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HomeMy WebLinkAboutWell Correspondence 1708 Ellington Road Connecticut Department of 4? ENERGY & hUTy 30?p,3 ENVIRONMENTAL P R O E C T O N May 28 20133CT /FAS�7i' 79 Elm Street •Hartford,CT 06106-5127 www.ct.gov/deep Affirmative Action/Equal Opportunity Employer NOTICE OF SIGNIFICANT ENVIRONMENTAL HAZARD REPORT The Honorable Thomas A. Delnicki 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 (DEEP) to provide you with notice of a significant environmental hazard reported in your jurisdiction. Under the statute, DEEP is also notifying the state representative and state senator representing the area in which the pollution has been identified. DEEP must, in addition, provide notification to Federal and State Occupational Safety and Health Administration (OSHA) offices that have jurisdiction, and is required to post on the Department's Internet website a listing of all notices received under this law. Additional information about the reporting of significant environmental hazards to DEEP is available in a DEEP fact sheet that can be found in the Remediation section of the DEEP internet site at http://www.et.gov/dep/remediation. Enclosed please find a copy of a Significant Environmental Hazard Report for 1708 Ellington Road in South Windsor. The significant environmental hazard reported is that pollution detected in groundwater above standards may threaten a drinking water well. Also enclosed is a copy of the DEEP's acknowledgement letter in response to this hazard notification. Threatened drinking water supply wells have been sampled multiple times and contain no contaminants of concern, In the acknowledgement letter DEEP directed the property owner to contiue to monitor onsite groundwater condition and submitt annual reports. If you have any questions, or for further information regarding the Department's response or actions under this program,please contact Rob Robinson of DEEP at(860)424-3775. Sincerel , Patrick F.Bowe Director Remediation Division Bureau of Water Protection and Land Reuse Enclosures PFB:kan cc: Mr.Matthew B.Galligan,Town Manager,Town of South Windsor,1540 Sullivan Avenue,South Windsor,CT. 06074 .Dr.Gerald L,Schwartz,Director of Health,Town of South Windsor,1540 Sullivan Avenue,South Windsor,CT 06074 I Connecticut Department of ENERGY & MENVIRONMENTAL PROTECTION May 28, 2013 79 Elm Street• Hartford,CT 06106-5127 www.ct.gov/deep Affirmative Action/Equal Opportunity Employer ACKNOWLEDGEMENT Mr. Gary Spelucim 10 Grace Lane Portland, CT 06480 RE: Notification of Significant Environmental Hazard Speluci Property 1708 Ellington Road, South Windsor Dear Mr. Spelucim: This is to acknowledge receipt, on May 13, 2013 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 you, located at 1708 Ellington Road in South Windsor. The notification identified the following significant environmental hazard(s): Groundwater polluted with Benzene at a concentration of 510 ug/L, exceeding the adopted groundwater protection criteria, is or may be located within 500 feet upgradient of a supply well. Thank you for notifying the Department of Energy and Environmental Protection(DEEP) of this condition, which you believe is due to an underground storage tank leak. It is DEEP's understanding that in the intervening period downgradient drinking water wells were sampled and were determined to be non-detect for the contaminant of concern. DEEP requests, under CGS Section 22a-6u (k)(1), that you continue to monitor onsite groundwater concentration for the contaminants of concern and submitt annual reports to the attention of the staff member below.. If groundwater conditions change, please collect additional samples for the downgradient drinking water supply wells. Pursuant to CGS Section 22a-6u(i), the owner of the water supply well tested, the local Health Director, and the identified DEEP staff member must be notified in writing within 24 hours of receipt of any analytical results indicating that a water supply well sample exceeds action levels or maximum contaminant levels. In addition, DEEP requests that such