Active Remediation of Contaminated Land NOTIFICATION FORM (eg. ‘Tank Pull’) Rule 34 Water and Land Plan The active remediation of contaminated land where: 1 The only hazardous substances present in soil at the site are motor vehicle or heating fuels or lubricants (e.g mineral oils, petrol, diesel, kerosene and their constituents and breakdown products) and the total volume of contaminated soil at the site is less than 400 cubic metres. OR 2 The remediation activity constitutes immediate action to address a spill of hazardous substances at a site where no previous contamination with hazardous substances existed, is a permitted activity subject to the following conditions: (a) (b) (c) (d) (e) (e2) (f) 1 In the case of (1) above, the remediation activity shall occur over a period not greater than two (2) consecutive months. In the case of (2) above, the remediation activity at the site shall cease (whether or not it has been completed) no later than two (2) months after the occurrence of the event that caused the contamination, unless a resource consent to continue the remediation has been granted during that period. Notification shall be given to Bay of Plenty Regional Council, no less than one week prior to the remediation commencing or, in the case of (2) above, as soon as reasonably practical. The occupiers of adjacent properties and any other persons who may be affected by the remediation activity or the contaminants shall be notified not less than one week prior to the remediation commencing or, in the case of (2) above, as soon as reasonably practical. All practical measures shall be taken to avoid discharges of hazardous substances to water during and following completion of the remediation activity, and to remedy or mitigate such discharges if they do occur. Any excavated contaminated soil is disposed of to an appropriately authorised facility or site, and evidence of this provided to Bay of Plenty Regional Council. Within three months of completion of the remediation, a site validation report shall be prepared in accordance with ‘Guidelines for Reporting on Contaminated Sites”, Ministry for the Environment, June 20011, and a copy provided to Bay of Plenty Regional Council. Ministry for the Environment, June 2001. Guidelines for reporting on Contaminated Sites. Wellington, New Zealand. Notification of ‘Tank Pull’ 1) Site Address: ………………………………………………………………………………. 2) Legal Description: …………………………………………………………………………. 3) Site Owner: ………………………………………………………………………………. 4) Site Leasee: (if different from site owner)……………………………………………….. 5) Previous and current landuses: ................................................................................. ………………………………………………………………………………………………….. 6) Consultant/ Contractor undertaking work: …………………………………….............. ………………………………………………………………………………………………….. 7) What activity is being undertaken on site? (Please circle) 1) Tank removal 2) Remediation to address a spill of hazardous substances (please describe)…………………………..................................... 3) Other ……………………………………………………………………………… 8) If a tank pull is being undertaken, will the site be retanked? (please state the number of tanks replaced, volume and product)………………………………………….. …………………………………………………………………………………........................ 9) Date of commencement of activity: ……………………………………………………... 10) Duration of work: ………………………………………………………………………… Prior to work commencing on site please fax this notification form to Bay of Plenty Regional Council Attention: Project Implementation Officers. For any enquires about this notification form please phone Bay of Plenty Regional Council. Fax: 0800 884 882 Phone: 0800 884 880 The information gained from this notification form will assist Bay of Plenty Regional Council in the delivery of its RMA Section 30(1)(ca) function which is “the investigation of land for the purposes of identifying and monitoring contaminated land”. This information will be entered onto Bay of Plenty Regional Council selected land use site register as a verified site history. For further information on the register and its purpose please refer to Contaminated Land Management Guideline 4, Classification and Information Management Protocols, Ministry for the Environment 2006 Name:…………………………………………………………. Position: ………………………………………………............ Signature: …………………………………………………… Date: …………………………………………………… 2