Type of Financial Surety Mechanism established: Date Financial Surety Mechanism information submitted to Commissioner: Copy of the Financial Surety Mechanism must be attached to VR Financial Surety Mechanism was established for an EC covered under a previous verification If yes, the financial surety mechanism has been confirmed to still be in place and remains valid. Comments: 3. In-Situ Remediation Applicable Release In-Situ remediation of polluted soil was conducted to achieve compliance Area (RA) ID #’s Temporary Authorization Approval date(s): Copy(s) of Approval(s) must be attached to VR General Permit Approval date(s): Copy(s) of Approval(s) must be attached to VR Describe measures taken: 4. Institutional / Administrative Compliance Measures The use of any ELUR, RSR Exemption, RSR alternatives, or use of 95% UCL are indicated in the appropriate sections below, and described in detail in the Form III VR. 5. Other compliance measures Describe measures taken: C. Application of Standards for Soil Remediation Complete Sections C. #1 through C. #7 below as applicable for this verification. 1. Background concentration in soil 22a-133k-2(a)(2) Notice is required to be submitted to the Commissioner if background conditions are applicable at the project site. Checking this box may be considered such Notice. Section 22a-133k-2(a)(2) of the RSRs provide prerequisites to demonstrate a background condition exists, and all must apply. The use of Background is discussed in Section , page of the VR. Primary Rem#:
Type of Financial Surety Mechanism established: Date Financial Surety Mechanism information submitted to Commissioner: Copy of the Financial Surety Mechanism must be attached to VR Financial Surety Mechanism was established for an EC covered under a previous verification If yes, the financial surety mechanism has been confirmed to still be in place and remains valid. Comments: 3. In-Situ Remediation In-Situ remediation of polluted soil was conducted to achieve compliance Applicable Release Area (RA) ID #’s Temporary Authorization Approval date(s): Copy(s) of Approval(s) must be attached to VR General Permit Approval date(s): Copy(s) of Approval(s) must be attached to VR Describe measures taken: 4. Institutional / Administrative Compliance Measures The use of any ELUR, RSR Exemption, RSR alternatives, or use of 95% UCL are indicated in the appropriate sections below, and described in detail in the Form III VR. 5. Other compliance measures Describe measures taken: C. Application of Standards for Soil Remediation Complete Sections C. #1 through C. #7 below as applicable for this verification. 1. Background concentration in soil 22a-133k-2(a)(2) Notice is required to be submitted to the Commissioner if background conditions are applicable at the project site. Checking this box may be considered such Notice. Section 22a-133k-2(a)(2) of the RSRs provide prerequisites to demonstrate a background condition exists, and all must apply. The use of Background is discussed in Section , page of the VR. Primary Rem#: