upon recording, return to: City of Salem Mayor's Office 120 Washington Street Salem, MA 01970 Exhibit A Written Legal Description of the Property Former Universal Steel and Trading Company Salem, MA 01970 RTN 3-11726 PARCELI: A certain parcel of land in the City of Salem, Essex County, Massachusetts, together with the buildings thereon, bounded and described as follows: Beginning at the Northwesterly corner thereof on Beckford Street and thence running: EASTERLY by Bridge Street one hundred sixty-nine(169) feet; thence, SOUTHERLY by land now or formerly of Shreve two hundred twenty-four and five tenths(224.5) feet; thence WESTERLY by land now or formerly of Grant thirty and five tenths (30.5) feet; by land now or formerly of Martin thirty-one (31) feet; and by land now or formerly of Hood fifty-two and eight tenths (52.3) feet; thence NORTHERLY by land now or formerly of Cutts about sixty(60)feet;thence WESTERLY by land now or formerly of said Cutts fifty-five and three tenths (55.3) feet; and thence NORTHERLY by said Beckford Street one hundred five(105) feet to the corner of beginning. Said premises are shown on plan recorded with Essex County South District Registry of Deeds in Book 1102, Page 300. PARCEL II: Another parcel of land in said Salem together with the buildings thereon, bounded and described as follows: Beginning at the Southwesterly corner at the Northwesterly corner of the upland of land now or formerly of Benjamin Shreve,thence running: NORTHERLY about two hundred twenty-nine (229) feet to a stake at the Southerly side of a street laid out as a continuation of Bridge Street; thence turning and running NORTHEASTERLY along said street ninety-six (96) feet to a stake; thence turning and running SOUTHERLY about two hundred thirty-three and five tenths (233.5) feet to the Northeasterly corner of said upland; thence turning and running WESTERLY fifty-seven and five tenths(57.5) feet; thence turning and running SOUTHERLY seven and five tenths (7.5)feet; thence turning and running WESTERLY forty-six and six tenths (46.6)feet to the point of beginning. Exhibit A - Continued Written Legal Description of the Property Parcel I and Parcel R being a portion of the premises conveyed to the Grantor by Deed of Thomas B. Ciesinski, dated December 15, 1952 and recorded with said Deeds in Book 3940, Page 186. PARCEL III: The land in said Salem, together with the buildings thereon, situate on Beckford Street, and being shown as Parcel A on a plan entitled "Plan Land in Salem, Massachusetts prepared for Robert P. King" dated January 5, 1983, by Essex Survey Service, Inc., and recorded with said Deeds in Plan Book 180, Plan 92, and which parcel is bounded and described as follows: WESTERLY by Beckford Street, 32.5 feet; NORTHERLY by land now or formerly of Helen S. Kerr, 55.50 feet; EASTERLY by other land now or formerly of Helen S. Kerr, 39.69 feet; and SOUTHERLY by Parcel B as shown on the aforementioned plan, 56.08 feet. Said parcel contains 2,007 square feet of land according to said plan. Parcel III being the same premises conveyed to the Grantor by Deed of Robert P. King, dated August 25, 1983 and recorded with said Deeds in Book 7200,Page 40. Exhibit B Sketch Plan Former Universal Steel and Trading Company Salem,MA 01970 RTN 3-11726 6yf Cry �.�Ii ),ball I� ro hz x q fw i; i r 3 . Lj ITrya 9„r 5 5 � Ze° or f rw w 'Ile t t � ✓r 4� J K w ' a ""hm, `X�m kh 5 M Q �Vill �'� �� , � h� � a .� Fp 4r' o rot• bt r 1 t 5l y l ° ^aTRkf.T NEW ..__.,. 1 �4ti1r"iu .• ��,,,, d. caf Book 12612 Page 70 e Book 12612 Page 69 ^ ; :; _... Universal Steel Parcel 11 - t^' i Ea" R-R Tn^Q�5 - -;:,- �- Universal Steel Parcell T , S Metes and r Bounds Metes and Bounds -"l -- ,� b 1�TMUr i _ 1 Y rY `'k �� !�X ;-M 1A r 1 JP 1 i .. . .. 'nA:Vii . f. T," " ,. ,IAF' .., _ .. 4 i i ...0 ec . a� -, P•.�9 - qA�,b _ -.. n.� apt r(OL'US S. 6F••• A RO' r•° P y �` /�V.s.uiY�P , h D � JOSEPH 3. E nELEN 5 //.PLYW/GY/ Assessors Map'° Co!636. 4Vi /�J 2007*3.F y Rte• e/{O � �Na6./r,a6_w Book 12612 Page 71 Universal Steel Parcel III Metes and Bounds 2 � � m gAppArora/am'v1he SuteIrmau v� lDnhv/Caw rrol rr9mirrdunarr h a SALEFI PCANN/NSi�aAKD Q p 7003 f S.F. 2 :a p EDUUNO A. J.P. { ce.0 '� ire/C/Q M<RUKE(L/ zt _ NBL°/6 JY O 4 p 0� h r. $w ROL PH L E P6UL/NE F. nUROS:P 14 NorE: Farre/�/3 to 6r mnrerJed fv lasePA S.and Helm S. .!'irqwie.F/dnd comb/ned wifk aDuti`inq/and a e Ca Krrywieki fa form am eM- /9uous /ot /rvhFy/Hafthispp/an was prepared/n errordanLr with flee Ru/esand.P�Wu/atiivr,d - - fire Re9iJ/ers of peels. gj IN PLAN Sant 1110 pLAN91 mY llssna v�m4 N•�rtr. I "�"- P,PEi'FRED PoR JAM. S. /9B3 rta,Vd2.a 3s I EMeX--ueVEY 56Pl46E,INC. 47{eaMal Shrel.Ss/em.Ad. /0173 Exhibit C Narrative Describing the Basis for Activity and Use Limitation(AUL) Former