NJDEP SRP - ISRA Forms

Industrial Site Recovery Act (ISRA) Forms

ISRA Forms, Applications and Instructions

These files are available for download. They might not display properly on many Web browsers. Instead, you can download a file by selecting the underlined file name and following the download instructions specific to your browser.

Help for the File Formats

Quick Jump Links

Area of Concern Waiver Application
Deed Notice Model Document
Deed Notice Guidance Document
Example Deed Notice Termination Document
Application For a Deminimus Quantity Exemption
Expedited Review Application
General Information Notification (ISRA-001) Updated 5 April 2007
Initial Notice Fee Submittal Form
Limited Conveyance Application
Limited Site Review Application

Minimal Environmental Concern Waiver Application
Negative Declaration Affidavit
Preliminary Assessment Report Form
Remedial Action Workplan Deferral Affidavit
Regulated Underground Storage Tank Waiver Application
Remediation In Progress Waiver Application
Application for a Remediation Agreement (ISRA-012)
Self-Guarantee Application (1/2008)
Posted 7 February 2008
List of Standard Industrial Classifications (SICs) Regulated Pursuant to ISRA And Exceptions Within The Regulated SICs

Note:
The ISRA Application for an Applicability Determination ("LNA") form is no longer available. See the notice "ISRA Applicability Determination Service to be Discontinued" for more information.

