Mississippi Administrative Code
Title 11 - Mississippi Department of Environmental Quality
Part 3 - Hazardous Waste Management Regulations
Chapter 2 - Mississippi Commission on Environmental Quality Final Regulations Governing Brownfield Voluntary Cleanup and Redevelopment in Mississippi
Subchapter 3 - REVOLVING LOAN FUND
Appendix 11-3-2-3-D - ECOLOGICAL CHECKLIST

Universal Citation: MS Code of Rules 11-3-2-3-D
Current through September 24, 2024

MISSISSIPPI DEPARTMENT OF ENVIRONMENTAL QUALITY BROWNFIELD VOLUNTARY CLEANUP PROGRAM ECOLOGICAL CHECKLIST

Section I- Facility Information

1. Name of Facility: _______________________________________________________

2. Location of Facility: _______________________________________________________

County: _______________________________________________________

3. Mailing Address: _______________________________________________________

4. Type of Facility: _______________________________________________________

5. Describe land use at and in the vicinity of the release site _______________________

____________________________________________________________________________

6. Attach a USGS topographic map of the facility and aerial and other photographs of the release site and surrounding areas.

Section 2-Surrounding Land Use Information

1. Describe land use adjacent to the facility. ___________________________________________________________________________

2. Provide the following information regarding the nearest water body:

Name of surface water body: ________________________________

Type of surface water body (pond, lake, river etc: ________________________________

3. Do any potentially sensitive environmental areas exist adjacent to or in proximity to the site, e.g., Federal and State parks, National and State Monuments, wetlands, etc. ____________________________________________________________________________

Section 3 - Release Information

1. Nature of release. ________________________________

2. Location of the release (within the facility) ________________________________

3. Location of the release with respect to the facility property boundaries:

___________________________________________________________________________

4. Chemicals of Concern (COC) known or suspected to have been released: __________________________________

____________________________________________________________________________

5. Indicate which media are known or suspected to be impacted and if sampling data are available:

____________________________________________________________________________

Soil 0-6 feet bgs yes no

____________________________________________________________________________

groundwater yes no

____________________________________________________________________________

surface water/sediment yes no ____________________________________________________________________________

6. Has migration occurred outside the facility property boundaries? yes no

If yes, describe the designated use of the land impacted: ____________________________________________________________________________

Section 4 - Criteria for Further Assessment

If the Area of Impact (AOI) meets all of the criteria presented below, then typically no further ecological evaluation shall be required. If the AOI does not meet all of the criteria, then a screening level ecological risk shall be conducted. The Submitter should make the initial decision regarding whether or not a screening level ecological risk assessment is warranted based on compliance of the AOI with criteria listed below. After review of the ecological checklist and other available site information, the Mississippi Department of Environmental Quality will make a final determination on the need for a screening level ecological risk assessment. If site conditions at the AOI change such that one or more of the criteria are not met, then a screening level ecological risk assessment shall be conducted.

The criteria for exclusion from further ecological assessment include:

The area of impacted soil is approximately 1 acre or less in size;

There is no current (or potential) release (via runoff or groundwater discharge) of COCs from the AOI to a surface water body;

Recreational species, commercial species, threatened or endangered species, and/or their habitats are not currently being exposed, or expected to be exposed, to COCs present at or migrating from the AOI; and

There are no obvious impacts to ecological receptors or their habitats.

Section 5 - Site Summary

The ecological checklist submittal shall include a site summary which presents sufficient information to verify that the AOI meets or does not meet the criteria for further assessment.

Section 6 - Submitter Information

Date:

Name of person submitting this check list:

Affiliation:

Signature

Additional Preparers:

Miss. Code Ann. §§ 49-35-1, et seq., 49-2-9(1)(b), 49-17-17, 17-17-1, et seq., 49-2-1, et seq. and 49-17-1, et seq.

Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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