The URL can be used to link to this page

Home My WebLink Aboutfuel oil release 2020BENNETT ENVTRONMENTAL ASSOCIATES, LLC. A NATL]RAL SYSTENIS T]TILITIES CON,IPANY LICENSED SITE PROFESSIONALS * ENVIRONMENTAL SCIENTISTS * GEOLOGISTS T ENGINEERS I573 Main Street, Brewster, MA 02631 + 508-896-1706 * Fax 508-896-5106 | www.bennett-ea-com LETTER OF TRANSMITTAL Di\1'E:JOB NT'U BER:TO: Dan Crafton, Section Chief MA Department of Environmental Protection (MA DEP) Southeast Regional Office (SERO) Bureau of Waste Site Cleanup (BWSC) 20 Riverside Drive Lakeville, MA 02347 SIIIPPINC MET'IIOD: Regular Mail Mail Express Mail Cenified Mail Pick Up Priority Hand Deliver Other Green Card,/RR n ! tr @ a- tr tr @ RIiCARI)I\G: NOTICE OF LSP TERMINATION Fuel Oil Release- RTN4-28163 Residential Property 20 Butler Ave. West Yarmouth. MA 5t15t20 Kl1274 COPI ES DATE DESCRIPTION 1 1 5t12120 5t15t20 Notice of LSP Termination, Fuel Oil Release- RTN4-28163 BWSC126 Miscellaneous Document Transmittal Form (ln Process) For review and comment:tr For approval:As requested: I RI],NIARKS; cc: J.Renato Dasilva, Offlce Manager- Pro Care Realty, LLC (PRP) Daniel Knapik - Yarmouth Town Administrator Bruce G. Murphy, Health Director - Yarmouth Health Division Carl E.Lawson, Jr., Hazardous Waste lnspector - Yarmouth Health Division Captain Kevin Huck - Yarmouth Fire Department FRoM: ;o6n D. Tadema-Wielandt, LSP, Manager of Environmental Services/DMK ll enclosur€s are nolas noted,kindly notit) us at once For your use: @ A NATURAL SYSTEMS UTILITIES COMPANY LICENSED SITE PROFESSIONAI,S . ENYA,ONIIGI\TTAL SCIENTISTS . GEOLOGISTS . ENGINEERS 1573 Main Street, Brewster, MA Ozffll a 508-89&1706 a Fax 508-889-1700 | wunrir.bennett-ea.com . K17274 May 12,2020 Dan Crafton, Section Chief MA DEPARTMENT OF EI.IVIRONMENTAL PROTECTION (MA DEP) Southeast Regional Office (SERO/Bueau of Waste Site Cleanup (BWSC) 20 Riverside Drive Lakeville, MA 02347 J. Renato DaSilva, Office Manager - pro Care Realty, LLC (pRp) Daniel Ifuapik - Yarmouth Town Administrator Bruce G. Murphy, Health Director - yamrouth Health Division Carl E. Lawson, Jr., Hazardous Waste Inspector - yarmouth Health Division Captain Kevin Huck - Yarmouth Fire Departrnent As such, this Notice of Termination shall absolve me personally and BEA collectively,from any and all remedial r€sponse performance mder the MA contingency plaq 310 cMR40.0000. should you have any questions, or need additional information, please contact medirectly. Respectfi:Ily, RE: NOTICE OF LSP TERMINATION Fuel Oil Release - RTN 4-28163 Residential Property 20 Butler Ave. - West Yarmouth, MA Dear Mr. Craftoo, In accordance with the provisions of 310 CMR 40.0169(2), BENNETT ENVIRONMEN'TAL ASSOCIATES, LLC (BEA) is providing notice that I pohn D. Tadcma- wielandt, #17071 am no longer the LSP of Record, nor do I have any firther association with the above rcferenced Site, BENNETT EI.IVIRONMENTAL ASSOCIATES, LLC D of Environmental Services Cc: EMERGENCY sPrLL REsPoxsE a wAsrE strE cLEArup 0 srr essrssmg$ 0 prnumnxe 0 srp-rrc orstct a r spEcloN oEslGN BUIID 6 openerlol a ultrrslalce I wATERsuppLy DEvElopxarr I wasTEWATER TREATilelr I gglo secvtces BBNNTTT EI\.vIRONMENTAL ASSoCIATES, LLC. lllassachusetts Department of Environmental Protection eDEP Transaction Gopy Here is the file you requested for your records. To retain a copy of this file you must save and/or print. Username: JTWIELANDT Transaction lO:- 1195777 Document: BWSC126 Miscellaneous DocumentTransmittal