Universal Steel and Trading Company Salem, MA 01970 RTN 3-11726 This narrative describing the basis for the activity and use limitation (AUL) was prepared in accordance with 310 CMR 40.1074(2)(e) through (g) of the Massachusetts Contingency Plan (MCP). The MCP requirements are shown in hold italic text in the following sections of this exhibit with the obligatory information provided in normal text. 40.I074(2)(e) a statement that specifies why the Notice of Activity and Use Limitation is appropriate to maintain a Permanent Solution and condition of No Significant Risk; Remedial action alternatives (RAAs) for this Site focused on reducing potential exposure to contaminated soil. The risk-based cleanup approved by MassDEP and EPA included the excavation and removal of the top 1 foot of soil across the Site and the select removal of deeper PCB-impacted soils with concentrations greater than 50 parts per million (ppm). At the conclusion of removal actions, the construction of a pavement cap and implementation of an AUL was proposed to mitigate future direct exposure to residual contamination at the Site. Elimination and/or source control was not a primary objective because there is no defined source area(s) and elimination would require dewatering to remove deeper PCB-impacted material, which is cost- prohibitive and neither practical nor necessary to achieve a condition of NSR. Thus, an AUL is being implemented to ensure that future Site activities and uses associated with Site development work and post-development use will not result in potential risk of harm to human health. The purpose of this AUL is to restrict certain potential exposure pathways to contaminants. Certain exposure pathways at the Site are being restricted since such exposures could potentially result in a significant risk to health due to possible frequent, intensive, and long-term contact with contaminated soils. Thus, the implementation of the AUL is appropriate to confirm that future Site activities and uses will not result in potential risk of harm to human health, and is necessary to support a Permanent Solution and condition of No Significant Risk at the Site. Finally, RTN 3-11726 will achieve regulatory closure with the filing of a Permanent Solution with Conditions (PSWC) Statement concurrently with the implementation of an AUL (f) a concise summary of the oil and/or hazardous material release event(s) or site history (i.e., date of the release(s), to the extent known, release volumes(s), and response actions taken to address the release(s)) that resulted in the contaminated media subject to the Notice of Activity and Use Limitation; The Site is approximately 1.2 acres and was historically used for metal recycling and reclamation activities including processing and sorting of scrap metals and demolition debris, dismantling and processing of transformers, and stockpiling of automotive batteries. In October 1994, MassDEP assigned RTN 3-11726 to the Site following notification of a release to soil and groundwater of PCBs, metals and petroleum. The release was identified during soil and groundwater assessment activities completed at the Site from November 1993 to July 1994. The source of contamination was attributed to the former metals recycling and reclamation activities conducted by the Universal Steel &Trading Company at the Site. Since the release was discovered, several subsurface investigations and preliminary response actions have been conducted at the Site. In 2011, Weston & Sampson completed a Phase II Comprehensive Site Investigation (CSA) to evaluate the current nature and extent of contamination at the Site, and a site- specific Method 3 Risk Characterization (RC) to evaluate risk to human health, safety, public welfare, and the environment. The 2011 Method 3 RC indicated that a condition of NSR to human health did not exist due to the potential exposure to PCBs in soil. Based on the findings of the Phase II CSA and Method 3 RC, Weston & Sampson discussed and evaluated several remedial options for the Site under the direction of the MassDEP and the U.S. EPA from June 2011 to October 2011. Subsequently, a multi-agency team consisting of MassDEP, EPA, the City of Salem and MassDevelopment agreed to fund and implement a risk-based cleanup of the Site focusing on excavation and removal of the top 1 foot of soil across the Site and the select removal of deeper PCB-impacted soils with concentrations greater than 50 ppm. The excavation and removal of PCB-impacted materials was completed as a Removal Action under the EPA's Emergency Response and Removal Program (ERRP). The Removal Action was initiated in December 2012 and was completed in September 2013. In total, approximately 5,350 cubic yards of PCB-impacted soil and