HomeMy WebLinkAboutMassDEP approval for cleanup workA. RELEASE OR THREAT OF RELEASE LOCATION:
1. Release Name/Location Aid:HOME HEATING OIL SPILL
2. Street Address:24 CHARLES STREET
3. City/Town:YARMOUTH 4. ZIP Code:026640000
B. THIS FORM IS BEING USED TO: (check all that apply)
1. Date of Response(s):12/14/2021 Start Time :01:00 AM PM
(mm/dd/yyyy)(hh:mm)
2.Record Field Visits:
a. Initial Compliance Field Response – Announced d. Compliance Field Response – Unannounced
b. Initial Compliance Field Response – Unannounced e. Followup or Other Field Response
c. Compliance Field Response – Announced f. Field Response Direct Oversight
3.Record an Activity:
a. Followup Office Response b. Meeting with PRP or PRP Representative
4.Record IRA Activities (also complete Section D, if applicable):
a. IRA Assessment Only e. IRA Written Plan Approved
b. IRA Oral Plan Approved f. IRA Written Plan Denied
c. IRA Oral Plan Denied and/or Request for Written Plan g. Imminent Hazard Termination Approved
d. IRA Oral Modified Plan Approved
5.Record IRA Department (IRAD) Oversight Activities:
a. IRAD Work Started d. IRAD Modification Plan Recorded
b. IRAD Assessment Only e. IRAD Work Completed
c. IRAD Plan Recorded
6.Record URAM Activities:
a. Notice of Intent to Conduct a URAM c. URAM Notification of a Previously Existing RTN
b. URAM Work Started
7. Correct or Add Data to WSC Database otherwise not specified on this form. (Record in Section F)
8. Identify or Update a PRP or Other Person Associated with Release (Fill out Section C)
9. Record Other Staff Activities not specified above. (Record in Section F)
C. PRP OR OTHER PERSON ASSOCIATED WITH RELEASE:
1. Check all that apply:a. change in contact name b. change of address c. new person associated with release
2. Name of Organization:
3. Contact First Name:DAVID C 4. Last Name:BENNETT
5. Street:1573 MAIN ST PO BOX 1743 6. Title:
7. City/Town:BREWSTER 8. State:MA 9. ZIP Code:026311667
10. Telephone:5087377450 11. Ext:12. EMail:
13. Relationship of Person to Release:PRP OTHER c. Type(e.g. Current Owner):Licensed Site Professional
14. No Person associated with activity specified in Section B.
D. ENTER ORAL RESPONSE ACTION PLAN (if applicable): (check all that apply)
1. Assessment and/or Monitoring only 6. Temporary Evacuation or Relocation of Residents
2. Temporary Covers or Caps 7. Product or NAPL Recovery
3. Deployment of Absorbent or Containment Materials 8. Fencing and Sign Posting
4. Temporary Water Supplies 9. Groundwater Treatment Systems
5. Structure Venting Systems 10. Soil Vapor Extraction
11. Check here if modifying amount of authorized excavated soils:
Amount not to exceed cubic yards tons
12. Other Response Actions
Describe:IMPLEMENTATION OF REMEDIAL ADDITIVES REQUIRING MASSDEP APPROVAL
E. MassDEP STAFF AND FORM PREPARER:
1. MassDEP Staff:CARVALHO KATHRYN b. Check here, if Unassigned (or staff name not applicable)
2. Preparer Signature:KATHRYN CARVALHO 3. Date :12/14/2021
(mm/dd/yyyy)
F. DESCRIPTION OF ACTIVITIES RECORDED BY THIS FORM:
THE SUBJECT PROPERTY IS IN A DENSELY DEVELOPED RESIDENTIAL AREA WITH SEVERAL OTHER DWELLINGS WITHIN 100’ OF THE CONTINGENCY FOR
REMEDIAL ADDITIVE USE THAT MIGHT POTENTIALLY BE OCCUPIED AT THE TIME OF REMEDIAL ADDITIVE USE. THESE ARE 25 AND 29 BASS RIVER ROAD
TO THE NORTH AND 28 CHARLES STREET TO THE SOUTH (ALL GREATER THAN 70’ AWAY).
