Fillable Printable Site Management Plan Template - New York
Fillable Printable Site Management Plan Template - New York
Site Management Plan Template - New York
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
Site Management Plan Template
Instructions to NYSDEC Project Manager
The NYSDEC Project Manager maydelete or indicate as “Not Applicable”
sections of this template that do not applyto a specific sitebefore sending it tothe
Remedial Party. Alternatively, non-applicable sections maybe identified in scoping
discussions.
Instructions to Remedial Party / Remedial Party Consultant
This document is a template for development of a Site Management Plan (SMP)
for remedial projects performed under the management of NYSDEC, Division of
Environmental Remediation. This document is intended to expedite development of a
site-specificSMP. Byproviding format and general content guidelines, this template is
designed to provideinstruction on the format andcontent required for agencyapproval;
shorten the document preparation time byremedial parties; improve the qualityof draft
SMP submittals; shorten the review time byNYSDEC; and streamline the process for
SMP approval byNYSDEC. This is a generic and non-site-specific document that does
not address all possible health orenvironmental issues of concern to NYSDEC or
NYSDOH. It is provided as a supplement to NYSDEC’s DER-10 and is not asubstitute
for the agency review and comment process.
For manysites, portions of the text or entire sections of thistemplate, maynot be
applicable and should be deleted or indicated as “Not Applicable”. Remedial parties
should use their best judgment in determiningwhich components of this template are
relevant to thesite. Manyof the sections require that summaries of information from
previous documents (e.g., investigation reports, final engineering reports, etc.)be
incorporated. The purpose of summarizing this information in this document is to provide
a single, concise resource forfuture owners or site workers to understand the remedial
history and nature of site contamination. The emphasis should be onthecontamination
that remains. Thereader should be able to clearlyunderstand the sites remedial history
and nature and extent of the contamination remaining inthe various environmental media
(and perhaps building materials), as well as the corresponding potential human exposure
pathways, that are being addressed by the SMP.
This template mayalso be used to develop an Interim Site ManagementPlan,
through which an interim remedial measure or operable unit is monitored, operated
and/or maintained before the remedyfor the entire site is complete. Inthis case, the
document should be titled and introduced as an interim plan.
This document contains blue text, green text and highlighted bracketed items.
Blue text indicates text that is generallyacceptable to NYSDEC for use in the site-
specific SMP. While it mustbe applied to each site in a manner that is suitable for site-
specific conditions, use of this blue text with minimal changes will generallyfacilitate the
timelyacceptance of the SMP byNYSDEC. Greentext provides guidance on the
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
recommended contentin eachof thespecific sections of theSMP and should be deleted
fromthis templateprior to submittal. Items highlighted in blue brackets are variable and
should be entered in a clear, self-explanatory manner, specific to each case.
It is stronglyrecommended that the draft SMPsubmittal to NYSDEC adhere to
the following conventions:
Retain the original blue text color for all blue text that is not changed.
Use black text for all new text, including anychanges to blue text.
Delete all green text.
Remove highlights.
Use track changes redline/strikeout method for all removal and replacement of
blue text.
Submit the redline/strikeout document (with blue text strikeouts in the text
and not in the margins) along with a clean copyof the draft SMP to the
NYSDEC.
While this approach is not mandatory, it should significantlyreduce the review
time required by NYSDEC staff and expedite approval of the document.
The following template is a working document and maybe modified and
improved periodically. Comments and suggestions for improvement are welcome. It is
recommended that the remedial partycontact the NYSDEC’s project manager prior to
initiating the preparationof the SMP to ensure the use of the most recent version of this
template.
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
[Site Name]
[County Name] COUNTY
[City], NEW YORK
SITE MANAGEMENT PLAN
NYSDEC Site Number: [xxxxxxx]
USEPA ID # [Enter if applicable]
Prepared for:
[Remedial Party Name]
[Remedial Party Address]
Prepared by:
[Name]
[Address]
[Phone]
Revisions to Final Approved Site Management Plan:
Revision
No.
Date
Submitted
Summary of Revision
NYSDEC
Approval Date
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
[MONTH YEAR]
CERTIFICATION STATEMENT
I __________________certify that I am currently a [NYS registered professional
engineer or Qualified Environmental Professional as in defined in 6 NYCRR Part 375]
and that this Site Management Plan was prepared in accordance with all applicable
statutes and regulations and in substantial conformance with the DER Technical
Guidance for Site Investigation and Remediation (DER-10).