concrete were excavated and disposed off-site as part of the Removal Action, and 81 post-excavation confirmatory soil samples were collected to verify the limits of remediation. EPA subsequently backfilled and compacted the Site with gravel, and Manter Construction installed a paved parking lot and storm water control features (i.e., sediment forebays). The parking lot cap construction was completed in October 2013. Weston & Sampson utilized the 2013 EPA post-excavation soil analytical results and historical data for contaminants of concern remaining below the final EPA excavation depths to perform an updated Method 3 RC for the Site. The updated Method 3 RC indicated that the MassDEP and EPA risk-based cleanup achieved a condition of NSR for current and future Site use with the implementation of an AUL. 40.1074(2)(g) a description of the contaminated media (i.e., media type(s), contaminant type(s), approximate vertical and horizontal extent) subject to the Notice of Activity and Use Limitation. Based on several subsurface investigations completed at the Site, the soil contamination across the property is attributed to the historic metals recycling and reclamation activities conducted at the Site dating back to 1936. Residual contaminated soils are located at depths of approximately 1.5 feet to 15 feet below grade. Contamination at the Site is widespread throughout the property. Soil is primarily impacted by PCBs, however metals and PAHs at also present at concentrations greater than applicable regulatory cleanup standards. In general, the majority of the PCB,contamination was located in the top 3 feet of soil, while deeper impacts (i.e., greater than 4 feet) were relatively limited. Based on the distribution of contaminants, the release mechanism responsible for contamination at the Site was attributed to leaching and infiltration of the contaminants from process materials into the concrete floor of the former facility buildings and underlying soils. The previous groundwater sampling results indicate depth to groundwater is approximately 5 feet below ground surface. In general, groundwater was not significantly impacted by soil contamination at the Site. Groundwater was not impacted with PCBs, and during groundwater sampling conducted in conjunction with the Phase II site investigation in 2011, exceedances of applicable MCP Method 1 cleanup standards were limited to cadmium and chlorobenzene in one groundwater monitoring well. Exhibit D Documentation of Signatory Authority Former Universal Steel and Trading Company Salem,MA 01970 RTN 3-11726 /r-N+nrr,; Y4d *. . fps .gZzl January 29, 2014 TO WHOM IT MAY CONCERN: This is to certify that Kimberley Driscoll, is the duty elected Mayor on the City of Salem. This is to further certify, that the Mayor is the highest ranking executive officer in the City of Salem, and as such, is authorized and empowered to sisn contracts and agreements on behalf of the City of Salem. This is to further certify that, I Cheryl A. LaPointe, City Clerk of the City of Salem, by the powers vested in me by Massachusetts General Laws, have the duty and authority to certify and affix the City of Salem corporate seal to documents signed by the Mayor of the City of Salem. �4 67 . Y�� ATTEST: CHEAS-L A. LAPOINTE CITY CLERK A COMMONWEALTH OF MASSACHUSETTS ESSEX REGISTRY OF DEEDS,SO.DIST.,SALEM,MASS ESSEXSS AcG' /7 20j 1 A TRUE COBOF OOK.? PAAGEECO,D ATTES Cy�p I REGISTER ' r�57 Q�tc�S e CITY OF SALEM, MASSACHUSETTS Kimberley Driscoll Mayor -—February-17-, 2012-- Steve ebruary-17-2012Steve Novick, Section Chief Environmental Protection Agency Office of Site Remediation 5 Post Office Square Boston, MA 02109 Re: Universal Steel Site, 297-305 Bridge Street Salem, MA Dear Mr. Novick: On behalf of the City of Salem, I write to request the participation of the EPA's Brownfields Removal Program in the remediation of the former Universal Steel site located at 297-305 Bridge Street in Salem. Centrally located in downtown Salem, this property has been vacant for several years. It remains a blighting influence in its current state and, at the same time, presents a significant opportunity for redevelopment. Our immediate goal is to use the site for temporary parking during the construction of the MBTA garage, which will start late fall 2012/early spring 2013. There are no other plans by the MBTA to provide temporary parking, and the City is committed to minimizing the disruption for commuters and residents during the construction period. Upon completion of the garage, we are committed to seeking a reuse of the site by a private business or Il developer. We know that there is interest by the adjacent property owner to acquire the site to expand their existing business once it is remediated. The City has