Form ECY040-152 "Solid Waste Permit Application" - Washington

What Is Form ECY040-152?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2019;
  • The latest edition provided by the Washington State Department of Ecology;
  • 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 ECY040-152 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download Form ECY040-152 "Solid Waste Permit Application" - Washington

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Solid Waste Permit Application
Permit Number
(For official use only)
Chapter 173-350 WAC and Chapter 173-351 WAC
Use F11 to move between fields in Word version.
PART 1. General Information
Application Date:
County where facility is located:
Name of Facility:
Applicant is:
Facility owner
Facility operator
Applicant (Company Name, Government Entity):
Other(specify)
Applicant Contact Name and Position in Company/Government Entity:
Applicant Mailing Address:
Contact phone:
E-mail:
PART 2. Solid Waste Activity/Facility Type
Mark all solid waste handling activities/facilities that are included in this permit application.
Complete applicable PART 3 sections for each activity/facility type.
Municipal Solid Waste Landfill Unit per chapter 173-351 WAC
Surface impoundment per WAC 173-350-330
Recycling and material recovery per WAC 173-350-210
Tank per WAC 173-350-330
Composting per WAC 173-350-220
Waste tire storage per WAC 173-350-350
Land application per WAC 173-350-230
Moderate risk waste handling per WAC 173-350-360
Energy recovery and incineration per WAC 173-350-240
Limited purpose landfill per WAC 173-350-400
Anaerobic digesters per WAC 173-350-250
Inert waste landfill per WAC 173-350-410
Transfer station per WAC 173-350-310
Other methods of solid waste handling per WAC 173-350-490
(specify):
Drop box facility per WAC 173-350-310
Piles used for storage or treatment per WAC 173-350-320
PART 3. Solid Waste Activity/Facility Details
Municipal Solid Waste Landfill Unit
Attach the following:
Location of Documents
Engineering plans, reports and specifications per WAC 173-351-730(5)
Demonstrations that the facility meets the location standards of WAC 173-351-130 and 173-351-140
Hydrogeologic report and water quality monitoring plan, and demonstrations, prepared in accordance
with WAC 173-351-400
A plan of operations, and demonstrations, meeting the requirements of WAC 173-351-200, 173-351-
210 and 173-351-220
An engineering report comprehensively describing the existing site conditions and an analysis of the
facility, including closure, post-closure criteria and any necessary demonstrations per WAC 173-351-
730(5)(b)
ECY 040-152 (revised 04-19)
Page 1
Solid Waste Permit Application
Permit Number
(For official use only)
Chapter 173-350 WAC and Chapter 173-351 WAC
Use F11 to move between fields in Word version.
PART 1. General Information
Application Date:
County where facility is located:
Name of Facility:
Applicant is:
Facility owner
Facility operator
Applicant (Company Name, Government Entity):
Other(specify)
Applicant Contact Name and Position in Company/Government Entity:
Applicant Mailing Address:
Contact phone:
E-mail:
PART 2. Solid Waste Activity/Facility Type
Mark all solid waste handling activities/facilities that are included in this permit application.
Complete applicable PART 3 sections for each activity/facility type.
Municipal Solid Waste Landfill Unit per chapter 173-351 WAC
Surface impoundment per WAC 173-350-330
Recycling and material recovery per WAC 173-350-210
Tank per WAC 173-350-330
Composting per WAC 173-350-220
Waste tire storage per WAC 173-350-350
Land application per WAC 173-350-230
Moderate risk waste handling per WAC 173-350-360
Energy recovery and incineration per WAC 173-350-240
Limited purpose landfill per WAC 173-350-400
Anaerobic digesters per WAC 173-350-250
Inert waste landfill per WAC 173-350-410
Transfer station per WAC 173-350-310
Other methods of solid waste handling per WAC 173-350-490
(specify):
Drop box facility per WAC 173-350-310
Piles used for storage or treatment per WAC 173-350-320
PART 3. Solid Waste Activity/Facility Details
Municipal Solid Waste Landfill Unit
Attach the following:
Location of Documents
Engineering plans, reports and specifications per WAC 173-351-730(5)
Demonstrations that the facility meets the location standards of WAC 173-351-130 and 173-351-140
Hydrogeologic report and water quality monitoring plan, and demonstrations, prepared in accordance
with WAC 173-351-400
A plan of operations, and demonstrations, meeting the requirements of WAC 173-351-200, 173-351-
210 and 173-351-220
An engineering report comprehensively describing the existing site conditions and an analysis of the
facility, including closure, post-closure criteria and any necessary demonstrations per WAC 173-351-
730(5)(b)
ECY 040-152 (revised 04-19)
Page 1
An engineering report containing a description of the existing site conditions and an analysis of the
proposed facility per WAC 173-351-730(5)(c)
A construction quality assurance and quality control plan per WAC 173-351-730(6)
Closure and post-closure plans per WAC 173-351-500
Documentation per WAC 173-351-730(1)(b)(viii) for managing leachate
Cost estimates and mechanisms to meet financial assurance per WAC 173-351-600
Plan for meeting landfill operator certification per chapter 173-300 WAC, Certification of operators of
solid waste incinerator and landfill facilities (WAC 173-351-220(4)(b))
Documentation that owners of property located within 1,000 feet of the landfill boundary have been
