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B.C. Reg. 375/96
O.C. 1480/96
Deposited December 16, 1996
effective April 1, 1997
This consolidation is current to October 31, 2017.
See “Amendments Not in Force” for amendments
effective after October 31, 2017.
Link to Point in Time

Environmental Management Act

Contaminated Sites Regulation

[includes amendments up to B.C. Reg. 184/2016, July 19, 2016]

Schedule 1.1

[en. B.C. Reg. 343/2008, s. 11.]

Summary of Site Condition

Purpose of this Summary of Site Condition

This Summary of Site Condition will serve several purposes. It will provide the Ministry of Environment (the ministry) with a summary of key information that will be used to understand the status of investigations and remediation, the nature and extent of remediation that is proposed or has been undertaken, further work that will be required, or closure documentation requested that is authorized by legislation and regulations in B.C. The Summary of Site Condition will also provide information to persons with an interest in investigations and management of contaminants on or adjacent to a property or properties that are considered a site.

The information contained in this Summary of Site Condition is provided by or on behalf of the British Columbia Ministry of Environment to assist individuals to become familiar with conditions and issues at a site for which contaminant investigations and / or remediation have been carried out and reviewed under the guidance of the British Columbia Contaminated Sites Regulation (CSR), the Hazardous Waste Regulation (HWR), and the Environmental Management Act (EMA).

It is emphasized that this is a summary only and should in no case be the sole basis for important decisions about the site. Those with an interest in contaminant issues and the status of the site should seek more complete technical information as contained in site investigation, risk assessment, remediation plan and confirmation of remediation reports prepared by and signed by appropriately qualified individuals. Firms and individuals that rely on the information contained herein do so entirely at their own risk.

Notes and instructions

A Summary of Site Condition is to be completed by the Approved Professional(s) making submission to the Ministry of Environment with application for a regulatory instrument (e.g. Determination, Approval in Principle, Contaminated Soil Relocation Agreement or Certificate of Compliance).

This Summary of Site Condition will provide ministry regulatory officials with much of the information on which they will evaluate the recommendation of an Approved Professional(s).

A separate Summary of Site Condition is required for each service request submitted for a site.

All applicable parts of this Summary of Site Condition and required attachments (e.g., site plan; site plan showing areas of potential environmental concern, and/or areas of environmental concern) must be completed and submitted or the Summary will be returned and processing of any application(s) will be delayed.

If the Summary of Site Condition is to accompany a recommendation by an Approved Professional that a service be provided as described in section 7.1 of the Contaminated Sites Regulation, the following must also be submitted with the package:

[ ] a completed Contaminated Sites Service Application form

[ ] a contaminated sites legal instrument cover letter (hard copy and electronic version)

[ ] a completed draft contaminated sites legal instrument

[ ] the applicable fees

[ ] a signed Summary of Site Condition (hard copy and electronic version with PDF format preferred).

Failure to accurately fill out the Summary of Site Condition may result in delays issuing the legal instrument.

Part 1: Cover Page

(To be completed by the Approved Professional)