struggled for several years to find a way to clean up this site. Through a joint effort of EPA, DEP, MassDevelopment and the City, we are now able to identify the potential resources that will achieve remediation and reuse of the site. Specifically, MassDEP recently informed me that they are able to utilize all of the $604,000 in the expendable trust and $25,000 in the escrow account for remediation of the Universal Steel site in Salem. The only caveat is that DEP needs to know that someone will be able to contribute the additional funding necessary to get to one of the desired cleanup outcomes. Recent cost estimates for remediation, excluding removal of the remaining building, start at $1.3 million—more than twice the amount of available funding. The EPA Removal Program has been extremely helpful in the past on remediation of two other sites in Salem, 15 Peabody Street and Gonyea Park. We believe that the Universal Steel site would be a third success story. We are currently utilizing the EPA Assessment Program to determine the degree of contamination and cost of demolition/removal of the remaining building on site. To fully realize the redevelopment potential of the site, that building will need to be removed, Salem-City-Hall-93-Washington-Street—Salem,-MA-01970-3592-Ph-978-745-9595-Fax-978=744-9327 _. J• MassDevelopment has informed us that they will be starting a new program that will fund removal of contaminated structures, which had been a financing gap to date, given that neither DEP nor EPA would be able to undertake this work. Further, we understand that the building demolition could occur after the remediation of the site has been substantially completed. This is an important phasing consideration as the City would have to own the site to participate in the MassDevelopment program. The City will move forward with taking..the Tne progress tnus tar in securing, assessing, and preparing the Universal Steelsite. or remediation has been the result of close coordination among the EPA,DEP, MassDevelopment, and the City of Salem. We anticipate that our ultimate goal of returning the site to productive use will depend on continued cooperation. Please contact me to discuss how we can utilize the EPA Removal Program and work together to remediate this site. Sincerely�� Kimberley Driscoll Mayor j cc: Lynn Duncan, City of Salem Tom Daniel, City of Salem Tom Devine, City of Salem Tom St. Pierre, City of Salem Joanne Fagan, DEP Jeanne Argento, DEP Valerie Thompson, DEP Andrew Clark, DEP Rich Haworth, EPA Kim Tisa, EPA Alan Peterson, EPA Tania Hartford, MassDevelopment Salem City Hall—93 Washington Street—Salem, MA 01970-3592 Ph. 978-745-9595 Fax 978-744-9327 CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3�FLOOR ' TEL. (978) 745-9595 FAx(978) 740-9846 KIMBERLEY DRISCOLL MAYOR TtiomAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER January 9, 2012 Bowley Steel 860 East Street Tewksbury Ma. 01876 RE :297 Bridge Street Dear Owner, The site in Salem known as the Universal Steel proerty,297 Bridge Street has been neglected by you for the last 13 years at least. This notice is to inform you that the City of Salem, under the Authority of the Massachusetts State Building Code, considers this an abandoned property. Therefore it is the intention of the City to enter into an agreement with the Metropolitan Planning Council and their agent Weston and Sampson Engineering Inc. for the purpose of allowing access to the property to conduct subsurface investigations. If you have any concerns, you are directed to contact this office directly. Sincerely Thomas St.Pierre SENDER: COMPLETE THIS SECTION i COMPLETE THIS SECTION ON DELIVERY Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑Agent X ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery 0 Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 17 ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No 01 1 e2 3. Service Type Return ❑Certified Mail ❑ s Mail W kkk„J11 ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (transfer from service label) PS Form 3511, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box UtY 6f Salem Building Department 120 Washington Str, t Salem, MA 01 S'. COQ 20'[T 29TO 2000 091.2 MiL CITY OF SALEM, MASSACHUSETTS d P l} - BUILDING INSPECTOR T1\t'- - jry0 120 WASHINGTON STREET, 3RD FLOOR GnP4 SALEM, MASSACHUSETTS 01970 MEEI 20TT 29'[0 200 Rgf 0 C0L ct WiSY�fn a o sr Ind Notice Bowley Steela Vbt!"n Date ,rte- O o Q,' a� 860 East Street - N a� Tewksbury Ma—n1876_ _.