ECY Form 030-24 "Solid Waste Handling Permit" - Washington

What Is ECY Form 030-24?

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 November 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 printable version of ECY Form 030-24 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

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Download ECY Form 030-24 "Solid Waste Handling Permit" - Washington

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Space reserved for Jurisdictional Health Department Letterhead/Logo
SOLID WASTE HANDLING PERMIT
For NAME OF FACILITY
PERMIT #
EXPIRATION DATE:
This permit authorizes the following solid waste handling activities at:
facility address/legal description/parcel #
PLACE “X” NEXT TO ACTIVITIES AT THE FACILITY THIS PERMIT COVERS OR DELETE ACTIVITIES THAT DO NOT
APPLY (USE ‘Backspace’ TO DELETE ENTIRE CELLS/ROWS).
☐Municipal Solid Waste Landfill per WAC 173-351
☐Municipal Solid Waste Landfill Post-Closure Care per WAC 173-351
☐Municipal Solid Waste Landfill Post-Closure Care per WAC 173-304
☐Limited Purpose Landfill Post-Closure Care per WAC 173-304
☐Woodwaste Landfill Post-Closure Care per WAC 173-304
☐Limited Purpose Landfill per WAC 173-350-400
☐Limited Purpose Landfill Post-Closure Care per WAC 173-350-400
☐Inert Waste Landfill per WAC 173-350-410
Recycling and/or Material Recovery per WAC 173-350-210:
☐Recycling
☐Material Recovery
☐Composting per WAC 173-350-220
☐Other Organic Material Handling activities per WAC 173-350-225
☐Land Application per WAC 173-350-230
☐Energy Recovery and Incineration Facilities per WAC 173-350-240
☐Anaerobic Digester per WAC 173-350-250
Transfer Station or Drop Box per WAC 173-350-310:
☐Transfer Station
☐Drop Box
☐Piles Used for Storage or Treatment per WAC 173-350-320
Surface Impoundment or Tank per WAC 173-350-330:
☐Surface Impoundment
☐Tank
☐Waste Tire Storage per WAC 173-350-350
Moderate Risk Waste Handling per WAC 173-350-360:
☐Limited Moderate Risk Waste Handling (only used oil, batteries, antifreeze from households)
☐Moderate Risk Waste Handling
Other Methods of Solid Waste Handling per WAC 173-350-490.
Specify:
The Permittee
Owner/Operator Company Name
Owner/Operator Responsible Official Name
Responsible Official Address
By
Responsible Official Phone Number & E-Mail
Sign on line, print name of health official here
ECY 030-24 (Rev. 11/2019)
1
Space reserved for Jurisdictional Health Department Letterhead/Logo
SOLID WASTE HANDLING PERMIT
For NAME OF FACILITY
PERMIT #
EXPIRATION DATE:
This permit authorizes the following solid waste handling activities at:
facility address/legal description/parcel #
PLACE “X” NEXT TO ACTIVITIES AT THE FACILITY THIS PERMIT COVERS OR DELETE ACTIVITIES THAT DO NOT
APPLY (USE ‘Backspace’ TO DELETE ENTIRE CELLS/ROWS).
☐Municipal Solid Waste Landfill per WAC 173-351
☐Municipal Solid Waste Landfill Post-Closure Care per WAC 173-351
☐Municipal Solid Waste Landfill Post-Closure Care per WAC 173-304
☐Limited Purpose Landfill Post-Closure Care per WAC 173-304
☐Woodwaste Landfill Post-Closure Care per WAC 173-304
☐Limited Purpose Landfill per WAC 173-350-400
☐Limited Purpose Landfill Post-Closure Care per WAC 173-350-400
☐Inert Waste Landfill per WAC 173-350-410
Recycling and/or Material Recovery per WAC 173-350-210:
☐Recycling
☐Material Recovery
☐Composting per WAC 173-350-220
☐Other Organic Material Handling activities per WAC 173-350-225
☐Land Application per WAC 173-350-230
☐Energy Recovery and Incineration Facilities per WAC 173-350-240
☐Anaerobic Digester per WAC 173-350-250
Transfer Station or Drop Box per WAC 173-350-310:
☐Transfer Station
☐Drop Box
☐Piles Used for Storage or Treatment per WAC 173-350-320
Surface Impoundment or Tank per WAC 173-350-330:
☐Surface Impoundment
☐Tank
☐Waste Tire Storage per WAC 173-350-350
Moderate Risk Waste Handling per WAC 173-350-360:
☐Limited Moderate Risk Waste Handling (only used oil, batteries, antifreeze from households)
☐Moderate Risk Waste Handling
Other Methods of Solid Waste Handling per WAC 173-350-490.