________________________ [P.E., QEP]
________________________DATE
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
TABLE OF CONTENTS
[Site Name]
[County Name] COUNTY
[City], NEW YORK
SITE MANAGEMENT PLAN
This Table of Contents should be revised as appropriate for the site specific Site
Management Plan.
Table of Contents
Section Description Page
LIST OF ACRONYMS
ESEXECUTIVE SUMMARY........................................................................................ X
1.0 INTRODUCTION....................................................................................................... X
1.1 General .............................................................................................................. X
1.2 Revisions ........................................................................................................... X
1.3 Notifications ...................................................................................................... X
2.0 SUMMARYOF PREVIOUS INVESTIGATIONS AND REMEDIAL
ACTIONS.................................................................................................................... X
2.1 Site Location and Description........................................................................... X
2.2 Physical Setting................................................................................................. X
2.2.1 Land Use............................................................................................ X
2.2.2 Geology .............................................................................................. X
2.2.3 Hydrogeology .................................................................................... X
2.3 Investigation and Remedial History.................................................................. X
2.4 Remedial Action Objectives ............................................................................. X
2.5 Remaining Contamination ................................................................................ X
2.5.1 Soil........................................................................................................ X
2.5.2 Sediment ............................................................................................... X
2.5.3 Groundwater......................................................................................... X
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
2.5.4 Surface Water........................................................................................ X
2.5.5 Soil Vapor ............................................................................................. X
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
TABLE OF CONTENTS (Continued)
Section Description Page
3.0 INSTITUTIONAL AND ENGINEERING CONTROL PLAN.............................. X
3.1 General .............................................................................................................. X
3.2 Institutional Controls ........................................................................................ X
3.3 Engineering Controls ........................................................................................ X
3.3.1 Cover (or Cap) ................................................................................... X
3.3.2 [Other ECs: e.g. Sub-slab Depressurization System; Air
Sparging/Soil Vapor Extraction Systems, etc.].................................. X
3.3.3 Criteria for Completion of Remediation/Termination of
Remedial Systems.............................................................................. X
3.3.3.1 Cover (or Cap) ......................................................................X
3.3.3.2 [Other ECs:e.g. Sub-slab Depressurization System;
Air Sparging/Soil Vapor Extraction Systems, etc.]..............X
4.0 MONITORING AND SAMPLING PLAN............................................................... X
4.1 General .............................................................................................................. X
4.2 Site-wide Inspection.......................................................................................... X
4.3 Treatment System Monitoring and Sampling (for active ECs)........................ X
4.3.1 Remedial System Monitoring ............................................................ X
4.3.2 Remedial System Sampling ............................................................... X
4.4 Post-Remediation Media Monitoring and Sampling........................................ X
4.4.1 Soil Sampling ........................................................................................ X
4.4.2 Sediment Sampling ............................................................................... X
4.4.3 Groundwater Sampling ......................................................................... X
4.4.4 Surface Water Sampling ....................................................................... X
4.4.5 Soil Vapor Sampling............................................................................. X
4.4.6 Soil Vapor Intrusion Sampling ............................................................. X
4.4.7 Monitoring and Sampling Protocol....................................................... X
5.0 OPERATION AND MAINTENANCE PLAN......................................................... X
5.1 General ............................................................................................................. X
5.2 Remedial System (or Other EC) Performance Criteria..................................... X
5.3 Operation and Maintenance of [Sub-slab Depressurization
System; Air Sparge/Soil Vapor Extraction System; Groundwater
Treatment System; etc.].................................................................................... X
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
TABLE OF CONTENTS (Continued)
Section Description Page
5.3.1 System Start-up and Testing ................................................................. X
5.3.2 Routine System Operation and Maintenance ........................................ X
5.3.3 Non-Routine Operation and Maintenance ............................................ X
5.3.4 System Monitoring Devices and Alarms.............................................. X
6.0 PERIODIC ASSESSMENTS/EVALUATIONS...................................................... X
6.1 Climate Change Vulnerability Assessment...................................................... X
6.2 Green Remediation Evaluation......................................................................... X
6.3 Remedial System Optimization ........................................................................ X
7.0 REPORTING REQUIREMENTS............................................................................ X
