Waste Site Cleanup Forms
Cleanup of Sites & Spills: Waste Site Cleanup Forms
Have an eDEP Related Question?
- For most questions relating to eDEP and BWSC Forms, please email the BWSC eDEP email box, BWSC.eDEP@state.ma.us. In addition, questions or problems with BWSC Permits and Reports, BWSC Site Files, NRS Resource Maps, WSC Data Requests and Corrections, and LSP Proofs should also go to BWSC.eDEP@state.ma.us
- For technical eDEP problems, such as system slowness or availability, forms or attachments not uploading or printing, blank screens, etc., please email the EEA Help Desk, Helpdesk.EEA@massmail.state.ma.us.
Cleanup of Sites & Spills: Waste Site Cleanup Forms
Transmittal Forms for Waste Site Cleanup
Important Note: Most MCP submittals and documentation must be submitted electronically. Please do NOT include images of checks in Transmittal Form Attachments.
BWSC103 Release Notification & Notification Retraction Form
Revised February 2006
Filing:
| View PDF Form 130 KB
Release Notification & Notification Retraction Form Instructions
Web page
GIS Requirements for WSC Forms
Web page
BWSC103 Release Notification & Notification Retraction Form - 120 Day Version
September 2010
This second version of the BWSC103 Release Notification & Notification Retraction Form is to be used to submit the BWSC103 to MassDEP when the Release Tracking Number (RTN) has not yet been assigned by the regional office. This form is to be used for 120 Day releases only.
Filing: 
120 Day Release Notification & Notification Retraction Form Instructions
Web page
BWSC104 Response Action Outcome Statement (RAO) Transmittal Form
Revised February 2006
Filing:
| View PDF Form 296 KB
BWSC105 Immediate Response Action (IRA) Transmittal Form
Revised February 2005
Filing:
| View PDF Form 277 KB
BWSC106 Release Abatement Measure (RAM) Transmittal Form
Revised February 2005
Filing:
| View PDF Form 275 KB
BWSC107 Tier Classification Transmittal Form
Revised February 2004
Filing:
| View PDF Form 179 KB
BWSC107A Numerical Ranking System (NRS) Scoresheet
Revised February 2004
There are two Acrobat versions available for BWSC107A:
BWSC107A Autocalculating Numerical Ranking System (NRS) Scoresheet. The fields will automatically calculate when values are entered in selected fields. The blank form will print showing "0" (zero) in the calculated fields. Do not use this version if you intend to fill in the form by hand or using a typewriter.
Filing:
| View PDF Form 285 KB
BWSC107A Non-Autocalculating Numerical Ranking System (NRS) Scoresheet. This is a blank NRS Scoresheet in read-only format that may be downloaded and printed. Fields do not automatically calculate so this version may be used if you intend to fill the form in by hand or using a typewriter.
Filing:
| View PDF Form 78 KB
BWSC 107: MassGIS / MassDEP Priority Resource Maps
Information about the procedures for obtaining the MassDEP Priority Resource Maps used to support a Numerical Ranking System (NRS) site assessment as required by MassDEP.
Web page
BWSC107B Tier II Compliance History
Revised February 2004
Filing:
| View PDF Form 95 KB
BWSC107C Tier II Transferor Certification
Revised February 2004
Filing:
| View PDF Form 105 KB
BWSC107D Eligible Person, Eligible Tenant or Other Person Transmittal Form
Revised December 2007
PDF Form 27 KB
Note: This form is not currently available through eDEP. Once Form BWSC107 has been submitted through eDEP, attach a completed BWSC107D to the Transaction Summary Page and mail to the appropriate regional office by the next business day.
BWSC108 Comprehensive Response Action Transmittal Form & Phase I Completion Statement
Revised April 2009
Filing:
| View PDF Form 210 KB
Information about 2009 revision of eDEP BWSC108
Web page
BWSC109 Tier I Minor Permit Modification Transmittal Form
Revised August 2003
Filing:
| View PDF Form 200 KB
BWSC111 Audit Follow-up Plan Transmittal Form & Post-Audit Completion Statement (June 2003)
Revised June 2003
Filing:
| View PDF Form 203 KB
BWSC-112 Bill of Lading
Revised October 2010
Filing:
| View PDF Form 44 KB
Please note: The initial BWSC112 Bill of Lading, which includes the LSP Opinion and Remediation Waste Characterization, must be submitted electronically through eDEP.