notifications also inform well owners of their statutory obligations under Section 22a-6u(i). Furthermore, if potable drinking water wells become impacted with the contaminant of concern, actions need to be taken to provide an immediate alternative supply of potable water and recommendations for continued provision of potable water. Except for environmental hazards identified under CGS 22a-6u Section (b)(1) or (h)(1), further notifications resulting from investigations conducted as a result of this acknowledgement are not necessary, provided that DEEP is promptly advised of sample results as requested above. Should you wish to voluntarily remediate this site, several programs are available under Sections 22a- 133x and 22a-133y of the Connecticut General Statutes. Page 1 of 2 For your information, pursuant to the requirements of CGS Section 22a-6u (m), the DEEP must forward a copy of your written notification to the chief elected official of the municipality in which the site is located,the state senator and state representative for the site's location, and state and federal Occupational Safety and Health officials. DEEP also sends a copy to the Local Health Director. In addition, DEEP sends a copy of this acknowledgement letter to these individuals. The DEEP must also add this site.to the"List of Significant Environmental Hazards Reported to the DEEP"that is maintained on the DEEP 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. If you have any questions regarding your obligations specified in this letter, please contact Kevin Neary of the DEEP at 860-424-3947. Sincerely, U Patrick F.Bowe Director Remediation Division Bureau of Water Protection and Land Reuse PFB:kan CERTIFIED MAIL RRR cc: Mr.Joseph Santovasi,Advanced Environmental Interface,Inc.(AEI),8 Old Indian Trail,Middletown,CT 06455 Kevin Neary,DEEP Kenneth Feathers,DEEP As noted above,under the provisions of CGS Section 22a-6u(m)copies are also provided to the following: Dr.Gerald L.Schwartz,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 The Honorable Thomas A.Delnicki,Mayor,Town of South Windsor,1540 Sullivan Avenue,South Windsor,CT 06074 The Honorable William Aman,State Representative,Legislative Office Building,Room 2105,Hartford,CT 06106-1591 The Honorable Gary D.LeBeau,State Senator,State Capitol,Room C-417,Hartford,CT 06106-1591 Connecticut Department of Labor,Division of Occupational Safety&Health,38 Wolcott Hill Rd,Wethersfield,CT 06109 Mr.Bill Freeman,Area Director,OSHA, 450 Main Street,Room 613,Hartford,CT 06103 HazNotMrg_Ackn.dot Page 2 of 2 Connecticut Department of Significant Energy & Environmental Protection Environmental Bureau of Water Protection & Land Reuse Hazard Remediation Division Notification Notification under CGS 22a-6u Please print or type to complete this form in accordance with WATZRPROTECTION AND LAND REUSE the instructions(DEEP-REM-SEH-INS-500). PEME'DIATION"DIVISION Send completed report to: SIGNIFICANT ENVIRONMENTAL HAZARD PROGRAM MAY I .� 21013 REMEDIATION DIVISION BUREAU OF WATER PROTECTION AND LAND R SITE NAMEEUSE 1 + DEPARTMENT OF ENERGY AND ENVIRONMENTAL ADDRESS PROTECTION TOWN- 79 ELM STREET r-ILE TYPE HARTFORD,CT 06106-5127 DEEP USE ONLY Check box if addendum pages used: ® RernGIS 706 RernlD I I y2; SEH# V4 Hazard Condition(s) Identified: [CGS Section 22a-6u subsection] Conditions Threatening Public or Private/Residential ❑ Explosion threat [6u-(h)] Drinking Water Supply Wells: ❑ Volatile Organic Chemicals in groundwater ❑ Contamination is detected in supply well and is threaten interior air quality [6u-(e)] above groundwater protection criteria ' [6u-(b)] ❑ Surface water quality threatened by ❑ Contamination is detected in supply well but is groundwater contamination [6u-(f)] below groundwater protection criteria [6u-(c)] ❑ Surface soil contamination poses potential ® Groundwater above groundwater protection direct exposure risk [6u-(d)] criteria threatens supply well within 500 ft[6u-(g)] Part I - Site Information 1. Site identification for parcel with pollution, on or emanating from the parcel, causing a .significant environmental hazard: Name of Site Spelucin Property Address or Location 1708 Ellington Road City/Town South Windsor State CT Zip Code 06074 2. Attach a copy of a topographic map with the site located thereon. Map Attached 3. Business/person submitting form: is this entity/person the site's owner? YES ® No❑ Name Gary C. Spelucin Mailing Address 10 Grace Lane City/Town Portland State CT Zip Code 06480 Business Phone 860-342-1581 Ext. Fax Authorized Rep. Same Title Contact Person Same Title DEEP-REM-SEH-FRM-500 1 of 6 Rev. 1/17112 I Part I - Site Information (continued) 3. & 4. Supplemental Information. if the person submitting this form is not the site owner, describe that erson's relationship to the site and its ownerand enterthe site owner information in#4 see instructions). 4. Owner or Additional Party for site see instructions): Name Gary C. Spelucin Mailing Address 10 Grace Lane City/Town Portland State CT Zip Code 06480 Business Phone 860-342-1581 Ext. Fax [Contact Person Same Title 5. Operator/Tenant at site, if different from owner: Name/Firm Same Mailing Address City/Town State Zip Code Business Phone Ext. Fax Contact Person Title 6. Technical Environmental Professional (TEP)who identified hazard: CHECK IF NONE ❑ Firm Advanced Environmental Interface, Inc. (AEI) Mailing Address 8 Old Indian Trail City/Town Middlefield State CT Zip Code 06455 Business Phone 860-349-3559 Ext. Fax 860-349-2286 Contact Person Joseph Santovasi Title Principal 7. Environmental consultant for abatement, if not above TER Firm Mailing Address City/Town State Zip Code Business Phone Ext. Fax Contact Person Title DEEP-REM-SEH-ERM-500 2 of 6 Rev. 1/17112 Part Il - Hazard Summary 1, How was the pollutant released? ❑ unknown ❑ landfill/wastepiie ❑ septic system ® UST leak ❑ spill/dumping ❑ burial ❑ dry well ❑ drums ❑ agricultural activity ❑ pit ❑ lagoon ❑ discharge 2. What is the general nature of the contamination? ® petroleum/oils Organic Chemicals ❑ metals ❑ sodium/salt ® gasoline ® volatile ❑ semivolatile ❑ cyanide ❑ leachate ® fuel oil/diesel ® nonchlorinated ❑ poiyaromatic ❑ acid/base ❑ asbestos ❑ nitrate/fertilizer ❑ chlorinated ❑ pesticide/herbicide ❑ PCB ❑ radiation 3. For environmental sampling (soil or monitoring wells), list the analytical data that are the basis for determining that a hazard condition exists. (See section 7 for supply well data.) CHECK IF NO ENVIRONMENTAL SAMPLES COLLECTED ❑ Media Sample pollutant Concentration Notes (Soil/GW) Location ID GW MW-6 Benzene 510 ppb See attached table&site maps Note:List only the highest concentration for each medium/pollutant causing the hazard condition(s). Attach additional sheets as needed. 4. Attach a site sketch map indicating the specific location of Site Map the contamination or condition and applicable sampling locations. Attached 5. Was an inventory of drinking water supply wells within 500 feet conducted? YES® NO❑ 6. If so, is this inventory report, including a parcel map of properties within 500 feet that may be served by wells, included? NIA ❑ YES® NO❑ 7. Identify affected orthreatened drinking water supply wells: N/A❑ UNKNOWN❑ For hazard conditions based on supply well samples, list analytical data establishing that the condition exists. No. of Supply Well analyses (if any) Address/Town Contact Name/Phone people Pollutant/Concentration 1676 Ellington Rd., South Karen Osborne 502.2 results non-detect Windsor 860-291-3712 1700 Ellington Rd., South Bob Urso 502.2 results non-detect Windsor 860-268-2452 1700 Ellington Rd,, South Bob Urso 524.2 results non-detect Windsor 860-268-2452 *See attached lab reports Note:Refer to Significant Environmental Hazard Report Instructions. Attach additional sheets as needed. 8. Are hydrogeologic data/maps supporting the hazard identification included?YES ® No❑ DEEP-REM-SEH-FRM-500 3 of 6 Rev.1/17/12 Part II Hazard Summary (continued) 9. Identify any other affected properties: CHECK IF NONE AFFECTED❑ Address/Town Contact Name/Phone How is Property Affected? NA Attach additional sheets as needed. 