APTIM 5725 NW 159th Street Miami Lakes, Florida 33014 www.APTIM.com
April 30, 2019
Florida Department of Environmental Protection Industrial Wastewater Permitting, Southeast District 3301 Gun Club Road, MSC 7210-1 West Palm Beach, Florida 33406
Subject: NPDES Generic Permit – Best Management Practices and Monitoring Plan Dewatering for Underground Storage Tank, Canopy Footer, and Sanitary Sewer and Exfiltration Trench Installation Activities Wawa Store No. 5362 2505 West Woolbright Road Boynton Beach, Palm Beach County, Florida 33426
To Whom It May Concern:
Aptim Environmental and Infrastructure, LLC. (APTIM), on behalf of Wawa Florida, LLC. (Wawa), is submitting this Best Management Practices (BMPs) Plan to the Florida Department of Environmental Protection (FDEP) for the above referenced facility in order to meet the requirements for coverage under the Generic Permit For Discharge Of Ground Water From Dewatering Operations, DEP Document 62- 621.300(2)(a), effective February 2015 (Generic Permit). APTIM has authorization to request permits on behalf of Wawa. The Limited Authorization Letter is included as Attachment A. The requested permit should be issued to: Mr. Mark Hamilton Real Estate Manager 7022 TPC Drive, Suite 200 Orlando, Florida 32822 [email protected]
Background The Subject Property is identified as Parcel ID Numbers 08-43-45-32-00-000-3080 and 08-43-45-32-00- 000-3050 on the Palm Beach County Property Appraiser website. The facility lies within Section 32 of Township 45 South and Range 43 East, at latitude 26º 30’ 49.20” N and longitude 80º 05’ 22.90” W. An Aerial Site Location Map is included as Figure 1.
Wawa is planning to develop the site, owned by BW Woolbright Congress, LLC., in July 2019. Depending on the water table elevation at the time of site development, it is anticipated dewatering will be needed during the installation of the underground storage tanks (USTs), fuel dispenser sumps, product piping, canopy footers, and sanitary sewer and exfiltration trench installations, as shown on Figure 1. A National Florida Department of Environmental Protection April 30, 2019 Page 2
Pollutant Discharge Elimination System (NPDES) Permit is required for the discharge of groundwater from the dewatering operation(s) during the development of the site. Dewatering is expected to occur within 90 days of receipt of all required permits and will last for up to approximately 10 consecutive days for the installation of the USTs, up to approximately 20 consecutive days for the installation of the fuel dispenser sumps, product piping, and canopy footers, and up to approximately 10 consecutive days for the sanitary sewer and exfiltration trench installations. The total days of dewatering are not anticipated to exceed 40 non-consecutive days. The dewatering operation will be online for 24 hours per day, per dewatering event. The groundwater will be discharged to the Palm Beach County storm drain located on West Woolbright Road, as shown on Figure 1. An alternate discharge location would be the Palm Beach County storm drain located on South Congress Avenue (Figure 1).
Contaminated Sites within 500 Feet or Induced Influence Area The subject property has no documented discharges; however, there are two facilities with open discharges located within 500 ft of the subject site. The site location with a 500 ft radius is shown on Figure 2 and information for the sites is summarized in the following table:
FDEP Distance from Contaminant Contaminated Site Facility ID Dewatering Location to Type No. Contaminated Plume Marathon Woolbright #613 1610 South Congress Avenue, 50/9502819 Petroleum 230 ft Palm Beach County 7-Eleven Store No. 34790 2605 SW 15th Avenue, 50/8520561 Petroleum 355 ft Palm Beach County
• Marathon Woolbright #613 (FDEP Facility No. 50/9502819) is located at 1610 South Congress Avenue, Boynton Beach, Florida. The facility has one open discharge. The Discharge Reporting Form (DRF), dated December 21, 1998, was filed based on contaminated groundwater discovered via monitoring well sampling. The Discharge was eligible for funding by the Florida Department of Environmental Protection (FDEP) Petroleum Restoration Program and received a site score of 30. The 1998 DRF and the most recent groundwater analytical data are included in Attachment B. • 7-Eleven Store No. 34790 (FDEP Facility No. 50/8520561) is located at 2605 SW 15th Avenue, Boynton Beach, Florida. The facility has five closed discharges and two open discharges. A DRF was filed December 15, 1988, following the detection of petroleum contaminants in monitoring wells. The 1988 discharge was granted No Further Action (NFA) approval on August 12, 1991. An October 30, 1995, DRF was filed following the discovery of petroleum contaminants in compliance wells. The discharge was granted NFA status on July 1, 1996. A DRF was filed on January 25, 1996 due to the detection of petroleum contaminants in monitoring wells. This discharge was eligible for funding by the Florida Petroleum Liability and Restoration Insurance Program (FPLRIP). On April 1, 1997, a DRF was filed following the discovery of used oil in a Florida Department of Environmental Protection April 30, 2019 Page 3
compliance monitoring well. The discharge was eligible for funding by FPLRIP. On November 5, 2001, a DRF was filed following a gasoline spill. The discharge was granted NFA status on August 14, 2002. A DRF was filed on August 20, 2003 following another gasoline spill. The discharge was granted an SRCO on October 8, 2007. On April 21, 2007, a DRF was filed following the detection of petroleum contaminants via soil sampling. The discharge was granted an SRCO on July 15, 2010. The 1988, 1995, 1996, 1997, 2001, 2003, and 2007 Discharge Reporting Forms and applicable discharge closure documents are included in Attachment B. The most recent groundwater analytical data was included in a Remedial Action Interim Report written by Groundwater & Environmental Services, Inc. (GES), in September 2018. The report concluded that petroleum contamination across the site was below the respective Groundwater Cleanup Target Levels (GCTLs) in all monitoring wells for two consecutive quarters. Therefore, GES recommended that a Site Rehabilitation Completion Order (SRCO) be issued for the open 1996 discharge. The groundwater analytical data from the 2018 Remedial Action Interim Report is included in Attachment B.
