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HomeMy WebLinkAboutDSHW-2022-022923 - 0901a068810cf7c9Deq submit <dwmrcsubmit@utah.gov> RE: WRR oversight application 1 message Michael Brehm <michael.brehm@ehs.utah.edu>Wed, Aug 17, 2022 at 1:08 PM To: "DWMRCSubmit@Utah.gov" <DWMRCSubmit@utah.gov> Cc: "Brad M. Lauchnor" <blauchnor@utah.gov>, "Dean, Daniel" <Daniel.Dean@terracon.com>, Joel Sim <joel.sim@admin.utah.edu>, Allen Eugene Lybarger <allen.lybarger@ehs.utah.edu> Brad, Attached is the executed application for oversight, as requested. Thank you. Until directed otherwise, all specific requests for oversight will originate from Daniel Dean/Terracon, or myself. Best, Michael D. Brehm, P.E. Associate Director Environmental Management & Code Compliance Environmental Health and Safety The University of Utah Office 801-585-1617 www.ehs.utah.edu From: Brad M. Lauchnor <blauchnor@utah.gov> Sent: Monday, August 8, 2022 11:15 AM State of Utah Mail - RE: WRR oversight applicationDSHW-2022-022923 To: Michael Brehm <michael.brehm@ehs.utah.edu> Subject: WRR oversight application Hi Michael, I wanted to send you the application for oversight as I was not sure if you had received it. Thanks, Brad Brad Lauchnor P.E., P.G. Environmental Engineer | Corrective Action Section Division of Waste Management and Radiation Control Phone: (801) 536-0254 | Front Desk: (801)-536- 0200 wasteandradiation.utah.gov Emails to and from this email address may be considered public records and thus subject to Utah GRAMA requirements.Statements made in this email do not constitute the official position of the Director of the Division of Waste Management and Radiation Control. If you desire a statement of the Division Director’s position, please submit a written request to the Director, including copies of documents relevant to your request." DWMRDC Oversight Appln_081722.pdf 402K State of Utah Mail - RE: WRR oversight application UTAH DIVISION OF WASTE MANAGEMENT AND RADIATION CONTROL ENVIRONMENTAL CLEANUP PROGRAM Application for Project Oversight Complete this application to apply for and request technical assistance and review from the Utah Division of Waste Management and Radiation Control (DWMRC). Please note that the applicant is responsible for pay ment of the Division's staff costs of review and oversight throughout the investigation, cleanup, risk assessment or other applica ble site-specific scopes of work as outlined in Utah Admin. Code R315-101. Oversight fees charged to applicants are in accordance with the legislative-approved fee schedule which may change annually. Please call (801) 536-0200 should you have any questions about the Environmenta l Cleanup Program or need assistance w ith completing this application for oversight of your project. Current Property Owner or Authorized Applicant: d. Owner/Applicant u,J1v61<,s-1-r·t <J: u--rA,-. Correspondence with D:,,VMRC should be directed~:. AS~ C,.i 4-rt:f I) i;1.£cp·,,.(J Contact Person //41, I c.1,,/ 4,-6.. <-D . r5 /{1-if ;C--1 Title rt O r I o/ \ Organization l.1,N I \/. '-f': Lit:AH: Phone (8oi} 5" 85't~ 1 :z email: f"1(CJAA G'--, 6~/£/-1,v\ e..£H f. UrA-tf Address I Z ~ .S~ 14'~ r /J., -< ~-t-A_ .$ f3 o ...{~VA Ap . 6j I.,( City S:4 t..,,r l.k~ ct T 1 State U.t:At+ Zip Co de R''f / I '3 General Site Information: . · ,. Property/Site name :5 TA ·tloA) Ce: 1J-r:t:/J. Address S-S-u -I-'5",o w . '(OC> .s,, City s")f L-r i.A-K.e C{ '[7 State t.A.,rAff Zip Code _______ _ Current Property Value (as assessed for property taxes) $ _____ Property size (acres) _____ _ Property Land Use(s): ~ Current Use -/,/ t; H·1 A)O(A · ca:::. • Proposed Use -<o v'-1 ~c l4-L -51 f) ~ n~ -7)('1"1./>. ~ Environmental Site Investigation Report/Results (please attach with application unless previously submitted) -~ ~v4.J,r' Applicant's Objectives (Site Cleanup Levels): Primary environmental contaminants of concern: --5·6t ,("><I $17A..}t::j' c.A>e r L--1£.. Current i mpacts at the site from the contamination include:. ________________ _ _ Not known at this time (Applicant wishes to receive guidance from DWMRC staff) _ Cleanup to Generic Screening and/or Risk-Based Levels with a Site Management Pl an (which may include periodic environmental monitoring, site controls, environmental covenant on the property title, etc.) S--;'-(c,C: Cleanup to Site Specific Ri sk -Ba se d Leve ls ( with or without environmental controls) V' Other(pleaseexplain): IJ.rf'J,(-a'.A~l-C.S--t~~c.-owt.Jc /.-/lt;j{~.S-C-'fJ£>-r u5-tf:_ Billing Information: The DWMRC billing for agency oversight for future envi ronmental-related site work should be directed to: Name(s) 5,A~A-s A$-,. ✓e Cc,,~~sfo,..:ii~;._;__d-=------------ Organization, ___________ Phone ( ) ______ email: _________ _ Address. _________________________________ _ City ________________ State. ________ Zip Code. _______ _ Authorization to Proceed with DWMRC regulatory oversight: I authorized representative) --~ (print or type) Date: Title: 'DI~. T c::(-!>~OA/:5> Company v{,Jt v, <r <.e"CA/Jc 4.4f l lf>r: A/JM.,J, Phone {C/C I) ':) 8 7 -8 7 SQ Please return this completed application for project oversight to the DWMRC at: dwmr csubmit@utah .gov