___ _ n� � NIXIE 01£3 SE 1 DO 01/00/1..2 I _ RETURN TO SENDER UNABLELED TTOMFORWARD BC: 01970354$99 *'2921-00406-10-42 01970(V354s i V LL +� v. ` S i Od i II j s 1 I I I }I i CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3 FLOOR TEL. (978) 745-9595 FAX(978) 740-9846 KIMBERLEY DRISCOLL MAYOR TYLOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER January 9, 2012 Bowley Steel 860 East Street Tewksbury Ma. 01876 RE :297 Bridge Street Dear Owner, The site in Salem known as the Universal Steel proerty,297 Bridge Street has been neglected by you for the last 13 years at least. This notice is to inform you that the City of Salem, under the Authority of the Massachusetts State Building Code, considers this an abandoned property. Therefore it is the intention of the City to enter into an agreement with the Metropolitan Planning Council and their agent Weston and Sampson Engineering Inc. for the purpose of allowing access to the property to conduct subsurface investigations. If you have any concerns, you are directed to contact this office directly. Sincerely Thomas St.Pierre .rt � f - �,coluart�. QTY OF SALEM DEPARTMENT OF PLANNING AND COMMUmY DEVELOPMENT KIMBERLEY DRISOOLL MAYOR 120 WA$WNGTON STREET*5A[FM,MASSACfiL6ET7S 01970 LYNN GOOMN DUNQIN,AICP TEL 978.619-5685 ♦FAx 978.740.0404 DIRECTOR November 17, 2009 Steve Johnson Department of Environmental Protection Bureau of Waste Site Cleanup 205B Lowell Street Wilmington, MA 01887-2941 Re: Universal Steel Site, 297-305 Bridge Street Salem, MA Dear Mr. Johnson: On behalf of Mayor Driscoll, I am writing to thank you and Jeanne Argento for hosting the meeting held on October 20 regarding the Universal Steel site located at 297-305 Bridge Street in Salem. It was very helpful to have all relevant parties at the table, including you and your colleagues, Jeanne Argento, Joanne Fagan, Valerie Thompson, and Andrew Lowe from DEP; Kim Tesa(via conference call), Alan Peterson,Dome Paar, Sharon Fennelly and Rich Haworth from the EPA; Tania Hartford from MassDevelopment; and Mayor Driscoll, Tom Daniel, and Carey Duques, and I representing the City of Salem. I'd like to continue the dialogue on this site by providing a brief summary of the meeting, followed by what's been accomplished since the meeting, and, finally, next steps to be completed so we can continue to move forward with cleanup and redevelopment of this site. Meeting Summary A brief site description was provided at the meeting to explain the context of the site, its condition, and how its location is prime for redevelopment. Representatives from the City of Salem expressed concerns regarding the condition of the corrugated metal building located at the rear of the property. Based on observations made by Ms. Duques, the City of Salem Building Inspector, Thomas St. Pierre, and City of Salem Police officers, the site is not secure and has been accessed by homeless people. As discussed at the meeting the City of Salem is looking to have the remaining buildings on the site demolished, the site cleaned up, and ultimately redeveloped for commercial reuse. The adjacent building is currently occupied by F.W. Webb Company. One possible outcome would be for F.W. Webb to expand their business onto the Universal Steel site. The City agreed to follow-up with F.W. Webb to determine the level of their interest in expanding. Understandably the remediation of the site will take some time, so in the interim one suggestion was to have the site be used as a parking lot for commuters taking the train from Salem. The City will need additional parking spaces while the MBTA builds a parking garage at the Page 1 of 4 commuter rail station beginning in the fall of 2010. The ultimate goal is for the site to be redeveloped into commercial space to generate jobs and possibly promote the expansion of an existing business. Jeanne Argento provided an overview of the site's legal history. She reminded us that Universal Steel Trading Company has two sites in Massachusetts, one in Salem and one in Tewksbury, and in 1995 the company filed for bankruptcy. Ms. Argento explained that as a result of going bankrupt, the company was required to create an escrow account for the Salem site and an expendable trust, which holds monies to be used at both the Salem and Tewksbury sites. Ms. Argento informed us that the current value of the escrow account is $30,000 and the expendable trust has approximately$700,000. She explained that the bankrupt trustee, Tom Raferty, still holds the mortgage for the site and that Tom Bowley is personably liable for the site. You and your colleagues from DEP then explained to the group that the expendable trust could be used for"Response Actions"at the site. Questions were raised as to whether the trust could be used to demolish the existing buildings and dispose of the material. Ms. Argento agreed to contact the Attorney General's Office and determine what site activities could be paid for by the trust. Ms. Thompson, Ms. Fagan, and Ms. Tesa all agreed that gaps in the data