As calculated on Table 1a, 1b, and 1c using Sichardt’s equation, Marathon Woolbright #613 is located within the equivalent radius of influence (ROI) for short-term dewatering for UST installation activities (513.7 ft), the product piping, dispenser sump, and canopy footer installation activities (188.9 ft), and the sanitary sewer and exfiltration trench installation activities (151.6 ft). Therefore, APTIM performed groundwater monitoring using Analytic Aquifer Simulator (AnAqSim) to evaluate the effect of dewatering for the UST, product piping, dispenser sump, canopy footer, and sanitary sewer and exfiltration trench installations on the Marathon Woolbright #613 site. The most recent groundwater analytical data for 7- Eleven Store No. 34790 concluded that the petroleum contamination across the site was below the respective GCTLs, therefore, 7-Eleven Store No. 34790 was not considered in the groundwater model.
Groundwater Modeling Software Information APTIM selected AnAqSim groundwater modeling program as this program is well respected in the industry and from regulatory agencies. AnAqSim was created by Fitts Geosolutions, LLC as an analytic element software designed to simulate groundwater flow under various conditions, including in steady state or in a transient condition. The software can be used in a two-dimensional model that can also stack domains to create a three-dimensional model. It is meant to be a robust yet simplistic model that allows evaluation for injection or extraction functions in an unconfined or confined aquifer. APTIM believes this model is a good fit to evaluate the impact of short term dewatering on adjacent sites without performing a rigorous modeling effort using more complex finite element methods software. Documentation on AnAqSim is attached in Attachment C and additional information can be located on the website: http://www.fittsgeosolutions.com/.
Groundwater Modeling Results The base map for groundwater modeling of this site used the ACAD drawing developed for site construction by the respective engineer/architect, which was converted to a .dxf version for modeling purposes. Specific aquifer characteristics used in the AnAqSim model were taken from assessment/remedial reports developed for the subject site and nearby sites since a complete Florida Department of Environmental Protection April 30, 2019 Page 4
assessment has not been performed at the subject site. The model was executed to simulate current static conditions with the estimated gradient, flow direction, and the groundwater elevation set to an arbitrary vertical datum. The model was then executed using a set constant elevation head in the proposed UST area to simulate tank installation dewatering for a period of 10 days for the tank pit, 20 days for the product piping, dispenser sumps, and canopy footers, and 10 days for the sanitary sewer and exfiltration trench installations.
Based on the model results, the Marathon Woolbright #613 site is within the area of groundwater depression created by dewatering at the subject site. APTIM inserted particle tracking at Marathon Woolbright #613 in the contaminant source area to evaluate induced contaminant migration. Results from the AnAqSim modeling predicted no significant contaminant migration at the Marathon Woolbright #613 site for a 10 day estimated potential dewatering period for the UST area, a 20 day period for the product piping, dispenser sumps, and canopy footers, and a 10 day period for the sanitary sewer and exfiltration trench installations. Based on the modeling results, dewatering will not entrain contamination from the nearby impacted sites or significantly exacerbate contaminate migration. Therefore, APTIM requests that this facility be excluded from dewatering effluent treatment. Results of the AnAqSim modeling are presented in Attachment C.
Dewatering Setup The UST contractor will install well points as a means of dewatering in order to depress the water table and provide a safe and “dry” environment for the construction activities. The well points are typically installed on three sides of the excavation to allow access for excavation equipment. The well points are typically constructed of 15 feet of solid two inch diameter polyvinyl chloride (PVC) riser threaded to three feet of slotted PVC screen. For the fuel dispenser sumps, product piping, and sanitary sewer and exfiltration excavations, the well points will be reused and installed to a depth to draw down the water table to approximately eight feet below land surface. A header pipe will connect the well points to an eight inch vacuum pump (or equivalent) that will then discharge into the storm drain via a lay-flat hose. A dewatering flow rate of 1194 gallons per minute (gpm) is anticipated for the UST installation (Table 1a), 984 gpm for the installation of the dispenser sumps, piping, and canopy footers (Table 1b), and 420 gpm for the sanitary sewer and exfiltration trench installations (Table 1c). If a significant rain event is encountered at the site during construction, then the dewatering activities will cease and will continue once the storm has passed.
Best Management Practices and Monitoring Plan The use of a well point system typically reduces the effluent turbidity to less than 29 Nephelometric Turbidity Units (NTUs). Prior to discharge into the storm drain, additional turbidity control measures will be utilized if the well point system alone does not keep turbidity below 29 NTUs. In that circumstance, due to limited available space during construction activities, APTIM would utilize a sediment tank and, if necessary, a non-cationic flocculant to remain in compliance with the Generic Permit. The manufacturer information sheet for the flocculant will be kept onsite along with the permit, if utilized to reduce turbidity. Florida Department of Environmental Protection April 30, 2019 Page 5
For each day of dewatering, APTIM or the tank contractor will collect twice daily turbidity readings, at least four hours apart, to confirm turbidity is kept below 29 NTUs. The samples will be collected at the discharge location. A log of daily turbidity measurements will be kept onsite for the duration of dewatering activities along with daily measurements of the flow rate in gallons per day.