10. Describe the land use of the site and surrounding area, and identify any sensitive land uses within 1/4 mile of the site: Mix of commercial, retail, and residential uses. Wetlands north and west of the site. Day care facility on abutting site (1720 Ellington Rd.)to the east and northeast(upgradient). 11. If due to a recent spill, was spill notification made? NOT A SPILL❑ YES ® NO ❑ Date 2002 DEEP contact M. Williamson Remarks 12. If due to a UST system release, was DEEP notified? NOT A UST RELEASE❑ YES ® No❑ Date 2002 DEEP contact M. Williamson Remarks 13. For drinking water supply above criteria and explosion threat hazard conditions only: Was oral notification to DEEP made? YES❑ No ❑ Date DEEP contact Remarks: Was verification to TEP client made? N/A®YES ❑ NO ❑ Date Contact Remarks: 14. Additional comments regarding the hazard condition(s): On-site contamination is the result of historic UST system releases that occured prior to G.Spelucin purchase of property in 1984. Circa 1948-1984 property was a gasoline service station and auto repair garage. Mr. Spelucin converted the property to commercial/office use upon his purchase in 1984. Residual contamination on the site is limited.in extent due to the presence of tight soils(silts and clays),which minimize the potential for migration. Attach additional sheets as needed. `1 DEEP-REM-SEH-FRM-500 4 of 6 Rev. 1/17/12 1`, Part III - Past DEP Involvement(OPTIONAL) 1. Voluntary Remediation/ECAF/Pro ert Transfer filings: CHECK IF NONE Form Date CertifyingNerifying/Filing Party DEEP Determination 2. DEEP staff involved with assessment or remediation of the site: CHECK IF NONE ❑ Time Period DEEP Section Name 2002 Oil and Chemical M. Williamson Spills 3. Reports to DEEP Emer enc Response and Spill Prevention Division: CHECK IF!NONE ❑ Date UST Release Material Released Quantity or other spill? 2002 UST Petroleum (historic) Unknown 4. Describe other relevant DEEP permitting or enforcement involvement: CHECK IF NONE EPA ID#: CT DEEP-WPC#: I DEEP Inventory#: RCRA Notifier Status: RCRA Permit Status: Remarks: 5. What environmental reports exist for the site and are available to DEEP? CHECK IF NONE ❑ Report Date Attached? Previously DEEP Unit to Type (mo/yr) Preparer(Firm) (Y/N) submitted? which sent Phase I 4/92 CEES N Y UST Fund Phase 2 4/92 CEES N Y UST Fund Phase 3 Phase 2 6/02 ESI N Y UST Fund UST Fund 3/03 AEI (w/Phase 2+) N Y UST Fund Attach additional sheets as needed. DEEP-REM-SEH-FRM-500 5 of 6 Rev.1117/12 Part IV -Actions to Abate Hazard CHECK IF PLAN OR REPORT ATTACHED ❑ Describe actions already taken to abate the hazard condition: CHECK IF NONE ❑ Gasoline USTs were removed prior to 1984 by the previous property owner. Heating oil UST and certain related impacted soils were removed in 2002 by G.Spelucin. Private potable well at 1700 Ellington Rd.was sampled in June 2002 and April 2013, and found to have no detectable concentrations of VOCs via Method 524.2 and Method 502.2, respectively. Private potable well at 1676 Ellington Rd.was sampled in April 2013,and found to have no detectable concentrations of VOCs via Method 502.2. Attach additional sheets as needed. Describe actions to be taken to abate the hazard condition: CHECK IF NONE Attach additional sheets as needed. Part V— Sianature of Notifying Party "l have personally examined and am familiar 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 tint Gary C. Spelucin Title (p or type) (if applicable) Signature � c Dated Signifies Information required by CGS Section 22a-6u. s i i + DEEP-REM-SEH-FRM-500 6 of 6 Rev. 1/17/12 I ^, W¢ Town of South Windsor, CT Property Listing Report GIS PIN 30301708 Account 30301708 Property Information Property Location 1708 ELLINGTON ROAD Sewer Service YES Owner SPELUCIN GARY C Census Tract 4874 Co-Owner Neighborhood 0 Mailing Address 10 GRACE LANE Zoning Code RC PORTLAND CT 06480 Acreage 0.64 Land Use 201 Commercial Book/Page 6661274 Land Class C Lot Setting/Desc Water Service MDC 860.278.7850 Trash Day MONDAY Photo Sketch Primary Construction Details Year Built 1946 Bedrooms 0 Exterior Walls Wood on Sheath Stories 2.00 Full Bathrooms 10 Interior Walls Drywall Building Style Office Half Bathrooms Heating Type Hot