notified that the proposed facility may impact their ability to construct water supply wells, in accordance
with chapter 173-160 WAC, Minimum standards for construction and maintenance of wells (WAC 173-
351-730(1)(a)(iv))
A demonstration of how the MSWLF conforms to the approved local comprehensive solid waste
management plan in place at the time of application
Additional information required by the jurisdictional health department
Research, Development and Demonstration for Municipal Solid Waste Landfill Unit/s
Attach the following:
Location of Documents
Description of activity for which a Research, Development and Demonstration permit is sought
Description of demonstrable project goals
Demonstration that the MSWLF unit is not a source or potential source of contamination
Demonstration that leachate depth on the liner will be maintained at one foot (30 cm) or less
For alternative final cover proposals, a demonstration that infiltration of liquids will not cause
contamination of groundwater or surface water
Description of the quantity and type of liquids to be introduced and method for adding liquids
Demonstration that the leachate discharge or containment system has capacity for additional liquids
Description of monitoring or testing to measure progress in attaining project goals
Engineering reports, plans and specifications
Additional information required by the jurisdictional health department
Continue on next page…
ECY 040-152 (revised 04-19)
Page 2
Recycling and Material Recovery Facilities
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
210(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-210(6)
A closure plan meeting the requirements of WAC 173-350-310(8)
Additional information required by the jurisdictional health department
Composting Facilities
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
220(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-220(6)
A closure plan meeting the requirements of WAC 173-350-220(8)
Additional information required by the jurisdictional health department
Land Application
Attach the following:
Location of Documents
Contact information as required by WAC 173-350-230(10)(a)(i)
Analysis of pollutant concentrations as required by WAC 173-350-230(10)(a)(ii)
Analysis of nutrients as required by WAC 173-350-230(10)(a)(iii)
Analysis of physical/chemical parameters as required by WAC 173-350-230(10)(a)(iv)
Discussion of any pathogens known or suspected as required by WAC 173-350-230(10)(a)(v)
Additional analysis required by the jurisdictional health department by
WAC 173-350-230(10)(a)(vi)
Land application site characterization as required by WAC 173-350-230(10)(a)(vii)
A plan of operation meeting the requirements of WAC 173-350-230(6)
Continue on next page…
ECY 040-152 (revised 04-19)
Page 3
Energy Recovery and Incineration Facilities
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
240(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-240(6)
A closure plan meeting the requirements of WAC 173-350-240(8)
Plan for meeting landfill operator certification per chapter 173-300 WAC, Certification of operators of
solid waste incinerator and landfill facilities
Additional information required by the jurisdictional health department
Anaerobic Digesters
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
250(4)
A plan of operation meeting the requirements of WAC 173-350-250(6)(f)
A closure plan meeting the requirements of WAC 173-350-250(8)
Additional information required by the jurisdictional health department
Transfer Stations and Drop Boxes
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
310(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-310(6)
A closure plan meeting the requirements of WAC 173-350-310(8)
Additional information required by the jurisdictional health department
Piles for Treatment and Storage
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
320(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-320(6)
A closure plan meeting the requirements of WAC 173-350-320(8)
Additional information required by the jurisdictional health department
ECY 040-152 (revised 04-19)
Page 4
Surface Impoundments and Tanks
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
330(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-330(6)
For surface impoundments not equipped with a leak detection layer, hydrogeologic reports and plans
that address the requirements of WAC 173-350-330(7)
A closure plan meeting the requirements of WAC 173-350-330(8)
Additional information required by the jurisdictional health department
Waste Tire Storage
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
350(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-350(6)
A closure plan meeting the requirements of WAC 173-350-350(8)
Documentation as needed to meet the financial assurance requirements of WAC 173-350-350(9)
Additional information required by the jurisdictional health department
Moderate Risk Waste Handling Facility
Attach the following:
Location of Documents
Engineering reports, plans and specifications that address the design standards of WAC 173-350-
360(4) and (5)
A plan of operation meeting the requirements of WAC 173-350-360(6)
A closure plan meeting the requirements of WAC 173-350-360(8)
Documentation as needed to meet the financial assurance requirements of WAC 173-350-360(9)
Additional information required by the jurisdictional health department
Continue on next page…
ECY 040-152 (revised 04-19)
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