APTIM, on behalf of Wawa, requests that this facility be issued a NPDES permit. All dewatering activities will be conducted under Sections 403.087 and 403.0885, Florida Statues and Chapter 62-4, 62-620, 621 and 62-660, as established in the Florida Administrative Code. If you have any questions regarding this BMPs Plan or the permit application, please contact me at (813) 612-3607 or [email protected] or Nathan Miller at (813) 612-3642 or [email protected].
Sincerely,
Meghan Harbaugh Scientist II
Attachments: Table Figures Attachment A - Limited Authorization Letter Attachment B – Historical Reports Attachment C - AnAqSim Information and Model Results
PROFESSIONAL CERTIFICATION
PROFESSIONAL ENGINEER LICENSED IN THE STATE OF FLORIDA
BEST MANAGEMENT PRACTICES AND MONITORING PLAN DEWATERING FOR UNDERGROUND STORAGE TANK, CANOPY FOOTER, AND SANITARY SEWER AND EXFILTRATION TRENCH INSTALLATION ACTIVITIES
For
Wawa Store No. 5362 2505 West Woolbright Road Boynton Beach, Palm Beach County, Florida
In accordance with the provisions of Florida Statutes, Chapter 471, this Best Management Practices and Monitoring Plan for Wawa Store No. 5362 located in Boynton Beach, Palm Beach County, Florida has been prepared under the direct supervision of a Professional Engineer registered in the State of Florida. I have completed and/or been in responsible charge of work completed by a qualified engineer/scientist working directly under my supervision. This work was performed in accordance with generally accepted professional engineering practices pursuant to Chapter 471 of the Florida Statutes, and other applicable rules and regulations of the state of Florida. The data, findings, recommendations, specifications or professional opinions were prepared solely for the use of the Florida Department of Environmental Protection.
Aptim Environmental & Infrastructure, Inc., (Certificate of Authorization Number 9317) is authorized under the provisions of Section 471.023, Florida Statutes, to offer engineering services to the public through a Professional Engineer, duly licensed under Chapter 471, Florida Statutes.
This document has been electronically signed and sealed by Adam J. Blackford, P.E., on April 30, 2019 using a SHA-1 authentication code.
Printed copies of this document are not considered signed and sealed and the SHA-1 authentication code must be verified on any electronic copies. TABLES TABLE 1a - Proposed Dewatering for UST Installation
Facility Name: Wawa Store No. 5362 Facility Address: 2050 West Woolbright Road, Boynton Beach, Florida FDEP ID: N/A
b in feet drop in ft H=total head of aquifer 205 14 H= 62.5 m h=total head of dewatered aquifer 191 h= 58.2 m K in ft/day K=hydraulic conductivity 38.016 Ro = Radius of Influence K= 0.0001 m/s Re = Equivalent Radius of Influence Ro in feet Ro + Re in Feet Ro=3000(H-h)sqrtK L in ft W in ft 486.4 513.7 Ro= 148.3 m 87 27 a b Re=radius of influence (equivalent) 26.5 8.2 Re= 8.3 m
# well points q= 0.001507768 m^3 / sec 50
q= 23.9 gpm per well point
Total Pump Rate 1194 (gpm) 1,719,579 (gpd) Total Pump Amounts 10 days = 17,195,790 20 days = 34,391,580
NOTE: Please see enclosed the Broward County Environmental Protection Department Exhibit III: Calculation Methods for Radius of Influence and Dewatering Flow Rate from Aquifer Test Data TABLE 1b - Proposed Dewatering for Product Piping, Dispenser Sumps, and Canopy Footer Installations
Facility Name: Wawa Store No. 5362 Facility Address: 2505 West Woolbright Road, Boynton Beach, Florida 33426 FDEP ID: N/A
b in feet drop in ft H=total head of aquifer 205 4 H= 62.5 m h=total head of dewatered aquifer 201 h= 61.3 m K in ft/day K=hydraulic conductivity 38.016 Ro = Radius of Influence K= 0.0001 m/s Re = Equivalent Radius of Influence Ro in feet Ro + Re in Feet Ro=3000(H-h)sqrtK L in ft W in ft 139.0 188.9 Ro= 42.4 m 90 87 a b Re=radius of influence (equivalent) 27.4 26.5 Re= 15.2 m
# well points q= 0.001241851 m^3 / sec 50
q= 19.7 gpm per well point
Total Pump Rate 984 (gpm) 1,416,306 (gpd) Total Pump Amounts 10 days = 14,163,059 20 days = 28,326,119
NOTE: Please see enclosed the Broward County Environmental Protection Department Exhibit III: Calculation Methods for Radius of Influence and Dewatering Flow Rate from Aquifer Test Data TABLE 1c - Proposed Dewatering for Sanitary Sewer and Exfiltration Trench Installations
Facility Name: Wawa Store No. 5362 Facility Address: 2505 West Woolbright Road, Boynton Beach, Florida 33426 FDEP ID: N/A