require additional assessment work to be completed at the site. Based on the data collected to date, Ms. Thompson stated that it doesn't look like the contamination is below 6 feet and that the two monitoring wells indicate the PCB levels are satisfactory. However, it was DEP's view that the following assessment work needs to be completed: a) installation of a down gradient monitoring well(s) across Bridge Street; b) sampling of the interior concrete pad of the existing yellow concrete block building; and c) sampling of the exterior of the existing yellow concrete block building. It was noted that Salem recently received an EPA Brownfields Assessment Coalition Grant with the Metropolitan Area Planning Council (MAPC) and the City of Peabody. DEP asked if this money could be used for completing the necessary assessment work. Mr. Peterson explained that the City had entered into a Memorandum of Agreement with MAPC and the City of Peabody, stating that the focus of the assessment work would be in the upper section of the North River. The majority of the assessment work is planned for the section of the North River that the US Army Corps of Engineers is looking to widen in order to provide additional flood storage to alleviate flooding in downtown Peabody. Salem is looking to use a portion of the grant money to complete assessment work at a property outside of the flood mitigation project, but the Universal Steel Site is not within this current scope of work. Ms. Paar explained EPA's Brownfields Cleanup Grant program, stating that the site has to be owned by the City of Salem at the time the application is submitted and a maximum of$200,000 is awarded, with a 20%match to be provided by the applicant. The cleanup costs were estimated between$1.443.1 million(depending on the site's reuse) in the Commercial Reuse Assessment Memorandum from Haley and Aldrich, Katie O'Connor and Keith Johnson, dated August 28, 2006. EPA's Brownfield Cleanup Grant is not the best source of funding for addressing the cleanup at the Universal Steel Site. Ms. Hartford from MassDevelopment explained that loans and grants are available for the completion of cleanup work at the Universal Steel site. However, the money could only be offered to the City of Salem, requiring the City to take it through tax-title. Although the City Page 2 of 4 could take the property through tax-title, this is not an option the City is willing to exercise at this time. Sharon Fennelly and Rich Haworth discussed the possibility for EPA to cleanup the site. Ms. Fennelly explained to the group that if the EPA were to come onto the property and remediate the site they would look to recover the costs from the owner, via a wind fall lien, which was created per the Brownfield Amendment of 2002. The sale of the property would then revert to the EPA. However, Ms. Fennelly explained that the EPA cannot participate in the cleanup of this property when there is over$700,000 in an expendable trust and an escrow account to be used at this site. Accomplishments to Date I understand that since the meeting you have remained in contact with Carey Duques and have informed her that you are working to address both the security concerns at the site and gain a better understanding of the additional assessment work that is necessary. It was explained that these two tasks were divided in hopes of addressing the site security as quickly as possible. As a result, the Emergency Response Team was on site at the beginning of November to assess the site. I understand that the City of Salem Building Inspector also met them on site and discussed the condition of the buildings. Further, it is my understanding that the parties were in agreement that the yellow concrete block building located towards the front of the site is stable but not secure, and the corrugated metal building at the rear of the site should be demolished. It was explained to the City that the contractor, Clean Harbors, is currently developing a scope of work to take swipe samples from the corrugated building, determine if the building contains contaminates, demolish the building, and,based on the sample results, determine the proper disposal of the building off site. It is also my understanding that DEP has requested that one of its contractors develop a scope of work for the additional assessment work required at the site, as discussed at the meeting. As this work has been occurring I understand that Ms. Argento has been in contact with the Attorney General's Office to gain a better understanding of terms of the expendable trust. Once she has completed her research it's my understanding that her findings will be summarized in a letter. On November 4, 2009, the EPA sent the City of Salem documentation closing out their investigation