LTC 316-2013 Maurice Gibb Park Soil and Groundwater Contamination 10 1 AM I B FAC H
OFFICE OF THE CITY MANAGER
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NO. LTC #
LETTER TO COMMISS10
TO: Mayor Matti Herrera Bower and M mbers o he City Commission a
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FROM: Jimmy L. Morales, City Manager
DATE: September 5, 2013 -
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SUBJECT: MAURICE GIBB PARK SOIL AN GROUNDWATER CONTAMINATION
The purpose of this Letter to Commission is to provide an update on the status of soil and
groundwater contamination at Maurice Gibb Park.
BACKGROUND
The Miami -Dade County Department of Regulatory and Economic Resources (RER), formerly
the Department of Environmental Resources (DERM) notified the City on August 6, 1997 that
petroleum contamination had been found at Maurice Gibb Park property (formerly known as
Island View Park), 1700 Purdy Avenue. However, clean -up efforts were not initiated at that time.
On October 19, 2012, during construction of the Sunset Harbour Pump Station Retrofit project
an odor and sheen commonly associated with petroleum contamination was identified during
excavation work. The County requested that the City collect and analyze confirmatory soil
samples at the excavation site and groundwater samples to verify the absence of contamination
at the depth of the injection well (Attachment A — October 25, 2012 RER Memo).
CDM Smith was retained to conduct the groundwater and soil sampling and analysis. On March
15, 2013, CDM Smith confirmed the absence of groundwater contamination at the injection
depth (Attachment B — Island View Park Sampling Results). However, CDM Smith's evaluation
of the soil samples at both sample depths of 0.5 -feet and 2 -feet below land surface indicated
that Polycyclic Aromatic Hydrocarbons (PAHs) exceeded the Exposure Soil Cleanup Target
Levels (SCTL) and that benzo(a)pyrene also exceeded the Residential Commercial /Industrial
Exposure SCTL.
Based on these results, the County confirmed that work for the Sunset Harbour Pump Station
Retrofit project could continue (Attachment C — April 24 2013 Letter from RER), but ordered
the City to identify the extent of the soil and /or groundwater contamination at the property and
conduct any necessary remediation (Attachment D — June 17 2013 Letter from RER).
The City has begun to comply with the order issued by the County. The City has registered the
site and completed the discharge report form. On July 9 and 10 CDM Smith collected soil
samples and Organic Vapor Analyzer (OVA) readings to delineate the soil contamination at the
park property. On August 7 CDM Smith provided a draft soil analysis report detailing the
results of their soil investigation for staff review. It is anticipated that the final report will be
submitted to the County for approval by the end of September.
LTC - Maurice Gibb Park Contamination
August 14, 2013
Page 2 of 2
ANALYSIS
The following tasks will be required:
• Sampling, analysis, and preparation of the Site Assessment Report (SAR);
• Source removal and reporting for any identified soil contamination; and
• On -going monitoring and /or remediation for any identified groundwater contamination.
Staff estimates $50,000 will be required for the completion of a SAR. Once the SAR is
complete, staff can better evaluate the need for remediation and additional funding
requirements.
Due to the elevated concentrations of PAHs and benzo(a)pyrene, the south side of the park will
need to be closed during construction of the Sunset Harbour Pump Station Retrofit project. Until
then, the previously disturbed area will be cordoned off. No other closures are needed at this
time.
Please let me know if you have any questions or comments.
Attachments: A - October 25, 2012 RER Memo
B - Island View Park Sampling Results
C - April 24, 2013 Letter from RER
D - June 17, 2013 Letter from RER
/EXJJJF /RWS /ESW /MKW
F: \WORK \$ALL \(1) EMPLOYEE FOLDERS \BETSY WHEATON \LTC \Maurice Gibb Park Contamination LTC 8.12.13.docx
Attachment A
Memorandum "' ®
Date: October 25`", 2012
To: Maria Molina, P.E., Chief
Water Control Section, RER
From: Wilbur Mayorga, P.E., Chief
Environmental Monitoring & Restoration Division, RER
Subject: Class II Permit 2011033 and Class V Drainage Wells Permit 20120015 for Miami
Beach Public Works Department Sunset Harbour Pump Station Retrofit extendin
along Purdy Avenue, between Dade Boulevard and 20 Street and east along 20
Street up to Alton Road, located at near or in the vicinity of contaminates sites Island
View Park (UT -5443 /File- 15745) and former Marks's Quality Cleaners (IW5- 3458 /File-
3199), Miami Beach, Miami -Dade County, Florida.
On October 19, 2012, the Pollution Remediation Section (PRS) was notified by City of Miami Beach
officials of the discovery of contamination during construction associated to this project, specifically
in the area between stations 10 +57.95 and 11 +72.34, structures 1 and 2.
J
Following the review of the Department's records, it was established that the aforementioned area
4
of concern corresponds to a previously known petroleum contaminated site (i.e., Island View Park,
1700 Purdy Avenue, UT -5443 /File- 15745). Note that in addition, a contaminated drycleaner exists
on 2e Street, in the vicinity of station 32 +51.38, structure 27 (former Marks's Quality Cleaners,
1201 20 Street, IW5 -3458 /File- 3199). Based on the above, and as discussed with the City's
officials, the following is required:
Island View Park Area
1. Obtain a groundwater sample from the already completed injection well at station 11 +72.34
(structure 1) for BTEX (EPA method 8260 or equivalent), PAH (EPA method 8270 or
equivalent) and TRPH (FL -PRO) analyses to verify the absence of contamination at the
injection depth.
2. Contaminated soils excavated from the area require characterization for proper off -site
disposal. Only clean fill material shall be used on the top two feet of open ground areas. r
3. Any liquid waste generated (e.g., petroleum contact waters, etc.) requires proper
disposal by a Permitted Liquid Waste Transporter.
20 Street Area
4. The installation of structures 26 and 27 (stations 31 +44.79 & 32 +51.38) shall not occur until
the absence of groundwater contamination is verified.