Water Building Use Comm/Ind Bath Style n1a Heating Fuel Gas Building Condition C Kitchen Style n1a AC Type Floors Carpet Roof Style Flat Gross Bldg Area 4320 Total Rooms Roof Cover Rolled Total Living Area 4320 Report Created On 5/3 012 01 3 Town of South Windsor, CT Property Listing Report GIs PIN 30301708 Account 30301708 Valuation Summary (Assessed value=70%of Appraised Value) Outbuilding and Extra Items Item Appraised Assessed Type Description Buildings Paving 6200.00 S.F. Outbuildings Improvements Extras Land Total ro Sub Areas Subarea Type Gross Area(sq ft) Living Area(sq ft) Total Area 4320 4320 Sales History Owner of Record Book!Page Sale Date Sale Price SPELUCIN GARY C 6661274 91211992 0 Report Created On 513012013 Connecticut Department of ENERGY & ENVIRONMENTAL PROTECTION May 28, 2013 79 Elm Street• Hartford,CT 06106-5127 www.ct.gov/deep Affirmative Action/Equal. ppor KrUNVE NOTICE OF SIGNIFICANT ENVIRONMENTAL HAZARD REPORT MAY 3 0 2013 TOWN MANAGE{i'S OFFICE The Honorable Thomas A.Delnicki j I TOWN OF SOUTH WINDSOR 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 (DEEP) to provide you with notice of a significant environmental hazard reported in your jurisdiction. Under the statute, DEEP is also notifying the state representative and state senator representing the area in which the pollution has been identified. DEEP must, in addition, provide notification to Federal and State Occupational Safety and Health Administration (OSHA) offices that have jurisdiction, and is required to post on the Department's Internet website a listing of all notices received under this law. Additional information about the reporting of significant environmental hazards to DEEP is available in a DEEP fact sheet that can be found in the Remediation section of the DEEP internet site at littp://www.ct.gov/dep/remediation. Enclosed please find a copy of a Significant Environmental Hazard Report for 1708 Ellington Road in South Windsor, The significant environmental hazard reported is that pollution detected in groundwater above standards may threaten a drinking water well. Also enclosed is a copy of the DEEP's acknowledgement letter in response to this hazard notification. Threatened drinking water supply wells have been sampled multiple times and contain no contaminants of concern. In the acknowledgement letter DEEP directed the property owner to contiue to monitor onsite groundwater condition and submitt annual reports. If you have any questions, or for further information regarding the Department's response or actions under this program,please contact Rob Robinson of DEEP at(860)424-3775. Sincerely, Patrick F. Bowe Director Remediation Division Bureau of Water Protection and Land Reuse Enclosures PFB:kan cc: Mr.Matthew B.Galligan,Town Manager,Town of South Windsor,1540 Sullivan Avenue,South Windsor,CT 06074 Dr.Gerald L.Schwartz,Director of Health,Town of South Windsor,1540 Sullivan Avenue,South Windsor,CT 06074 f Connecticut Department of 4ENERGY & m1h. ENVIRONMENTAL PROTECTION May 28, 2013 79 Elm Street• Hartford,CT 06106-5127 www.ct.gov/deep Affirmative Action/Equal Opportunity Employer ACKNOWLEDGEMENT Mr. Gary Spelucim 10 Grace Lane Portland, CT 06480 RE: Notification of Significant Environmental Hazard Spelucin Property 1708 Ellington Road, South Windsor Dear Mr. Spelucim: This is to acknowledge receipt, on May 13, 2013 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 you, located at 1708 Ellington Road in South Windsor. The notification identified the following significant environmental hazard(s): Groundwater polluted with Benzene at a concentration of 510 ug/L, exceeding the adopted groundwater protection criteria, is or may be located within 500 feet upgradient of a supply well. Thank you for notifying the Department of Energy and Environmental Protection (DEEP)of this condition, which you believe is due to an underground storage tank leak. It is DEEP's understanding that in the intervening period downgradient drinking water wells were sampled and were determined to be non-detect for the contaminant of concern. DEEP requests, under CGS Section 22a-6u (k)(1), that you continue to monitor onsite groundwater concentration for the contaminants of concern and submitt annual reports to the attention of the staff member below. If groundwater conditions change, please collect additional samples for the downgradient drinking water supply wells. Pursuant to CGS Section 22a-6u(i), the owner of the water supply well tested, the local Health Director, and the identified DEEP staff member must be notified in writing within 24 hours of receipt of any analytical results indicating that a water supply well sample exceeds action levels or maximum contaminant levels. In addition, DEEP requests that such notifications also inform well owners of their statutory obligations under Section 22a-6u(i). Furthermore, if potable drinking water wells become impacted with the contaminant of concern, actions need to be taken to provide an immediate alternative supply of potable water and recommendations for continued provision of potable water. Except for environmental hazards identified under CGS 22a-6u Section (b)(1) or (h)(1), further notifications resulting from investigations conducted as a result of this acknowledgement are not necessary,provided that DEEP is promptly advised of sample results as requested above. Should you wish to voluntarily remediate this site, several programs are available under Sections 22a- 133x and 22a-133y of the Connecticut General Statutes. Page 1 of 2 For your information, pursuant to the requirements of CGS Section 22a-6u (m), the DEEP must forward a copy of your written notification to the chief elected official of the municipality in which the site is located,the state senator and state representative for the site's location, and state and federal Occupational Safety and Health officials. DEEP also sends a copy to the Local Health Director. In addition, DEEP sends a copy of this acknowledgement letter to these individuals. The DEEP must also add this site to the"List of Significant Environmental Hazards Reported to the DEEP"that is maintained on the DEEP 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. If you have any questions regarding your obligations specified in this letter, please contact Kevin Neary of the DEEP at 860-424-3947. Sincerely,, !� Patrick F.Bowe Director Remediation Division Bureau of Water Protection and Land Reuse PFB:kan CERTIFIED MAIL RRR cc: Mr.Joseph Santovasi,Advanced Environmental Interface,Inc.(AEI),8 Old Indian Trail,Middletown,CT 06455 Kevin Neary,DEEP Kenneth Feathers,DEEP As noted above,under the provisions of CGS Section 22a-6u(m)copies are also provided to the following: Dr.Gerald L.Schwartz,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 The Honorable Thomas A.Delnicki,Mayor,Town of South Windsor, 1340 Sullivan Avenue,South Windsor,CT 06074 The Honorable William Aman,State Representative,Legislative Office Building,Room 2105,Hartford,CT 06106-1591 The Honorable Gary D.LeBeau,State Senator,State Capitol,Room C-417,Hartford,CT 06106-1591 Connecticut Department of Labor,Division of Occupational Safety&Health,38 Wolcott Hill Rd,Wethersfield,CT 06I09 Mr.Bill Freeman,Area Director,OSHA, 450 Main Street,Room 613,Hartford,CT 06103 HazNotMrg_Ackn.dot Page 2 of 2 Connecticut Department of Significant Energy & Environmental. Protection Environmental Bureau of Water Protection & Land Reuse Hazard Remediation Division , Notifcati±on Notification under CGS 22a-6u Please print or type to complete this form in accordance with WATER PROTECTION AND LAND REUSE the instructions(DEEP-REM-SEH-INS-500). REMBDlAmoN,DIVISION Send completed report to:SIGNIFICANT ENVIRONMENTAL HAZARD PROGRAM MAY q i �a REMEDIATION DIVISION SITEAIv 114 BUREAU OF WATER PROTECTION AND LAND REUSE ! DEPARTMENT OF ENERGY AND ENVIRONMENTAL ADDRESS i 7 11 s n° i I' PROTECTION TOWN _ 79 ELM STREET FILE TYPE HARTFORD,CT 06106-5127 DEEP USE ONLY Check box if addendum pages used: ® jRernGlS 1065 RemID i I q2S' SEH# Hazard Condition(s) Identified: [CGS Section 22a-6u subsection] ❑ Conditions Threatening Public or PrivatelResidential Explosion threat [6u-(h)J Drinking Water Supply Wells: ❑ Volatile