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30A-032 Green to Verson Re: Former Cutlery Raceway 320-360 Riverside Dr. 7.19.2007,per • ~\ COMMONWEALTI-I OF MASSACHUSETTS - - EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION WESTERN REGIONAL OFFICE 436 Dwight Street • Springfield, Massachusetts 01103 • (913) 784-1100 DEVAL L: PATRICK IAN A. $OWLES Governor ~ Secretary TIMOTHY P. MURRAY AR.LEEN O'UONNELL Lieutenant Governor Commissioner July 1.9, 2007 Cutlery Building Associates 56 Main Street Northampton, MA 01060-0000 Mr. Alan Verson Dear Mr. Verson, Re: Northampton RTN -1-13320 Former Cutlery Raceway 320-360 Riverside Drive Department Approval On June 18, 2007, the Department of Environmental Protection, Bureau of Waste Site Cleanup {"the Department"} received a `Bank Stabilization Status" Report for the above-referenced property. The report was prepared on your behalf by New England Environmental, Inc. {NEE). The report outlines recent stabilization work performed at the site along the banks of the Mill River including seeded mulch, new stonewalls, straw blankets, and flexible filter. seed socs. NEE proposes to modify the existing Immediate Response Action {IRA) Plan to include afoot-foot high chain-link fence behind the former Cutlery building, the old firehouse, and along the edge of the parking lot, rather than the proposed five-foot high fence. The remainder of the site along Riverside Drive will be a five-foot high chain-link fence. . The Department approves of your request to modify the IRA Plan. If you have any questions regarding . this matter, please contact Ben Fish at (413) 755-2285. Si a ]y, ~ -1 . • Richard M. Gre Section Chief Site Management/Permits Bureau of Waste Site Cleanup is available in alternate format. Ca11 Donald M. Gomel, ADA Coordinator at 617-556-1057. TDD Service -1-800-298-2207. DEP on the World Wide Web: htip://www.mass.gov/dep 1~'i Printed on Recycled Paper Dormer Cuolery Raceway 320-360 Riverside DrJve Norfhampfon, MA RTN 1-13320 Deparlmenl Approval Page 2 cc: Northampton Board of Health Northampton Conservation Commission Northampton Chief Municipal Officer Northampton Planning Dept., Wayne Feiden, 210 Main St., Northampton, 01060 NEE,1nc., Lyons Witton, LSP OTO, Kevin O'Reilly Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) ~ A. RELEASE OR THREAT OF RELEASE LOCATION: 1. Release Name/Location Aid: FOrlller CUtiery RaCeWay 2, street Address: 320-360 Riverside Drive I3. city/Town: Northampton BWSC105 Release Tracking Number - 13320 4. ZIP Code: 1060-0000 ~/ 5. Check here if a Tier Classification Submittal has been provided to DEP for this disposal site.. a. TierlA ~ b. TierlB ~ c. TierlC 0 d. Tierll 6. Check here if this location is Adequately Regulated, pursuant to 310 CMR 40.0110-0114. Specify Program (check one): a. CERCLA . ~ b. HSWA Corrective Action. ~ ~ c. Solid Waste Management d. RCRA State Program (21 C Facilities) ' B. THIS FORM IS BEING USED TO: (check all that apply) „ 1. List Submittal Date of Initial IRA Written Plan (if previously submitted): 06/06/2006 (mm/dd/YYYY) 2., Submit an Initial IRA Plan, 3. Submit a Modified IRA Plan of a previously submitted written IRA Plan. 4. Submit an Imminent Hazard Evaluation. (check one) a. An Imminent Hazard exists in connection with this Release or Threat of Release. 0 b. An Imminent Hazard does not exist in connection with this Release or Threatof Release. c. It is unknown whether an Imminent Hazard exists in connection with this Release or Threat of Release, and further assessment activities will be undertaken. d. It is unknown whether an Imminert Hazard exists in connection with this Release or Threat of Release. However, response actions will address those conditions that could pose an Imminent Hazard. 5. Submit a request to Terminate an Active Remedial System or Response Action(s) Taken to Address an Imminent Hazard . 0 6. Submit an IRA Status Report . 