5. Groundwater samples shall be obtained from a properly constructed assessment/monitoring 's
well in the vicinity of structure 27 and analyzed for the contaminants of concern specified in I
Table A of Chapter 62 -782, Florida Administrative Code (attached). The well shall consist
of 25 ft of casing followed by 5 ft of screen, vertically extending to 30 ft below land surface
i
Maria Molina
Class II Permit 2011033 and Class V Drainage Wells Permit 20120015
October 25 2012
Page 2
(bls). Please note that as an alternative to installing a new well an existing monitoring well
in the vicinity of the former drycleaner may be used for the required sampling. If an existing
well is identified, the location and construction shall be submitted to PRS
(DERM_PCD @miamidade.gov & Ilanoj @miamidade.gov) before proceeding with sampling
to determine if the well is representative of the area of concern.
General
6. Please note that if the presence of contamination is documented through the above
referenced sampling, modifications to the approved drainage system shall be required
pursuant to the provisions of Chapter 24, Miami -Dade County Code.
7. Based on the presence of contamination in areas encompassed by this project, all work shall
follow all applicable safety requirements (e.g., OSHA, NFAP, etc.) and notification must be
provided to the appropriate agencies.
8. In the event that evidence of undocumented ground and /or ground water contamination is
encountered, the responsible party or his designee is required to immediately notify PRS at
(305) 372 -6700 or at the above referenced e-mail addresses.
If you have any questions concerning the above, please contact Jaquelyn Llano, P.E. of the
Pollution Remediation Section at (305) 372 -6700.
WM/jll
ec: Michele Schuyler — RER
Hermes Diaz, RE - City of Miami Beach,Public Works, HermesDiaz @miamibeachfl.gov t
Margarita Wells- City of Miami Beach, Public Works, MargadtaWells @miamibeachfl.gov
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DEP 2007 DRYCLEANING SOLVENT CLEANUP CRITERIA 62 -782
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Table A [
Drycleaning Contaminants of Concern
(Table for use in Chapter 62 -782, F.A.C.)
Contaminants of Concern — Chlorinated Solvent Sites
carbon tetrachloride
Chloroform
chloroethane [or ethyl chloride]
chloromethane [or methyl chloride]
dichloroethane, 1,1-
dichloroethane, 1,2- [or EDC]
dichloroethene, 1,1-
dichloroethene, cis -1,2-
dichloroethene, trans -1,2-
methylene chloride [or dichloromethane]
tetrachloroethene [or PCE]
1,1,2 trichloro- 1,2,2- tdfluoroethane [or Freon 113] t
tdchloroethane, 1,1,1 -
trichloroethene [or TCE]
vinyl chloride
Contaminants of Concern — Petroleum Solvent Sites
Benzene
Ethylbenzene ttt
Toluene
total xylenes
Acenaphthene
Acenaphthylene
methylnaphthalene, 1-
methylnaphthalene, 2-
Naphthalene
TRPHs
Effective 12 -27 -07
64
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Attachment B
CDM
Smith
800 Brickell Avenue, Suite 500
Miami, Florida 33131
tel: 305- 372 -7171
fax: 305- 372 -9167
March 15, 2013
Ms. Jaquelyn Llano, P.E.
Pollution Remediation Section, PRS
Department of Regulatory and Economic Resources
Environmental Resources Management
g
701 NW 1" Court, 4 Floor
Miami, Florida 33136 -3912.
Subject: Sunset Harbour Pump Station Retrofit Project, Island Park, Groundwater and Soil
as
Sampling Results
Dear Ms. Llano:
On behalf of the City of Miami Beach, CDM Smith, Inc.'(CDM Smith)`` pleased to provide "the following
letter report summarizing the Island View Park stormwater injection well sampling,.soil sampling, and
analytical results, as requested by the Miami -Dade County Department of Regulatory and Economic
Resources (RER), Environmental Mon itoring Section. The sampling and analyses were
requested to evaluate potential contamination at the'Island View Parkwhere utility construction work
is currently being conductecl,&n he Sunset Har:bourAmpStation Retrofit Project.
/g ^r acuaa�� °�,�;u;'':+ `.�n: .^•:;'�'�' ,.,�,v�ii'f�Ay,+..-� �jwr'
Background Informationa'�
The City of Miami Beach;is currentlyconstructing the Sunset Harbour Pump Station Retrofit Project.
During construction in the`vin of. Purdy Avenue\`odor and soil staining commonly associated with
..
contami :
nation °.was Identified. Thetpossible�'contamination was reported to the Miami -Dade County
RER, Environmental`IVlonitoring an Restoration Section, Pollution Remediation Section (PRS) on
Octob'6rA9, 2012. The EnVironmental,.,Monitoring and Restoration Section issued a memorandum on
October25, 2012, that documented theirsre.view of the situation and outlined procedures to address
the possibleacontamination afthe, location f'the reported contamination. According to the
memorandum ;.p troleum contamination is associated with Island View Park on Purdy Street near
where the contaminated soil was discovered.
In their memorandum, RER�,,req, 'u''ested that a groundwater sample be collected from a stormwater
injection well near the location possible contamination in soil was discovered, and that confirmation
4 d ,'
soil sampling is completed "to confirm or deny the presence of soil contamination. A site map is
included as Figure 1 (Attachment A).
KM3313.SH_leland_ View _Prk_Sampling_Results— final.doex WATER + ENVIRONMENT + TRANSPORTATION + ENERGY + FACILITIES
CDM
Smith
Ms. Jaquelyn Llano, P.E.
March 15, 2013
Page 2
Groundwater and Soil Sampling
In accordance with the request from RER, groundwater and soil sampling were conducted at the
Island View Park on February 13, 2013. Methods for the collection of the samples are discussed briefly
below.
