Submission Site for the NIR
Home Frequently Asked Questions
Example
Notice of Intent to Remediate (NIR)
Identification
Property Name: XYZ Service Center
Address/Location
| Address: | 1111 25th Street |
|---|---|
| XYZ Building | |
| City: | Jackson City |
| Zip Code: | 99999 |
Municipality: Jackson city
County: Dauphin
Latitude: +50o 23' 30.901" Longitude: -99o 14' 5.03"
Horizontal Collection Method: ITPMP - The geographic coordinate determination method based on interpolation-map.
Horizontal Reference Datum: NAD83 - North American Datum of 1983
Reference Point: CORNE - Northeast corner of the land parcel.
Wish to participate in the DEP/EPA MOU:
Contact Dave Hess at dahess@state.pa.us for details.
PAD-999-999-999
Provide a general description of the site contamination in plain language (e.g. fuel oil spill, historical chemical industrial area contamination), the names of any known primary contaminants to be addressed, and the intended future use of the property:
The subject property is located on the Jackson City, Pennsylvania USGS 7.5 minute topographic quadrangle at N 50o 23' 30.901" latitude and W 99o 14' 5.03" longitude. A copy of a portion of the USGS quadrangle map identifying the location of the subject property is included as Attachment 1. The subject property is currently used as an automobile service station. A copy of the site plan map is included as Attachment 2. In October of 1998, a subsurface soil investigation indicated the presence of contaminated soil in the vicinity of formerly closed in-place tanks. On June 1, 1999, AAA Environmental Consulting, Inc. completed a geophysical investigation which identified two tanks located at the eastern portion of the subject property along Market Street. In August, 2001, two empty tanks and associated contaminated soil were excavated and removed from the ground on the subject property. During the tank removal activities, AAA Environmental Consulting, Inc. observed orange-brown micaceous silts with varying amounts of fine sand overlying bedrock. The depth to bedrock ranged from 9 feet below ground surface (bgs) to 11 feet bgs. Groundwater was encountered within the unconsolidated deposits overlying the bedrock. A remedial investigation regarding the groundwater contamination is being undertaken. Due to the historical use of the property, the primary contaminants to be addressed are associated with waste oil, diesel fuel, and gasoline. The future use of the property is commercial.
Provide a general description of proposed remediation measures:
Excavation of contaminated soil and potential pump and treat of contaminated groundwater.
Will remediation be to a site-specific standard
or as a special industrial area
? If so, the municipality or municipalities must be provided 30-day comment
period.
Remediator/Property Owner/Consultant
| Contact Person: | John Doe | ||
|---|---|---|---|
| Relationship to Site: | Property owner | ||
| Phone Number: | (777)666-5554 | ||
| Company Name: | XYZ Company | ||
| Address: | 1111 25th Street | ||
| Jackson City, | PA | 99999 | |
| Email Address: | johndoe@xyzco.com | ||
| Contact Person: | John Smith | ||
|---|---|---|---|
| Relationship to Site: | Consultant | ||
| Phone Number: | (999)999-5559 | ||
| Company Name: | AAA Environmental Consulting, Inc. | ||
| Address: | 222 99th Street | ||
| Jackson City, | PA | 99998 | |
| Email Address: | johnsmith@aaaenv.com | ||
| Contact Person: | John Doe | ||
|---|---|---|---|
| Relationship to Site: | Remediator | ||
| Phone Number: | (999)999-5559 | ||
| Company Name: | AAA Environmental Consulting, Inc. | ||
| Address: | 222 99th Street | ||
| Jackson City, | PA | 99998 | |
| Email Address: | johnsmith@aaaenv.com | ||
Preparer of Notice of Intent to Remediate:
| Name: | John. Doe | ||
|---|---|---|---|
| Title: | CEO | ||
| Phone Number: | (777)666-5554 | ||
| Address: | 1111 25th Street | ||
| Jackson City , | PA | 99999 | |
| Email Address: | johndoe@xyzco.com | ||
Attachments: (Note: Click the file name will open a new window.)
File Name: Example1.jpg
Caption: Examplel Site Location Map
File Name: Example2.gif
Caption: Example2 Site Plan Map