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HomeMy WebLinkAbout300 Rye Street Connecticut Department of ENERGY & ENVIRONMENTAL P R O T E C T 10 N Sei)tember 22 2016 79 Elm Street® Hartford,CT06106-5127 www.ct.gov/deep Affirmative Action/Equal Opportunity Employer NOTIFICATION RIVED Of Significant Environmental Hazard Pursuant-tio C.Cr._S.�sction 22a-6 TOWN MANAGER'S 6PFICE The Honorable Tom Delnicki TOWN OF SOUTH WIND80M Mayor Town of South Windsor 1540 Sullivan Avenue South Windsor, CT 06074 Dear Mayor Delnicki; Section 22a-6u of the Connecticut General Statutes requires the Connecticut Department of Energy and Environmental Protection ("the Department" or "DEEP") to provide you with notice of a significant environmental hazard. reported in your jurisdiction. The Department must, in addition, provide a copy of notification to the local health director.The Department is required,unless the hazard is mitigated or abated, to list this notification on the Department's Internet website "List of Significant Environmental Hazards Reported to the DEEP," Additional information about the reporting of significant environmental hazards to the Department is available in a fact sheet that can be found in the Remediation section of the Department's internet site at wrv-w.et, ov/dee /remediation/SEI1. Enclosed please find a copy of a Significant Environmental Hazard Report for the former Handy&Harmon Facility, located at 300 Rye Street in South Windsor. The significant environmental hazard reported is that pollution detected in groundwater that discharges to a surface water body may pose a risk to aquatic life. Also enclosed is a copy of the Department's acknowledgement letter in response to this hazard notification. In the acknowledgement letter,the Department recommended that the owner conduct the submitted plan to evaluate the pollution migration and the threat to surface water and aquatic life. If you have any questions,or for further information regarding the Department's response or actions�under this program; please contact Rob Robinson by phone at 860-424-3775 or e-mail at Robert.Robinson@ct.gov. Sincerely, ,x Patric F. Bowe Director Remediation Division Bureau of Water Protection and Land Reuse PFB:KAN Enclosures:Significant Environmental Hazard Notification[1002)&Departmental Acknowledgement Letter copy(with enclosures): Mr.Luigi Sartori,Director of Health,Town of South Windsor,1540 Sullivan Avenue,South Windsor,CT 06074 Mr.,,Matthew P,_Galligan,;Town Manager,Town of South Windsor,1540 Sullivan Avenue,South Windsor,CT 06074 SEM1002 Officials.dotx Page 1 of 1 I Connecticut Department of '*ENERGY & ENVIRONMENTAL PRQTECTIC) N September 22, 2016 79 Elm Street a Hartford,CT 06106-5127 wvjw.ct.gov/deep Affirmative Action/Equal Opportunity Employer ACKNOWLEDGEMENT NOTIFICATION OF SIGNIFICANT ENVIRONMENTAL HAZARD PURSUANT TO CONNECTICUT GENERAL, STATUTES SECTION 22a-6u Mr. Harral Tenney President Alta.Realty Company, LLC P,O Box 419 Ridgefield, CT 06877 RE: Notification of Significant Environmental Hazard Handy&Harmon(former) 3.00 Rye Street, South Windsor Dear Mr.Tenney; Acknowled' ement of Notification of S`i i zcant Environmental Hazard This is .to acknowledge.receipt, on September 14, 2016 of written notification, under the requirements of Connecticut General Statutes (CGS) Section 22a-6u. This notification reported the presence of an environmental hazard at a property owned by your firm that is known as the former Handy & Harmon Facility located at 300 Rye Street in South Windsor. The notification identified the following significant environmental hazard(s): Groundwater polluted with selenium at a concentration of 230 ug/L, exceeding ten times the adopted surface water acute toxicity criteria;is or may discharging to a surface water. body,and may pose a short-term risk to aquatic biota. Thank you for notifying the Department of Energy and Environmental Protection `("the Departments or"DEEI?j of this condition. To ensure this condition does not result in a future short-term risk;the Department requests,under CGS Section 22a-6u(k)(3),that,within 60 days of the date of this acknowledgement letter,conduct the. short-term interim rrieasures indicated in Part V of the Significant Environmental Hazard Notification. The short-term measure proposed included collecting surface.water samples,from Dry Brook and continuing to collect groundwater samples to assess the risk to the surface water body. Within 90 days of the date of this acknowledgement letter please provide surface