Groundwater Sampling
On February 13, 2013 the stormwater injection well at Island Viewi,PaeVWas sampled using low -flow
sampling techniques in accordance with the Florida Departmentsof Environmental Protection (FDEP)
Standard Operating Procedure SOP FS 2200. The field ararmeterswere measured during p g (SOP) p g purging in
accordance with procedures described in FDEP SOPS FT 1100, FT 1200FwT 1400, FT 1500, and FT 1600.
Samples were placed inappropriate containers (provided''by the laboratory.).and were delivered to
Accutest Laboratories, who conducted all sample aralyses. The field samplinglog, laboratory
1 ;rid
analytical data report, and chain - custody areji,n Attachment,6. Purge at as disposed of in the
City of Miami Beach sanitary sewer.
J' <' ..
KK YygN�o "ih.
u ,.1's46 " t �S4' S ' 6
Soil Sampling r *"
On February 13, 2013, two soil samples��wsre collected. The soil,`s,amples were collected at a location
approximately 25 feet southwest of the stormwater injection well, „in the area identified as potentially
contaminated soil. Samples were collected from'0'5; =,fgot and two- feet:',below land surface (bls) at this
location. Soil samples were collected in accordance with;peocedures described in FDEP SOP FS 3000.
d5,�rx c ;..?"s;�:t' i . . b "�'�kt:'� "Aµk.'w5['WA1... 4lJ'
The laboratory analytiealtdata report and chain= ,ofcustody are;_m "At'tachment B.
ai a -s'k
Groundwater and SoilzAnalytical`Results.
WON, U
Groundwater collected froffthe IslandView Park stormwater injection well was analyzed for
benzene to ol" "'N • th q yll benzene Viand xyle�nes (BTEX) by EPA Method 8260, polynuclear aromatic
% , .
hydrocarbons (PAH)Mby�EPA Method�8270, an "d.total$ recoverable petroleum hydrocarbons (TRPH) by
the FU- Method. Noneaof =the ana ytes were detected.
Soil samples were analyzed for B;TEX by EPA`:IVlethod 8260, PAHs by EPA Method 8270, TRPH by the
FL -PRO Metho:d�" lead by EPA -M ethod 6010. Evaluation of the soil data indicates that carcinogenic
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PAH results exceeded the Commertial /Industrial Exposure (C /IE) Soil Cleanup Target Level (SCTL) at
both sample depths�fo benzo(a)pyrene equivalents. Individually, benzo a rene also exceeded the
. "My
Residential Exposure SCTLat both sample depths. While other PAHs were detected, none were
detected at concentratiois:above their respective SCTL. Laboratory analytical results are summarized
in Table 1 (Attachment Q
Conclusions and Recommendations
The following conclusions and recommendations are based on results of the sampling and analyses
described above. Based on the results of the groundwater sampling, groundwater at the depth below
KM3313.SH_Is1a nd_View_Prk_Sampling_Resu Its_fina I.docx
p
CDM
Smith
Ms. Jaquelyn Llano, P.E.
March 15, 2013
Page 3
the injection well casing has not been adversely impacted by petroleum contamination. Therefore,
the well should be used as intended.
Results of the soil sampling and analyses confirmed the presence of petroleum contaminants in the
soil in the vicinity of the construction project. Contaminated soil that is excavated as part of the
construction project, including completion of the injection well plumbing and wellhead, should be
properly characterized and disposed of in accordance with applicaa 4, 41" a1, state and federal
regulations. Excavated contaminated soil should be replaced with clean fill material
If you have any additional questions or comments, pleaseddo not hesitate to contact me at 407 -660-
6354 orturnerss @cdmsmith.com."
Very truly yours,?`
S. ShawnXrner, P.G.
Principal
E
CDM Smith Inc.
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File: PW .9381- 96617.02:03:3ONsl"and View Park:Firial Report x:
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Attachmentsa
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cc: MargaritalWells��Miami Bea cl% F > ubIic'tWorks,.Department
Hermes Diaz, P.E. Miami Bea cl ,;Pwblic Wo'r`ks:pepartment
J son Johnson, P.Eti CDM Smith
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W3313.SH_Isla nd_V iew_Prk_Sampling_Resuks_f i n a I.d ou
Attachment A
Site Map
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Soil Sampling Location
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Sto"water Injection Well
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Attachment C
Department of Regulatory and Economic Resources
MIAMI•DADE Environmental Resources Management
701 NW 1 st Court, 4th Floor
Miami, Florida 33136 -3912
T 305- 372 -6700 F 305- 372 -6982
Carlos A. Gimenez, Mayor
miamidade.gov
April 24, 2013
CERTIFIED MAIL NO. 7011 0470 0002 4384 8131
RETURN RECEIPT REQUESTED
Ms. Betsy Wheaton, Environmental Resource Manager
Environmental Resources Management Division,
Public Works Department
1700 Convention Center Drive
Miami Beach, FL 33139
Re: Sunset Harbor Pump Station Retrofit Project, 20 Street Monitoring Well,
Groundwater Sampling Results & Island View Park Groundwater and Soil Sampling
Results, dated March 19, 2013 (received March 21, 2013) prepared by CDM Smith
for the for Sunset Harbor Pump Station Retrofit Project (CLII- 20110033) along
Purdy Avenue (between Dade Boulevard and 18 Street), located at, near, or in the
vicinity of the contaminated site Former Gulf Oil Facility (UT- 5443 /File- 15745), 1700
Purdy Avenue, Miami Beach, Florida.
Dear Ms. Wheaton:
The Pollution Remediation Section (PRS) of the Department of Regulatory and Economic
Resources (RER) has reviewed the referenced documents. Based on the groundwater
sample results, PRS does not require modifications to the approved drainage system,
including but not limited to, the location of the following Injection Wells:
• Structure 1, at station 11 +72.34
• Structures 26, station 31 +44.79
• Structures 27, station 32 +51.38
Be advised that approval from other departments, and /or sections of RER (i.e., Water
Control) and other governmental agencies having jurisdiction over the scope of work may
need to be obtained prior to the implementation of the project.