A 12/1/21 EMAIL PROPOSED THE IMPLEMENTATION OF REMEDIAL ADDITIVES AS SUMMARIZED BELOW.
A ONETIME APPLICATION OF A SLOW RELEASE COMPOUND IS PROPOSED. 2,280 (1.5 +/ CY) OF REGENOX PART A WILL BE MIXED WITH SOILS IN THE
400 SF BOTTOM OF HOLE AREA (APPROX. 1 1/2”/SF) AND EXCAVATION PARTIALLY BACKFILLED WITH ¾ TO 1 1/2” DOUBLE WASHED STONE. THE NEED
FOR REGENOX, PART B WOULD BE BASED ON RECEIPT OF ANALYTICAL FROM BOH SAMPLES. THE PRESCRIBED 440 LBS OF PART B WOULD BE MIXED
WITH 660+/ GALLONS OF WATER TO MAKE A 710% SOLUTION TO SPRAY EVENLY ACROSS THE STONE IN THE BOH AREA IN A SINGLE APPLICATION
OVER THE COURSE OF AN 8 HOUR DAY (1.65 GPD/SF). THE PRESCRIBED INFILTRATION SYSTEM WOULD BE INSTALLED AND CAPPED AND HOLE
BACKFILLED WITH CONTROLLED DENSITY FILL FOR RESTORATION. THE RESULTING ONE TIME APPLICATION OF 660 GALLONS OF LIQUID OVER 400 SF
RESULTS IN A HYDRAULIC LOADING OF 1.65 GPD/FT. SUCH A LOADING RATE IN A SINGLE APPLICATIONS IS NOT EXPECTED TO RESULT IN ANY
SIGNIFICANT MOUNDING OR DIVERSION OF SOLUTE PATHWAY AS WILL BE MONITORED BY WELL GAUGING DURING MONTHLY SAMPLING FOLLOWING
PART B APPLICATION. MONITORING WELLS INTENDED FOR REMEDIAL ADDITIVE MONITORING OF IRON, SULFATE, SODIUM, PH, ORC, CONDUCTIVITY AND
DO WILL BE CONDUCTED IN THE DOWNGRADIENT MW3, MW4 AND MW7 MONITORING WELLS AHEAD OF THE START OF SOIL REMOVAL IN DECEMBER
2021 AND REPEATED IN THE UPGRADIENT MW6 MONITORING WELL AND MW3, MW4 AND MW7 MONITORING WELLS MONTHLY FOLLOWING REGENOX,
PART B ACTIVATOR USE. STANDARD MONITORING WELL PROTOCOLS FOR SAMPLING INCLUDE TOV SCREENING AS WELL.
THIS FORM DOCUMENTS MASSDEP WRITTEN APPROVAL OF THE IMPLEMENTATION OF ADDITIVES AS PROPOSED. IF MONITORING DATA DURING OR
FOLLOWING THE ADDITIVE IMPLEMENTATION, IDENTIFIES THAT THE IMPLEMENTATION OF ADDITIVES HAS RESULTED IN BREAKOUT TO GROUND SURFACE,
GROUNDWATER MOUNDING, INFILTRATION OF BUILDING INTERIORS OR UNDERGROUND UTILITIES OR THE EXACERBATION OF SITE CONDITIONS, THEN
WORK MUST CEASE AND MASSDEP BE NOTIFIED.
Check here if additional information is provided in an attachment.