water sample results with an assessment of the hazard condition. SEH#1002 ACK Page 1 of3 Except for environmental hazards identified under CGS 22a-6u Section (b)(1), (c)(1) or (h)(1), further notifications resulting from.periodic monitoring which identifies substantially the same condition in the future or from investigations conducted in the course of mitigation or abatement of this hazard condition, provided. that DEEP is promptly advised of sample results are not necessary. However, in the event any future investigation ormonitoring discloses a more widespread or severe problem-or an increasing trend in pollution concentration,please.do not hesitate to contact the staff member identified below. For your information, pursuant to the requirements of CGS Section 22a-6u (m), the Department must forward a copy of your written notification to the chief elected official of the municipality in which the site is located and to the Local Health Director. In addition,the Department sends a copy of this acknowledgement letter to these individuals. The Department must also, unless the hazard is abated or mitigated, add this site to the"List of Significant Environmental Hazards Reported to the DEEP"that is maintained on the Department's internet site. Also,be advised that CGS Section 22a-6u (1), requires that the Significant Environmental Hazard Notification Report be conspicuously posted at the site not later than five days after the commencement of an activity by any person that increases the likelihood of human exposure to known contaminants. Please note that this letter pertains solely to the identified significant environmental hazard condition. This letter does not establish either a basis for determination that your site is 'clean', a basis for submittal of a 'Form II' or 'Form IV' in the event this property is an establishment, or a basis for resolution of any prior Form III filing under the Property Transfer Program pursuant to CGS Section 22a-134 et. seq. The evaluation of a release area or property to determine if it is in compliance with.Connecticut's Remediation.Standard Regulations(RSRs)is a.separate and distinct activity from identification and resolution of an environmental hazard condition,although the same data nmy be used for both as.appropriate. Both of these activities, resolution of,a significant environmental hazard,and;remediation of related pollution, are required;under separate laws. In any event, the Department expects.you to. continue implementing remedial activity to achieve closure.of site issues. This letter relates only to abatement of the significant environmental hazard identified above. Nothing.in this.letter shall affect the Commissioner's authority to institute any proceeding,or take any,other action to prevent o.r abate pollution;to recover costs and natural resource damages, and to impose penalties for violations of law including but not limited to:violations of ariy permit issued by the Commissioner. No provision of this letter and no action or inaction by the Commissioner shall be construed to.egnstitute an assurance by the Commissioner that the actions taken result in permanent abatement of the environmental hazard. If at any time the Commissioner determines that the information upon which the Commissioner's decision is based was incorrect,`or the identified.environmental hazard remains a risk,the.Commissioner may institute ariy proceeding,or take any action to.require.further action to abate the hazard. In addition,nothing.in this letter shall relieve an person of his or her obligations under applicable federal,state,or.local laws or regulations. SEH#1002 ACK Page 2 of 3 If you have any questions regarding your obligations specified in this letter, please contact Kevin Neary by phone at 860-424-3947 or e-mail at kevin.neary@ct.gov. Sincerely, Patrick F. Bowe Director Remediation Division Bureau of Water Protection and Land Reuse PFB:K-U:KAN cc: Ms.Kate Engler,Senior Project Manager,Apex Companies,LLC,58 H Connecticut Avenue,South Windsor,CT 06443 Mr.George.Marvin-Smith,President,Accession Corporation,548 Boston Post!toad,Madison,CT 06443' As noted above,under the provisions of CGS Section 22a-6u(m)copies are also provided to the following: The Honorable Tom Delnicki,Mayor,Town of South Windsor, 1540 Sullivan Avenue,South Windsor,CT 06074 Mr.Luigi Sartori,Director of Health,Town of South Windsor, 1540 Sullivan Avenue, South Windsor,CT 06074 Mr,Matthew B.Galligan,Town Manager,Town of South Windsor, 1540.Sullivan Avenue,South Windsor,CT 06074 