b in feet drop in ft H=total head of aquifer 205 4 H= 62.5 m h=total head of dewatered aquifer 201 h= 61.3 m K in ft/day K=hydraulic conductivity 38.016 Ro = Radius of Influence K= 0.0001 m/s Re = Equivalent Radius of Influence Ro in feet Ro + Re in Feet Ro=3000(H-h)sqrtK L in ft W in ft 139.0 151.6 Ro= 42.4 m 100 5 a b Re=radius of influence (equivalent) 30.5 1.5 Re= 3.8 m
# well points q= 0.000529881 m^3 / sec 50
q= 8.4 gpm per well point
Total Pump Rate 420 (gpm) 604,318 (gpd) Total Pump Amounts 10 days = 6,043,182 20 days = 12,086,363
NOTE: Please see enclosed the Broward County Environmental Protection Department Exhibit III: Calculation Methods for Radius of Influence and Dewatering Flow Rate from Aquifer Test Data Environmental Protection and Growth Management Department POLLUTION PREVENTION, REMEDIATION AND AIR QUALITY DIVISION One North University Drive, Suite 203, Plantation, Florida 33324 954-519-1260 • FAX 954-765-4804 EXHIBIT III
CALCULATION METHODS FOR RADIUS OF INFLUENCE AND DEWATERING FLOW RATE FROM AQUIFER TEST DATA
Radius of Influence
The most accurate method of estimating Radius of Influence (Ro) is to perform an aquifer test at the same flow rate at which dewatering will occur; however, an aquifer test conducted at such a high flow rate may itself cause a contaminant plume to migrate. Therefore, the dewatering flow rate required to achieve the necessary drawdown and the associated value of Ro must be estimated from an empirical relationship developed by Sichardt (Powers, 1992). Using values of hydraulic conductivity calculated directly from a site-specific aquifer test or from the EAR aquifer test database (see SOP Section II.C.1.), the Ro for an unconfined aquifer can be readily calculated using the following equation:
RHhKo =−3000()
where Ro and (H - h) are in meters and K is in meters per second (m/s). Note that in calculating hydraulic conductivity (K) from aquifer test data, the Division utilizes the base of the Biscayne Aquifer as depicted in Figure A-11 of SFWMD’s A Three Dimensional Finite Difference Groundwater Flow Model of the Surficial Aquifer System, Broward County, Florida (1992), as the saturated thickness (H). When Ro from Sichardt’s equation is added to the effective radius of the wellpoint configuration, and if the resulting value is less than the distance of the dewatering perimeter to the edge of the nearest contaminant plume, then it is reasonable to assume that the proposed dewatering will not cause the contaminant plume to migrate. If the resulting value is greater than the distance to the nearest contaminant plume, then further information is required for approval. The Dewatering Plan may be modified to include further hydraulic control, and analysis may be performed using a three-dimensional computer model.
Dewatering Flow Rate
A direct calculation of flow rate may be derived from the following equation: ⋅ qn hH 22 =− − rR )ln(ln π ⋅ k eo where n = the number of wellpoints, q = flow rate per wellpoint in m3/sec, re = effective radius of dewatering in m, H = the total head of the water table aquifer in m, h = the total head of the dewatered aquifer in m, Ro = radius of influence in m, calculated via Sichardt’s equation, and k = hydraulic conductivity, in m/s
This equation is particularly useful to determine not only the total flow rate from all points (the value nq) but also the flow rate from each point (q). To correctly calculate Ro, equations generally assume that water is withdrawn from a circular area. Most dewatering activities, however, are from rectangular areas. Therefore, an equivalent radius of influence (re) must be calculated to make rectangular projects applicable:
Broward County Board of County Commissioners Sue Gunzburger • Kristin D. Jacobs • Albert C. Jones • Ken Keechl • Ilene Lieberman • Stacy Ritter • John E. Rodstrom, Jr. • Diana Wasserman-Rubin • Lois Wexler www.broward.org Broward County Dewatering SOP Exhibit III Page 2 of 2
b
ab re re = a π
Example:
Dewatering is required at a site in Broward County where Figure A-11 of SFWMD’s report indicates a total saturated aquifer thickness of 150ft (45.7m). The closest contaminant plume is identified at 1000ft (304.8m) away. It is proposed to depress the water table 15ft (4.6m) to excavate an area 100 feet (30.5m) long by 50 feet (15.2m) wide. The groundwater table is to be lowered to the base of the excavation using a pattern of wells along the rectangular perimeter. A total of 26 wells, each connected to the pumping system, are to be used. The hydraulic conductivity of the aquifer is 100ft/day (3.528 x 10-4m/s).
From Sichardt’s equation, the resulting radius of influence would be: h = 45.7m – 4.6m = 41.1m
Rmmxms=−3000() 457... 411 3528 10 −4 /
Rmfto ==259 850
To calculate the effective radius of the dewatering wellpoint configuration:
()()305..mm 15 2 r = e π rmft==121. 40 e . When added to Ro, the total radius of influence is 890ft from the center of the dewatered area. Because the radius of influence is less than 1000ft (the distance to the nearest contaminant plume), the dewatering plan may be submitted to the Division for approval. And using
22nq Hh−=()lnRroe − ln , πk nq ()()45..7mm22−=411 ()()ln ()259mm−ln( 12.1 π()3./528xms 10−4
m3 ft 3 gal nq ==0144.,, 439 313 = 2 282 s d min
For n = 26 (i.e., 26 wells), the pump rate per well must be: ft 3 439, 313 ft 3 gal q ===d 16,. 397 87 8 26 d min
Broward County Board of County Commissioners Sue Gunzburger • Kristin D. Jacobs • Albert C. Jones • Ken Keechl • Ilene Lieberman • Stacy Ritter • John E. Rodstrom, Jr. • Diana Wasserman-Rubin • Lois Wexler www.broward.org FIGURES ADA-COMPLIANT RAMP BUILT MAX. 1:12 SLOPE
APTIM ENVIRONMENTAL & INFRASTRUCTURE, INC. 5725 NW 159th STREET MIAMI LAKES, FLORIDA 33014 (305) 818-1888 office (305) 231-7403 fax
SITE LOCATION MAP
1 APTIM ENVIRONMENTAL & INFRASTRUCTURE, INC. 5725 NW 159th STREET MIAMI LAKES, FLORIDA 33014 (305) 818-1888 office (305) 231-7403 fax
SITE VICINITY MAP
2 ATTACHMENT A
Limited Authorization Letter
ATTACHMENT B
Historical Reports
12/21/98 16:47 FAX 561 &8707 HANDEX/HF? *-- PBC DERM 2~003/003
INCORPORATED Received From: Date Reported : Dec18 1998
Handex -Delray Beach Project Number : Amnoco#60990 2170 W. Atlantic Ave. PO Number :117755-75 Delray Beach, FL 33444 FDHRSDW Number : 83139 NYSDOH N~umuber :11595 FDER COZ4QAPNum, 86-0008G LDHH Number :94-23 NCDEHNR Number :296 SCDHEC Number 96019 For: 602 Date Sampled:Decll. 1998 Date Received:Decl4 1998 Lab Numbers: 11645-11649 REPORT OF ANALYSIS 11645 11646 11647 11648 11649 Parameter Unit M!ethod %ACC %PRC EQBLK TWP1 TWP2 TWP3 TWP4 Detection Limit 1.00 DilutionFactor - - - 1.00 1.00 1.00 1.00
o-dichlorobenzene ug/L 0.500 101. 6.44 <0.500 <0.500 <0.500 <0.500 <0.500
m-dichlorobenzene ug/L 0.500 104. 6.15 <0.500 <0.500 <0.500 <0.500 <0.500
Para-dichlorobenzene ug/L 0.500 109. 5.91 <0.500 <0.500 <0.500 <0.500 <0.500 Benzene ug/L 0.200 106. 1.15 <0.200 <0.200 <0.200 22 chlorobenzene ug/L 0.500 112. 2.33 <0.500 e-0-S00 <0.500 <0-500 <0.500 Ethylbenzene ug/L 0.500 100. 5.51 <0.500 <0.500 <0.500 36.9 <0.500
Toluene ugfL 0.500 104. 2.11 <0.500 <0.500 <0.500 81.2 <0.500 Xylene ug/L 0.500 95.8 3.46 <0.500 <0.500 <0.500 225. <0.500
Methyl-tert-butyleth ugiL 0.500 93.5 2.10 <0.500 7.46 <0.500 <0.500 7.50 Total_.BTEX ugfL 0.500 99.5 3.16 <0.500 <0.500 <0.500 346. 3.10
PID~_Spike ugIL 0.500 91.6 .100 88.1 89.1 89.2 93.2 89.2
Data Release Authorization Sample inteqrity cert~jfj, QriQr tQ analysia.Defi.ci.encies are in OA Rpnnrt~ Spr~ a ➔➔➔ 14]002/002 HANDEX/HFP PBC DERM 12/21/98 -·-17:38 FAX 56
1KETCH O Copy to Project file �---====--='c::::>oc=-� DATE \\ ( S{ ,i Page _ of _\ _ _ \ . ���-��ml /y;' \lo\O &u� G,�tr1:ss. Are¥..� Client\ Fa.cili_,ty�__o _· c_c:i_C._b_q_ct_O__ _ � X-STREETS______.,.._
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Scale: 0 :: 2 feet PhO!IXOPYenl:!rgcnient: 10 1"=10' X 139%; 10 1"=20' X 69% •• Department of Environmental Regulation tJ@li\Il~l\tTh) Discharge Notification Form • DEC ?.'1 l9B8 litlll• ol e.,,1.,.,mentat Rt.1, Form 17-1.218(3) ., ~tllll 1,.1\fA llllAtli ,..____,,1. i#' .',\'J,•• ..... ,.t.f ·~•. Use this form to no•ify the I.Jepartmcnt of Environmental Regulation of: 1. Results. of tank tening which reveal e discharge within 3 working days of te:.ting. 2. Discharge, °'ceeding 100 gallons on pervious surface, 11 de,cribed in Section 17·61.05(41(bl within 3 working days of discovery. 3. Positive response of• detection device, monitoring well ten of 11mple or laboratory report within 3 working days of discovery. Mail to the DER District Office in your district. PLEASE PRINT OR TYPE Put "X" where answer is unknown.