Fillable PDF Versions:
BWSC 112 Bill of Lading
PDF Form 262 KB
BWSC112A Summary of Shipment Sheet
PDF Form 548 KB
BWSC112B Summary Sheet Signature Page
PDF Form 143 KB
Transport Log Sheet
PDF Form 132 KB
Additional Information
Web page
FAQs
Web page
BWSC113 Activity & Use Limitation (AUL) Transmittal Form
BWSC-113A Activity & Use Limitation (AUL) Opinion Form
Revised June 2003
Filing:
| View PDF Form 254 KB
BWSC115 Downgradient Property Status (DPS) Transmittal Form
115A Downgradient Property Status (DPS) Modification Form
Revised December 2003
Filing:
| View PDF Form 214 KB
Note: When a DPS submittal addresses more than one RTN, please submit a separate BWSC115 Downgradient Property Status (DPS) Transmittal Form for each RTN addressed in the Downgradient Property Status.
BWSC119 Utility-Related Abatement Measure (URAM) Transmittal Form
Revised February 2005
Filing:
| View PDF Form 282 KB
BWSC120 Homeowner Certification Form
Revised July 2003
Filing:
| View PDF Form 112 KB
BWSC121 Notificaion of Delay in Compliance with Response Action Deadlines Transmittal Form
Revised May 2004
Filing:
| View PDF Form 63 KB
BWSC122 Informational Notice to Property Owners
Note: This form is not available through eDEP.
Revised May 2006
PDF Form 110 KB
BWSC123 Notice of Environmental Sampling
Note: This form is not available through eDEP.
Revised June 2006
PDF Form 151 KB
BWSC124 Informational Notice About Immediate Response Actions
Note: This form is not available through eDEP.
Revised June 2006
PDF Form 110 KB
BWSC125 Notification of a Non-eDEP Submittal
Note: Not available through eDEP. This form must be completed when making a non-eDEP electronic submittal. Non-eDEP electronic submittals will not be accepted by the regional offices without the BWSC125 form and any other required attachments. See the BWSC125 Notification form for more detailed instructions.
Revised January 2011
PDF Form 23 KB
BWSC126 Miscellaneous Document Transmittal Form
May 2010
Filing:
| View PDF Form 31 KB
Instructions:
Web page
BWSC127 Activity & Use Limitiation Property Ownership Update Form
Note: This form is not available through eDEP.
January 2010
PDF Form 30 KB
AUL Compliance Reminder
Web page
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Cleanup of Sites & Spills: Waste Site Cleanup Forms
Permit Applications
Getting Started
Transmittal for payment forms, Application fees, How permitting works, more...
Permit Us: General Information on Tier Classification and Permits
Web page
Picking Your Way Through Permits
Web page
BWSC 01, 02, 03 - Initial Application for Response Action Permit for Tier I Disposal Sites
Revised July 2003
Filing Options:
| MS Word Form 280 KB | PDF Form 500 KB
Instructions: MS Word 470 KB | PDF - included with form above
BWSC 10 - Application for Major Permit Modification
BWSC 20 - Tier I Permit Extension Application
BWSC 30 - Tier I Permit Transfer Application
Revised July 2003
Filing Options:
| MS Word Form 290 KB | PDF Form 570 KB
Instructions: MS Word 470 KB | PDF - included with form above
BWSC 50 - Application for Special Project Designation (February 2002)
Revised February 2002
Filing Options:MS Word Form 163 KB | PDF Form 56 KB
Instructions: MS Word 422 KB | PDF - included with form above
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Cleanup of Sites & Spills: Waste Site Cleanup Forms
Activity and Use Limitation (AUL) Forms
310 CMR 40.1099 Forms for Activity and Use Limitations
Revised December 2007
MS Word 136 KB | PDF 167 KB
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Cleanup of Sites & Spills: Waste Site Cleanup Forms
Newspaper Notices of Response Action Status
Instructions and templates for preparing newspaper public notices of response action status
MS Word 70 KB | PDF 46 KB
Note: Standardized public involvement forms for notice to property owners within the disposal site, of environmental sampling, and of Immediate Response Actions may be found in the Transmittal Forms section above.
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Cleanup of Sites & Spills: Waste Site Cleanup Forms
Remedial Monitoring Report
Information about 2009 revision of eDEP BWSC108
Web page
There is a Powerpoint presentation "Walk Through" of a Remedial Monitoring Report submittal available at http://www.mass.gov/dep/service/compliance/edepbwsc.htm to familiarize users with the use of this eDEP form. The eDEP RMR forms are subforms of the related response action transmittal forms (i.e., IRA, RAM, URAM, and Comprehensive Response Actions). The electronic version of the RMR is available for use at
.
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