Specify:
The Permittee
Owner/Operator Company Name
Owner/Operator Responsible Official Name
Responsible Official Address
By
Responsible Official Phone Number & E-Mail
Sign on line, print name of health official here
ECY 030-24 (Rev. 11/2019)
1
Effective Date of Permit:
Date of Expiration:
Date of Issuance:
Please direct any questions about this permit or regulatory requirements to Name, Phone, Email.
Corrective Actions and Compliance Schedule
To ensure continued issuance of this permit and avoid suspension of all or parts of this permit, the Permittee must
complete the following activities by the provided deadline:
A. Required action and due date
Permitted Activities. The Permittee may operate the following solid waste handling activities:
DELETE ROWS/BOXES THAT DO NOT APPLY (USE ‘Backspace’ TO DELETE).
Municipal Solid Waste Landfill Unit/s name/number/area managed under WAC 173-351 and in accordance
with the following:
Plan of Operation dated Month Day, Year.
Groundwater Monitoring and Sampling and Analysis Plan dated Month Day, Year.
Closure Plan dated Month Day, Year.
Post-Closure Plan dated Month Day, Year.
Permittee must maintain financial assurance to cover the cost of hiring a third party to close the
landfill and complete post-closure activities in accordance with approved Closure and Post-Closure
Plans. The Permittee must submit to Name of Health Agency any changes to cost estimates.
Permittee must not landfill more than the authorized design volume (including final cover) of
ft
3
.
Time frame for construction of the first landfill unit: Time frame.
Estimated time frames for construction of subsequent units: Time frame.
The extent of each unit: Describe extent of each unit.
Acceptable wastes: List waste types (MSW, commercial, industrial, asbestos, contaminated soil,
etc.).
This permit is transferable only in accordance with WAC 173-351-750(2).
If operations cease for a period of twelve consecutive months, Name of Health Agency may suspend
this permit. Name of Health Agency will notify the permittee in writing the reasons for suspension.
Name of Health Agency will not suspend a permit where the cessation of operations is caused by
factors beyond the reasonable control of the permittee or when done in accordance with this
permit.
Permittee must file a reissuance application in accordance with 173-351-720(7) 90 days before
expiration of the permit duration. The permit duration expires on Date or milestone (e.g. closure of
Cell X).
ECY 030-24 (Rev. 11/2019)
2
Special Conditions, Exceptions, Demonstrations:
o In accordance with chapter 173-300 WAC, Certification of Operators of Solid Waste
Incinerator and Landfill Facilities, the Permittee must have an on-site certified landfill
operator in charge during all hours of operation, except the certified operator may be away
from the facility on official business or personal emergencies for one day or less if they are
on-call and available to respond in case of emergency.
REMOVE LINE IMMEDIATELY BELOW – ALL SHOULD BE IN THE SAME BOX
IF
APPLICABLE:
Abide by ordinance Name and number of local ordinance that requires loads
o
coming into the facility to be covered or secured.
IF
APPLICABLE:
Abide by Research, Development and Demonstration allowances approved
o
under WAC 173-351-710. RD&D allowances are approved from Issue Date through Expiration
Date.
o Include clearly stated and demonstrable project goals.
o Project cannot exceed 3 years unless renewed under WAC 173-351-710.
o The landfill may accept only waste types allowed for purposes of determining the
efficacy and performance capabilities of the project.
o Describe any requirements to protect human health and the environment, for testing
and for submittal of information.
o The Permittee must submit an annual report to Name of Health Agency and the
Department of Ecology describing whether and to what extent the site is progressing in
attaining project goals. The report must also include a summary of monitoring and
testing results.
o The Permittee must comply with all requirements of chapter 173-351 WAC, except list
sections of rule the RD&D allowance provides variances from.
o The Permittee must submit final engineering plans and specifications to Name of Health
Agency for approval.
Closed Municipal Solid Waste Landfill Unit/s name/number/area managed under WAC 173-351 and in
accordance with the following:
Post-Closure Plan dated Month Day, Year.
Groundwater Monitoring and Sampling and Analysis Plan dated Month Day, Year.