Form Size of File: 151.10K Status of Transaction: tn process Date and Time Created: s/1s/2020:6:19:41 AM Note: This file only includes forms that were part of your transaction as of the date and time indicated above. lf you need a more current copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. Massachusetts Department of f, nviroDmetrtal Protection Bureau ofl4aste Site Cleanup Miscellaneous Document Transmittal Form BWSC 126 Release Tracking NumberE28163 A. DISPOSAL SITE LOCATION: l. Disposal Site Name: RES|oENTIAL 2. Srreet Address: 20 BUTLER STREET 3. City/Town: yAR ,IOUTH 4- Zip Codel B. THIS FORM IS BEING USED TO: (check aU that apply) Tl. Conect typographical errors and./or make corrections that do not materially affect the natwe or complexity ofthe response actions. Ifchanges are materially significant, then a revised or modified submittal must be made to the Department. List the report/form that is being cofiected that is associated with the above Release Tracking Number (RTN). Attach an enata sheet containing a description ofthe errors and/or corrections. Form/Report Submittal Traffaction ID Date(mm/dd/YYYY) T 2. Submit other documents associated with this RTN that cannot be submitted to the Department using any other BWSC transmittal form. Do not submit documents that are ofa time-critical natue and./or that require a direct response fiom the Department and/or that requirc an LSP Opinion puruant to 310 CMR 40.0015. (Section C is not requircd). Description of Subm ittal F3. Resign as LsP-of-Record for the above Release TEcking Number (RTN). Attach a copy ofthe LSP resignation letter. (Section D, E. and F are not required). T4. Submii copies ofPublic Notices required pu$uant to 310 CMR 40.1400: (check all thar apply) (Sectio! C is not required ) l- a. Tier I Classification f Check here ifsubmitting a copy ofa legal notice l- b. Tier II Classificatio! f Che{k here ifsubmitting a copy ofa legal noticc I- c. Immediate Response Action (IRA) f d. Release Abatement Measue (RAM) I- c. Downgradient Property Status (DPS) f f Utility-rclatcd Abateoent Mea rc (URAM) l- g. Comprehensive Response Actions f h. Activities related to T Check here ifsubmining a copy ofa legal notice recording/rcgistering an Activity and Use LLnitation (AUL) T i. Pemanent or Temporary Solution (All sections of this transmittal form must be filled out unless otherwise noted) Revised: 09/1712013 Page I of4 ')- Massachuseats Department of EDviroDmetrtal Protectiob Bureau of Waste Site Cleanup Miscellaneous Document Trallsmitt l Form 281634 B. TEIS FORM IS BEING USED TO(cont): (check all that apply) T5. Sublnit Public Involvement Petition documents. (check all that apply). (Section C is not required) l: a. Submit a Public Involvement Petition I- b. Submit a Public Involvemert Petition RetEction l- c. Submit a Positive Public lnvolvement Petition Designation Letter l- d. Submit aNegative Public Involvement Designation Letter l- e. Submit a Draft Public lnvolvement Petitior Plan l- f Submit a Revised Public Involvement Petition Plan T g. Submit a Final Public Involvement Petitior Plan T h- Submit a Notice ofPublic Comment Period Date ofclose ofComment Period : (ftd/dd.Yyyy) I- i. Submit a copy ofa Public Involvement Petition legal notice l*1. Submit aNotice of Public Meeting Meeting Date: (mD/dd/YYYY) f k. Submit otler Public Involvement Pctition related documents not specified above: Describe: l- 6. Submit a RCRA Contained-In-Determination to document that soil