Current Site Owner:(Attach additional sheets with names and contact information
for additional site owners as required)
Mailing Address:Company Name:Address:City: Postal Code:Contact Name:Phone:Fax:E-mail:
Applicant(If instrument is being applied for)[ ] Same as above, or:Mailing Address:Company Name:Address:City: Postal Code:Contact Name:Phone:Fax:E-mail:
Agent
[ ] Same as applicant above, or:
Mailing Address:Company Name:Address:City: Postal Code:Contact Name:Phone:Fax:E-mail:
Approved Professional(s)(If making a recommendation under the CSR or another submission)Mailing Address:Company Name:Address:City: Postal Code:Approved Professional Name:Phone:Fax:E-mail:Scope of review completed by Approved Professional:Company Name:Address:City: Postal Code:Approved Professional Name:Phone:Fax:E-mail:Scope of review completed by Approved Professional:
Reason for Completing this Summary[ ] Recommendation is being made, or:[ ] This is a submission without a recommendation under the CSR:Role of Approved Professional:Reviews:[ ] Stage 1 preliminary site investigation report (Stage 1 PSI)[ ] Stage 2 preliminary site investigation report (Stage 2 PSI)[ ] Detailed site investigation report (DSI)[ ] Background substance concentrations report[ ] Remediation plan without risk assessment report[ ] Remediation plan with risk assessment report[ ] Confirmation of remediation report (CoR)[ ] Quantitative human health or ecological risk assessment report[ ] Screening level risk assessment report[ ] Other (please specify)Recommendation(s) (With Regulatory Instrument):[ ] Determination (Determination)[ ] Approval in Principle, numerical standards (AiP numerical standards)[ ]  Approval in Principle, risk-based standards (AiP risk-based standards)[ ] Contaminated Soil Relocation Agreement (CSRA)[ ] Certificate of Compliance, numerical standards (CoC numerical standards)[ ] Certificate of Compliance, risk-based standards (CoC risk-based standards)[ ] Other (please specify)Section 4 of the Summary of Site Condition does not need to be completed with the request for Certificate of Compliance if an Approval in Principle exists for the site, provided that no new information has been obtained for the site applicable to this section of the form.

Part 2: Executive Summary

(To be completed by the Approved Professional(s) reviewing site investigation, risk assessment, remediation or confirmation of remediation reports)

Site Location:(The site and location plans are to be provided as Schedule A of the draft instrument.)

Subject Site:
Civic Address(es): 
Site Common Name:(if applicable) 
Legal description(s) or metes and bounds:(add additional pages if needed) 
PID(s):(or PIN(s) if untitled Crown land) 
Centre of site:(using NAD 83 convention)
(accurate to ± 0.5 second)
Latitude: ....... degrees ....... min ....... . ....... secs
Longitude: ....... degrees ....... min ....... . ....... secs

Offsite impacted PropertiesorReceiving Site:[ ] Offsite impacted propertie(s) — provide information for each[ ] Receiving site for Contaminated Soil Relocation Agreement[ ] Not Applicable

Civic Address(es): 
Site Common Name:(if applicable) 
Legal description(s) or metes and bounds (if a portion of a site):(add additional pages if needed) 
PID(s):(or PIN(s) if untitled Crown land) 
BC Site ID (if applicable): 
Approximate Centre of site:
(accurate to ± 0.5 second)
Latitude: ....... degrees ....... min ....... secs
Longitude: ....... degrees ....... min ....... secs

Part 3: Document Summary

(List of all known site investigation, risk assessment (including screening level risk assessment), remediation plan and confirmation of remediation reports completed and directly supporting correspondence submitted (subject site and offsite impacted sites).

#Document TitleAuthor / CompanyDocument Date
    
    
    
    
    
    
    
    
    
    

Part 4: Investigation Summary

4.1 Investigations Completed

 YesNon/a
Stage 1 PSICompleted?[ ][ ][ ]
 Includes Stage 1 PSI information as listed in CSR S.58 and any current applicable ministry protocols, guidelines, checklists, etc.?[ ][ ][ ]
Stage 2 PSICompleted?[ ][ ][ ]
 Includes Stage 2 PSI information as listed in CSR S.58 and any current applicable ministry protocols, guidelines, checklists, etc.?[ ][ ][ ]
DSICompleted?[ ][ ][ ]
 Includes DSI information as listed in CSR S.59 and any current applicable ministry protocols, guidelines, checklists, etc.?[ ][ ][ ]
Other ReportsCompleted? (Specify in Notes below)[ ][ ][ ]
 According to other guidelines? (Provide explanation in notes below. Indicate how reports assist understanding of conditions and remediation.)[ ][ ][ ]
Notes:

n/a — not applicable

If completed investigation reports are not adequate or if reports are titled differently or have a different scope than those listed above in accordance with the Contaminated Sites Regulation (i.e., PSI, DSI), complete Section 4.8 (Investigation or Interpretation Issues).