e-copy(including a copy of the significant environmental hazard notification): Kevin Neary,Remediation Division,DEEP Traci lott,Aquatic Toxicity Program,DEEP SEH#1002 ACK Page 3 of 3 i Connecticut Department of Significant Energy & Environmental Protection Environmental Bureau of Water Protection & Lend Reuse Hazard Remediation Division -Notification Notification under CGS 2 a-6u Please print or type to complete this form in accordance with WATER PlR&ECTION AND LAND REFUSE the instructions(DEEPREM-SEH-INS 500). .AEMEDIATION DiviSION If fully completed in accord with the instructions the information in Parts/it and V of this form, with supplemental information as indicated,may meet the statutory SEP Z 0 201E .. requirement to submit a plan or report along with the ndtifrcation. SITE NAME f! [" OL ADDRESS f/ Send completed form to: TOWN SIGNIFICANT ENVIRONMENTAL HAZARD PROGRAM REM REMEDIATION DIVisION FILE TYPE BUREAU OF WATER PRO`FECTION AND LAND REUSE DEPARTMENT OF ENERGY AND ENVIRONMENTAL PROTECTION 79 ELM.STREET DEEP USE ONLY HARTFORD,ET 06106-5127 RemGIS RemlD►j -7 SEi 4 wo. *Part I - Hazard and Site Identification: [Connecticut General-Statutes(CGS)Section.22a-6ul Surface soil contamination poses potential Pollution in or threatening a drinking water well; ❑ direct exposure risk [6u(d)] Contemination.is detected in supply well Volatile Organic Chemicals in groundwater ❑ and is above groundwater protection criteria ❑ threaten interior air-quality [6u(e)] [6u(b)] Contamination is detected in supply well.but Surface water quality threatened by ❑ is below groundwater protection criteria ® groundwater contamination [6u(f)] [6u(c)] . Supply well is threatened by a groundwater Migrating vapors pose an explosion hazard ❑ contamination plume above"groundwater for structures or utility conduits[6u(h)] protection criteria[6u(g)] `1.Site identification for parcel with pollution on or emanating from the parcel, causing a significant environmental hazard:. Name of Site Former Handy& Harmon Facility Addressor Location 300 Rye Street Cit /Town South Windsor, State CT Zip Code 06074 2. Attach a copy of a topographic map with the site located thereon. MAP ATTACHED 3. Date Hazard condition(s)discovered: 08/11/16 DEEP-REM-SEH-FRM-500 1 of 12 Rev.6130115 4. If due to a recent spill, was spill notification made? YES❑ NO❑ / NOT A SPILL Date DEEP contact Remarks 5. If due to a UST system release, was DEEP notified? YES ❑ NO❑ / NOT UST RELEASE Date DEEP contact Remarlts 6. For certain copd[#o0s;on.l ee instructions Was oral notifica bdh to,DEEP made[CGS 22a-6u(b), (h), &(f)(2)(A)]? N/A®YES❑ NO❑ (D(nking water supply well above tteKiat; loslon hazard,free product breaking out to surface water) Date. DEEP coma t ;x ( f a.•`. Remarks: r.: Was verification fo TEP client made[CGS 22a-2u(b)& (h)]? N/A®YES❑ NO❑ (Drinking water supply well above criteria,explosion hazard) Date Contact Remarks: Part If Party Identification and Contact Information 1. Business/person submitting form: Is this entity/person the site's owner? YES® NO Name Alta Realty, LLC Mailing Address P.O. Box 419 City/Town Ridgefield State CT Zip Code 06877 Business Phone (203)403-3668 Ext. Fax Authorized.Rep. ' H.Scott Tenney Title Managing Member Contact Person H. Scott Tenney Title Managing Member Contact a-mail^ hstenney@tenneygroup.org 2. Owner if not listed above: Name Mailing Address City/Town State Zip Code Business Phone Ext. Fax Contact Person Title Contact a-mail^ DEEP-REM-SEH-FRM-500 2 of 12 Rev.MOM 3. Additional Part for site See instructions NOT APPLICABLE ❑ Name/Firm Accession Corporation Mailing Address 548 Boston Post Road City/Town Madison State CT Zip Code 06443 Business Phone (203) 245-2000 Ext, Fax Contact Person George Marvin-Smith Title President Contact e-mail^ gmarvinsmith@accessioncorp.com 4.Technical Environmental Professional.(TEP)who identified hazard: CHECK IF NONE ❑ Firm Apex Companies, LLC Mailing Address 58 H Connecticut Avenue City/Town South Windsor State CT Zip Code 06074 Business Phone (860)282-1700 Ext. Fax Contact Person Kate Engler Title Senior Environmental Scientist Contact a-mail^ kengler@apexcos.com 5. Environmental consultant for mitigation or abatement, if not above TEP: Firm Mailing Address City/Town State Zip Code Business Phone Ext. Fax Contact Person Title Contact e-mail^ 6._Supplemental Information. if the person submitting this form is not the site owner,describe that person's relationship to the site and its owner.'If an entity who is not the site owner will be acting on behalf of the owner to mitt ate or abate the hazard condition provide details of this agreement and idenf which arty will be acting, Accession Corporation is a representative for Alta Realty, LLC with respect to the property. DEEP-REM-SEH-FRM-500 3 of 12 Rev.6130116 Part III -Hazard Information The law(CGS 22a-6uo)]requires the significant environmental hazard notification include a description of the nature of the contamination or condition, the location of such contamination or condition, and any steps being taken to abate; remediate or monitor such contamination or condition. 