Massachusetts Department of Environmental Protection
Bureau of Waste Site Cleanup
RELEASE AMENDMENT FORM
BWSC 102
Release Tracking Number
4 28586
Revised: 07/19/2013 Page 1 of 3
Revised: 07/19/2013 Page 2 of 3
Revised: 07/19/2013 Page 3 of 3
A. RELEASE OR THREAT OF RELEASE LOCATION:1. Release Name/Location Aid:HOME HEATING OIL SPILL2. Street Address:24 CHARLES STREET3. City/Town:YARMOUTH 4. ZIP Code:026640000B. THIS FORM IS BEING USED TO: (check all that apply)1. Date of Response(s):12/14/2021 Start Time :01:00 AM PM(mm/dd/yyyy)(hh:mm)2.Record Field Visits:a. Initial Compliance Field Response – Announced d. Compliance Field Response – Unannouncedb. Initial Compliance Field Response – Unannounced e. Followup or Other Field Responsec. Compliance Field Response – Announced f. Field Response Direct Oversight3.Record an Activity:a. Followup Office Response b. Meeting with PRP or PRP Representative4.Record IRA Activities (also complete Section D, if applicable):a. IRA Assessment Only e. IRA Written Plan Approvedb. IRA Oral Plan Approved f. IRA Written Plan Deniedc. IRA Oral Plan Denied and/or Request for Written Plan g. Imminent Hazard Termination Approvedd. IRA Oral Modified Plan Approved5.Record IRA Department (IRAD) Oversight Activities:a. IRAD Work Started d. IRAD Modification Plan Recordedb. IRAD Assessment Only e. IRAD Work Completedc. IRAD Plan Recorded6.Record URAM Activities:a. Notice of Intent to Conduct a URAM c. URAM Notification of a Previously Existing RTNb. URAM Work Started7. Correct or Add Data to WSC Database otherwise not specified on this form. (Record in Section F)8. Identify or Update a PRP or Other Person Associated with Release (Fill out Section C)
9. Record Other Staff Activities not specified above. (Record in Section F)
C. PRP OR OTHER PERSON ASSOCIATED WITH RELEASE:
1. Check all that apply:a. change in contact name b. change of address c. new person associated with release
2. Name of Organization:
3. Contact First Name:DAVID C 4. Last Name:BENNETT
5. Street:1573 MAIN ST PO BOX 1743 6. Title:
7. City/Town:BREWSTER 8. State:MA 9. ZIP Code:026311667
10. Telephone:5087377450 11. Ext:12. EMail:
13. Relationship of Person to Release:PRP OTHER c. Type(e.g. Current Owner):Licensed Site Professional
14. No Person associated with activity specified in Section B.
D. ENTER ORAL RESPONSE ACTION PLAN (if applicable): (check all that apply)
1. Assessment and/or Monitoring only 6. Temporary Evacuation or Relocation of Residents
2. Temporary Covers or Caps 7. Product or NAPL Recovery
3. Deployment of Absorbent or Containment Materials 8. Fencing and Sign Posting
4. Temporary Water Supplies 9. Groundwater Treatment Systems
5. Structure Venting Systems 10. Soil Vapor Extraction
11. Check here if modifying amount of authorized excavated soils:
Amount not to exceed cubic yards tons
12. Other Response Actions
Describe:IMPLEMENTATION OF REMEDIAL ADDITIVES REQUIRING MASSDEP APPROVAL
E. MassDEP STAFF AND FORM PREPARER:
1. MassDEP Staff:CARVALHO KATHRYN b. Check here, if Unassigned (or staff name not applicable)
2. Preparer Signature:KATHRYN CARVALHO 3. Date :12/14/2021
(mm/dd/yyyy)
F. DESCRIPTION OF ACTIVITIES RECORDED BY THIS FORM:
THE SUBJECT PROPERTY IS IN A DENSELY DEVELOPED RESIDENTIAL AREA WITH SEVERAL OTHER DWELLINGS WITHIN 100’ OF THE CONTINGENCY FOR
REMEDIAL ADDITIVE USE THAT MIGHT POTENTIALLY BE OCCUPIED AT THE TIME OF REMEDIAL ADDITIVE USE. THESE ARE 25 AND 29 BASS RIVER ROAD
TO THE NORTH AND 28 CHARLES STREET TO THE SOUTH (ALL GREATER THAN 70’ AWAY).