4.2 Site Conditions

Topography

Describe steepness and direction of slope and position of site in relation to surrounding land

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

Stratigraphy

Describe depth and thickness, grain size, etc. of typical stratigraphic components and note depth to cemented or very compact materials, bedrock/refusal, etc.

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

Hydrogeology

Describe groundwater levels, confining/semi-confining layers, flow direction and velocity

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

Surface Water Features

List name, direction and distance to nearest surface water bodies and the characteristics (e.g., relative size/flow) of the water body

Fresh water:

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

Marine waters:

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

4.3 Land Use

LocationDescription of Current Land Use(s) / Activities
OnsiteSubject site 
OffsiteNorth 
 East 
 South 
 West 

Proposed land use of subject site: [ ] same as above or [ ] other (please specify)

______________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________

4.4 Applicable Numerical Concentration Standards and Criteria

(If more than one land or water use applies to the site, expand this section to specify additional land uses covered by the instrument, i.e. riparian areas, roadways, etc. Include a diagram to clearly show the areas with different standards.)

Soil (standards):
PropertyCSR Land Use
  ALPLRLCLILOther
Subject siteCurrent[ ][ ][ ][ ][ ][ ]
 Proposed[ ][ ][ ][ ][ ][ ]
Receiving site
(if completed in support of a Contaminated Soil Relocation Agreement)
[ ][ ][ ][ ][ ][ ]
Offsite impacted property / management area[ ][ ][ ][ ][ ][ ]

If Other is specified above, please explain: (applicable or excluded guidance, protocols or policies specific to the site)

______________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________

Water (standards):

(Check all that apply)

 AW
fresh
AW
marine
IWLWDWNo
Water Use
Groundwater
(CSR Schedules 6 & 10)
[ ][ ][ ][ ][ ][ ]
 Ambient
fresh
Ambient
marine
    
Surface Water
(Ambient Guidelines and/or Criteria)
[ ][ ][ ][ ][ ] 

Sediment (criteria CSR Schedule 9)

Type of Aquatic LifeType of habitat 
[ ] Freshwater[ ] Marine/Estuarine[ ] Sensitive[ ] Typical[ ] Not applicable

4.5 APEC and PCOC Summary

(Not applicable for a receiving site in a Contaminated Soil Relocation Agreement)

Provide reference to a figure showing onsite and offsite areas of potential environmental concern (APEC) and contaminants of potential concern associated with each APEC: Report # ....., Figure # ..... Page # .....

Area of Potential
Environmental Concern
(APEC)
 Check where analyses completed
#Description(describe location in relation to process source, waste, filling, land use or activity, etc. giving rise to APEC, and if APEC is primary due to soil or water contamination)Potential Contaminant of
Concern (PCOC)
(indicate products, chemicals, waste type, etc. and/or analytical parameter)
SoilSedimentGround waterSurface WaterVapourOther(explain)
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]
   [ ][ ][ ][ ][ ][ ]

Other (please explain):

APEC # 
  
  
  

4.6 AEC and Contaminant Summary

Stage 2 PSI — Provide reference to figure(s) showing the areas of environmental concern (AEC) and contaminants of concern associated with each AEC in onsite and offsite soil, water, sediment and/or vapour. Sample locations and corresponding analytical results shall be shown on each figure and in tabular form with reference to applicable standards:

Environmental medium .........................Report # .....Figure # .....Page # .....
Environmental medium .........................Report # .....Figure # .....Page # .....
Environmental medium .........................Report # .....Figure # .....Page # .....

