Form CalRecycle176 "Preliminary Closure Plan Completeness Review Checklist" - California

What Is Form CalRecycle176?

This is a legal form that was released by the California Department of Resources Recycling and Recovery - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2016;
  • The latest edition provided by the California Department of Resources Recycling and Recovery;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CalRecycle176 by clicking the link below or browse more documents and templates provided by the California Department of Resources Recycling and Recovery.

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Download Form CalRecycle176 "Preliminary Closure Plan Completeness Review Checklist" - California

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State of California • Department of Resources Recycling and Recovery (CalRecycle)
Preliminary Closure Plan:
Completeness Review Checklist
CalRecycle 176 (Revised 11/16)
Site:
Objective of Technical Review:
To determine if the work elements specified in the Preliminary Closure and Postclosure Maintenance Plans meet
California Code of Regulations Title 27, Division 2, Chapter 3, Subchapter 5, Article 2 technical requirements and
determine if plans are of adequate detail to produce a detailed cost estimate for disbursement of financial assurance
funds.
REVIEW CHECKLIST
Preliminary Closure Plan Contents
§21790
Check to ensure completeness.
Dated and signed professional certification
Table of contents
Site description
Site acreage
Estimated Closure date
Waste types description
Surrounding land uses
Maps (location, topographic, environmental monitoring)
Final Cover
Final cover design description
Cover Soil Availability Evaluation
Anticipated Grading and Drainage Plans
Construction Quality Assurance Plan Outline
Hydrological information
Gas and leachate monitoring and control
Existing and proposed gas monitoring system description
Exempt
Existing Gas control system description
N/A
Leachate monitoring and collection system description
N/A
Anticipated closure procedures and tentative schedule
On site structures removal procedures description
Signs Installation
Tentative construction implementation schedule
Financial assurance and closure funding section
Preliminary closure cost estimate
Clear
Print
State of California • Department of Resources Recycling and Recovery (CalRecycle)
Preliminary Closure Plan:
Completeness Review Checklist
CalRecycle 176 (Revised 11/16)
Site:
Objective of Technical Review:
To determine if the work elements specified in the Preliminary Closure and Postclosure Maintenance Plans meet
California Code of Regulations Title 27, Division 2, Chapter 3, Subchapter 5, Article 2 technical requirements and
determine if plans are of adequate detail to produce a detailed cost estimate for disbursement of financial assurance
funds.
REVIEW CHECKLIST
Preliminary Closure Plan Contents
§21790
Check to ensure completeness.
Dated and signed professional certification
Table of contents
Site description
Site acreage
Estimated Closure date
Waste types description
Surrounding land uses
Maps (location, topographic, environmental monitoring)
Final Cover
Final cover design description
Cover Soil Availability Evaluation
Anticipated Grading and Drainage Plans
Construction Quality Assurance Plan Outline
Hydrological information
Gas and leachate monitoring and control
Existing and proposed gas monitoring system description
Exempt
Existing Gas control system description
N/A
Leachate monitoring and collection system description
N/A
Anticipated closure procedures and tentative schedule
On site structures removal procedures description
Signs Installation
Tentative construction implementation schedule
Financial assurance and closure funding section
Preliminary closure cost estimate
Tentative construction health and safety plan
Reference materials
Preliminary Postclosure Maintenance Plan Contents
§21825
Proposed Land Use Description
Revegetation Plan
Proposed plant species list
Vegetation maintenance procedure description
Final Cover Maintenance Plan
Inspection procedures
Inspection frequency
Notification procedures
Repair procedures
Final cover repair procedures
Drainage collection system maintenance and repair procedures
Settlement monitoring plan
Tentative surveying monument locations
Surveying frequency
Tentative Landfill Gas Monitoring Plan
N/A
Parameter list
Monitoring frequency
Monitoring equipment and procedures description
Groundwater Monitoring Plan
N/A
Parameter list
Monitoring procedures description
Monitoring frequency
Leachate Monitoring Plan
N/A
Parameter List
Monitoring procedures description
Monitoring Frequency
Postclosure maintenance funding section
Initial postclosure maintenance cost estimate
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