1. facility Nurnt..er: X :2'. Tank Number: _....;.X'------3. Date: _____,1'-'2'"'--1=5_-,,,B,,,B'--_ 4. Facility Name: __M_o_b_j _)_O_j _)_S_G_._r_V_l_· C_G_S_l_a_l_l_·o_n_#~0_2_-_A_J_,_5 ______Facility Operator:------Fac,lityAddrm: 2605 S.W. 15 AVG., Boynton Beach, FL Telephone Number: l 3 o5 l 776- 82 OO County: __f_'a_l_m_R_c_a_c_h ___ _ MailingAc1dress: 6363 N,W, 61b Way, Sui1C 390 Fort Lauderdale, rr. 33309 6. Due of ten or discoverv:-----~1=2--~~~~------monlh/day/year 6. Method of initial di,covery. (circle Ont' _pJ!1y) A. Automatic detector in ground, monitoring . D. Emptying 1nd inspection. well, or containment. E. tnventory control. fl. NF PA 3i9 1e11 (underground tanks only!. f. Odor or visible signs at facility or in vicinity. () Manual tes.t of monitoring we11(5). G. Other: ------<••Plainl 7. fstimeted number ot 9allon1 lost: _____U_N_K_N_O_W_N ______
8. What part of the storage system h leaking? (circle all that apply) A. Dispemer B. Pipe C. Fitting D. T1mk @-_;lnknown 9. If a tank is leaking, circle the choices which ducribe the type. A. Aboveground D. Underground H. Sacrificial anode tvPC' 8. Factory welded l. Bare or asphalt-coated steel I. lmpreued current type C. F ielo erected f. Fiberglm-clad ,teel J. Double walled G. Fiberglass (!!:,Yther or Unknown 10. lype of pollutant discharged. (circle onel A. leaded Gasoline. E. Aviation fuel. BLIHF./\U OI W/\S'I E C;LEP,NUI'. B. Unleaded gasoline. Y. Other C. Gasohol or alcohol-enriched gasoline. (!}Unknown Office Pl~plainl 11. Cause of tea~. (circle all that apply) !'iP.i!lll JJ~ B. Split G. Split J. Installation failure C. loose connection H. Couo$ion P. Other------D. Other------I. Puncture n. 10 lHl (l[S1 OF MY KNOWLlOGE ANO BELl£F ALL INFOltMAllO CUf!AlE, AND COMPLEH.
1,_.1. Holder. Nernc of Owner, Operator
KEEP A COPY OF THIS FORM FOR YOUR RECORDS. cc: C. r.. Po arson Fllc DC R FORM 11-1.-'ll(l} il/11'( (1,n) Florida Department of Environmental• Regulation 1\vin 'Jbwcrs Office Bldg. • 2600 Blair Stone Road • Tallahassee, Florida 32399-2400
taw1on Chiles, Go\'c:rnor Carol M Browner, Secretary
August 12, 1991 <\)\, Mr. Douglas J. Cobb 0 Mobil Oil corporation 2170 West state Road 434, Suite 104 Longwood, FL 32779 5c/ 1/J Dear Mr. Cobb: The Department has reviewed the Contamination Assessment Report (CAR) and No Further Action Proposal (NFAP) dated June 1991, submitted for the Mobil Service Station #02-AL5 site located at 2605 SW 15th Avenue, Boynton Beach, Florida. Documentation submitted with the NFAP confirms that criteria set forth in Section 17-770,630(3), Florida Administrative Code (F,A.C,), have been met. The NFAP is hereby incorporated by reference in this Order. Therefore, you are released from any further obligation to conduct site rehabilitation at the subject site, except as set forth below. If a subsequent discharge of petroleum or petroleum product occurs at the site, the Department may require site rehabilitation in order to reduce contaminant concentrations to the levels approved through review of the NFAP or otherwise allowed by Chapter 17-770, F.A.C. Additionally, you are required to properly abandon all monitoring wells except compliance wells requlred by Chapter 17-761, F.A.C. for release detection. The wells must be abandoned in accordance with the requirements of Section 17-532,500(4), F,A,C. Persons whose substantial interests are affected by this Site Rehabilitation completion Order have a right, pursuant to Section 120,57, Florida statutes (F.S.), to petition for an adminis trative determination (hearing). The Petition must conform to the requirements of Chapters 17-103 and 28-5 1 F.A.c., and must be filed (received) with the Department's Office of General Counsel, 2600 Blair Stone Road, Tallahassee, Florida 32399-2400, within twenty-one (21) days of receipt of this notice. Failure'to file a petition within the twenty-one (21) days constitutes a waiver of any right such persons have to an administrative determination (hearing) pursuant to Section 120,57, F.S. This Site Rehabilitation Completion Order is final and effective on the date of receipt of this Order unless a petition is filed in accordance with the preceding paragraph. Upon the timely filing of the petition, this Order will not be effective until further order of the Department. Mr. Cobb • • Page 2
