What does the Risk-Based Cleanup and Disposal Approval checklist cover?

It lists information and supporting materials for an EPA risk-based cleanup and disposal request, including site history, contamination data, cleanup plans, and certifications.

Who uses this checklist?

Site owners, operators, or parties responsible for cleanup can use it to organize a § 761.61(c) request for EPA review.

Do I need a notary for this checklist?

No. The checklist does not require notarization; it says the cover letter and written certification must be signed, but does not specify a notary or date.

Hastings-on-Hudson, NY · Westchester County

No notary required

Risk-Based Cleanup and Disposal Approval § 761.61(c) Checklist

This checklist outlines materials for an EPA risk-based cleanup and disposal request, for site owners, operators, or parties responsible for cleanup.

What this form is

Use this checklist to organize a risk-based cleanup and disposal request for EPA review under § 761.61(c). It lists the site history, contamination information, cleanup plan, certifications, assessments, and other materials that may be needed, with references to sections and volumes where information is included. It also describes EPA review, possible public participation, and approval steps.

Who needs it

A site owner, operator, or party responsible for cleanup can use this checklist to assemble a risk-based request for EPA.

How to submit it

Send the request to EPA Region 1, Post Office Square, Suite 100, Boston, MA 02109-3912.

About notarization

This checklist does not require notarization; the cover letter and written certification must be signed, but no notary or date is specified.

How to submit this form

1
Download the Checklist
Download the checklist to review the information and supporting materials listed for the request.
2
Complete the Checklist
Gather the applicable site, contamination, cleanup, and certification materials identified in the checklist.
3
Gather Supporting Materials
Include required plans, reports, maps, analyses, and other supporting items identified for the request.
4
Send the Request to EPA
Send the request to EPA Region 1 at Post Office Square, Suite 100, Boston, MA 02109-3912.

Frequently asked questions

What does the Risk-Based Cleanup and Disposal Approval checklist cover?: It lists information and supporting materials for an EPA risk-based cleanup and disposal request, including site history, contamination data, cleanup plans, and certifications.
Who uses this checklist?: Site owners, operators, or parties responsible for cleanup can use it to organize a § 761.61(c) request for EPA review.
Do I need a notary for this checklist?: No. The checklist does not require notarization; it says the cover letter and written certification must be signed, but does not specify a notary or date.
How do I submit the request?: The document lists EPA Region 1, Post Office Square, Suite 100, Boston, MA 02109-3912, as the address for the request.

Need something notarized?

This Risk-Based Cleanup and Disposal Approval § 761.61(c) Checklist doesn’t need a notary — but if you have another Hastings-on-Hudson form that does, a commissioned online notary can help.