DSI — Provide references to figures (plan and section), with contours, showing the specific lateral and vertical distribution of each contaminant of concern in onsite and offsite soil, sediment, water and vapour. Sections must be longitudinal and transverse with respect to groundwater flow and include physical conditions (e.g. stratigraphy, water table etc.). Sample locations with corresponding analytical results used to develop each figure must be shown on the figure and in tabular form with reference to applicable standards:

Environmental medium .........................Report # .....Figure # .....Page # .....
Environmental medium .........................Report # .....Figure # .....Page # .....
Environmental medium .........................Report # .....Figure # .....Page # .....
    Extent of Contamination
AEC / APEC #(Use same #s as for APECs in Table above)Contaminant of ConcernMedium(e.g., soil, groundwater, sediment, vapour, surface water, other)Maximum Measured Concentration(indicate units)Area (m2)Depth Range (m)
      
      
      
      
      
      
      
      
      
      
      
      
Notes:



4.7 Offsite Migration

 YesNo
Is there evidence that one or more substances has migrated or is likely to have migrated to a neighbouring site and is or is likely causing contamination of the neighbouring property?[ ][ ]
Has any sampling occurred offsite for PCOCs in any media?[ ][ ]
Have preferential pathways been assessed? (including assessment of all neighbouring underground utility rights-of-way)[ ][ ]

If yes to the first question, complete the following:

There is evidence of [ ] historical, or [ ] current offsite transport of contaminants from the site in:

 [ ] groundwater;
 [ ] surface water;
 [ ] vapours; and/or
 [ ] other

Briefly describe the nature of and evidence for offsite migration (either known, suspected or potential)

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

The impacted offsite lands are categorized as: [ ] having a potable groundwater source;

 [ ] being aquatic habitat, as formally defined;
 [ ] agricultural lands
 [ ] residential or urban parklands
 [ ] commercial land
 [ ] industrial land

4.8 Investigation or Interpretation Issues to be Addressed

Identify any issues regarding investigations or interpretations if the PSI and DSI information may not satisfy the requirements of CSR Sections 58 and 59 and applicable protocols and guidance documents. Briefly describe how these deficiencies will be addressed (examples include destroyed wells, completion of detailed delineation following building demolition or other proposed work at a later stage of remediation).

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

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Part 5: Remediation Summary

5.1 Remediation Reporting Summary

  YesNon/a
Risk AssessmentCompleted?[ ][ ][ ]
 Includes quantitative human health and ecological risk assessment report information or screening level risk assessment per EMA, CSR and current applicable ministry protocols, guidelines, checklists?[ ][ ][ ]
Remediation PlanCompleted?[ ][ ][ ]
 Includes CSR specified information for a Remediation Plan (see CSR S.1, 16, 47) and current applicable ministry protocols, guidelines, checklists, etc.?[ ][ ][ ]
Confirmation of RemediationCompleted?[ ][ ][ ]
 Includes CSR specified information (see CSR S.49) and any current applicable ministry protocols, guidelines, checklists for COR reports?[ ][ ][ ]
Other ReportsCompleted?[ ][ ][ ]
 According to other guidelines? (Provide explanation in notes below. Indicate how reports assist understanding of conditions and / or remediation.)[ ][ ][ ]
Notes:

If completed remediation reports are not adequate or if reports have a different scope than those listed above in accordance with the CSR complete Section 5.6 — Outstanding Remediation Issues.

5.2 Proposed or Completed Remedial Activities

(Describe all aspects of remediation, including regulatory actions and activities to comply with numerical and/or risk-based standards)

Regulatory

(Notification of Independent Remediation, Approval in Principle, Certificate of Compliance, Determination, Restrictive Covenant, etc.)

____________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

If commitments or conditions to be met are included in an Approval in Principle issued for the site, list these conditions and identify how they were met though remedial activities.

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

Remediation to comply with numerical standards/criteria

(Excavation/disposal of soil, Treatment of soil; Treatment of groundwater, etc.)

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

Remediation to comply with risk-based standards

Are either of the following intended for use at the site, or have they been carried out?