When the Order is final, any party to the Order has the right to seek judicial review of the Order pursuant to Section 120.68, F.s., by filing of a Notice of Appeal pursuant to Rule 9.110, Florida Rules of Appellate Procedure, with the clerk of the Department in the Office of General counsel, 2600 Blair Stone Road, Tallahassee, Florida 32399- 2400; and by filing a copy of the Notice of Appeal, accompanied by the applicable filing fees, with the appropriate District Court of Appeal. The Notice of Appeal must be filed within thirty (30) days from the date the Final Order is filed with the clerk of the Department. The DER Facility Number for this site is 508520561. Please use this identification on all future correspondence with the Department. Any questions you may have on the technical aspects of this Approval Order should be directed to Rafael Romero at (407) 355-4011, Contact with the above named person does not constitute a petition for administrative determination. Sincerely, /))f)/]~j,f, J~~~uddell, 00.rector Division of Waste Management JMR:JAV:RR:kle cc: Palm Beach County Dept. of Environmental Resources Management DER File #50-6508 ,l• .Jl1olWtll&Di, 11•0,awaotau»_,.,...,,.,,_,, • \~ . • ,_. m ■ __ .__..._.._ • ...... _ , Discharge Reporting
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-~----1 4. • II the undlrlllndng d the llclty owntdopnlOr 1h11 IPPfopriale doll "-bNll lllan lO IIINl lhe l'elrolll#II lnll#~f , "-Pollllba) ~ JllllllllttoChllpltr 17.Ja f'lolldlAd,111,•-~ Cod& lhertfor& the flc:!lly--.,IIOr ..... ,lffltda.. fie lllbftc:I dtclllrOt In the lolooofng IIIIMII lcheGk->= · ~'nit~ wll p,oceed wW1 clNnup end tHk ~ lqr flttollllon COIIS purwanl to Cl!lpce, 17.na, PAC. The ata1►eellnlnl11ered oleanup opt1o111 .,. ofllr -11.ie unlll °"'"'"' 11, an The - 1111 com,ilellcl 1111 8111d lullne1a/Colporlllon.NIII lot Prall! CfrUllcldlon, DIA Form 117-71... 00(1), IIICI; Ow11 p,OCNC1 wilh lnllllf rlffltdll action and'""~ WIiien Mllcll lO lllle-edminlllered dtl,-,p;. D wll lNII IIIIIHdffllnllltrlcl c:IN/IUp; o~Ow11 clNnup lie•~ to Chlpl9 t7-77Q. F.A.C, IIICI INII no~ d rnordon. COIi&,
(Chaolr Aft Appllc■bl1 lou1) ' s. l&l0llchlrol 1epol10d wllhln 24 "°"''°DEA Clllllcl Office or comacled courq rtplNtnlalh& '° AUach oon of DIICharve 11epor11n11 l'orm u, ::u Jxll'elloleum IIOrlOt ~ 11111d o, ernpdld wllhln 3 dlyl d dlChargt cite~ · ~~ R rr, ~LNldng pe1ra1eu111 IIOlaOt ..-,., ,..-ci r,orn Nnllol MIiiin a dlyl inl • hn been repaired~ ~8 liJeteenup HMCel rtlllnld wilhln a dlyl d diachorOO ~ ~ '.::': ~ ;u < fvl 0... --- . fT' )'M Frff producl ,_,,-lnilllllcl within 3 cla)'I d dlaeha,oe 6-ry. =r r:--? 2 1b lhe bell d mr knawl9dga and blllal o1 lnlorlllOliaft ll,lbfflilltd on Ha form is IMI. _,,... Ind .... ~ARfii~ ~~~ j}6L,. a:/v/1£ Nffll& -.or " / . ·. liii,iiiuri · 11 ...... Jl_rJl(}rlt, J•F.TIH)l,f.Vt! I.JJlflXUlY IW:OIJI1,MICJ. MIO J.l(S_TORAlIQ!f_J•RQGJIAH_C.OlH'llt,Hr.._( C!l[.i:_r:us1 (1ft 1 1 0.f\11 DA![_ ll/7 ('/>' , DES facility•. S()fr~ JfJ~ (,/ ,,.1,fty """"· Mo/'.11 ,10;, · 11, s- r,d1 Hy Add,,,,. '}l{,b-S :,n /j fl. /lvC· ~tff~-ifkk,T,t-,;) f;c,,/,J /L•,.; /f(fl<·/1 r--1/1. (onlact l'er!>on/lC'lc-plionC' //t,[1·( {::'i1Allh•S/~/ iN :.,('cVI /,?,Irl(,c.,,,,/ (103) 3'/1· ,>bJJ latiturJr,_/f,'_?(!'//(~· lonuilud('Jf;'c,• (i) 'l-:/' .;-l/J1- '717~/~'f\(
0 For tf,c ll£'u,s !:ic-lc,...- that n,,1y irnJicalc• non-con,p11ance or gro~s negliger1cC', r1rasc P>tplain in detail .in'd provi de sur,rort ir,g docurc1pnl,;1t ion.
I. I 1. \.las· .ir,:, conlarnina~io.n d. isc. over eel' prior .lo January _! 1989.? If yes.. , expl;d9. /c:-/foj,J PN> . Ml fl() ;:,:,ud 8 l.b/'7_1 17lrJ f!/.'>f/_lf'?~~-,t (A/t(;1 .. ,. (hf,rb(;A.,t'd ,-vi'/h Y-1Le- j.0 t41..,r(1.-kr di,et--/r.,id,;,
1>r I. I. s•,·tro1,•un1 llabilily lnsurar,ce Program Aff~avil forn, completed? If yes, give date ,,otadHd.. · (,f,1>/'.111'( ✓ ·/:I ,:{a.l <
I. I ,:v{ Js the site insured by rPLll"A7° If not, supply the carrier insured with, or otf1er l)'f•C- cd financio'l1 responsibility mechanism used. {:(¥/', . /•1o/S/i OJR/'e>t?/1 ,-;,-,,J (iu/}(?l/1\17(',:. (COF(z II< (,-,,.,,,y) '/.(3,,/'ft.