Form Name & Description	Version & Posting Date	File Formats
Area of Concern Waiver Application This application is for an Area of Environmental Concern Waiver pursuant to the Industrial Site Recovery Act (ISRA), N.J.S.A. 13:1K-11.4 and N.J.A.C. 7:26B-5.2.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 45 Kb] Adobe Acrobat [pdf 98 Kb] Rich Text Format [rtf 73 Kb]
Deed Notice Model Document from N.J.A.C. 7:26E Appendix E The current version is given in recently adopted Appendix E - "Deed Notice" of the N.J.A.C. 7:26E - Technical Requirements for Site Remediation. The PDF and Doc links below are for that Appendix. This document was formerly called "Deed Notice Guidance Document" (the real guidance document is listed below) and "Declaration of Environmental Restrictions."	Revised Version 21 Feb 2003 Posted: 19 Aug 2004	Microsoft Word Document [doc 76 Kb] Adobe Acrobat [pdf 162 Kb] Rich Text Format [rtf 103 Kb]
Deed Notice Guidance Document	Rev. 1.1 6/27/00 Posted: 24 Jan 2002	Microsoft Word Document [doc 51 Kb] Adobe Acrobat [pdf 141 Kb] ZIP of Word [zip 13 Kb]
Example Deed Notice Termination Document	Rev. 4 May 2004 Posted: 20 Aug 2004	Microsoft Word Document [doc 45 Kb] Adobe Acrobat [pdf 168 Kb] Rich Text Format [rtf 31 Kb]
Application For a Deminimus Quantity Exemption ISRA-010 The purpose of this affidavit is to allow the owner or operator of an industrial establishment to apply for a de minimis quantity exemption from the Department, pursuant to N.J.A.C. 7:26B-2.3.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 62 Kb] Adobe Acrobat [pdf 163 Kb] Rich Text Format [rtf 105 Kb]
Expedited Review Application This application for an Expedited Review pursuant to the Industrial Site Recovery Act (ISRA) and N.J.A.C. 7:26B-5.1.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 64 Kb] Adobe Acrobat [pdf 110 Kb] Rich Text Format [rtf 122 Kb]
General Information Notification (ISRA-001) The information on the complete form must be submitted to the within 5 calendar days following any applicable triggering event as specified at N.J.A.C. 7:26B-3.2.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 57 Kb] Adobe Acrobat [pdf 150 Kb] Rich Text Format [rtf 106 Kb]
Initial Notice Fee Submittal Form	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 24 Kb] Adobe Acrobat [pdf 54 Kb] Rich Text Format [rtf 36 Kb]
Limited Conveyance Application This application is for a Certificate of Limited Conveyance which allows the applicant to sell or transfer up to one third the value of an industrial establishment without having to remediate the entire industrial establishment.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 50 Kb] Adobe Acrobat [pdf 133 Kb] Rich Text Format [rtf 68 Kb]
Limited Site Review Application This application for a Limited Site Review pursuant to the Industrial Site Recovery Act (ISRA), N.J.S.A. 13:1K-11.3 and N.J.A.C. 7:26B-5.5.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 44 Kb] Adobe Acrobat [pdf 100 Kb] Rich Text Format [rtf 81 Kb]
Minimal Environmental Concern Waiver Application This application is for a Minimal Environmental Concern Waiver pursuant to the Industrial Site Recovery Act (ISRA), N.J.A.C. 7:26B-5.6.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 40 Kb] Adobe Acrobat [pdf 63 Kb] Rich Text Format [rtf 64 Kb]
Negative Declaration Affidavit This document is submitted with the preliminary assessment report, site investigation report or remedial action report, as applicable to demonstrate that there have been no discharges of a hazardous substance or hazardous waste at the industrial establishment or that any discharged hazardous substance or hazardous waste has been remediated.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 36 Kb] Adobe Acrobat [pdf 79 Kb] Rich Text Format [rtf 65 Kb]
Preliminary Assessment Report Form This form should be used as a foundation for completing a preliminary assessment report in accordance with N.J.A.C.7:26E, the Technical Requirements for Site Remediation, subchapter 3.1 and 3.2. The purpose of a preliminary assessment is to identify the presence of any potentially contaminated areas of concern.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 182 Kb] Adobe Acrobat [pdf 137 Kb] Rich Text Format [rtf 386 Kb]
Remedial Action Workplan Deferral Affidavit This affidavit is to obtain the approval of a Remedial Action Workplan Deferral pursuant to the Industrial Site Recovery Act, N.J.A.C. 7:26B-5.8 from the New Jersey Department of Environmental Protection.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 41 Kb] Adobe Acrobat [pdf 106 Kb] Rich Text Format [rtf 66 Kb]
Regulated Underground Storage Tank Waiver Application This application is for a Regulated Underground Storage Tank Waiver pursuant to the Industrial Site Recovery Act (ISRA), and N.J.A.C. 7:26B-5.3.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 43 Kb] Adobe Acrobat [pdf 79 Kb] Rich Text Format [rtf 71 Kb]
Application for a Remediation Agreement (ISRA-012) This application is to be used when requesting a Remediation Agreement from NJDEP to allow the ISRA triggering event to proceed prior to completing the standard ISRA administrative-process. The Remediation Agreement specifies a time schedule for completion of ISRA requirements, provides for stipulated penalties for non-compliance and necessitates the posting of a remediation funding source. More info about this form	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 55 Kb] Adobe Acrobat [pdf 138 Kb] Rich Text Format [rtf 105 Kb]
Self-Guarantee Application Form This application is prepared in conjunction with N.J.A.C. 7:26C-7.7. Please be advised that only a responsible party, or a party obligated under a Remediation Agreement, Administrative Consent Order or Order may establish a Self-Guarantee.	Rev. 01/2008 Posted: 7 February 2008	Microsoft Word Document [doc 38 Kb] Adobe Acrobat [pdf 27 Kb] Rich Text Format [rtf 24 Kb]
Remediation In Progress Waiver Application This application is for a waiver from further compliance with the Industrial Site Recovery Act (ISRA) in accordance with N.J.S.A. 13:1K-11.5 and N.J.A.C. 7:26B-5.4.	Rev. 8/2007 Posted 11 September 2007	Microsoft Word Document [doc 45 Kb] Adobe Acrobat [pdf 98 Kb] Rich Text Format [rtf 73 Kb]
List of Standard Industrial Classifications (SICs) Regulated Pursuant to ISRA And Exceptions Within The Regulated SICs	11/97	HTML Microsoft Word Document [doc 39 Kb] Adobe Acrobat [pdf 17 Kb]
		Help for the File Formats

To report an environmental incident impacting NJ, call the Toll-Free 24-Hour Hotline
1-877-WARNDEP / 1-877-927-6337