Organic Chemicals in groundwater ❑ Contamination is detected in supply well and is threaten interior air quality [6u-(e)] above groundwater protection criteria [6u-(b)] ❑ Surface water quality threatened by ❑ Contamination is detected in supply well but is groundwater contamination [6u-(f)] below groundwater protection criteria [6u-(c)] ❑ Surface soil contamination poses potential ® Groundwater above groundwater protection direct exposure risk [6u-(d)] criteria threatens supply well within 500 ft[6u-(g)] Part I - Site Information 1. Site identification for parcel with pollution, on or emanating from the parcel, causing a significant environmental hazard: Name of Site Spelucin Property Address or Location 1708 Ellington Road City/Town South Windsor State CT Zip Code 06074 2. Attach a copy of a topographic map with the site located thereon. Map Attached 3. Business/person submitting form: Is this entitylperson the site's owner? YES ® NO❑ Name Gary C. Spelucin Mailing Address 10 Grace Lane City/Town Portland State CT Zip Code 06480 Business Phone 860-342-1581 Ext. Fax Authorized Rep. Same Title Contact Person Same Title DEEP-REM-SEH-FRM-500 1 of 6 Rev. 1/17/12 Part I - Site Information (continued) 3. &4. Supplemental Information. If the person submitting this form is not the site owner, describe that erson's relationship to the site and its owner and enter the site owner information in#4 see instructions). 4. Owner or Additional Party for site see instructions): Name Gary C. Spelucin Mailing Address 10 Grace Lane City/Town Portland State CT Zip Code 06480 Business Phone 860-342-1581 Ext. Fax Contact Person Same Title 5. O eratorlTenant at site, if different from owner: Name/Firm Same Mailing Address City/Town State Zip Code Business Phone Ext. Fax Contact Person Title 6. Technical Environmental Professional (TEP) who identified hazard: CHECK IF NONE ❑ Firm Advanced Environmental Interface, Inc. (AEI) Mailing Address 8 Old Indian Trail City/Town Middlefield State CT Zip Code 06455 Business Phone 860-349-3559 Ext. Fax 860-349-2286 Contact Person Joseph Santovasi Title Principal 7. Environmental consultant for abatement, if not above TER Firm Mailing Address City/Town State Zip Code Business Phone Ext. Fax Contact Person Title DEEP-REM-SEH-FRM-500 2 of 6 Rev.Ill7/12 Part 11 - Hazard Summary 1. How was the pollutant released? ❑ unknown ❑ landfill/wastepile ❑ septic system ® UST leak ❑ spill/dumping ❑ burial ❑ dry well ❑ drums ❑ agricultural activity ❑ pit ❑ lagoon ❑ discharge 2. What is the general nature of the contamination? ® petroleum/oils Organic Chemicals ❑ metals ❑ sodium/salt ® gasoline ® volatile ❑ semivolatile ❑ cyanide ❑ leachate ® fuel oil/diesel ® nonchlorinated ❑ polyaromatic ❑ acid/base ❑ asbestos ❑ nitrate/fertilizer ❑ chlorinated ❑ pesticide/herbicide ❑ PCB ❑ radiation 3. For environmental sampling (soil or monitoring wells), list the analytical data that are the basis for determining that a hazard bondition exists. (See section 7 for supply well data.) CHECK IF NO ENVIRONMENTAL SAMPLES COLLECTED❑ Media Sample pollutant Concentration Notes (Soil/GW) Location ID GW MW-6 Benzene 510 ppb See attached table &site maps Note:List only the highest concentration for each medium/pollutant causing the hazard condition(s). Attach additional sheets as needed. 4. Attach a site sketch map indicating the specific location of Site Map the contamination or condition and applicable sampling locations. Attached 5. Was an inventory of drinking water supply wells within 500 feet conducted? YES® NO❑ 6. If so, is this inventory report, including a parcel map of properties within 500 feet that may be served by wells, included? N/A ❑ YES ® NO❑ 7. Identify affected or threatened drinking water supply wells: N/A❑ UNKNOWN❑ For hazard conditions based on supply well samples, list analytical data establishing that the condition exists. No. of Supply Well analyses (if any) Address/Town Contact Name/Phone people *Pollutant/Concentration 1676 Ellington Rd., South Karen Osborne 502.2 results non-detect Windsor 860-291-3712 1700 Ellington Rd., South Bob Urso Windsor 860-268-2452 502.2 results non-detect 1700 Ellington Rd., South Bob Urso 524.2 results non-detect Windsor 860-268-2452 *See attached lab reports Note:Refer to Significant Environmental Hazard Report Instructions. Attach additional sheets as needed. 