Form ECY040-138 "Surface Impoundments and Tanks Checklist for Review of Solid Waste Permit Application" - Washington

What Is Form ECY040-138?

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 ECY040-138 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 ECY040-138 "Surface Impoundments and Tanks Checklist for Review of Solid Waste Permit Application" - Washington

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SURFACE IMPOUNDMENTS AND TANKS
Checklist for Review of Solid Waste Permit Application
per WAC 173-350-330
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 173-350-330(2)
Reviewer)
Surface impoundments - shall not be located in
unstable areas unless the owner or operator
demonstrates that engineering measures have been
incorporated in the facility's design to ensure that
the integrity of the liners, monitoring system and
structural components will not be disrupted.
Tanks - there are no specific location standards for
tanks subject to this chapter; however tanks must
meet the requirements provided under WAC 173-
350-040(5).
Agency Comments:
Design Standards
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-330(3)
Reviewer)
Surface Impoundments (3)(a):
Pond capacity determined by volume
calculations based on the facility design,
monthly water balance and precipitation data.
Liner consists of a minimum 30-mil thickness
geomembrane overlying a structurally stable
foundation to support the liners and the
contents of the impoundment. (HDPE
geomembranes used as primary liners or leak
detection liners shall be at least 60-mil thick to
allow for proper welding.) Or the JHD has
approved alternative (3)(a)(i)
Ecology is an Equal Opportunity Employer.
ECY 040-138 Surface Impoundments and Tanks (1/03)
1
Page
SURFACE IMPOUNDMENTS AND TANKS
Checklist for Review of Solid Waste Permit Application
per WAC 173-350-330
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 173-350-330(2)
Reviewer)
Surface impoundments - shall not be located in
unstable areas unless the owner or operator
demonstrates that engineering measures have been
incorporated in the facility's design to ensure that
the integrity of the liners, monitoring system and
structural components will not be disrupted.
Tanks - there are no specific location standards for
tanks subject to this chapter; however tanks must
meet the requirements provided under WAC 173-
350-040(5).
Agency Comments:
Design Standards
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-330(3)
Reviewer)
Surface Impoundments (3)(a):
Pond capacity determined by volume
calculations based on the facility design,
monthly water balance and precipitation data.
Liner consists of a minimum 30-mil thickness
geomembrane overlying a structurally stable
foundation to support the liners and the
contents of the impoundment. (HDPE
geomembranes used as primary liners or leak
detection liners shall be at least 60-mil thick to
allow for proper welding.) Or the JHD has
approved alternative (3)(a)(i)
Ecology is an Equal Opportunity Employer.
ECY 040-138 Surface Impoundments and Tanks (1/03)
1
Page
Ground water monitoring system complies with
the requirements of WAC 173-350-500 or a
leak detection layer. If a leak detection layer is
used, it shall consist of an appropriate drainage
layer underlain by a geomembrane of at least
30-mil thickness (3)(a)(ii)
Embankments and slopes designed to maintain
structural integrity under conditions of a
leaking liner and capable of withstanding
erosion from wave action, overfilling, or
precipitation(3)(a)(iii)
Freeboard equal to or greater than eighteen
inches to provide protection against wave
action, overfilling, or precipitation. Or the
JHD has reduced the freeboard requirement
provided that other specified engineering
controls are in place which prevent overtopping
(3)(a)(iv)
If constructed with a single geomembrane liner,
the liner shall be tested using an electrical leak
location evaluation capable of detecting a hole
3 millimeters in its longest dimension or other
equivalent postconstruction test method prior to
being placed in service. (Part of construction
record drawings) (3)(a)(v)
Include an analysis of the surface under the
stresses expected during operations
Evidence that surface impoundments that have
the potential to impound more than ten-acre
feet (three million two hundred fifty-nine
thousand gallons) of liquid measured from the
top of the embankment and which would be
released by a failure of the containment
embankment have been reviewed and approved
by the dam safety section of the department
(3)(a)(vi)
NA
Tanks (3)(b):
Evidence that tanks and ancillary equipment
are tested for tightness using a method
acceptable to the JHD prior to being covered,
enclosed or placed in use. If a tank is found
not to be tight, all repairs necessary to remedy
the leak(s) in the system shall be performed
and verified to the satisfaction of the JHD prior
to the tank being covered or placed in use
(3)(b)(i)
Below ground tanks shall be designed to resist
buoyant forces in areas of high ground water
and shall either be: (A) Retested for tightness at
a minimum of once every two years; or (B)
Equipped with a leak detection system capable
of detecting a release from the tank (3)(b)(ii)
Ecology is an Equal Opportunity Employer.
ECY 040-138 Surface Impoundments and Tanks (1/03)
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Evidence for tanks or components in which the
external shell of a metal tank or any metal
component will be in contact with the soil or
water, that a determination was made by a
corrosion expert of the type and degree of
external corrosion protection that is needed to
ensure the integrity of the tank during its
operating life (3)(b)(iii)
Above ground tanks equipped with secondary
containment constructed of, or lined with,
materials compatible with the waste being
stored and capable of containing the volume of
the largest tank within its boundary plus the
precipitation from the twenty-five-year storm
event as defined in WAC 173-350-100
(3)(b)(iv)
Areas used to load or unload tanks shall be
designed to contain spills, drippage and
accidental releases during loading and
unloading of vessels (3)(b)(v)
Tanks and piping shall be protected from
impact by vehicles or equipment through use of
curbing, grade separation, bollards or other
appropriate means (3)(b)(vi)
Tanks shall be structurally suited for the
proposed use (3)(b)(vii)
Tanks, valves, fittings and ancillary piping
shall be protected from failure caused by
freezing (3)(b)(viii)
Agency Comments:
Plan of operations
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-330(4)(e)
Reviewer)
Describes the types of solid wastes to be handled at
the facility (4)(e)(i)
Describes how solid wastes are to be handled on-
site during the facility’s active life (4)(e)(ii)
Describes how equipment, structures and other
systems are to be inspected and maintained,
including the frequency of inspection and
inspection logs, including (4)(e)(iii)
The ground water monitoring system
NA
The overfilling prevention equipment,
including details of filling and emptying
techniques
The liners and embankments, tank piping and
secondary containment
Safety and emergency plans (4)(e)(iv)
Forms used to record volumes or weights (4)(e)(v)
Ecology is an Equal Opportunity Employer.
ECY 040-138 Surface Impoundments and Tanks (1/03)
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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:
Location
Complete
Meets
Date &
Ground Water Monitoring
Requirements
of material
Initials of
Requirements WAC 173-350-330(5)
Reviewer)
Surface impoundments not equipped with a leak
detection layer are subject to the ground water
monitoring requirements of WAC 173-350-500
Surface impoundments equipped with a leak
detection layer and tanks are not subject to the
ground water monitoring requirements of this
chapter however, they must meet the requirements
provided under WAC 173-350-040
Agency Comments:
Closure plan
Location of
Complete
Meets
Date &
material
Requirements
Initials of
WAC 173-350-330(6)(b)
Reviewer)
Methods of removing wastes
Steps taken for decontamination
Agency Comments:
Financial Assurance Requirements
Location
Complete
Meets
Date &
Requirements
of material
Initials of
WAC 173-350-330(7)
Reviewer)
There are no specific financial assurance
requirements for surface impoundments or tanks
subject to this chapter; however, surface
impoundments and tanks must meet the
requirements provided under WAC 173-350-040(5)
Agency Comments:
Ecology is an Equal Opportunity Employer.
ECY 040-138 Surface Impoundments and Tanks (1/03)
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