7. Submit an IRA Completion Statement. a. Check here if future response actions. addressing this Release or Threat of Release notification condition will be conducted as part of the Response Actions planned, or ongoing at a Site that has already been Tier Classified under a different .Release Tracking Number (RTN) . When linking RTNs, restoring via the NRS is required if there is a reasonable likelihood that the addition of the new RTN(s) would change the classification of the site. b. Provide Release Tracking Number of Tier Classified Site (Primary RTN): ^ - These additional response actions must occur according to the deadlines.applicable to the Primary RTN. Use the Primary RTN when making all future submittals for the site unless specifically relating to this Immediate Response Action. 8. Submit a Revised IRA Completion Statement. SCantled . Digitized (All sections of this transmittal form must be filled out unl~Po~i - -- Revised: 11 /04/2003 Page 1 of 6 Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC105 ~~ ~. '~ IMMEDIATE RESPONSE ACTION (IRA),TRANSMITTAL Release Tracking Number FORM Pursuant to 310 CMR 40.0424 - 40,0427 (Subpart D) ~ - ~ 3320 C. RELEASE OR THREAT OF RELEASE CONDITIONS THAT WARRANT IRA: 1. Identify Media Impacted and Receptors Affected: (check all that apply) ^ a. Air ^ b. Basement ^ c. Critical Exposure Pathway ^ d. Groundwater ^ e. Residence ^ f. Paved Surface ^ g. Private Well ^ h. Public Water Supply ^ i. School ^ j. Sediments k. Soil ^ I. Storm Drain ^ m. Surface Water ^ n. Unknown ^ o. Wetland ^ p. Zone 2 ^ q. Others Specify: Identify Oils and Hazardous Materials Released: (check all that apply) ^ a. Oils ^ b. Chlorinated Solvents ^/ c. Heavy Metals ^ d. Others specify: chromium, lead, nickel, arsenic, antimony D. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply, for volumes list cumulative amounts) ^ 1. Assessment and/or Monitoring Only © 2. Temporary Covers or Caps ^ 3. Deployment of Absorbent or Containment Materials ^ 4. Temporary. Water Supplies ^ 5. Structure Venting System ^ 6. Temporary Evacuation or Relocation of Residents ^ 7. Product or NAPL Recovery ^/ 8. Fencing and Sign Posting ^ 9. Groundwater Treatment Systems ^ 10. Soil Vapor Extraction ^ 11. Bioremediation ^ 12. Air Sparging © 13. Excavation of Contaminated Soils ^ a. Re-use, Recycling or Treatment ^ i. On Site Estimated volume in cubic yards ^ ii. Off Site. Estimated volume in cubic yards iia. Receiving Facility: iib. Receiving Facility: iii, Describe: © b. Store iia. Receiving Facility: ~ ~~ iib. Receiving~Facility; ~• Town: State: State: State: State: Revised: 11 /04/2003 Town: Town: Q i. On Site Estimated volume in cubic yards 28 ^ ii, Off Site Estimated volume in cubic yards Town: Page 2 of 6 Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC105 Mfr' IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release Tracking Number ~, ~ : ~ ~ _ 13320 'FORM Pursuant to 310 CMR 40,0424 - 40.0427 (Subpart D) ,~ ~~x;. D. DESCRIPTION OF RESPONSE ACTIONS (cont.): (check all that apply, for volumes list cumulative amounts) c. Landfill. i. Cover Estimated volume in cubic yards Receiving Facility: Town: ii. Disposal Estimated volume in cubic yards Receiving Facility: Town:, 14. Removal of Drums, Tanks or Containers: a. Describe Quantity and Amount; b. Receiving Facility: Town: c. Receiving Facility:. Town: 15. Removal of Other Contaminated Media: • a. Specify Type and Volume: b. Receiving Facility: c. Receiving Facility: . ® 16. Other Response Actions: Describe: Physically stabilize bank of Mill River 17. Use of Innovative Technologies: Describe: State: State; State: State: Town: State: Town: State: Revised: 11 /04/2003 Page 3 of 6 Massachusetts. Department of Environmental Protection Bureau of Waste Site Cleanup BWSC105 Release Tracking Number IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) ~ - 13320 E. LSP SIGNATURE AND STAMP: 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 accompanyirig 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 309 CMR 4.03(2), and (iii) the provisions of 309 CMR 4.03(3), to the best of my knowledge, information and belief, > if Section B of this form indicates that an Immediate Response Acfion 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(s) asset 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 8 of this form indicates that an Imminenf Hazard Evaluafion 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 comply(ies) with the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000; > if Section 8 of this form indicates that an Immediafe Response Stafus Reporf 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. 