7.1 Site Management Reports ................................................................................. X
7.2 Periodic Review Report.................................................................................... X
7.2.1 Certification of Institutional [and Engineering] Controls ........................ X
7.3 Corrective Measures Work Plan....................................................................... X
7.4 Remedial Site Optimization Report .................................................................. X
8.0 REFERENCES............................................................................................................ X
List of Tables
Notifications ..................................................................................................................X
Remaining Soil Sample Exceedances...........................................................................X
Remaining Sediment Sample Exceedances..................................................................X
Remaining Surface Water Sample Exceedances..........................................................X
Remaining Soil Vapor Sample Exceedances................................................................X
Groundwater Elevation Measurements .........................................................................X
Inspection, Monitoring and Sampling Schedule........................................................... X
Remedial System Sampling Requirements .................................................................. X
Post Remediation Media Monitoring ............................................................................ X
Monitoring Well Construction Details..........................................................................X
Routine Maintenance Summary/Schedule.................................................................... X
Interim Reporting Summary/Schedule......................................................................... X
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
TABLE OF CONTENTS (Continued)
Section Description Page
List of Figures
Site Location Map.........................................................................................................X
Site Layout Map (Sample Locations, Boundaries, Tax Parcels, etc.)........................... X
Geologic Cross Section ................................................................................................. X
Groundwater Contour Maps .........................................................................................X
Remaining Soil Sample Exceedances...........................................................................X
Remaining Sediment Sample Exceedances..................................................................X
Remaining Surface Water Sample Exceedances..........................................................X
Remaining Soil Vapor Sample Exceedances................................................................X
Area of Soil Vapor Intrusion Concern ..........................................................................X
Institutional Control Boundaries...................................................................................X
Engineering Controls Location (DemarcationLayer; Treatment System;
Cover; etc.)...................................................................................................................X
List of Appendices
List of Site Contacts ......................................................................................................X
Excavation Work Plan ..................................................................................................X
Responsibilities of Owner and Remedial Party ............................................................X
Environmental Easement/Notice/Deed Restriction......................................................X
Monitoring Well Boringand Construction Logs..........................................................X
Field Sampling Plan ......................................................................................................X
Quality Assurance Project Plan....................................................................................X
Health and Safety Plan..................................................................................................X
Site Management Forms...............................................................................................X
O&M Manual (prepared for all ActiveECs) ................................................................X
Remedial System Optimization Table of Contents .......................................................X
Permits and/or Permit Equivalent .................................................................................X
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
List of Acronyms
ASAir Sparging
ASP Analytical Services Protocol
BCA Brownfield Cleanup Agreement
BCP Brownfield Cleanup Program
CERCLA Comprehensive Environmental Response, Compensation and Liability Act
CAMP Community Air Monitoring Plan
C/D Construction and Demolition
CFR Code of Federal Regulation
CLPContract Laboratory Program
COC Certificate of Completion
CO2 Carbon Dioxide
CPCommissioner Policy
DER Division of Environmental Remediation
ECEngineering Control
ECL Environmental Conservation Law
ELAPEnvironmental LaboratoryApproval Program
ERP Environmental Restoration Program
EWP Excavation Work Plan
GHGGreen House Gas
GWE&T Groundwater Extraction and Treatment
HASP Health and Safety Plan
ICInstitutional Control
NYSDEC New York State Department of Environmental Conservation
NYSDOH New York State Department of Health
NYCRR New York Codes, Rules and Regulations
O&M Operation and Maintenance
OM&M Operation, Maintenance and Monitoring
OSHA Occupational Safety and Health Administration
OU Operable Unit
PIDPhotoionization Detector
PRP Potentially Responsible Party
PRR Periodic Review Report
QA/QC Quality Assurance/QualityControl
QAPP Quality Assurance Project Plan
RAO Remedial Action Objective
RAWP Remedial Action Work Plan
RCRAResource Conservation and Recovery Act
RI/FSRemedial Investigation/Feasibility Study
ROD Record of Decision
RPRemedial Party
RSO Remedial System Optimization
SAC State Assistance Contract
SCG Standards, Criteria and Guidelines
SMP Template: August 2015
Site Management Plan, Site # [XXXXXX]
SCO Soil Cleanup Objective
SMP Site Management Plan
SOP Standard Operating Procedures
SOW Statement of Work
SPDES State Pollutant Discharge Elimination System
SSDSub-slab Depressurization
SVE Soil Vapor Extraction
SVI Soil Vapor Intrusion
TAL Target Analyte List
TCL Target Compound List
TCLPToxicity Characteristic Leachate Procedure
USEPA United States Environmental Protection Agency
UST Underground Storage Tank
VCA Voluntary Cleanup Agreement
VCP Voluntary Cleanup Program
