Form ECY040-139 "Inert Waste Landfills Checklist for Review of Solid Waste Permit Application Per Wac 173-350-410" - Washington

What Is Form ECY040-139?

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 January 1, 2003;
  • 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 printable version of Form ECY040-139 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 ECY040-139 "Inert Waste Landfills Checklist for Review of Solid Waste Permit Application Per Wac 173-350-410" - Washington

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INERT WASTE LANDFILL
Checklist for Review of Solid Waste Permit Application
per WAC 173-350-410
Name of Applicant:
Name of Facility:
Permit # assigned by Health Department:
Date Received:
Lead Agency Reviewer
Determination of Compliance with:
Name:
The Site or Facility:
 m eets all solid waste, air and other applicable
Phone:
laws and regulations
c onforms with the approved comprehensive solid
Signature:
waste handling plan
 c omplies with zoning requirements (JHD only)
ocation requirements
Location
Complete
Meets
Date &
L
Requirements
of material
Initials of
WAC 173-350-410(2)
Reviewer)
Evidence that the landfill will not be located on an
unstable slope (2)(a)
Evidence that the landfill will not be located closer
than ten feet from the facility property line (2)(b)
Evidence that the landfill will not be located closer
than fifty feet to a drinking water supply well (2)(c)
Evidence that the landfill will not be located in a
channel migration zone as defined in WAC 173-
350-100, or within one hundred feet measured
horizontally, of a stream, lake, pond, river, or
saltwater body, nor in any wetland nor any public
land that is being used by a public water system for
watershed control for municipal drinking water
purposes in accordance with WAC 248-54-660(4).
Agency Comments:
Design Standards
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-410(3)
Reviewer)
Application includes the following:
existing site topography, including the location
and approximate thickness and nature of any
existing waste
the vertical and horizontal limits of excavation
and waste placement
final closure elevation and grades
Ecology is an Equal Opportunity Employer.
ECY 040-139 Inert Landfills (1/03)
Page 1
INERT WASTE LANDFILL
Checklist for Review of Solid Waste Permit Application
per WAC 173-350-410
Name of Applicant:
Name of Facility:
Permit # assigned by Health Department:
Date Received:
Lead Agency Reviewer
Determination of Compliance with:
Name:
The Site or Facility:
 m eets all solid waste, air and other applicable
Phone:
laws and regulations
c onforms with the approved comprehensive solid
Signature:
waste handling plan
 c omplies with zoning requirements (JHD only)
ocation requirements
Location
Complete
Meets
Date &
L
Requirements
of material
Initials of
WAC 173-350-410(2)
Reviewer)
Evidence that the landfill will not be located on an
unstable slope (2)(a)
Evidence that the landfill will not be located closer
than ten feet from the facility property line (2)(b)
Evidence that the landfill will not be located closer
than fifty feet to a drinking water supply well (2)(c)
Evidence that the landfill will not be located in a
channel migration zone as defined in WAC 173-
350-100, or within one hundred feet measured
horizontally, of a stream, lake, pond, river, or
saltwater body, nor in any wetland nor any public
land that is being used by a public water system for
watershed control for municipal drinking water
purposes in accordance with WAC 248-54-660(4).
Agency Comments:
Design Standards
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-410(3)
Reviewer)
Application includes the following:
existing site topography, including the location
and approximate thickness and nature of any
existing waste
the vertical and horizontal limits of excavation
and waste placement
final closure elevation and grades
Ecology is an Equal Opportunity Employer.
ECY 040-139 Inert Landfills (1/03)
Page 1
design capacity of each landfill unit
total design capacity
future use of the facility after closure
Evidence that the landfill design will ensure that all
waste is above the seasonal high level of ground
water. For the purpose of this section, ground water
includes any water-bearing unit which is
horizontally and vertically extensive, hydraulically
recharged, and volumetrically significant (3)(a)
Evidence that the andfill design will maintain a
stable site (3)(b)
Evidence that the landfill design will manage
surface water, including run-on prevention and
runoff conveyance, storage, and treatment, to
protect the waters of the state (3)(c)
Agency Comments:
Plan of operations
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-410(4)(e)
Reviewer)
A description of the types of solid wastes to be
handled at the facility (4)(e)(i)
A description of how solid wastes are to be handled
on-site during the facility's life including (4)(e)(ii):
Acceptance criteria that will be applied to the
waste
Procedures for ensuring only the waste
described will be accepted
Procedures for handling unacceptable wastes
Procedures for transporting and routine filling
and grading
A description of how equipment, structures and
other systems are to be inspected and maintained,
including the frequency of inspection and
inspection logs (4)(e)(iii)
Safety and emergency plans (4)(e)(iv)
Forms used to record volumes or weights (4)(e)(v)
Other such details to demonstrate that the facility
will be operated in accordance with subsection 4
and as required by the JHD (4)(e)(vi)
Agency Comments:
Ground Water Monitoring
Location
Complete
Meets
Date &
Requirements
of material
Initials of
Requirements WAC 173-350-410(5)
Reviewer)
Ecology is an Equal Opportunity Employer.
ECY 040-139 Inert Landfills (1/03)
Page 2
There are no specific ground water monitoring
requirements for inert waste landfills subject to this
chapter; however, inert waste landfills must meet
the requirements provided under WAC 173-350-
040(5)
Agency Comments:
Closure plan
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-410(6)
Reviewer)
No closure plan is required for inert waste landfills.
Agency Comments:
Financial Assurance Requirements
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-410(7)
Reviewer)
There are no specific financial assurance
requirements for inert waste landfills subject to this
chapter; however, inert waste landfills must meet
the requirements provided under WAC 173-350-
040(5)
Agency Comments:
Ecology is an Equal Opportunity Employer.
ECY 040-139 Inert Landfills (1/03)
Page 3
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