andlor groundwater is no longer considered a hazardous waste pursuaot to state (310 CMR 30.00) and federal (Title 40, Chapter I, Pad 261 of the Code of Fedeml Regulations) hazardous waste regulations. T7. Submit rotilication and documentation ofReclamation Soil Reuse pursuant to 310 CMR 40.0031(2). C. LSP SIGNATIJRE: I attest under the pains and penalties ofperjury that I have personally examined arld am familial with this tlansmittal form, including any and all documents accompanying this submittal. I am aware that significant peralties may result, including, but not limited to, possible frnes and imprisonment, ifI submit information which I know to be false, inaccurate or materially incomplete. l. LSP #: 1-to7 2. First Name: JotlN 3. Last Name: TADEIVI+WEI-ANDT 4.Telephone; 50853s0497 5. Ext.:6. Email 7. Signatule: JoHN TADEMAWETANDT 8. Date: 5/1512020 Revised: 09/17i2013 Page 2 of 4 BWSC 126 Release Tracking Number Massachusetts DepartmcDt of EDvironmetrtal Protection Bureau of Wasle Site Cleanup Miscellaneous Documetrt Transmittal Form BWSC I26 Rel€ase Tracking Numbeltr28t63 D. PERSON MAKIN(i A SUBMITTAL: l. Check all that apply: I- a. Change in contact name T b. Change of address 2. Name of C)rsanization l- c. Change in person undertaking response actions 3. Contact First Name: 5. Street:6. Title: 7. Ciw/Town:8. State:9. ZIP Code: 10. Telephone I l. Ext T 13. Check here ifthe person is a Public Involvement Petitioner E. RELATIONSHIP TO SITE OF PERSON MAKING SUBMITTAL:T ch.ck herc ro clssc retamnship r I. RP or PRP l- a. owner T b. operator l- e. Other RP or PRP Specify: l- c. Generator T d. Tmnsporter f 2. Fiduciary, Secured Lender or Municipality with Exempt Status (as defined by M.G.L. c.2lE, s.2) f 3. Agency or Public Utility on a Right of Way (as defined by M.G.L. c.2lE, s.5(j)) I- 4. Any Other Person Undertaking Response Actions SpeciS Relationship: F. CERTIFICATION OF PERSON MAKIIT{G SI]BMITTAL: 1.1,attest under the pains and penalties or perjury (i) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this hansmittal form, (ii) that, based on my inquiry ofthose individuals immediately responsible for obtaining the infomation, 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 behalfofthe entity legally responsible for this submittal. I/the person or entity on whose behalfthis submittal is made amlis aware that there are significant penalties, including, but not limited to, possible fines and imprisonment, for willfully submitting false, inaccumte, or incomplete information. 2. Bv:3. Title: .1. F or': (N&nc ofpssoa or 6tity r..!rd.d in S.ction D) 6nld yrw f 6. Check here ifthe address ofthe person providing certification is diffelent from address recorded in Section D. 7. Street: 8- Citv/Town 9. State 10. ZIP Code: I t. Telephone Revised: 09/1712013 12. Ext.13. Email: Page 3 of4 4. Last Name: _ 12. Email: 5. Date: Massachusctts Department of Envirotrmetrtal Protection Bureau of Waste Site Cleanup Miscellaneous Document Transmittal Form BWSC 126 Release Tracking Number 28t63 f Check here ifany non-updatable information provided on this folm is incorrect, e. g. ploperty address. Send coffections to BWSC.eDEP@state.ma.us YOU MUST I,I,GIBLY COMPLETE AIL RELEVANT SFTTIONS OF THIS FORM OR DEP MAY RETURN TTIE DOCTJMENT AS INCOMPLETE. IT YOU SUBIVtrT AN INCOMPLETE FORM, YOU MAY BE PENALIZED FOR MISSING A REQI-IIRED DEADLINE. Date Stamp (DEP USE ONLY): 4 Received by DEP on 5l I 5l2O2O 6: 17 :27 AM Revised: 09/1712013 Page 4 of4