Please note that based on the presence of contamination in the area occupied by the Island
View Park, the following shall apply during construction:
1. All work shall follow all applicable safety requirements (e.g., OSHA, etc.).
2. If contaminated soils are excavated during construction they require proper handling
and disposal in accordance with the local, state and federal regulations. Contaminated
soils may be returned to an excavation provided the use clean fill material in the top
two feet. L...jtt c ,'! ; /' Lt:r'
Ms. Wheaton
UT- 5443/File -15745
Iw5- 3458/File -3199
April 24, 2013
Page 2 of 2
3. Any documented free product (FP) shall be recovered from open excavations All liquid
waste generated must be disposed of by a RER Permitted Liquid Waste Transporter
within ninety days of recovery.
4. Be advised that in the event that evidence of undocumented ground and /or ground
water contamination is encountered, the responsible party or his designee is required
to immediately notify PRS. The PRS can be contacted at (305) 372 -6700.
Please be advised that a follow -up letter will be forthcoming in reference to the
environmental issues at the Island View Park Property.
If you have any questions concerning the above, please contact Jaquelyn Llano, P.E.
(Ilanoj @miamidade.gov) of the Pollution Remediation Section at (305) 372 -6700.
Sincerely,
Wilbur Mayorga, P.E., Chief
Environmental Monitoring and Restoration Division
WM /jll
ec: Margarita Wells, City of Miami Beach, MargaritaWells @miamibeachfl.gov
Hermes Diaz, P.E., City of Miami Beach, HermesDiaz @miamibeachfl.gov
Jason A. Johnson, P.E, CDM Smith, JohnsonJA @cdmsmith.com
Maria Molina, P.E., RER
Michelle Schuyler, RER
Attachment D
'Y E of Regulatory and Economic Resources
t -` Y Environmental Resources Management
MIAMI
DARE ',I ;` ?�,- ,: csr ,°aCHi
701 NW 1 st Court, 7th Floor
Miami, Florida 33136 -3912
Carlos A. Gimenez, Mayor JU14 2 1 AM I `♦ 4 6 T305-372-6600 F 305 - 372 -6893
June 17, 2013 miamidade.gov
Betsy Wheaton, Environmental Resources Manager CERTIFIED MAIL No. 70101870 0000 2683 0999
Environmental Resource Division RETURN RECEIPT REQUESTED
City of Miami Beach
Public Works — Environmental Resources Management
1700 Convention Center Drive
Miami Beach, FL 33139
RE: Island View Park property (UT -5443 /File- 15745/no DEP Facility 1 D #), toe'
ocated at, n
ear, or in the vicinity of
1700 Purdy Avenue, Miami Beach, Miami -Dade County, Florida (Folio #02- 3233 - 012 - 0390).
Dear Ms. Wheaton:
A review of Department records indicate that the City of Miami Beach was notified on August 6, 1997 that petroleum
contamination had been found on the subject property. This notification instructed the City to submit an application to the
Florida Department of Environmental Protection (FDEP) to determine eligibility for clean up of the property under the
Petroleum Cleanup Participation Program (PCPP). FDEP has provided confirmation that the application was never
submitted and the deadline for participation has expired. Recent documents submitted to the Department related to
construction activities continue to document the presence of petroleum contamination on the property.
Be advised that the discharge of hydrocarbons to the ground and /or groundwater of Miami -Dade County constitute
violations of Chapter 24 of the Code of Miami -Dade County, to wit:
Section 24- 42(1), of the aforesaid Code, inasmuch as said discharge causes water pollution, and
constitutes a nuisance and sanitary nuisance as defined in Sections 24 -5 and /or 24 -28;
j Section 24 -27, of the aforesaid Code, which states in pertinent part: "No person shall cause any nuisance
or sanitary nuisance as defined in Sections 24 -5 and /or 24-28 hereof'; and
Section 24- 25(4), of the aforesaid Code, inasmuch as any person who commits a violation of any of the
rules and regulations which are adopted pursuant to this section shall be deemed guilty of committing a
violation of this chapter by reference.
Based on the above and pursuant to the authority granted to me under Sections 24- 7(15), 24- 7(26), and pursuant to the
requirements of Sections 24 -45(5) and Section 24- 25(1)'of Chapter 24 of the Code of Miami -Dade County, I am hereby
oidering you to:
' 1. Complete the attached registration and discharge reporting forms and submit them to Tricia Kong of the
Department of Regulatory & Economic Resources (RER) by email to kongt@miamidade_gov or by fax to (305)
372 -6957 within three (3) days.
25e- ziyeri g EXcezzcxce� Eyeq 254Y
Ms. Wheaton
UT- 5443/File -15745 j
June 17, 2013
Page 2
2. If source removal, pursuant to the provisions of Chapter 62- 780.500, Florida Administrative Code (F.A.C.) is
conducted, within sixty (60) days of completion of free product removal and proper disposal, soil treatment or
proper soil disposal, two copies of a Source Removal Report, as outlined in subsection 62- 780.500(7), F.A.C.
shall be submitted to Wilbur Mayorga, P.E., Chief, Environmental Monitoring & Restoration Division, Miami -
Dade County Department of RER, 701 NW 1" Ct, 0' floor, Miami, FL 33136, as applicable.
3. Within 30 days of receipt of this Notice, conduct soil investigation, in accordance with the provisions of Chapter
62 -780, F.A.C., to establish the degree and extent of contamination. Based on the current land use, assessment of
open ground areas shall include an evaluation the -6 inch ihtefval, separate from the remainder ofthe uh§atuuated
zone. Within sixty (60) days of receipt of this Notice, submit to this Department two signed and sealed copies of
a report including the results of the soil investigation.