 IntendedCarried Out
Screening Level Risk Assessment[ ] Yes[ ] No[ ] Yes[ ] No
Quantitative Risk Assessment[ ] Yes[ ] No[ ] Yes[ ] No

If yes for any above, complete Section 5.5 (Summary of Residual Contamination)

Describe risk management/exposure reduction methods intended or implemented and indicate the status of any measures. (e.g., Physical/engineering: monitoring, capping or barriers to exposure; Institutional: registration of restrictive covenants, financial security, etc.)

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

Provide a reference to signed and stamped design drawings provided by a professional engineer for works installed at site boundaries to prevent recontamination of a site.

Report # ...............Page # ...............or Appendix # ...............

5.3 Summary of Remediation Plan

 AEC #Contaminant(s) of ConcernRemediated to the following standard(proposed or completed)Remediation Schedule
 (Use same #s as for APECs in Table above) Numerical(Standard, guideline or criteria)Background(attach Protocol 4 or 9 approval if applicable)Hazardous Waste standardRisk-basedRemediation Complete?Proposed or Actual completion date
YesNo
Soil         
         
         
         
         
         
         
         
Groundwater         
         
         
         
         
         
         
         
         
Sediment
         
         
         
         
         
Surface Water
         
         
         
         
         
         
Soil Vapour
         
         
         
         
         
         

In the AEC column, specify as N/A (not applicable) if remediation or assessment is not required in this environmental medium.

5.4 Summary of Contaminant Treatment or Removal

(Identify and describe all contamination removed from or treated onsite. Ensure section 6.2 is completed if no CSRA is required or required only for a portion of soil removed)

Provide references to figure(s) showing the lateral and vertical extent of any treated or removed contamination. Confirmatory sample locations and corresponding analytical results shall be shown on each figure and in tabular form with reference to applicable standards:

Environmental medium .........................Report # .....Figure # .....Page # .....
Environmental medium .........................Report # .....Figure # .....Page # .....
Environmental medium .........................Report # .....Figure # .....Page # .....
AEC/APEC #(Use same #s as for
APECS in Table
above)
Contaminant(s) of ConcernMedium(e.g., soil, groundwater, sediment, surface water, vapour, other)Material Removed
Volume (m3 or L)Disposal Location(indicate if treated onsite)
     
     
     
     
     
     

5.5 Summary of Residual Contamination after Remediation

(Identify and describe all contamination that exceeds CSR numerical standards, after the remediation described above has been implemented.)

AEC/APEC #(Use same #s as for APECS in Table above)Contaminant of ConcernMedium(e.g., soil, groundwater, sediment, surface water, vapour, other)Maximum Measured Concentration(indicate units)Extent of Contamination
Area (m2)Depth Range (m)
      
      
      
      
      
      
      
      

5.6 Remediation Issues

Identify remaining issues if the remediation plan, confirmation of remediation report or risk assessment report does not include CSR specified information and current applicable ministry protocols, guidelines, checklists, etc. for these documents.

_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

Part 6: Summary of Soil Relocation

6.1 Relocation with a Contaminated Soil Relocation Agreement

Source Site

(Soil to be relocated under the CSRA (from Table 4.6). Investigation information may be limited to the soil that is the subject of the relocation agreement)

APEC #(Use same #s as for APECS in Table above)Contaminant of Concern
(List separately)
Classification of the soil to be Relocated(</>AL, PL, RL, CL, IL; Column II, III, IV)Volume m3
Schedule 4, 5 or 10Schedule 7
     
     
     
     
     
     

Receiving Site

Soil to be relocated has been adequately characterized?[ ] Yes[ ]No
Total Volume of soil to be relocated? m3
Applicable CSR Land Use at receiving site[ ] AL[ ] PL[ ] RL[ ] CL[ ] IL
Contaminant(as indicated in CSR Schedule 7)Maximum Contaminant Concentration in soil to be relocated (mg/kg)Applicable CSR Schedule 4 or 5 standard at receiving site (mg/kg)
   
   
   
   
   
   
   
   
   
Sufficient data on receiving site?[ ] Yes[ ]No

(Ensure to assess any modifying factors for the receiving site soils such as soil pH)