of the Universal Steel Site. The EPA reiterated in the memo what they stated at the meeting, which includes that they are unable to assist the City in the assessment or cleanup of the property when another funding source, dedicated to this site and the site in Tewksbury, is available. Next Steps Based on what was discussed at the meeting and the follow up activities it appears that the next steps that need to occur to continue to move the cleanup of this site forward are as follows: a) DEP to provide a summary of the information obtained after talking with the Attorney General's Office regarding activities that can be paid for by the expendable trust. b) DEP will receive a proposed scope of work for the demolition and disposal of the corrugated metal building and will choose a contractor to complete the work. Depending on the swipe sample results the material may be able to be recycled or require another Page 3 of 4 type of disposal. Hopefully, the demolition and disposal of the corrugated metal building will be an approved expense to be paid for by the expendable trust. c) Upon the removal of the building, DEP will see that the site is fully secured by repairing the existing chain-link fence and properly securing the yellow cement block building. Again it is the City's expectation that the expendable trust will be used for these site activities. d) DEP will receive a scope of work for the additional assessment work that was discussed and outlined at the meeting and decide on a contractor to complete the work. Upon the completion of the assessment work it maybe appropriate to hold a meeting with DEP and the City of Salem to determine how much money remains in the expendable trust and what the next steps are. Once the expendable trust has been exhausted it may be appropriate to meet again with EPA to determine if their Removal Program can assist in the clean up of the site. e) The City of Salem will follow up with the abutting business F.W. Webb to see if they have interest in expanding onto the Universal Steel site. In closing, I would like to thank you and your team at DEP for responding to the City of Salem's concerns regarding Universal Steel by sending the Emergency Response team to the site and for following up with the Attorney General's Office so we can gain clarification on the terms of the expendable trust. The Universal Steel site has potential for redevelopment and we look forward to working with you on this important project. rely, Goonin Dun an, AICP Director cc: Mayor Driscoll, City of Salem Tom Daniel, City of Salem Carey Duques, City of Salem Thomas St. Pierre, City of Salem Jean Argento, DEP Joanne Fagan, DEP Valerie Thompson, DEP Andrew Lowe, DEP Sharon Fennelly, EPA Rich Haworth, EPA Kim Tesa, EPA Dorrie Paar, EPA Alan Peterson, EPA Tania Hartford, MassDevelopment Page 4 of 4 ---ter Foe: 100.00 _ LICENSE JUNK DEALER NAME UNIVERSAL STEEL & TRADING CORP. _ ADDRESS 297-305 Bridge St. I Year Renewed Referred Granted 1996 Nov. 17 Nov. 20 21 6 � 14 c 1� Nov. (, SHFiIBMAN & STELMAN,.LLP .Attorneys at Law 9 JEFFREY N SHRIBM" y' 26 LYNDE STREET,SALEM,MASSACHUSETTS 01970 •` 97$-74577600 -,.61-7-521-0099-: .`F.ix:978-744-2173'/_ EMAIL:jnshribgShzibmaa=stelmaii-lawcom 1 PEABODY & BROWN A LAW PARTNERSHIP INCLUDING PROFESSIONAL CORPORATIONS 101 FEDERAL STREET BOSTON, MASSACHUSETTS 02110-1832 (617) 345-1000 WRITER'S DIRECT DIAL NUMBER FAX:(617)345-1300 MANCHESTER,NH PROVIDENCE.RI 345-1229 WASHINGTON,DC September 20, 1996 Mr. Leo E. Trombly Zoning Enforcement Officer Salem Building Department 1 Salem Green Salem, MA 01970 RE: Bowley Steel & Trading Corp., now known as Tewksbury Industries, Inc. Property located at-g974I 5-BridgeStreet Dear Mr. Trombly: Thank you for your letter dated August 5, 1996 addressing the question of the present legal, non-conforming use of the above referenced premises. Would you please confirm that there are no outstanding violations on record concerning this building, and that you are not aware of any existing condition at the premises that would give rise to any future citation of violation. Thank you very much for your assistance in this matter. Very tr ly yours. Susan elly Legal ssistanL Enclosures cc: Jeffrey N. Lavine, Esquire Walter C. Spiegel, Esquire BOS2:19468 JUL-22-98 WED 1126 AM FAX N0. P. 01/01 q 77 — ! 