4. Within two hundred seventy (270) days of receipt of this Notice, submit to this Department two signed and sealed
copies of a "Site Assessment Report" (SAR) which meets the criteria of Chapter 62 -780, F.A.C., including the
identification of the extent of ground and /or groundwater contamination at the subject site. The SAR shall include
a Monitoring Only Proposal (MOP), or a no Further Action Proposal (NFAP), or a recommendation to prepare a
Remedial Action Plan (RAP). The SAR must be submitted to Wilbur Mayorga, P.E., Chief, Environmental
Monitoring & Restoration Division, Miami -Dade County Department of RER, 701 NW V' Ct, 4` floor, Miami,
FL 33136.
5. For sites requiring active remediation, within ninety (90) days of receipt of approval from this Department for the
SAP, submit two copies of a Remedial Action Plan (RAP) prepared in accordance with Chapter 62 -780, F.A.C.
6. Upon receipt of approval for the RAP or MOP, immediately implement and complete the RAP or MOP in
accordance with the timeframes stipulated in the approval.
7. Submit activity reports which describe the progress of the active remediation or monitoring activities at a
frequency approved in the RAP or MOP.
I Be advised that failure to comply with the above may result, at a minimum, in civil penalties and the payment of all
Departmental costs incurred in the investigation and settlement of this case. In addition, failure to comply may results in
your case being prepared for formal enforcement action in a court of competent jurisdiction pursuant to the enforcement
and penalty provisions of Sections 24 -29 and 24 -30 of Chapter 24 of the Code of Miami -Dade County.
If you have any questions concerning this matter, please contact Tricia Kong of the Environmental Evaluations Section
of this office at (305) 372 -6600.
Sincerely,
j Mayra agler, 11ag
Environmental Evaluations — Delegated Programs
Enclosure(s)
TK
cc: Kevin Slapp, P.G., Jaquelyn Llano, P.E. (RCR -DERM)
File
s � Et t Discharge Report Form DEP Form0 62- 761.900(!,)
Form Title DischaraeReoortFonn
3
PLEASE PRINT OR TYPE
Effective Data: July 13, 1998
ROR A
Instructions are on the reverse side. Please complete all applicable blanks
1. Facility ID Number (if registered): 2. Date of form completion:
3. General information
Facility name or responsible party (if applicable):
. Facility Owner or Operator, or Discharger:
Contact Person: Telephone Number: ( ) County:
Facility or Discharger Mailing Address:
Location of Discharge (street address):
Latitude and Longitude of Discharge (if known)
4. Date of receipt of test results or _ _ _ 5. Estimated . number of gallons
discovery of confirmed discharge: month/day /year discharged:
6. Discharge affected: [ ] Air [ ] Soil [ ] Groundwater [ ] Drinking water well(s) [ ] [ ] Surface water (water body
Shoreline name)
7. Method of discovery (check all that apply)
[ . J Liquid detector (automatic or manual) [ ] Internal inspection [ ] Closure/Closure Assessment
[ ] Vapor detector (automatic or manual) [ ] Inventory control [ ] Groundwater analytical samples
[ ] Tightness test [ ] Monitoring wells [ ] Soil analytical tests or samples
[ ] Pressure test [ ] Automatic tank gauging [ ] Visual observation
[ ] Statistical Inventory Reconciliation [ ] Manual tank gauging [ ] Other
8. Type of regulated substance discharged: (check one)
[ ] Unknown [ ] Used/waste oil [ ] Jet fuel [ ] Heating oil [ ] New/lube oil
[ ] Gasoline [ ] Aviation gas (] Diesel [ ] Kerosene [ ] Mineral acid
[ .] Hazardous substance - includes CERCLA substances from USTs above reportable quantities, pesticides, ammonia, chlorine, and derivatives
(write in name or Chemical Abstract Service (CAS) number)
[ ] Other
i
9. Source of Discharge: (check all that apply)
[ ] Dispensing system [ ] Pipe [ ] Barge [ ] Pipeline [ ] Vehicle
[ ] Tank [ ] Fitting [ ] Tanker ship [ ] Railroad tankcar [ ] Airplane
j [ ] Unknown [ ] Valve failure [ ] Other Vessel [ ] Tank truck [ ] Drum
[ ] Other
10. Cause of the discharge: (check all that apply)
[_ ] Loose connection [ ] Puncture [ ] Spill [ ] Collision [ ] Corrosion
[ _]. Fire/explosion [ ] Overfill [ ] Human error [ ] Vehicle Accident [ ] Installation failure
[ ] Other
11. Actions taken in response to the discharge:
12. Comments:
13. Agencies notified (as applicable):
(] State Warning Point [ ] National Response Center [ ] Florida Marine Patrol [ ] Fire Department. [ ] DEP (district(person)
1 -800 320 -0519 1 -800 -424 -8802 (800) 342 -5367 [ ] County Tanks Program
14. To the best of my knowledge and belief, all information submitted on this form is true, accurate, and complete.
Printed Name of Owner, Operator or Authorized Representative, Signature of Owner, Operator or Authorized Representative,
or Discharger or Discharger
lypl)lE DEP Fomr N 62-761,902(2)
Florida Department of Environmental Protection Form Title Stor ge Tank Registration Norm
Twin Towers Office Bldg. • 2600 Blair Stone Road • Tallahassee, Florida. 32399 -2400
� I°t0 A IItractive Dete lulu 13-1998
DEP Application No.
- Storage Tank Facility Registration Form (Filled in by DEP)
Submit a completed form for the facility when registration of storage tanks or compression vessels is required by Chapter 376.303, Florida Statutes '
Please review Registration Instructions before completing the form.
Please check all that apply New Registration I New Owner I New Tanks
Factlit Info U ate /Correction I Owner Info Update/Correction I Tank Info Update/Correction
A. FACILITY INFORMATION County: DEP Facility ID:
Facility Name:
Facility Address: City: Zip:
Facility Contact: -- - Business ( -- -- - -
Facility Type(s): NAICS Code: Financial Responsibility:
24 Hour Emergency Contact: Emergency Phone: (�
B. RESPONSIBLE PERSON INFORMATION - Identify Individual(s) or Businesses) responsible for storage tank management, fueling operations, and/or
cleanup activities at the facility location named above. Provide additional Information In an attachment If necessary.