Conditions pertaining to relocation (CSR, Sec. 44):

Will the source and receiving municipality be notified before soil is relocated?[ ] Yes[ ]No
Will at least 4 business days be allowed to pass before soil is relocated?[ ] Yes[ ]No

6.2 Relocation without a Relocation Agreement

Other soil relocation not requiring a Contaminated Soil Relocation Agreement (CSRA):

Has or will contaminated soil be relocated without a CSRA?[ ] Yes[ ]No
Do exemptions apply? (indicated below; see CSR Sec. 41)
Relocation of contaminated soil on the site at which the contaminated soil originates?[ ] Yes[ ]No
Relocation of contaminated soil which is contaminated due only to the presence of the local background concentration?[ ] Yes[ ]No
Relocation of contaminated soil within an area subject to a wide area remediation plan?[ ] Yes[ ]No
Relocation of contaminated soil originating from emergency cleanup of a spill?[ ] Yes[ ]No
Relocation of soil to an authorized hazardous waste storage or treatment facility?If yes, provide BC Generator Registration #...........[ ] Yes[ ]No
Relocation of contaminated soil to a destination outside British Columbia?[ ] Yes[ ]No
Relocation of contaminated soil from a specific site not exceeding 5 cubic metres in volume?[ ] Yes[ ]No
Relocation of contaminated soil to federal property?[ ] Yes[ ]No
Relocation to an authorized landfill that is exempt from a CSRA?[ ] Yes[ ]No

Part 7: Recommendation of Approved Professional(s)

7.1 Regulatory Instrument and Summary Recommendation

Based on the detailed technical information available for the site, as summarized in this Summary of Site Condition, I Approved Professional Name recommend that the following instrument be issued for the Subject Site.

[ ] A Determination under section 44 of EMA

[ ] An AiP under section 53 (1) of EMA

[ ] A CoC under section 53 (3) of EMA

[ ] A CSRA under section 55 (2) of EMA

[ ] Other (specify)

Although I understand that the basis of such recommendations should be formally evaluated only by reference to detailed technical guidance, the primary basis of this recommendation or these recommendations is as follows:

For a recommendation for a Determination:

• <On the basis of information provided and reviewed, it is my opinion that no CSR Schedule 2 activities have occurred at the subject site>, or < CSR Schedule 2 activities are known or suspected to have occurred at the subject site, therefore in my opinion contaminants may have been released onto the subject site so that the site would be classified as a contaminated site in accordance with the CSR> or < CSR Schedule 2 activities are known or suspected to have occurred at the subject site, but it is my opinion that the specific nature of such activities would not result in contamination so that the site would be classified as a contaminated site in accordance with the CSR>.

• A Preliminary Site Investigation addressing all identified areas of potential environmental concern (APECs) and potential contaminants of concern (PCOCs) was completed. No substances were identified in concentrations exceeding those identified in BC CSR Schedules 4, 5, 6, 7, 9, 10 or 11, as applicable. All PCOCs have been listed in Schedule B of the draft Determination.

For a recommendation for an Approval in Principle and for a Certificate of Compliance:

• A Preliminary Site Investigation addressing all identified areas of potential environmental concern (APECs) and potential contaminants of concern (PCOCs) was completed. One or more substances were identified at concentrations exceeding applicable standards or criteria in CSR Schedule 4, 5, 6, 7, 10 or 11 or criteria in Schedule 9.

• A Detailed Site Investigation addressing the locations and extent of all identified areas of environmental concern (AECs) and contaminants of concern was completed <and forms the basis of a remediation plan or risk assessment> or <was the basis for remediation of the site>.

• When this Summary of Site Condition was prepared <a remediation plan had been prepared that provides for remediating all identified locations and respective extent of all contaminants to either CSR numerical or risk-based standards> or <all contaminants and their respective locations and extent as identified in investigation and risk assessment reports had been remediated to CSR numerical concentration or risk-based standards or criteria (sediments) or both>.

