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HomeMy WebLinkAboutDERR-2024-005023LUST Correspondence Sign-Off Sheet ERRL# Author Subject File Name on Google Drive Enclosures Select Attached Select Specify Special Instructions PM verified site status module in database is current Draft Approval Process Project Manager Section Manager Final Approval Process Section Secretary Author Branch Secretary Administrative Secretary Section Secretary Certified Mail Select Select Enclosures Included ccs Mailed Select Mailed By NC NC Nicole Chavez NPQ-06 WP&B Approval NPQ-06 5000005 WP&B Approval Yes Yes NPQ-06 Budget Spreadsheet 02/21/2024 4 P 02/2ч/2024 SS 0ш1-24 0т/04/2024 NC NC 0т/06/2024 SS 0т/06/2024 0т/12/2024 SS Attach Signed Letter No Yes Yes 0т/14/2024 earl@underwoodenvironmental.com Un derwood Environ menta l Welli ngton Si ngl e Stop W ell Abandon ment Work Plan NPQ -06 , Fa ci lity ID #5000005 Task 1 -Work Plan and Budget Development LA BOR Hours 1itle Co de Descri olion Sr Managem ent and Review, Cl ien t 0.5 Sen ior Ena lGeol 101 Commun ications Fil e Review/Well Con struction , Determ in e 2.5 Projed Engl Ge ol 103 Quan tities 2 Proied Ena/Geol 103 W ork Plan Prep 1 Projed Engl Geol 103 Probab le Cost s 2 Clerical 109 Office Ma nage ment SUBCONTRACTO RS It em Qu an l itv Un it None Antici pat ed OTHER DIRECT COSTS It em Oua nlilv Un it Mile age 120 Mll e Task 2 -Well Abandonment LA BOR Hours 1ille Code Descrio lion 1 Sen ior Enal Geol 101 Sr. Over sia ht and Management Schedul ing and Co or dinatio n, Project 1 Proje d E ng/Ge ol 102 Management Pre-Fi eld , Procure Ma teria ls, Post-Field : 3 Fi eld Eng/Geol 104 75 miles 5 Field En glGeol 104 Travel 252 miles rou nd trip Access Wells , Vaul t Box Break Ou t, De- 8 Field Engl Geol 104 Water, Well Abandonment, Cl eanup 1 Clerica l 123 Office Ma nagemen t SUB CONTR ACTORS Item IOuan tilv Unit No ne Anticipated OT HE R DIRECT COS TS Item Qu antity Un it Benlon ile Chips 3 b ag Benton ite Tab lets o bucket Con crete 1 ba a Asphalt Patch 1 baa Ba il ers 1 each Traffic Safety Cones 1 Days Mileag e 327 Mile Task 3 -Reporting , Claim Prep LA BOR Hours 1ille Code Descri ot ion 1 Sen ior EnglG eol 10 1 Senior Overs ight, Revie w Claim 2 Proled En al Geol 102 Lett er/Re port Preparation 2 Clerical/Office Manaaer 123 Clerical 2 PST Specialist 12 1 Reimbu r se ment -PST Claim SUBCO NTRACTORS Item I ouantitv Unit No ne An ticip ated OT HER DI RECT COS TS Item Quan titv Un it No ne An ticipated GRAND TOTAL Page 1 of 1 Rate To ta l $ 152.00 $ 76.00 $ 118.00 $ 295 .00 $ 118.00 $ 236 .00 $ 11 8.00 $ 118.00 $ 62 .00 s 124 .00 Su bto tal $ 849.00 Rate Total s Su btotal $ Ra te Total 0.670 $ 80 .40 Subtotal $ 80.40 Task Total $ -Not to exceed $725.00 Rate To tal $ 152.00 $ 152.00 s 147.00 $ 147.00 $ 101 .00 s 303.00 $ 101 .00 $ 505.00 s 10 1.00 $ 808 .00 $ 62 .00 $ 62.00 Subtot al $ 1,9 77.00 Rate Total l> Subtota l $ Rate Total $ 12 .50 $ 37 .50 $ 11 5.00 $ $ 10.50 $ 10 .50 $ 26 .00 $ 26 .00 $ 9.00 $ 9.00 $ 15.00 s 15 .00 s 0 .670 s 21 9.09 Subtotal $ 317.09 Task Total $ 2 ,294.09 I Ra te Tot al $ 152.00 s 152.00 $ 147.00 $ 294 .00 $ 62 .00 $ 124 .00 $ 78 .00 $ 156 .00 Su bto tal $ 72 6.00 Rate Total Subtotal $ Rate Total Subtotal $ Task Total $ 726.00 I I $ 3,949 .49 $3,687.09 103 118.00 236.00 109 108 $668.00 $668.00 195 North 1950 West • Salt Lake City, UT Mailing Address: P.O. Box 144840 • Salt Lake City, UT 84114-4840 Telephone (801) 536-4100 • Fax (801) 359-8853 • T.D.D. (801) 536-4284 www.deq.utah.gov Printed on 100% recycled paper State of Utah SPENCER J. COX Governor DEIDRE HENDERSON Lieutenant Governor Department of Environmental Quality Kimberly D. Shelley Executive Director DIVISION OF ENVIRONMENTAL RESPONSE AND REMEDIATION Brent H. Everett Director ERRL-0091-24 March 14, 2024 Charles Philips 1054 South 450 West Price, Utah 84501 Re: Approval for Work Plan and Budget No. NPQ-06 Petroleum Storage Tank Fund Wellington Single Stop Shell, located at 690 East Main Street, Wellington, Utah Facility Identification No. 5000005, Release Site NPQ Dear Mr. Philips: The Division of Environmental Response and Remediation (DERR) received the Work Plan and Budget (WP&B) and Work Plan Approval Application and Agreement on February 21, 2024. The WP&B dated February 8, 2024 was prepared by Underwood Environmental Consulting, Inc. (UEC). This WP&B is for the proper abandonment of the four remaining groundwater monitoring wells at the above-referenced site. The DERR approves the WP&B up to $3,687.09. A copy of UEC’s budget spreadsheet is attached. Please submit a short letter report documenting groundwater monitoring well abandonment to the DERR by May 20, 2024. Requests for Petroleum Storage Tank (PST) reimbursement must be submitted in accordance with Utah PST Rule R311-207-4 and R311-207-5. Please reference WP&B No. NPQ-06 on your request for Reimbursement. Payment for work conducted under this WP&B will be for actual time and materials expended up to, but not exceeding, the amount of the approved line item budget. Payment shall be limited to documented costs that are customary, reasonable, legitimate, and directly related to the work tasks performed. Requests for payment must be received by the DERR within one year of the date that the work was performed or reimbursement shall be denied in accordance with Utah PST Rule R311-207-3. Facility ID# 5000005 Page 2 If you have any questions concerning this matter, please contact Nicole Chavez, the DERR project manager, at (801) 536-4100. Sincerely, Brent H. Everett, Director Division of Environmental Response and Remediation BHE/NMC/ss Enclosure: Budget Spreadsheet cc: Brady Bradford, Health Officer, Southeastern Utah District Health Department Russell Seeley, District Engineer, Utah Department of Environmental Quality Earl Underwood, Underwood Environmental Consulting, Inc.