,:,{ 1: I I. l~ f.:estorr1lion (ov('rag~ ):'.ol~c} of Eligibility issuC'd? If yes, give effedive dc1te. . 'f(?1;4!J- fl,,n-1/IA.N{ _ (, , ,,,_,,,,.. -.•;✓,,,.,, ., 1, 1o ,,-- .-- -:-,-; J/1 h c_....,,.,...- ✓i I. (,. }lits a Stor,119e l,rnk Program compliance inspc'clion c-ver been performed for this faci1 i ly? J f ye/s give _U1e cfate of the r11os/ rC'unt ·insJieclion a~d .!ivroly? c_ori~- IP 1/1!.- . I. ,:-,/ ,. H,n the !>l!Spec tt-d petroleum storage systen1 coniponenl responsible for the disch,1r9E' been r(•n,oved fron, Hrviu wiUdn 3 days/f discovery. _,,)(no.explain._ Z,{!(> 11Y/-,,t>/4✓,.. 71,}r /:-,if jX'.-'f/(,,-n,t ,/ .s,,nit/,.., i.( <1/h1 t! /rP/4{, · .
I. 1:v( [,. llavC' stC'ps to o6tain clC'anup sr,r..,ices 1'C',E'n initiated within :3 days of the discharge diHovr-ry? Jf n._o, rx~ytin.~ /.VO /{/ 'f(l-r <,;
9. I~ thr-rr- C'vid(•nce of .a conl;in,inalion probler11? lf yes, £')(plain in con"1•C'nt section.
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I. I ii. h,0 c,r n,ore n,onilodng wr11s/boreliolr,s sliow >2" frE'r, prOduct.
,:,( !:,. Only 1 ri,onitoring well shows >2" frer fH~duct or nioniloring w~l_ls sho.(-1 _'<7" free product or pt'.'ttoleun, sheen. c
{l[f.! rorn, tlo. f'agc l of ? Date
1_1 c. Monitoring wells are contaminated but contain no free product (vapor? only). . ' ,_, d. Soil contamination and/or recent product loss.
10. Contamination Product Type 1_1 a. Light petroleum (kerosene, gasoline, aviation fuel, etc:i' .' ··
1_1 b. Heavy petroleum (fuel oil, diesel or similar petroleum products) I~ c. Un!cnown·:or .other. ·Y~ t) ✓-/·._.
Che ex th !U.L..t.h.a_l__aQpb..:. S>k /~ ~I . 11. Potable water . €6(1}1'/e t-1,,t/S/7 . I_I •- a. Within 1/2 mile: large wells >100,000 gpd /J. ·...I..~_ /), • - 1. r nd i ca te di rec u on: ______,_,/cJ=fy-1-' -'--"-11~ 10r/_,_l.::;..i.Vi~""'"'½_-~il...::,,:W:;..<-1.:....:! c~(M~'ic::::....'.I~_ 2. Es u mate distance=-,------·-.__ ·_· -. ___ 5,,:c·_,lf,q.._ "-l,#C!C...::..:.3/.,£--!l"'--~~~L~s_
b. ~ithin 1/4 mile: small wells <100,000 gpd •··I. Indicate direct.ion: ______2. _ Estimate distance:-,------'-----
1_1 c. Surface water body used as. a public water system. 1- ~. :~. . ". . ·., ..
0 12. Indi.cate belo; p~o~imit_y to popul~tion_;:enters: (restaurant, shopping center, ho_u~e_. __ ~=c.)__ . __ ,.·.• _ , '". .c~~~lf :~~l,,.) ~ {frPT~./Co,J()DS) ---1~ a.··~ 500 feet: Indicate dista~ce: [ 500 feet: Estimate distance: Soo' S~v-?11{js,4r1x.) Soo'01t57_ (iYJNr
Please indicate how the Ptti 5 ¼rdL
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DER District: ______(or) local Program: ______
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JII f:l l'Clflllr,l(~/lll~;c1l/\!.C>! Hf ~il'(lN~>E /HI l'Alfl~; Conym·r!,!s _ '.f _ ~(t, _ /vlr. Ewl'.r,o _ 10/30 -Pl!r Jvuj,.,;j/,,,( 11/10/4.,_ I '1upc·1 rq,(,1Fr11u h·q11iil•nw11h li1·c·n t11d fur the fullowi110, 1 l- lf.1AG0. 1?, Jl(:5ulb of tiulih10~•~ tii~.t, ( 1) •,. • l~~ Any ,,pill, c,vvrf1II, <,r c,thc·r tk,d1<1r~t<' withir1 0I1c· wc,rkirin cl:1y c~f c!iSr:ovc-ry; (?) 14 .. !;_1<,poct,·cl rt:hia',f•'~• w1\liln c,rIc• wb,hlno tby of discovery; (3) (ii), (b) 1 !, (;.:,r1l1r1111•d rv!.-;1•,(,f, {pc,:,itiVt' w:,pori:,f• c,f 11 rulcW,f• clehiclton dr1vicC) withir1 one wor~in9 cl11y of d,•.(1,vt1y,P)(() H1r· t•v.'r1,·1 c,r llll' C>J"'r,d1,r c,f 111<· t,y:,!t·r11 wt,ir.11 h:1•, cl1'.,d1r1r1.wd h<1c.. 1(,, ~•1k1i) it (l'sl'Jj~~1'(',tJli/.J~O(l)o1),;.;1t1 i~~ti(I ~3u'!v~ o!.lcll'.orz;~o5!,ld rrufr ll,.l\;>O(l) /,-11/t J,stc."A ~ - ✓t~··jo