For recommendation for a Contaminated Soil Relocation Agreement:

• The source site soil and receiving site have been adequately characterized to recommend issuance of a Contaminated Soil Relocation Agreement under Protocol 6.

7.2 Substances Remediated and Standards or Criteria

<Contaminants have been remediated to comply with standards or criteria listed in the following table:>

(If the site required remediation and has been remediated.)

 Substances Remediated for Each Type of Standard / Criteria
 Numerical Standards (Criteria for Sediments, Vapour)Risk based Standards (Criteria for Sediments, Vapour)
Soil  
  
  
  
  
Water  
  
  
  
Sediments  
  
  
  
Soil Vapour  
  
  
  
Other  
  

Use specific compound names as listed in the Contaminated Sites Regulation schedules.

The Director may accept the recommendations of an Approved Professional(s) involved in the review and submission of investigation, risk assessment or remediation reports based in part on the understanding that:

• As of <date>, the date of signing of this report, the Approved Professional, or Approved Professionals if more than one, is/are member(s) in good standing of the Roster of Approved Professionals, as maintained by the ministry, and member(s) of the Contaminated Sites Approved Professionals Society (CSAP Society);

• The Approved Professionals signing this Summary of Site Condition have reviewed Table 1, Protocol 6 for Contaminated Sites (Eligibility of Applications for Review by Approved Professionals) and confirm that the Application for Contaminated Sites Services may be processed in the manner for non-high risk sites under the Roster of Approved Professionals process;

• The reviewer has no obligation to undertake any inquiry into the validity, accuracy or precision of what is reported in the documents reviewed, unless there is reasonable cause to believe that there could be errors or oversights in those reports;

• <as appropriate> The subject site has been satisfactorily investigated for all areas of <potential> environmental concern and <potential> contaminants of concern to determine the lateral and vertical extents of contamination with due regard to the EMA, the CSR, and the HWR;

• <as appropriate> The submitted documentation meets the requirements of Sections <1, 47, 49, 58 and 59> of the CSR;

• <as appropriate> The Screening Level Risk Assessment meets the requirements of Protocol 13;

• <for AiPs> The submitted remediation plan, if implemented in accordance with the specified conditions imposed in its draft Schedule "B" of the AIP, will result in the subject site being remediated in accordance with the applicable standards of the CSR and the HWR;

• <for AiPs> It is feasible to implement all provisions of the Remediation Plan and to achieve its objectives and the conditions of the AIP within 5 years of issuance of the AIP;

• <for CoCs> The confirmation of remediation report meets the requirements of section 49 (2) of the CSR;

• <for CoCs> The onsite management area(s) has/have been satisfactorily remediated in accordance with section 53 (3) of the EMA and section 49 (2) of the CSR in accordance with applicable standards as identified in the draft COC;

• <for CoCs where contamination exists beyond the legal lot boundaries> The offsite portion(s) of the site has/have been satisfactorily remediated in accordance with section 53 (3) of the EMA and section 49 (2) of the CSR and makes up part of this application <or> a Remediation Plan in accordance with requirements of the CSR, sections 1 and 47, has been prepared and application has been made for AIP for the offsite portions.

• <for CoCs where contamination exists beyond the legal lot boundaries and engineered works are required to prevent recontamination of the site> A signed and stamped design drawing has been provided by a professional engineer for works installed at site boundaries to prevent recontamination of the site. The signatory need not be the Approved Professional signing below.

• <for Determination> In accordance with section 15 (5) of the CSR, the subject site is <or is not> a contaminated site under section 44 (1) of the EMA;

• <if a "direct" final determination> In accordance with section 15 (5) of the CSR, the subject site is a contaminated site under section 44 (3) of the EMA;

• <for CSRAs> In accordance with section 43 (2) of the CSR, the soil to be relocated from the subject site complies with standards in CSR Schedule 7 and is suitable for relocation to the receiving site identified in this Summary of Site Condition.