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) comply(ies) with the identified provisions of all orders, permits, and approvals identified in this submittal; > if Section 8 of this form indicates that an Immediafe Response Action Completion Statement or a request to Terminate an Active Remedial System or Response Action(s) Taken fo 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 fo accomplish the purposes I of such response action(s) asset forth in the applicable provisions of M.G:L. c. 21 E and 310 CMR 40.0000 and (iii) comply(ies) with the identified provisions of all orders, permits, and approvals identified in this submittal. 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. 1. LSP #: 8066 2. First Name: Wm 4. Telephone: (413) 256-002 7. Signature: 8. Date: i ~ ~ ~~ ( m dd/yyyy) 3. Last-Name: Wltten 5. Ext.: 17 6, Fes; (413) 256-1092 9. LSP Stamp: ~'~'a1STl~!~ WM. LYONS WI'ITEN No. $066 Revised: 11 /04/2003 Page 4 of 6 . Massachusetts Department of Environmental Protection .,. Bureau of Waste Site Cleanup BWSC105 Release Tracking Number ~ IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL ~~ ~ ~ ,~ ~ ~ ': P Y f w ~L r •••~• FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) ~ - 13320 ...... . ~.,. »..: , . z SYilY? 6R bE~t:~ F. PERSON UNDERTAKING IRA: c. change in the person 1. Check all that apply: ^ a. change in contact name ~ b. change of address ^ undertaking response actions CUtiery BUIiCiing /~SSOCIateS 2. Name of Organization: 3. Contact First Name: Alan 4. Last Name: VerSOn 5. street: 56 Main Street s. Title: Partner 7. city/Town: Northampton. 8. state: M'4 9. ZIP Code: 01060-0000 10. Telephone: (413) 586-1348 11. Ext.: 12. FAX: G. RELATIONSHIP TO RELEASE OR THREAT OF RELEASE OF PERSON UNDERTAKING IRA: ® 1. RP or PRP Q a. Owner ^ b. Operator ~ c. Generator ^ d. Transporter ^ e. Other RP or PRP Specify: 2. Fiduciary, Secured Lender or Municipality with Exempt Status (as defined by M.G.L. c, 21 E, s. 2) ^ 3. Agency or Public Utility on a Right of Way (as defined by M.G.L. c. 21 E; s. 5(j)) ^ 4. Any Other Person Undertaking IRA Specify Relationship: H. REQUIRED ATTACHMENT AND SUBMITTALS: 1. Check here if any Remediation Waste, generated as a result of this IRA, will be stored, treated, managed, recycled or reused at the site following submission of the IRA Completion Statement. If th is box is checked, you must submit one of the following plans, along with the appropriate transmittal form. ^ a. A Release Abatement Measure (RAM) Plan (BWSC106) ~ b..Phase IV Remedy Implementation Plan (BWSC108) . 2.. Check here if the Response Action(s) on which this opinion is based, if 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 thereof. ^ 3. Check here to certify that the Chief Municipal Officer and the Local Board of Health have been notified of the implementation of an Immediate.Response Action taken to control, prevent, abate or eliminate an Immirient Hazard. ^ 4. Check here to certify that the Chief Municipal Officer and the Local Board of Health have been notified of the submittal of a Completion Statement for an Immediate Response Action taken to control, prevent, abate or eliminate an Imminent.Hazard. ^ 5. Check here if any non-updatable information provided on this form is incorrect, e.g. Release Address/Location Aid, Send corrections to the DEP Regional Office. 