1. How was the pollutant released? M unknown ❑ landfilltwastepile ❑ septic system ❑ Tank leak: UST❑ AST❑ ❑ spill/dumping ❑ burial ❑ dry well ❑ drums ❑ agricultural activity ❑ pit ❑ lagoon ❑ discharge 2. *What is the general nature of the contamination? ❑ petroleum/oils ❑non-aqueous phase liquid(free product) ® metals ❑ sodium/salt 'gasoline ❑ volatile organic ❑. semivolatile organic r ❑ cyanide ❑ teachate El fuel-oil/diesel ❑ nonchlorinated ❑ polyaromatic ❑ acid/base ❑ asbestos ❑ nitrate/fertilizer ❑ chlorinated ❑ pesticide/herbicide [ PCB [] radiation 3. Threats to Supply Wells If neither impact[CGS 22a-6u(bb) nor(c)]or threat[CGS 22a-6u(g)j to a drinking water supply well is identified, skip to question 4. CHECK IF NONE a. SUPPLY WELL DATA: For threats to supply wells, provide detail on the following, if applicable: o contamination above groundwater protection criteria in a supply well[CGS 22a-6u(b)]: o *supply well test results that identify the hazard(submit within 7 days of discovery.) o wells polluted with non-aqueous phase liquid (free product) o contamination in a supply well below groundwater protection criteria [CGS 22a-6u(c)]: o *supply.well test results that identify the hazard o required 30-day retest results groundwater contamination in a monitoring well above groundwater protection criteria [CGS 22a-6u(g)] o supply well test results for abutters tested in initial 30-day response Identify affected and/or sampled drinking water supoly wells. CHECK IF NONE ❑ Sample Reason: Supply Well Analyses(if any) Address/Town Contact Name/Phone [List Pollutant,Concentration, and Units]. o N a � ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Ell Ell ❑ 0101 Attach additional sheets as needed. DEEP-REM-SEH-FRM-500 4 of 12 Rev.6/30115 b. MONITORING WELL DATA: *For a groundwater plume that poses a threat to drinking water wells [CGS 22a-6u(g)], list monitories analytical data for substances with concentrations at or above the Groundwater Protection Criteria of the RSRs. CHECK IF NONE ❑ Monitoring Pollutant Concentration Notes Well ID units Attach additional sheets as needed. c. For a groundwater plume[CGS 22a-6u(g)], are hydrogeologic data/maps supporting the hazard identification included? YES❑ No El d. Include Well Receptor Survey[CGS 22a-6u(g)(3)] (also include for[CGS 22a-6u-(b)]if available at time of notification): i. Attach a site map/parcel map indicating the location of the drinking water supply well(s)within 500 feet. MAP ATTACHED ❑ ii.Attach an inventory of drinking water wells within 500 feet. INVENTORY ATTACHED ❑ e. Describe any actions already taken, if any, to inform well users and ensure an alternate" supply of safe water to affected receptors. CHECK IF NONE❑ Attach additional sheets as needed. f. Attach a report [CGS 22a-6u(c)(3)and (g)(3)]that, based on any additional testing results that includes proposals, as necessary,for any further action to identify and eliminate exposure to contaminants on an ongoing basis. PLAN ATTACHED ❑ i i i i . i i Rev.6130/15 DEEP-REM-SEH-FRM-500 5 of 12 I i I 4. For surficial soil direct exposure risk[CGS 22a-6u(d)]: If none, skip to question 5. CHECK IF NONE a. *List analytical data that are the basis for determining that a hazard condition exists, Please list only the hi hest concentration for each pollutant above hazard criteria, Soil Sample Pollutant Concentration P Notes Location ID {units) Attach additional sheets as needed. b. Delineation of hazard extent: i. Attach a site map.indicating the specific location and extent[CGS 22a-6u(d)(3)]of the soil contamination that exceeds significant environmental hazard notification thresholds and applicable sampling locations. SITE MAP ATTACHED❑ ii. Attach a table or show on the map the sampling data used to determine the extent of the soil that exceed the notification criteria[CGS 22a-6u(d)(3)]. TABLE ATFACHEDEI ill, El Extent not yet fully delineated' c. Distance from release area to nearest property