The opinions, advice and recommendations expressed in this Summary of Site Condition are made in accordance with generally accepted principles and practices as recognized by members of the applicable profession or discipline practising at the same time and in the same or similar locations. This Summary of Site Condition does not provide a legal opinion or guarantee regarding compliance with applicable laws.

Name(s) of Approved Professional(s):Signature(s) of Approved Professional(s):Date:
   
   
   
   

7.3 Arm's Length Review

There may have been an arm's length review of one or more of the following recommendations to the Director of Waste Management:

1.  Making a recommendation to a Director in support of an application for an Approval in Principle based on remediation to numerical standards or a screening level risk assessment where there is offsite migration at the site;

2.  Making a recommendation to a director in support of an application for an Approval in Principle based on a risk assessment (other than a screening level risk assessment) and remediation to risk-based standards;

3.  Making a recommendation to a Director in support of an application for a Certificate of Compliance based on remediation to numerical standards or a screening level risk assessment where there is offsite migration at the site;

4.  Making a recommendation to a Director in support of an application for a Certificate of Compliance based on a risk assessment (other than a screening level risk assessment) and remediation to risk-based standards;

5.  Making a recommendation to a Director in support of an application for a Contaminated Soil Relocation Agreement based on a screening level risk assessment for the parcel at which the soil is to be deposited where there is offsite migration at the source site;

6.  Making a recommendation to a Director in support of an application for a Contaminated Soil Relocation Agreement based on a risk assessment (other than a screening level risk assessment) for the parcel at which the soil is to be deposited;

7.  Making a recommendation to a Director in support of any other application based on risk assessment or risk management (other than a screening level risk assessment) not otherwise described in any other row in this list, as required under a protocol signed by a Director.

If this is the case, please have the Approved Professional who carried out the arm's length review sign below, specifying the type of arm's length review done for the site.

Type of Arm's Length Review (Insert number from list)Name(s) of Approved Professional(s):Signature(s) of Approved Professional(s):Date:
    
    

Part 8: Statement of Site Owner/Agent/Lessee

8.1 Offsite Migration Notification

If it is known that one or more substances has migrated or is likely to have migrated to a neighbouring site and is or is likely causing contamination of the neighbouring site, have notifications been given?

(See CSR Sec. 57 and 60.1 for requirements)

 YesNo
Have owners of impacted offsite properties been formally notified?[ ][ ]
Has the ministry been formally notified?[ ][ ]

8.2 Confirmations by Owner / Agent / Lessee Regarding Approved Professional

This is to acknowledge that <as the owner / as the agent on behalf of the owner / lessee> (strike out and initial that which does not apply — if signing as the agent of the owner or lessee, written consent from the owner or lessee authorizing signature of this Summary of Site Condition must be attached) of the site I have engaged Approved Professional Name(s) as the Approved Professional(s) to review site investigation, risk assessment and remediation reports and to make submission and application with recommendations, if applicable, for the regulatory instrument(s) as indicated in this Summary of Site Condition.

I agree to comply with any requirements on the site regarding monitoring and maintenance of works as documented in <schedule B of the draft contaminated sites legal instrument >.

I accept that if a risk assessment has been applied at the site, the risk assessment is valid only as long as conditions at the site do not change.

I have undertaken reasonable inquiry into the previous ownership and uses of the property and to the best of my knowledge I have provided to the Approved Professional, information relevant to the investigation and remediation of the environmental condition of the site, in the preparation of this document.

I acknowledge that this Summary of Site Condition becomes a public document after it has been received and acknowledged by the Director of Waste Management. Any party intending to purchase, lease, take a security interest in or occupy the site may review this document and any supporting documents to satisfy themselves with respect to the environmental condition of the site, and the extent of responsibility and liability that may arise from taking ownership of, taking a security interest in or occupying the site.

I have made no modifications to this document except as allowed by the form.

Name: 
Address: 
Signature: 
Date: 

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