6. Check here to certify that the LSP Opinion containing the material facts, data, and other information is attached. SCatlnBCl . ^~ Revised: 11/04/2003 ~ ~`' Pa e 5 of 6 ~L_..i,..,a . g Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC105 $' IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release Tracking Number FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) ~ - ~ 3320 I. CERTIFICATION OF PERSON UNDERTAKING IRA: Alan Verson 1 l ,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 am/is aware that there are significant penalties, including, but not limited to, possible fines and im risonment, for willfully submitting false, inaccurate, or incomplete information. Partner ~ - 3. Title: 2• BY~ Signature Cutlery Building Associates 4 F ~ ~ ~ Z . r or: 5. Date: (Name of person or entity recorded in Section F) (mm/dd/yyyy) 6. Check here if the. address of the person providing certification is different from address recorded in Section F. 7. Street: 8. City/Town: 9. State: 10. ZIP Code: 11. Telephone: 12. Ext.: 13. FAX: YOU MUST LEGIBLY 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. Date Stamp (DEP USE ONLY:) Revised: 11/04/2003 ..._.._._. _.r....,::.,..,.,... , Page 6 of 6 ~-\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS d DEPARTMENT OF ENVIRONMENTAL PROTECTION WESTERN REGIONAL OFFICE s ~ .436 Dwight Street • Springfield, Massachusetts 01103 • (413) 784.1100 DEVAL L. PATRICK IAN A. BOWLES Governor Secretary TIMOTHY P. MURRAY ARLEEN O'DONNELL Lieutenant Governor Commissioner July 19, 2007 Cut]ery Building Associates 56 Main Street Northampton, MA 01060-0000 Mr. Alan Verson Dear Mr. Verson, Re: Northampton RTN - 1-13320 Former Cutlery Raceway 320-360 Riverside.Drive Department Approval On June 18, 2007, the Department of Environmental Protection, Bureau of Waste Site Cleanup ("the Department") received a "Bank Stabilization Status" Report for the above-referenced property. The report was prepared on your behalf by New England Environmental, Inc. (NEE). The report outlines recent stabilization work performed at the site along the banks of the Mill River including seeded mulch, new stonewalls, straw blankets, and flexible filter seed socs. NEE proposes to modify the existing Immediate Response Action (IR.A) Plan to include afour-foot high chain-link fence.behind the former Cutlery building, the old firehouse, and along the edge of the parking lot, rather.than the proposed five-foot high fence. The remainder of the site along Riverside Drive will be a five-foot high chain-link fence. The Department approves of your request to modify the IRA Plan.. If you have any questions regarding tliis matter, please contact Ben Fish at (413) 755-2285. ~~ ~~U ~,.. J~f 2 i ,~, oE~r o 20~~ ; ~ ,..,~,~ n~ryAr~~p nP~~~'Ni Y NG~ Mq 0/~,. ~ S' e ly, ~~ Richard M. Gre Section Chief Site Managament/Permits Bureau of Waste Site Cleanup ~c~nn~~ ~i9'~~'iz~a Oh~~~ed ~ ~ This information is avai]able in alternate format. Call M. Gomes, ADA Coordinator at 617-556-1057. TDD Service - 1-800-298-2207. Printed on Recycled Paper d A i DEVAL L. PATRICK Governor TIMOTHY P. MURRAY Lieutenant Governor 4 ~~d <C COMMONWEALTH OF MASSACHUSETTS ~~ ? ~-'~` ~~r.~,-~ EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION WESTERN REGIONAL OFFICE 436 Dwight Street • Springfield, Massachusetts 01103 • (413) 754-1100 IAN A. BOWLES Secretary ARLEEN O'DONNELL Commissioner July 19, 2007 Cutlery Building Associates 56 Main Street Northampton, MA 01060-0000 Re: Northampton RTN -1-13320 Former Cutlery Raceway Mr. Alan~Verson 320-360 Riverside Drive Department Approval Dear Mr. Verson, On June 18, 2007, the Department of Environmental Protection, Bureau of Waste -Site Cleanup ("the Department") received a "Bank Stabilization Status" Report for the above-referenced properly. The report was prepared on your behalf by New England Environmental, Inc. (NEE). The report outlines .recent stabilization work performed at the site along the banks of the Mill River including seeded mulch, new stonewalls, straw blankets, and flexible filter seed socs. NEE proposes to modify the existing Immediate Response Action (IRA) Plan to include afour-foot high chain-link fence behind the former Cutlery building, the old firehouse, and along the edge of the parking lot, rather than the proposed five-foot high fence. The remainder of the site along Riverside Drive will be . a five-foot high chain-link fence. The Department approves of your request to modify the IRA Plan. If you have any questions regarding this matter, please contact Ben Fish at (413) 755-2285. SC -~-~.. S. e ly' !J' a~~C~ b ~ ~~c~ a ~ ~ ~, . ~~~ ~~~ 2 Q zOD, ~ Richard M. Gre Section Chief pEpT Site Management/Permits ~OHTHq,»P~~ ~~ ~ N/o ~ Bureau of Waste Site Cleanup 60 This information is available in alternate format. Call Donald M. Gomes, ADA Coordinator at 617-556-1057. TDD Service - 1-800-298-2207. _._..._______-__.