currently used as a residence, school, park, playground, or day care: feet d. Area that exceeds SEH notification thresholds is: i. Covered by maintained pavement N/A❑ YES ❑ No❑ ii. Fenced off from general public NIA❑ YES❑ NO❑ ill. ❑ No longer exempt from notification because the above conditions previously present are no longer met[CGS 22a-6u(d)(1)(C)],thus notification is required. e. Identify notification evaluation criterion used["DEC" means Direct Exposure Criteria]: ❑ 30x Industrial/Commercial DEC (for industrial commercial use, i.e. non-residential) 15x Industrial/Commercial DEC (for metals.ori'CBs at industrial or commercial properties that are within 300 feet of a current residential use) ❑ 15x Residential DEC (for current residential use) f. Describe interim control actions taken to prevent exposure to the contaminated soil exceeding the SEH notification threshold. CHECK IF NONE ❑ Attach additional sheets as needed. DEEP-REM-SEH-FRM-500 6 of 12 Rev.6130/15 g. Attach a report[CGS 22a-6u(d)(3)]with recommendations for further action, including a plan, with an implementation schedule, for maintenance and monitoring of interim controls (including pavement or fences) and submittal of annual reports until the significant environmental hazard is certified abated. REPORT ATTACHED ❑ h. Voluntary notification for DEEP approval of abatement report (optional). ❑ This significant environmental hazard condition is exempt from notification under the provisions of CGS 22a-6u(e)(2)(A), (B), or(C) because abatement was completed within 90 days. However, this notification is being voluntarily submitted for approval of the abatement report and certification of hazard abatement. Date of completion of abatement Abatement achieved by: ❑ removal-of-soil-above notification-threshold -- -- ---- - -- ---- --- ❑ rendering the soil inaccessible as defined in the RSRs ❑ remediation of the release in accordance with the RSRs Describe actions taken to remove hazard condition REPORT ATTACHED❑ 5. For volatilization risk[CGS 22a-6u(e)]: . If none, skip to question 6. CHECK IF NONE a *List analytical data that are the basis for determining that a hazard condition exists. Please list only the highest concentrationfor each pollutant causing a hazard condition. Monitoring Well/ Pollutant Concentration Notes Soil Vapor lD: (units) Attach additional sheets as needed. b. Site Map: i. 'Attach a site map/parcel map indicating the location of samples identifying a hazard condition exists, please include buildings within 50 feet of the hazard condition with their use identified. SITE MAP ATTACHED ❑ ii. If available, include on the maps hydrogeologic data or additional sampling that may be available to provide better delineation of the hazard condition. Attach data tables as appropriate. DATA ATTACHED❑ DEEP-REM-SEH-FRM-500 7 of 12 Rev.6/30116 Report Date Preparer(Firm) Attached? Previously DEEP Unit to Type (mo/yr) (Y/N) submitted? which sent ESA Do not list routine monitoring reports in this section. Attach additional sheets as needed. 6. 'Recurring periodic monitoring: a. Is this notification the result of data obtained through a periodic, recurring groundwater monitoring program being conducted at the site? YES ® No❑ b. If yes, please identify the reason for this monitoring and the DEEP unit to which reports are made, if any. 1. Reason: Annual Groundwater Monitoring ii. DEEP Unit:Remediation Division C. DEEP requests that a tabular summary for the location and constituent triggering a hazard notification of historic monitoring-data from the past three years is provided to better evaluate future actions that DEEP may prescribe or no action, related to this notification. DATA TABLE ATTACHED *7. Identify any other affected properties: CHECK IF NONE AFFECTED IZ Address/Town Contact Name/Phone How is ProE2rty Affected? Attach additional sheets as needed. 