involvement coordinator, state agency representative, contract/IA support, etc... Include the following sentence for enforcement lead sites: [The relevant entities such as the PRP were/was notified of the initiation of the five-year review.] The review began on . Site Background Normally, 2 paragraphs of background information about the site should provide an adequate description for most sites This information may be taken directly from decision documents Below is a list of suggested background topics to include: Location of site (i.e. populated or unpopulated areas) and brief physical description Former, current, and reasonably anticipated future land use of site and of areas surrounding the site (including historical practices resulting in contamination) If more background information is appropriate, either include an optional appendix with more detailed information, reference a document (and include the document in Appendix A – Reference List) and/or list a website in this section where that information is available. Note: Website links can change, sometimes resulting in a broken link. As a result, if a website is listed also try to provide a document title that cites background information & reference this document in Appendix A – Reference List. SAMPLE FIVE-YEAR REVIEW SUMMARY FORM Note: The “Review period” referenced below is meant to correspond to the start and end dates associated with the preparation of this FYR report. SITE IDENTIFICATION Site Name: EPA ID: Region: State: City/County: SITE STATUS NPL Status: Multiple OUs? Has the site achieved construction completion? REVIEW STATUS Lead agency: [If “Other Federal Agency”, enter Agency name]: Author name (Federal or State Project Manager): Author affiliation: Review period: - Date of site inspection: Type of review: Review number: Triggering action date:
Affect Current Protectiveness Affect Future Protectiveness Party Responsible Oversight Party Milestone Date OTHER FINDINGS If there are items that you wish to include in the FYR report but should not be tracked as formal issues and recommendations affecting current and/or future protectiveness, please utilize the text below. In addition, the following are recommendations that were identified during the FYR and (may improve performance of the remedy, reduce costs, improve management of O&M, accelerate site close out, conserve energy, promote sustainability, etc.), but do not affect current and/or future protectiveness: List items VII. PROTECTIVENESS STATEMENT Each individual OU protectiveness determination and statement should be included here. Guidance on wording for the protectiveness statement can be found in the memo titled “ (September 13, 2012) If you need to add more protectiveness determinations and statements for additional OUs, copy and paste the table below as many times as necessary to complete for each OU evaluated in the FYR report. Per the 2001 FYR Guidance (p. 4-14), the planned addendum completion date field normally should be entered if there is a “deferred protectiveness” determination for at least one OU. Otherwise, it may be deleted. Protectiveness Statement(s) Operable Unit: Protectiveness Determination: Planned Addendum Completion Date: Protectiveness Statement: For sites that have achieved Construction Completion, a sitewide protectiveness determination and statement normally should be entered in the table below. If the site has not met the Construction Completion milestone, then generally the table below should be deleted. Per the 2001 FYR Guidance (p. 4-14), the planned addendum completion date field normally should be entered if there is a “deferred protectiveness” determination for at least one OU (or if the Region is planning to conduct a FYR addendum for some particular reason). Otherwise it may be deleted. Sitewide Protectiveness Statement