__r_...__.~_____.~ -.-DEP-on-the-World Wide-Web:_http://www.mass.govLdep.~ -_~~~~.~~~_._._.a~~_.___ C~ Printed on Recycled Paper aro A T_G ,L ~ Former Cutlery Raceway ° `s~~. 320-3601~iverside Drive ~ ~ ' ~.'~.`~ ~'"".Nort'h`ampton. MA °"" ~ ~ ,"~ RTN1-13320 "p ~ ~" Department Approval Page 2 cc: Northampton Board of Health Northampton Conservation Commission Northampton Chief Municipal Officer Northampton Planning Dept., Wayne Feiden, 210 Main St., Northampton, 01060 NEE, Inc., Lyons Wilton, LSP OTO, Kevin .O'Reilly ?;';?., ;~.r ;'~ Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup , ~ :l' ~ r LMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL FORM Pursuant fo 310 CMR 40.0424 - 40.0427 (Subpart D) A. RELEASE OR THREAT OF RELEASE LOCATION: 1. Release Name/Location Aid: FOrmer CUtIeCy RaCeWay I2. street Address: 320-360 Riverside Drive BWSC105 Release Tracking Number - 13320 I3. city/Town: Northampton 4. zIP code: 01060-0000 /~ 5. Check here if a Tier Classification Submittal has been provided to DEP for this disposal site. a. Tier IA 0 b.. Tier IB ~ c. Tier IC ~/ d. Tier II 6. Check here if this location is Adequately Regulated, pursuant to 310 CMR 40.0110-0114. Specify Program (check one): a.' CERCLA ~ b. HSWA Corrective Action ~ c. Solid Waste Management d. RCRA State Program (21 C Facilities) B. THIS FORM IS BEING USED TO: (check all that apply) . 1. List Submittal' Date of Initial IRA Written Plan (if previously submitted): 06/06/2006 2. Submit an Initial IRA Plan. ~, ~ 3. Submit a Modified IRA Plan of a previously submitted written IRA Plan. 4. Submit an Imminent Hazard Evaluation. (check one) 0 a. An Imminent Hazard exists in connection with this Release or Threat of Release. b. An Imminent Hazard does not exist in connection with this Release or Threat of Release. c. It is unknown whether an Imminent Hazard exists in connection with this Release or Threat of Release, and further assessment activities will be undertaken. d. It is unknown whether an Imminent Hazard exists in connection with this Release or Threat bf Release.. However, response actions will address those coriditions that could pose an Imminent Hazard. 5. Submit a request to Terminate an Active.Remedial System or Response Action(s) Taken to Address an Imminent. Hazard . Q 6. Submit an IRA Status Report . 0 7. Submit an IRA Completion Statement. a. Check here if future response actions addressing this Release or Threat of Release notification condition will be conducted as part of the: Response Actions planned or ongoing at a Site that has already been Tier Classified under a. different Release•Tracking Number (RT.N) . When linking RTNs, rescdring via the NRS is required if there is a reasonable likelihood that the addition. of the new RTN(s) would change the classification of the site. b..Provide Release Tracking Number of Tier Classified Site (Primary RTN): ^ - These additional response actions must occur according to the deadlines applicable to the Primary RTN. Use the Primary RTN when making all future submittals for the site unless specifically relating to this Immediate Response Action. 8. Submit a Revised IRA Completion Statement. (All sections of this transmittal form must be filled out unless otherwise noted above) Revised: 1.1/04/2003 Scanned ..----~-----'~' Page 1 of 6 1._)ICJItIZG~ .,_ ~~ 'Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC105 4 ~ r IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release Tracking Number FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) ~ - ~ 3320 C. RELEASE OR THREAT OF RELEASE CONDITIONS THAT WARRANT IRA: 1. Identify Media Impacted and Receptors Affected: (check all that apply) ^ a. Air ^ b. Basement ^ c. Critical Exposure Pathway ^ d. Groundwater ^ e. Residence ^ f. Paved Surface ^ g. Private Well ^ h. Public Water Supply ^ i. School ^ j. Sediments k. Soil ^ I. Storm Drain ^ m. Surface Water ^ n. Unknown ^ o. Wetland ^ p. Zone 2 ^ q. Others Specify: 2. Identify Oils and Hazardous Materials Released: (check all that apply) ^ a. Oils ^ b. Chlorinated