8. Describe the land use of the site and surrounding area, and identify any sensitive land uses within 1/4 mile of the site(i.e., schools, day care, public water supply wells, wetlands, etc.): The Site is comprised of one parcel totaling,18.859 acres. The property is zoned for industrial use by the Town of South Windsor, The Site is improved with one main building covering approximately 170,000 square feet. Monsanto Company (Monsanto)constructed what is now the northern portion of the building in September 1972.for the purpose of plastic bottle manufacturing. Prior to 1972 the property was undeveloped. Monsanto occupied the Site until 1976 and owned the vacated Site until 1984. Handy,&.Harman Refining Group, Inc. (Handy) purchased the Site from Monsanto and operated a precious metal refining/recovery operation from 1984 to 2001.The facility was then sold to Alta Realty Company, LLC and is currently used as a bottle and can recycling facility that operates under SMI Nutmeg HoldCo, LLC.The Site is bordered to the north by farmland across Rye Street, to the west byvacant land followed by commercial properties, to the south by a railroad siding followed by a mixture of residential and commercial properties, and to the east by Dry Brook.Troy Road followed by residential properties is to the east of Dry Brook.The surrounding aquifer classification is GA. The surface water classification for Dry Brook, the nearest surface water body (adjacent to the Site to the east),is"A". Dry Brook discharges to the Scantic River(class"B"), eventually discharging to the Connecticut River(class"C/B") approximately two(2) miles from the Site. No public water supply wells are currently in use within 500 feet of the Site based on discussions with the CT DEEP Aquifer Protection Program staff and the Department of Public Health (DPH). DEEP-REM-SEH-FRM-500 10 of 12 Rev.6/30115 9. Additional comments regarding the hazard conditions : The impacted monitoring well MW 14R is located in the northern edge of the site and is within the property boundary. Monitoring well MW-14R is located approximately 350 feet away from Dry Brook. At this time, it is unknown how the.pollutant was released, but this is under investigation. Attach additional sheets as needed. DEEP-REM-SEH-FRM-500 11 of 12 Rev.6130/15 P rt V ftegft j Pl na' and im plemootion Schedule for Fr+ aseg .1 Actfol2s The law[CGS 22a-fta)]requires the significant environmental Lazard notification include a description of any steps being taken to mitigate abate,remediate or monitor the contamination or condition. In addition the law provides for submittal(contemporaneously with the notification except for supply wells polluted above criteria)of a report of initial actions taken, as specified by law, and a plan of recommended actions,Completion of this form, accompanied by attachments as necessary for specific hazard conditions,car'meet this requirement CHECK IF PLAN OR REPORT ATTACHED I Provide an im lementation schedule for additional evaluation, mitigation or abatement actions: Action or Step Domptetion Gate The July 21,2016 groundwater data collected from MW 14R indicated To be completed by elevated concentrations of total selenium(Se).Future assessment October 30,2016, activities will include the collection of surface water samples from Lary Brook in proximity to monitoring well MW-14R,as well as one upstream and approximately 3 downstream locations,The surface wafter samples will be submitted for total selenium(Se)analysis. Attach additional sheets as needed. Describe le the im mentation frequent for proposed monitoringand maintenance activity.* Monitoring/Maintenance program ` Frequency Future assessment activities will include the collection of groundwater from MW- Quarterly/Annual 14R and surface water samples from Dry Brook at locations as detailed above on a quarterly basis during the remainder of 2015 and 2017 and analysis for total selenium(Se),The annual groundwater monitoring plan currently includes the analysis of total selenium (Se),as well as all CTDEBP RSR 15 metals at all monitoring wells on the property, including MW-14R,and the plan will continue to Inctude these analyses. Attach additional sheets as needed. Pod VI Sligo ature,of Motif in Part "I have personally examined and am farniliar with the information submitted in this document and all attachments, and certify that based on reasonable investigation the submitted information is true and. accurate to the best of my knowledge and belief, I certify that this form is complete and accurate as prescribed by the Commissioner without alteration of the text.'. Name Alta.Realty, L.LC,by H.Scott Title (print or type) Tenne Managing Member (if applicable) Managing Member ' Signature $�;. "�� { � hate `Signifies information required by CGS Section 22a-5u. "Sy providing this e-mail address you are agreeing to receive.,when permissible under law,official correspondence from the DEEP, at this electronic address, concerning the subject significant hazard. Please remember to check your security settings to be sure you can receive a-mails from`et.gov" addresses.please notify DEEP if your E-mail address changes. DEEP-REM-SEWFRM 50© 12 o€12 Rev.6130115