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Industrial Site Recovery Act (ISRA) Forms

 

ISRA Forms, Applications and Instructions

IMPORTANT: The Site Remediation Program has recently amended program rules with respect to the Site Remediation Reform Act (SRRA). SRP is in the process of revising all forms.

If you initiated remediation prior to November 4, 2009, use the forms listed below.

If you intiated remediation after November 4, 2009, please use the fomrs at the SRRA Forms Web site.

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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."

From the Technical Rules [amended 4 November 2009]
Posted:
25 November 2009

Microsoft Word Document [doc 84 Kb]
Adobe Acrobat [pdf 40 Kb]
Rich Text Format [rtf 90 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

This version is no longer available.
Use the De Minimus Quantity Exemption Application form on the SRRA Forms site.

Expedited Review Application

This version is no longer available.
Use the ISRA Alternate Compliance Option Application form on the SRRA Forms site.

General Information Notification (ISRA-001) This version is no longer available.
Use the General Information Notification form on the SRRA Forms site.
 

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.

This version is no longer available.
Use the ISRA Certificate of Limited Conveyance Application form on the SRRA Forms site.

Limited Site Review Application

This version is no longer available.
Use the ISRA Alternate Compliance Option Application form on the SRRA Forms site.

Minimal Environmental Concern Waiver Application

This version is no longer available.
Use the ISRA Alternate Compliance Option Application form on the SRRA Forms site.

Negative Declaration Affidavit
UPDATED Updated 20 April 2010

This document shall be submitted with the preliminary assessment report, site investigation report or remedial action report when it has been demonstrated 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 on or emanating from the industrial establishment has been remediated in accordance with the Technical Requirements for Site Remediation, N.J.A.C. 7:26E and any applicable remediation standards.

Rev. 4/1/2010
Posted
20 April 2010

Adobe Acrobat [pdf 180 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 version is no longer available.
Use the ISRA Alternate Compliance Option Application form on the SRRA Forms site.

Self-Guarantee Application Form

See Model Documents in the Remediation Funding Source Guide for more information.

 

Remediation In Progress Waiver Application

This version is no longer available.
Use the ISRA Alternate Compliance Option Application form on the SRRA Forms site.

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]
   

Forms No Longer in Use

  • Application for a Remediation Agreement (ISRA-012)