8. Are hydrogeologic data/maps supporting the hazard identification included?YES® NO❑ DEEP-REM-SEH-FRM-500 3 of 6 Rev.1/17/12 Part 11 Hazard Summary (continued) 9. Identify any other affected properties: CHECK IF NONE AFFECTED❑ Address/Town Contact Name/Phone How is Property Affected? NA Attach additional sheets as needed. 10. Describe the land use of the site and surrounding area, and identify any sensitive land uses within 1/4 mile of the site: Mix of commercial, retail, and residential uses. Wetlands north and west of the site. Day care facility on abutting site(1720 Ellington Rd.)to the east and northeast(upgradient). 11. If due to a recent spill, was spill notification made? NOT SPILL❑ YES® NO❑ Date 2002 DEEP contact M.Williamson Remarks 12. if due to a UST system release, was DEEP notified? NOT UST RELEASE❑ YES ® NO❑ Date 2002 DEEP contact M. Williamson Remarks 13. For drinking water supply above criteria and explosion threat hazard conditions only: Was oral notification to DEEP made? YES ❑ NO ❑ Date I IDEEP contact Remarks: Was verification to TEP client made? NIA®YES❑ No ❑ Date Contact Remarks: 14. Additional comments regarding the hazard condition(s): On-site contamination is the result of historic UST system releases that occured prior to G. Spelucin purchase of property in 1984. Circa 1948-1984 property was a gasoline service station and auto repair garage. Mr. Spelucin converted the property to commercial/office use upon his purchase in 1984. Residual contamination on the site is limited in extent due to the presence of tight soils(silts and clays),which minimize the potential for migration. Attach additional sheets as needed. DEEP-REM-SEH-FRM-540 4 of 6 Rev.1/17/12 Part I][ - Past DEP Involvement (OPTIONAL) 1. Voluntary Remediation/ECAF/Pro ert Transfer filings: CHECK IF NONE Form Date CertifyingNerifying/Filing Party DEEP Determination 2. DEEP staff involved with assessment or remediation of the site: CHECK IF NONE ❑ Time Period DEEP Section Name 2002 Oil and Chemical M. Williamson Spills 3. Reports to DEEP Emer ency Response and Spill Prevention Division: CHECK IF NONE ❑ Date UST Release Material Released Quantity or other spill? 2002 UST Petroleum (historic) Unknown 4. Describe other relevant DEEP permitting or enforcement involvement: CHECK IF NONE EPA ID#: CT DEEP-WPC#: DEEP Inventory#: RCRA Notifier Status: RCRA Permit Status: Remarks: 5. What environmental reports exist for the site and are available to DEEP? CHECK IF NONE ❑ Report Date Preparer(Firm) Attached? Previously DEEP Unit to Type (mo/yr) (YIN) submitted? which sent Phase I 4/92 CEES N Y UST Fund Phase 2 4/92 CEES N Y UST Fund Phase 3 Phase 2 6/02 ESI N Y UST Fund LUST Fund 3/03 AEI (w/Phase 2+) N Y UST Fund Attach additional sheets as needed. DEEP-REM-SEH-FRM-500 5 of 6 Rev. 1/17/12 Part IV -Actions to Abate Hazard CHECK IF PLAN OR REPORT ATTACHED ❑ Describe actions already taken to abate the hazard condition: CHECK IF NONE ❑ Gasoline USTs were removed prior to 1984 by the previous property owner. Heating oil UST and certain related impacted soils were removed in 2002 by G.Spelucin. Private potable well at 1700 Ellington Rd.was sampled in June 2002 and April 2013,and found to have no detectable concentrations of VOCs via Method 524.2 and Method 502.2,respectively. Private potable well at 1676 Ellington Rd.was sampled in April 2013,and found to have no detectable concentrations of VOCs via Method 502.2. Attach additional sheets as needed. Describe actions to be taken to abate the hazard condition: CHECK IF NONE Attach additional sheets as needed. Part V— Signature of Notifying Party "I have personally examined and am familiar 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 r t Gary C. Spelucin Title (p type) (if applicable) Signature � � r Date Signifies information required by CGS Section 22a-6u. DEEP-REM-SEH-FRM-500 6 of 6 Rev.1117/12