Name: Facility - Responsible Person Relation Type: Effective Date
Mail address: [ 4 ] Facility Account Owner (pays fees)
City,.ST, Zip: Facility Account Owner Information must be provided when the
Contact: facility contains active or out of service storage tanks on site.
Telephone: STCM Account Number (if known)
Identify other appropriate facility relationships for this party: [ ] Facility Owner /Operator [ ] Property Owner [ ] Storage Tank Owner
Name: Other owner, relationship type(s) Effective Date
Mail address: [ ] Facility Owner /Operator
City, ST, Zip: - [ ] Property Owner
Contact: [ ] Storage Tank Owner
Telephone: [ j Other:
'C. TANK/VESSEL INFORMATION - Complete one row for each storage tank or compression vessel system located at this facility.
Tank ID T/V A/U Capacity Installed Content Status /Effective Date Construction Piping Monitorin
Certified Contractor (peforming tank installation or removal): DBPR License No.:
Registration Certification: To the best of my knowledge and belief, all information submitted on this form Is true, accurate, and complete.
Printed Name & Title Signature Date
DEP 62- 761.900(2)
Northwest District Northeast District Central District Southwest District Southeast District South District Marathon Branch Office
160 Governmental Center Blvd. 7825 Baymeadows Way, 3319 Maguire Blvd., 3804 Coconut Palm Drive 400 North Congress Ave., 2296 Victoria Ave., 2796 Overseas Hwy.,
Suite B20D Suite 232 Suite 364 Suite 221
Pensacola, FL 32501 Jacksonville, FL 32256 Orlando, FL 32803 Tampa, FL 33619 W Palm Beach, FL 33416 Fart Myers, FL 33901 Marathon FL 33050
850 - 595 -8360 904-448- 4300 407.894 -7655 813.744 -6100 661.681.6600 941 - 332.8976 306 - 289 -2310
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FLOR A Florida Department of Environmental
° Protection
Twin Towers Office Bldg. • 2600 Blair Stone Road • Tallahassee, Florida 32399 -2400
Division of Waste Management - Storage Tank Facility Registration Form
Registration Instructions and Codes List
The Department of Environmental Protection Storage Tank Program registers the facilities and the storage tanks when aboveground or
underground storage tanks store pollutants, hazardous substances, and/or mineral acid substances regulated by Chapter 62 -761, Florida Administrative
Code, or when aboveground storage tanks or compression vessels store a hazardous substance which requires registration according to Chapter 376,
Florida Statutes.
Storage Tank Facility Registration Form
In the first section block, identify the types of information being submitted on the registration form.
Check Newv Registration when the location is being registered for the first time and no Facility Identification number exists. _
If submitting a revised Registration form, check all other boxes that apply to designate the type(s) of revisions being submitted.
I. Facility Information - Properly describe the geographical location where the storage tank facility is located.
Facility ID Include the DEP Facility Identification number whenever possible. Write in "Pending" when submitting a new registration for the
r first time. Remember: the facility ID number identifies the location, and is transferred to a new owner upon sale of the facility.
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Facility Name Provide the current name of the business establishment operating at the facility location. When registering an abandoned facility,
where tanks exist unmaintained, identify the location with the property owner's name, as in "Smith Property", if no other facility
name is being used.
Facility Address Include the county name, and the proper street number and name, Give directions when the facility is located in a rural area with
no Rural Route number associated with it (i.e., `x' miles N of intersection...). Provide the -name and telephone number of a
contact person or manager on location, where possible.
Facility Type This information is an explanation or term that most closely describes the operational use of the facility. Select the code(s) that
provides the best or most appropriate description of the facility.
! 1. If the facility is owned by a government entity, select the appropriate type from the following:
F. Federal Government H. Local or City Government N. Indian Land
G. State Government 1. County Government
2. If the facility meets the definition of "bulk product facility" - "a waterfront location with at least one aboveground tank with a capacity
greater than 30,000 gallons which is used for the storage of pollutants" ( "Pollutants" includes oil of any kind and in any form, gasoline,
pesticides, ammonia, chlorine, and derivatives thereof, excluding liquefied petroleum gas. "); select the type from:
T. Coastal bulk product facility - facility, as defined above and located on the Florida coast, may have storage tank systems that store
hazardous substances in addition to pollutants. ("Coastline means the line of mean low water along the portion of the coast that is in direct
contact with the open sea and the line marking the seaward limit of inland waters, as determined under the Convention on Territorial Seas
and the Contiguous Zone, 15 U.S.T. (Pt. 2) 1606:
S. Inland Waterfront bulk product facility - facility, as defined above and located on "inland waterways" (lakes, rivers), may have storage
tank systems that store hazardous substances in addition to pollutants.
3. When the facility is a "waterfront location ", but not a bulk product facility as defined above, select the most appropriate type from:
V. Marine fueling facility - a commercial, recreational, or retail coastal facility that provides fuel to vessels and may store other pollutants
and/or hazardous substances on site.
W. Waterfront fueling facility - a commercial, recreational, or retail facility located on a non - coastal waterway that provides fuel to vessels and
may store other pollutants and/or hazardous substances on site.
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Facility Tyne continued
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4. When the facility is not described as above, select the most appropriate type from:
A. Retail Station - primarily supplies vehicular fuel to automotive customers; may store other regulated substances.
C. Fuel User, Non - retail - primarily stores vehicular fuel and/or other pollutants or hazardous substances for consumption
by facility /owner /operator.
D. Inland Bulk Petroleum Storage - inland facility with no waterfront access, that has multiple active UST and/or AST storage systems
used primarily for storage of pollutants intended for distribution. May also store hazardous substances on -site for facility consumption
and /or distribution purposes.