A 12/1/21 EMAIL PROPOSED THE IMPLEMENTATION OF REMEDIAL ADDITIVES AS SUMMARIZED BELOW.
A ONETIME APPLICATION OF A SLOW RELEASE COMPOUND IS PROPOSED. 2,280 (1.5 +/ CY) OF REGENOX PART A WILL BE MIXED WITH SOILS IN THE
400 SF BOTTOM OF HOLE AREA (APPROX. 1 1/2”/SF) AND EXCAVATION PARTIALLY BACKFILLED WITH ¾ TO 1 1/2” DOUBLE WASHED STONE. THE NEED
FOR REGENOX, PART B WOULD BE BASED ON RECEIPT OF ANALYTICAL FROM BOH SAMPLES. THE PRESCRIBED 440 LBS OF PART B WOULD BE MIXED
WITH 660+/ GALLONS OF WATER TO MAKE A 710% SOLUTION TO SPRAY EVENLY ACROSS THE STONE IN THE BOH AREA IN A SINGLE APPLICATION
OVER THE COURSE OF AN 8 HOUR DAY (1.65 GPD/SF). THE PRESCRIBED INFILTRATION SYSTEM WOULD BE INSTALLED AND CAPPED AND HOLE
BACKFILLED WITH CONTROLLED DENSITY FILL FOR RESTORATION. THE RESULTING ONE TIME APPLICATION OF 660 GALLONS OF LIQUID OVER 400 SF
RESULTS IN A HYDRAULIC LOADING OF 1.65 GPD/FT. SUCH A LOADING RATE IN A SINGLE APPLICATIONS IS NOT EXPECTED TO RESULT IN ANY
SIGNIFICANT MOUNDING OR DIVERSION OF SOLUTE PATHWAY AS WILL BE MONITORED BY WELL GAUGING DURING MONTHLY SAMPLING FOLLOWING
PART B APPLICATION. MONITORING WELLS INTENDED FOR REMEDIAL ADDITIVE MONITORING OF IRON, SULFATE, SODIUM, PH, ORC, CONDUCTIVITY AND
DO WILL BE CONDUCTED IN THE DOWNGRADIENT MW3, MW4 AND MW7 MONITORING WELLS AHEAD OF THE START OF SOIL REMOVAL IN DECEMBER
2021 AND REPEATED IN THE UPGRADIENT MW6 MONITORING WELL AND MW3, MW4 AND MW7 MONITORING WELLS MONTHLY FOLLOWING REGENOX,
PART B ACTIVATOR USE. STANDARD MONITORING WELL PROTOCOLS FOR SAMPLING INCLUDE TOV SCREENING AS WELL.
THIS FORM DOCUMENTS MASSDEP WRITTEN APPROVAL OF THE IMPLEMENTATION OF ADDITIVES AS PROPOSED. IF MONITORING DATA DURING OR
FOLLOWING THE ADDITIVE IMPLEMENTATION, IDENTIFIES THAT THE IMPLEMENTATION OF ADDITIVES HAS RESULTED IN BREAKOUT TO GROUND SURFACE,
GROUNDWATER MOUNDING, INFILTRATION OF BUILDING INTERIORS OR UNDERGROUND UTILITIES OR THE EXACERBATION OF SITE CONDITIONS, THEN
WORK MUST CEASE AND MASSDEP BE NOTIFIED.
Check here if additional information is provided in an attachment.
