"Chemical Storage Report - Wellfield Protected Area Designation Order" - New Brunswick, Canada

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DEPARTMENT OF ENVIRONMENT
Chemical Storage Report
Wellfield Protected Area Designation Order
Name of Applicant:
Site Address:
Site Property Identification Number:
Date:
DENV File Number:
CHEMICAL EVALUATION REPORT
A report prepared by a Registered Professional Engineer or Geoscientist prior to
an exemption being issued which includes 1) an evaluation of the chemicals
which are the subject of the exemption application in accordance with the
Department of Environment Chemical Assessment Process and, 2) any mitigative
measures that are in-place, or are required to prevent the release of any chemicals,
to limit the impact of a release, and to monitor the storage and handling of same.
ANNUAL AUDIT REPORT
A report prepared by a Registered Professional Engineer or Geoscientist, which
indicates any mitigative measures that are in-place, or are required to prevent the
release of any chemicals, to limit the impact of a release, and to monitor the
storage and handling of same. Such a report may be required prior to or after the
issuance of an exemption. Where necessary, the report should state that the
mitigative measures that are in-place or have been adopted are acceptable.
DEPARTMENT OF ENVIRONMENT
Chemical Storage Report
Wellfield Protected Area Designation Order
Name of Applicant:
Site Address:
Site Property Identification Number:
Date:
DENV File Number:
CHEMICAL EVALUATION REPORT
A report prepared by a Registered Professional Engineer or Geoscientist prior to
an exemption being issued which includes 1) an evaluation of the chemicals
which are the subject of the exemption application in accordance with the
Department of Environment Chemical Assessment Process and, 2) any mitigative
measures that are in-place, or are required to prevent the release of any chemicals,
to limit the impact of a release, and to monitor the storage and handling of same.
ANNUAL AUDIT REPORT
A report prepared by a Registered Professional Engineer or Geoscientist, which
indicates any mitigative measures that are in-place, or are required to prevent the
release of any chemicals, to limit the impact of a release, and to monitor the
storage and handling of same. Such a report may be required prior to or after the
issuance of an exemption. Where necessary, the report should state that the
mitigative measures that are in-place or have been adopted are acceptable.
CHEMICAL STORAGE WITHIN WELLFIELD PROTECTED AREAS
Section 14 of the Clean Water Act provides the Minister of the Department of
Environment (Minister) with the authority to make an Order designating, as a protected
area, all or any portion of the groundwater recharge area of a municipal wellfield.
Pursuant to that section, the Wellfield Protected Area Designation Order – Clean Water
Act (Order) came into force on October 1, 2000.
The Order provides standards for facilities that store chemicals within designated
wellfield areas for the purpose of protecting the quality and quantity of drinking water.
The Order subdivides each designated municipal wellfield area into Zone A, Zone B and
Zone C.
Zone A lies closest to the wellhead and therefore requires the greatest
protection. The Order prohibits any activity, thing or use that is not expressly permitted in
a designated wellfield.
The Order permits chemical storage on parcels of land located within Zones A, B and C
as outlined in Schedule C of the Order. Existing and new chemical storage facilities that
exceed the permitted quantities may require an exemption. Section 14.1 of the Clean
Water Act allows the Minister to grant exemptions to persons who cannot comply with
the Order.
For all initial exemption requests to the Minister, the applicant must acquire a Chemical
Evaluation Report prepared by a Registered Professional Engineer or Geoscientist in the
Province of New Brunswick. Thereafter, the applicant may require an Annual Audit
Report, also prepared by a Registered Professional Engineer or Geoscientist in the
Province of New Brunswick. The format of these reports is shown in the following six
sections. The information requested in the following sections is the minimum level of
information required by the Minister for both reports.
This form can be downloaded from the Province of New Brunswick web site at:
http://www.gnb.ca/environment
Hard copies of this form are available by mail from:
Wellfield Protection Program -Sustainable Planning Branch
NB Department of Environment
20 McGloin St, 3rd floor,
Fredericton N.B.
or phone: (506) 457-4846.
PART 1 of 6: PROPERTY INFORMATION
A. SITE LOCATION
Municipality:
Civic Address:
Subject Facility PID Number(s):
Wellfield:
Zone
A
B
C
B. CONTACT INFORMATION
Owner:
Mailing Address:
Telephone : Home:
Bus:
Fax:
Safety Coordinator:
Telephone : Home:
Bus:
Fax:
C. DESCRIPTION OF LAND USE Briefly describe the current use of the property.
PART 2 of 6: ENVIRONMENTAL DOCUMENTATION
A. ENVIRONMENTAL ASSESSMENT
Have any environmental investigations been carried out at the subject facility?
Yes
No
If yes, please complete section B
B. MANAGEMENT OF CONTAMINATED SITES
As a result of the environmental assessment, has there been any site remediation
required?
Yes
No
When:
If yes, has the site been remediated and a Record of Site Condition submitted?
Yes
No
Date:
Has a Record of Site Condition been accepted by DENV?
Yes
No
Date:
DENV Remediation File Number:
PART 3 of 6: STORAGE METHODS
The following sections provide specific details on the facilities chemical storage
practices. Additional details (if required) should be attached to this Application along
with the required Site Plan and Site Contingency /Emergency Response Plan.
History of Facility:(Provide a brief history of the facility and the storage of chemicals)
Site Infrastructure: ( Provide details on the chemical storage system including details
on containment , underground services,piping if any, etc.)
Site Operations:(Provide details on the daily operation of the storage facility including
volumes of material entering and leaving facility)