E. Industrial Plant - inland facility with no waterfront access; may include power plants and facilities designed for manufacturing
and /or chemical processing; may have multiple active UST and /or AST storage systems used for storage of pollutants and/or hazardous substances
intended for facility consumption.
J. Collection Station - maintenance or other related facility that acquires and temporarily stores used and /or waste oil prior to recycling
and /or disposal.
K. Inland Bulk Chemical Storage - inland facility with no waterfront access, that has multiple active UST and/or AST storage systems
and /or compression vessels used for storage of hazardous substances intended for _distribution._May.also.store pollutants-on-site-
for facility consumption and /or distribution purposes.
L. Chemical User - facility primarily uses regulated hazardous substance tanks on site; may also store pollutants.
M. Agricultural - facility actively used in production of crops, plants, or livestock.
B. Residential (not regulated) - property used primarily for dwelling purposes; regulated substance used for non - commercial purposes;
n UST exists > 1100 gallons.
P. UST Residential ( >1100 gallons) - residence with USTs regulated by Federal Environmental Protection Agency,
Z. Other - Please identify the type of establishment that you are registering.
North American Industry Classification System (NAICS), developed jointly by the United States, Canada, and Mexico, has replaced the U.S.
Standard Industrial Classification Code (SIC) system, effective January, 1997. The new system identifies new industry categories and re- organizes the
current data more consistently. More information on this subject can be obtained from: National Technical Information Services, 5285 Port Royal Road,
Springfield, Virginia 22161; (800) 553 -6847. See also U. S. Department of Commerce Web Sites: http: / /ntis.gov and
bttp: //www. census .gov /eped /www /naies.html. When possible — please select the most appropriate code for your facility.
Financial Responsibility — The demonstration of financial responsibility shall be made by the owner or operator in accordance with C.F.R. Title 40,
Part 280, Subpart H. Write in your selection of the following:
1. None
2. Insurance Carrier
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3. Other Mechanism (includes all other financial responsibility methods meeting requirements of C.F.R. Title 40)
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24 Hour Emergency Contact - Provide the name & telephone number of the Emergency Contact for this facility.
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11. Responsible Party Information
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1. In the first block, provide the name, address, contact name, and telephone number of the individual(s) and/or business(es) that are responsible for the
i operation of the storage tank facility and for the payment of DEP annual Storage Tank Registration fees. Identify the appropriate facility relationships
for this party: Facility Owner /Operator, Tank Owner, and/or Property Owner. The first named party will also be associated with the role of Facility
Account Owner. The Account Owner is responsible for payment of the annual storage tank registration fees, and will receive the annual storage tank
registration placard(s) upon payment.
2. Identify additional individuals and /or companies that play a role in the ownership or operation of the facility, as necessary.
3. When submitting revisions to owner name or address information, please include their STCM Account Number, when available.
4. Submit a registration form when the facility or tank ownership changes, complete with the date & new owner's signature.
III. Tank/Compression Vessel Information - Complete one row in Section C for each storage tank and /or compression vessel system located at
the facility. Use the following system description codes where appropriate.
1, _Tank ID - numbers stems sequentially, or provide a unique identification number; do not use # symbols °/
Y q Y� p q Y (� o, -, etc.).
2. Tank or Vessel Indicator - write in T or V to describe the system type.
3. Tank Placement - Write in A or U to designate aboveground or underground placement of the system.
4. Tank Capacity - Write in the storage tank capacity in gallons.
5. Installation Date - Record the date of first installation in `MM/YY' format; provide a best estimate if unknown.
6. Tank Content - Record the current content (or last content, if system is closed or not in use) from the list below.
A. Leaded gasoline K. Kerosene S. Chlorine compound
B. Unleaded gasoline L. Waste oil / Used oil T. Hazardous substance (CERCLA)
C. Gasohol M. Fuel oil: on -site heating only; USTs or ASTs <30K gals U. Mineral acid
D. Vehicular diesel N. Fuel oil: distribution; or on -site heating - ASTs > 30K gals V. Grades 5 & 6, bunker'C' residual oils
E. Aviation gasoline O. New & lube oil W. Petroleum -base additive product
F. Jet diesel fuel P. Generic Gasoline - grade unknown X. Miscellaneous petroleum -base product
G. Diesel fuel - emergency generator Q. Pesticide Y. Unknown Substance
H. Diesel fuel - generator or pump R. Ammonia compound -- - - Z:- Other - Substance- please- identify --
* Mineral Acid = Hydrobromic acid, Hydrochloric acid, Hydrofluoric acid, Phosphoric acid, Sulfuric acid.
* M =fuel is used solely to heat the facility premises and must be stored in a tank with capacity < 30,000 gallons; exempt from regulation.
* N =fuel is distributed as heating fuel, or fuel is used solely to heat the facility premises, but the storage tank capacity exceeds 30,000 gallons.
** Compartmented tanks — register as a single tank; itemize the size and contents of each compartment.
** Manifold tanks — register as individual storage tanks; with individual size and content — even though they are "connected ".
7. Status - Record the current status of the system, & the status effective date (or best estimate) in `MM/YY' format. Update the tank status timely, as
necessary for tanks moving between "in service" and "out of service" status.
A. Properly closed in place * UST filled with sand, concrete or other inert material; AST rendered unusable.
B. Removed from the site
*A or B: UST Closure Assessment required after 12/10/90; AST Closure Assessment required after 3/12/91 - refer to 62- 761.800, F.A.C.
E. Construction modified - AST constructed as a "mobile tank" or enclosed in a building; no longer retains a "regulated" status.
F. Unmaintained tank - UST /AST not in use, not properly closed, not to be returned to service (tank must be properly closed within 90 days).
T. Out - service tank - UST /AST locked and monitored (10 yr lhnit for USTs with secondary containment; 2 yr limit for corrosion - protected USTs;
1 yr limit for unprotected USTs; 5 yr limit for ASTs).