Solvents ^/ c. Heavy Metals ^ d. Others specify: chromium, lead, nickel, arsenic, antimony D. DESCRIPTION OF RESPONSE ACTIONS: (check all that apply, for volumes list cumulative amounts) ^ 1. Assessment and/or Monitoring Only © 2. Temporary Covers or Caps ^ 3. Deployment of Absorbent or Containment Materials ^ 4. Temporary Water Supplies ^ 5. Structure Venting System ^ 6. Temporary Evacuation or Relocation of Residents ^ 7. Product or NAPL Recovery ^/ 8. Fencing and Sign Posting ^ 9. Groundwater Treatment Systems ^ 10. Soil Vapor Extraction ^ 11. Bioremediation ^ 12. Air Sparging © 13. Excavation of Contaminated Soils ^ a. Re-use, Recycling or Treatment ^ i. On Site Estimated volume in cubic yards ^ ii. Off Site Estimated volume in cubic yards iia. Receiving Facility: Town: State: iib. Receiving Facility: Town: State: iii. Describe: © b. Store 0 i. On Site Estimated volume in cubic yards 2$ ^ ii. Off Site Estimated volume in cubic yards iia. Receiving Facility: Town: State: _ iib. Receiving Facility: Town: State: Revised: 11/04/2003 Page 2 of 6 Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC105 f Release Tracking Number IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL ~ _ 13320 FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) D. DESCRIPTION OF RESPONSE ACTIONS (cont.): (check all that apply, for volumes list cumulative amounts) c. Landfill i. Cover Estimated volume in cubic yards Receiving Facility: Town: ii. Disposal Estimated volume in cubic yards Receiving Facility: Town: 14. Removal of Drums, Tanks or Containers: a. Describe Quantity and Amount: b. Receiving Facility: c. Receiving.~Facility: 15. Removal of Other Contaminated Media: a. Specify Type and Volume: b. Receiving Facility: c. Receiving Facility: ' 16..Other Response Actions: Describe: Physically stabilize bank of Mill River 17. Use of Innovative Technologies: Describe: Revised: 11/04/2003 -Page 3 of 6 Town: Town: Town: Town: State: State: State: State: State: State: ~cannec~ Checked -``"`------_ Massachusetts Department of Environmental Protection Bureau of Waste Site Cleanup BWSC105 IMMEDIATE RESPONSE ACTION (IRA) TRANSMITTAL Release Tracking Number FORM Pursuant to 310 CMR 40.0424 - 40.0427 (Subpart D) ~ - 13320 E. LSP SIGNATURE AND STAMP: 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 309 CMR 4.03(2), and (iii) the provisions of 309 CMR 4.03(3), to the best of my knowledge, information and belief, > if Section 8 of this form indicates that an Immediate Response Acfion Plan is being submitted, the response. action(s) that is (are) the subject of this submittal (i) has (have) been develdped 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 8 of this form indicates that an Imminent Hazard Evaluation is being submitted, this I mminent 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 comply(ies) with the applicable provisions of M.G.L, c. 21 E and 310 CMR 40.0000; > if Section 8 of this form indicates that an Immediate Response Stafus 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. 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) comply(ies) with the identified provisions of all orders, permits, and approvals identified in this submittal; > if Section 8 of this form indicates that an Immediate Response Action Completion Stafement or a request fo Terminate an Active Remedial System or Response Action(s) Taken to Address an ImminentHazard is being submitted, the response action(s) that is (are) the subject of this submittal (i) has (have) been developed and implemented in accordance vvith 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) asset forth in the applicable provisions of M.G.L. c. 21 E and 310 CMR 40.0000 and (iii) comply(ies) with the identified provisions of all orders, permits, and approvals identified in this submittal. 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. 1. LSP #: $066 I 2. First Name: Wm• L Oll 4. Telephone: 413 56-020, 7. Signature: y 8. Date: ~ l0 ~ 1 (mm/dd/yyyy) Revised: 11/04/2003 3. Last Name: Wltten 5. Ext.: 17 s. FAx: (413) 256-1092 9. LSP Stamp: ~~~~.~~ of ~~s~ac~. a ., ~~. t~~'I i~ End 6 r No.80G6 ~.~ rF'`'" '4FaisTEati° ~~°2 5 ~~ S17E PR~f~ Page 4 of 6