Massachusetts Department of Environmental ProtectionBureau of Waste Site CleanupRELEASE AMENDMENT FORM BWSC 102Release Tracking Number428586
Revised: 07/19/2013 Page 1 of 3
Revised: 07/19/2013 Page 2 of 3
Revised: 07/19/2013 Page 3 of 3
Massachusetts Department of Environmental Protection
Bureau of Waste Site Cleanup
RELEASE AMENDMENT FORM
BWSC 102
Release Tracking Number
4 28586
A. RELEASE OR THREAT OF RELEASE LOCATION:1. Release Name/Location Aid:HOME HEATING OIL SPILL2. Street Address:24 CHARLES STREET3. City/Town:YARMOUTH 4. ZIP Code:026640000B. THIS FORM IS BEING USED TO: (check all that apply)1. Date of Response(s):12/14/2021 Start Time :01:00 AM PM(mm/dd/yyyy)(hh:mm)2.Record Field Visits:a. Initial Compliance Field Response – Announced d. Compliance Field Response – Unannouncedb. Initial Compliance Field Response – Unannounced e. Followup or Other Field Responsec. Compliance Field Response – Announced f. Field Response Direct Oversight3.Record an Activity:a. Followup Office Response b. Meeting with PRP or PRP Representative4.Record IRA Activities (also complete Section D, if applicable):a. IRA Assessment Only e. IRA Written Plan Approvedb. IRA Oral Plan Approved f. IRA Written Plan Deniedc. IRA Oral Plan Denied and/or Request for Written Plan g. Imminent Hazard Termination Approvedd. IRA Oral Modified Plan Approved5.Record IRA Department (IRAD) Oversight Activities:a. IRAD Work Started d. IRAD Modification Plan Recordedb. IRAD Assessment Only e. IRAD Work Completedc. IRAD Plan Recorded6.Record URAM Activities:a. Notice of Intent to Conduct a URAM c. URAM Notification of a Previously Existing RTNb. URAM Work Started7. Correct or Add Data to WSC Database otherwise not specified on this form. (Record in Section F)8. Identify or Update a PRP or Other Person Associated with Release (Fill out Section C)9. Record Other Staff Activities not specified above. (Record in Section F)C. PRP OR OTHER PERSON ASSOCIATED WITH RELEASE:1. Check all that apply:a. change in contact name b. change of address c. new person associated with release2. Name of Organization:3. Contact First Name:DAVID C 4. Last Name:BENNETT5. Street:1573 MAIN ST PO BOX 1743 6. Title:7. City/Town:BREWSTER 8. State:MA 9. ZIP Code:02631166710. Telephone:5087377450 11. Ext:12. EMail:13. Relationship of Person to Release:PRP OTHER c. Type(e.g. Current Owner):Licensed Site Professional14. No Person associated with activity specified in Section B.D. ENTER ORAL RESPONSE ACTION PLAN (if applicable): (check all that apply)1. Assessment and/or Monitoring only 6. Temporary Evacuation or Relocation of Residents2. Temporary Covers or Caps 7. Product or NAPL Recovery3. Deployment of Absorbent or Containment Materials 8. Fencing and Sign Posting4. Temporary Water Supplies 9. Groundwater Treatment Systems5. Structure Venting Systems 10. Soil Vapor Extraction11. Check here if modifying amount of authorized excavated soils:Amount not to exceed cubic yards tons12. Other Response ActionsDescribe:IMPLEMENTATION OF REMEDIAL ADDITIVES REQUIRING MASSDEP APPROVALE. MassDEP STAFF AND FORM PREPARER:1. MassDEP Staff:CARVALHO KATHRYN b. Check here, if Unassigned (or staff name not applicable)2. Preparer Signature:KATHRYN CARVALHO 3. Date :12/14/2021(mm/dd/yyyy)
F. DESCRIPTION OF ACTIVITIES RECORDED BY THIS FORM:
THE SUBJECT PROPERTY IS IN A DENSELY DEVELOPED RESIDENTIAL AREA WITH SEVERAL OTHER DWELLINGS WITHIN 100’ OF THE CONTINGENCY FOR
REMEDIAL ADDITIVE USE THAT MIGHT POTENTIALLY BE OCCUPIED AT THE TIME OF REMEDIAL ADDITIVE USE. THESE ARE 25 AND 29 BASS RIVER ROAD
TO THE NORTH AND 28 CHARLES STREET TO THE SOUTH (ALL GREATER THAN 70’ AWAY).
A 12/1/21 EMAIL PROPOSED THE IMPLEMENTATION OF REMEDIAL ADDITIVES AS SUMMARIZED BELOW.
A ONETIME APPLICATION OF A SLOW RELEASE COMPOUND IS PROPOSED. 2,280 (1.5 +/ CY) OF REGENOX PART A WILL BE MIXED WITH SOILS IN THE
400 SF BOTTOM OF HOLE AREA (APPROX. 1 1/2”/SF) AND EXCAVATION PARTIALLY BACKFILLED WITH ¾ TO 1 1/2” DOUBLE WASHED STONE. THE NEED
FOR REGENOX, PART B WOULD BE BASED ON RECEIPT OF ANALYTICAL FROM BOH SAMPLES. THE PRESCRIBED 440 LBS OF PART B WOULD BE MIXED
WITH 660+/ GALLONS OF WATER TO MAKE A 710% SOLUTION TO SPRAY EVENLY ACROSS THE STONE IN THE BOH AREA IN A SINGLE APPLICATION
OVER THE COURSE OF AN 8 HOUR DAY (1.65 GPD/SF). THE PRESCRIBED INFILTRATION SYSTEM WOULD BE INSTALLED AND CAPPED AND HOLE
BACKFILLED WITH CONTROLLED DENSITY FILL FOR RESTORATION. THE RESULTING ONE TIME APPLICATION OF 660 GALLONS OF LIQUID OVER 400 SF
RESULTS IN A HYDRAULIC LOADING OF 1.65 GPD/FT. SUCH A LOADING RATE IN A SINGLE APPLICATIONS IS NOT EXPECTED TO RESULT IN ANY
SIGNIFICANT MOUNDING OR DIVERSION OF SOLUTE PATHWAY AS WILL BE MONITORED BY WELL GAUGING DURING MONTHLY SAMPLING FOLLOWING
PART B APPLICATION. MONITORING WELLS INTENDED FOR REMEDIAL ADDITIVE MONITORING OF IRON, SULFATE, SODIUM, PH, ORC, CONDUCTIVITY AND
DO WILL BE CONDUCTED IN THE DOWNGRADIENT MW3, MW4 AND MW7 MONITORING WELLS AHEAD OF THE START OF SOIL REMOVAL IN DECEMBER
2021 AND REPEATED IN THE UPGRADIENT MW6 MONITORING WELL AND MW3, MW4 AND MW7 MONITORING WELLS MONTHLY FOLLOWING REGENOX,
PART B ACTIVATOR USE. STANDARD MONITORING WELL PROTOCOLS FOR SAMPLING INCLUDE TOV SCREENING AS WELL.
THIS FORM DOCUMENTS MASSDEP WRITTEN APPROVAL OF THE IMPLEMENTATION OF ADDITIVES AS PROPOSED. IF MONITORING DATA DURING OR
FOLLOWING THE ADDITIVE IMPLEMENTATION, IDENTIFIES THAT THE IMPLEMENTATION OF ADDITIVES HAS RESULTED IN BREAKOUT TO GROUND SURFACE,
GROUNDWATER MOUNDING, INFILTRATION OF BUILDING INTERIORS OR UNDERGROUND UTILITIES OR THE EXACERBATION OF SITE CONDITIONS, THEN
WORK MUST CEASE AND MASSDEP BE NOTIFIED.
Check here if additional information is provided in an attachment.
Massachusetts Department of Environmental ProtectionBureau of Waste Site CleanupRELEASE AMENDMENT FORM BWSC 102Release Tracking Number428586Revised: 07/19/2013 Page 1 of 3
Revised: 07/19/2013 Page 2 of 3
Revised: 07/19/2013 Page 3 of 3
Massachusetts Department of Environmental Protection
Bureau of Waste Site Cleanup
RELEASE AMENDMENT FORM
BWSC 102
Release Tracking Number
4 28586