U. In- service - UST /AST may be empty for up to 45 days for routine services/maintenance only.
V. Temporary out of service - special designation for field- erected ASTs, greater than or equal to 50,000 gallon capacity; may be empty for up to 180
days for routine services/maintenance only.
i Z. Non - regulated product stored in tank; provide status effective date when status relates to a `change in product' for a particular storage tank.
8. Construction, Piping, and Monitoring Attributes — please select from the lists below, the codes that best describe the attributes of each storage tank
system. ** When "Z. Other DEP Approved" is selected; please specify the EQ #. **
CONSTRUCTION
Primary Construction: C. Steel
D. Unknown X. Concrete
E. Fiberglass Y. Polyethylene
F. Fiberglass -clad steel Z. Other DEP approved tank material
Overfill /Spill: A. Ball check valve O. Tight fill
M. Spill containment bucket P. Level gauges, high -level alarms
N. Flow shut -off Q. Other DEP approved protection method
Corrosion Protection: G. Cathodic protection - sacrificial anode H. Cathodic protection - impressed current
Secondary Containment: I. Double wall construction: single material (outer tank material same as inner tank material )
R. Double wall construction: dual material (outer tank - concrete, approved synthetic material, or tank "jacket" )
J. Synthetic liner in tank excavation
K. Concrete, synthetic material, and /or offsite clays beneath AST and in containment area
S. Other DEP approved secondary containment system
V. Pipeless UST with secondary containment
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CONSTRUCTION- continued
Miscellaneous attributes: B. Internal lining U. Field erected tank
L. Compartmented
PIPING
Primary Construction: B. Steel or galvanized metal Y. Unknown
C. Fiberglass Z. Other DEP approved piping material
N. Approved synthetic material
Corrosion Protection: D. External protective coating
E. Cathodically protected with sacrificial anode or impressed current
Se_ c_ondary Containment: F. Double wall construction: single material (outer pipe material same as inner pipe material )
M. Double wall construction: du' Jmaterial (outer Pipe approved synthetrc material or pipe' jackei'I
G. Synthetic liner or box/trench liner in piping excavation or pipe containment area
P. Internal Piping: contained within an internal sump riser, directly connected to tank & located beneath dispenser
Miscellaneous attributes: A. Aboveground, no contact with soil K. Dispenser liners
I. Suction piping system L. Bulk product system
J. Pressurized piping system H. Airport/seaport hydrant system
MONITORING
External: A. Site Suitability Plan N. Groundwater monitoring wells
B. Site Suitability Plan Exemption O. Vapor monitoring wells
C. Groundwater Monitoring Plan P. Vapor monitoring with dilution procedures
D. SPCC Plan Q. Visual inspection of AST systems
E. Innterstitial monitoring of UST synthetic liners W. Fiber -optic technologies
Z. Other DEP approved monitoring method
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Internal: F. Interstitial space - double wall tank R. Interstitial monitoring of AST tank bottom
L. Automatic tank gauging system (USTs) S. Statistical Inventory Reconciliation (SIR) (USTs)
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M. Manual tank gauging system (USTs) T. Annual tightness test with inventory (USTs)
Piping monitoring: G. Electronic line leak detector with flow shutoff U. Bulk product piping pressure test
H. Mechanical line leak detector V. Suction pump check valve
f J. Interstitial monitoring - piping liner 6. External monitoring
K Interstitial monitoring - double wall piping
Miscellaneous: I. Not required - see rule for exemptions 2. Visual inspections of piping sumps
X. None 3. Electronic monitoring of piping sumps
Y. Unknown 4. Visual inspections of dispenser liners
1. Continuous electronic sensing equipment 5. Electronic monitoring of dispenser liners
IV. Certified Contractor & Certification
Record the name and the Department of Business and Professional Regulation License Number for the Certified Contractor whenever an underground
storage tank has been installed, removed, or closed in place. Do not rely on the contractor to file this form. Storage Tank Registration Forms are
required to be submitted by the storage tank system owner or operator.
Please Remember that the Registration Form cannot be processed without the name and signature of the storage tank system owner or operator, and the
date of the form submittal. Please print your name legibly in ease a representative of the storage tank program should need to contact you.
If you have questions, please call a storage tank registration representative at (850) 245 -8839 for assistance.
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METROPOLITAN DADE COUNTY, FLORIDA
METRO E BEIM
ENVIRONMENTAL RESOURCES MANAGEMENT
POLLUTION PREVENTION DIVISION
SUITE 800
33 S.W. 2nd AVENUE
MIAMI, FLORIDA 33130.1540
(305)372.8817
August 6, 1997
Bruce Henderson CERTIFIED MAIL NO. Z 428 468 177
Environmental Coordinator RETURN RECEIPT REQUESTED
City of Miami Beach
140 MacArthur Cswy.
Miami Beach, FL 33139
Re: City of Miami Beach - Island View Park, (UT- 5443/15745), located
at, near, or in the vicinity of 1700 Purdy Avenue, Miami Beach,
Dade County, Florida (Folio# 02- 3233 - 012 - 03
Dear Mr. Henderson:
On June 11, 1997, a representative of this Department inspected the
above referenced site and found evidence of hydrocarbon contamination
in the groundwater of Dade County.
A review of department records indicates that -the above referenced
site may be eligible for the new Petroleum Cleanup Participation
Program (PCPP). This state - sponsored program provides rehabilitation
funding assistance to site owners whose property is contaminated by
petroleum products from a petroleum storage system. Please review
i the enclosed information sheet and affidavit to determine if your
facility will qualify for this program. Remember to complete and
return the enclosed affidavit promptly if you wish to participate in
the PCPP.
Owners of petroleum contaminated sites that are not accepted into
state programs may be responsible for costs associated with required
assessment and cleanup work, and may be subject to department
enforcement actions for noncompliance.
If you have any questions concerning this program or your facility,
please contact James Ferro of the Storage Tank Section at
(305)372 -6716.
Sincerely,
Christopher Caporale, P.G., Chief
Storage Tank Section
JF
Enclosures