9- 3a �— 4ri� F HILL& BARLOW a Professional Corporation One International Place Boston Massachusett i 02110-2607 Facsimile: 617-428-3500 'felcphoi t:: 617-428-3000 FAX TRANSMITTAL SHEET AttyNo-492 Client No.: 33379-111 TO: Kevin Goggin FAX: 978-744-5918 PIIONE: 978-745,Q595 Dear Mr, Goggin: The Creditors' "Trustee for Tewksbury Industries, Inc, is TI ornas Raflery. IIis address is: r Phomas J.Rallcry Atre ( 7 - P.O.Box 5 1082 Concord Street Carlisle, MA 01741-0005 Tel: (978) 369-4404 Fax: (508) 369-7816 If you have any frlrther questions do not hesitate to call uu at(617)428-3274. Sincerely, Anne Showa ter FROM: ANNE L.SRO WALTER DATE: July 22, 1998 ❑This Sheet Only ❑X This Sheet Plus Pages ❑X Check Box if Fax is to be SAVED STA'fEMEN''OP CONFIOL•NTIAI ITY 'this facsimile contains confidential information imendcd only for the person( )named above, Any use,distribution, copying or disclosure by any other person is strictly probibitod. If you have rt ceived this facsimile in error, please notify its immediately by telephone(collect),and return the original transmission to us ly mail without making a copy. IF YOU HAVE ANY PROBLEMS RECEIVING"I'I11S FAX, i'U?ASE-CAU,617-428-3385. 0110928.01 - The Commonwealth of Massachusetts 0Department of Public Safety Massachusetts State Building Code(780 CMR) t-f1ll Building Permit Application (This Section For Official Use Only) Building Permit Number: Date Applied: State Bldg Insp: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 297-305 Bridge Street Salem 0197.0 Universal Steel No.and Street City/Town Zip Code Name of Bldg(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code Used: If New Construction check here❑ or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration ❑ I Addition❑ I Demolition ® (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No ❑ Brief Description of Proposed Work: commnnication tower located on roof to be removed by dismantling in sections prior to Building Demolition. The building is to be dismantled starting at the southern most and and progress through towards Bridge Street. SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Grou s : 7-proposed Use Grou s : SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 1 Total Area(sq.ft.)and Total Height(ft.) 8 , 000 3 0 f t . SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub❑ A-3❑ A-4❑ A-5❑ I B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H: Hi h Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1❑I-2❑I-3❑I-4❑ M: Mercantile❑ R: Residential R-1 ❑ R-2❑ R-3❑ R-4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public® Check if outside Flood Zone® Indicate municipal❑ A trench will not be Licensed Disposal Private❑ or identify Zone: or on site system® required®or trench Site? ❑or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Conmiission Review Process: Not Applicable[23 Is Structure within airport approach area? Is theirs°iew cornpleted? or Consent to Build enclosed❑ Yes❑ No® Yes Q No❑ NA❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?:Yes❑ No® Special Stipulations: SECTION 9: STATE AGENCY AUTHORIZATION Name and Address of State Agency with Property Jurisdiction and/or Ownership: City of Salem 120 Washington Street Salem, MA 01970 Name(print) No.and Street City/Town Zip Code State Agency Contact Information: Tom Devine Conservation Agent 978-619-5685 tdevine@salem.com Name(print) Title Telephone Number e-mail address This Agency Contact,as the representative of the State Agency with property jurisdiction and/or ownership hereby authorizes J.R. Vinagro Corporation 2208 Plainfield Pike, Johnston, RI 02919 Name Street Address City/Town State Zip Code to act on the Agency's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here M and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control - - x Name(Registrant) Telephone Number e-mail address Registration Number Street Address City/Town State Discipline Expiration Date 10.2 General Contractor Company Name J.R. Vinagro Corporation Dana J. Zewinski CS 1047S8 Name of Person Responsible for Construction License No.and Type if Applicable 2208 Plainfield Pike Johnston RI 02919- Street Address City/Town State Zip Code 401-943-x7100, ext . 130 401-290-0566 danaz@jrvinagrocorp. com Business Phone Cell Phone e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes® No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: CAMIS value of the Building $ (Labor and Materials) If not known provide request to DCAM via form at 1.Building $ http://www.mass.gov/cam/CAMIS/caniisUser.html 2.Electrical $ Total Contract Amount(see note 1)=$ 3.Plumbing $ Building Permit Fee(see note 2)=$ 4.Mechanical (HVAC) $ Note:Minimum fee=$25.00 5.Mechanical Other $ Enclose check payable to The Commonwealth of MA and write check 6.Total Cost $ numberhere Waived. SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Further,I am authorized to submit t1ns application on bepalf of the state ge� with jurisdiction and/or ownership of the subject property. ,OttAQ 401-943-71,00 ext . 120 Electronic Sign re(Please type name) Karen Hilton Telephone Date 2208 Plainfield Pike, Johnston, RI 02119 Title Proj ect Coordinator I Street Address City/Town State ZIP Code S t-tlri r renal Name //�� l Date