Permittee must maintain financial assurance to cover the cost of hiring a third party to complete
post-closure activities in accordance with the approved Post-Closure Plan. The Permittee must
submit to Name of Health Agency any change in cost estimate.
Permittee must file a reissuance application in accordance with 173-351-720(7) 90 days before
expiration of the permit duration. The permit duration expires on Date or milestone (e.g. prior to
ending post-closure care).
Special Conditions, Exceptions, Demonstrations:
Click or tap here to enter text.
Closed Municipal Solid Waste Landfill Unit/s name/number/area managed under WAC 173-304 and in
accordance with the following:
Post-Closure Plan dated Month Day, Year.
Groundwater Monitoring and Sampling and Analysis Plan dated Month Day, Year.
ECY 030-24 (Rev. 11/2019)
3
Permittee must maintain financial assurance to cover the cost to complete post-closure activities in
accordance with the approved Post-Closure Plan. The Permittee must annually audit the financial
assurance account and submit findings to the Department of Ecology.
Special Conditions, Exceptions, Variances:
Click or tap here to enter text.
Closed Limited Purpose Landfill Unit/s name/number/area managed under WAC 173-304 and in
accordance with the following:
Post-Closure Plan dated Month Day, Year.
Groundwater Monitoring and Sampling and Analysis Plan dated Month Day, Year.
Permittee must maintain financial assurance to cover the cost to complete post-closure activities in
accordance with the approved Post-Closure Plan. The Permittee must annually audit the financial
assurance account and submit findings to the Department of Ecology.
Special Conditions, Exceptions, Variances:
Click or tap here to enter text.
Closed Woodwaste Landfill Unit/s name/number/area managed under WAC 173-304 and in accordance
with the following:
Post-Closure Plan dated Month Day, Year.
Groundwater Monitoring and Sampling and Analysis Plan dated Month Day, Year.
Permittee must maintain financial assurance to cover the cost to complete post-closure activities in
accordance with the approved Post-Closure Plan. The Permittee must annually audit the financial
assurance account and submit findings to the Department of Ecology.
Special Conditions, Exceptions, Variances:
Click or tap here to enter text.
Limited Purpose Landfill managed under WAC 173-350-400 and in accordance with the following:
Plan of Operation dated Month Day, Year.
Groundwater Monitoring and Sampling and Analysis Plan dated Month Day, Year.
Closure Plan dated Month Day, Year.
Post-Closure Plan dated Month Day, Year.
Permittee must maintain financial assurance to cover the cost of hiring a third party to close the
landfill and complete post-closure activities in accordance with approved Closure and Post-Closure
Plans. The Permittee must review costs and accounts annually and submit findings to Name of
Health Agency by April 1.
Permittee must not landfill more than the authorized design volume (including final cover) of
ft
.
3
Acceptable wastes: List waste types (wood waste, wood ash, construction and demolition waste,
asbestos, etc.)
Special Conditions, Exceptions, Variances:
o In accordance with chapter 173-300 WAC, Certification of Operators of Solid Waste Incinerator
and Landfill Facilities, the Permittee must have an on-site certified landfill operator in charge
during all hours of operation, except the certified operator may be away from the facility on
official business or personal emergencies for one day or less if they are on-call and available to
respond in case of emergency.
IF APPLICABLE:
Abide by ordinance Name and number of local ordinance that requires loads
o
coming into the facility to be covered or secured.
ECY 030-24 (Rev. 11/2019)
4
Inert Waste Landfill managed under WAC 173-350-410 and in accordance with the following:
Plan of Operation dated Month Day, Year.
Closure Plan dated Month Day, Year.
Acceptable wastes: List waste types (cured concrete, asphalt, etc.)
Special Conditions, Exceptions, Variances:
o In accordance with chapter 173-300 WAC, Certification of Operators of Solid Waste Incinerator
and Landfill Facilities, the Permittee must have an on-site certified landfill operator in charge
during all hours of operation, except the certified operator may be away from the facility on
official business or personal emergencies for one day or less if they are on-call and available to
respond in case of emergency.
IF APPLICABLE:
Abide by ordinance Name and number of local ordinance that requires loads
o
coming into the facility to be covered or secured.
☐ Transfer Station or ☐ Drop Box managed under WAC 173-350-310 and in accordance with the
following:
Plan of Operation dated Month Day, Year.
Closure Plan dated Month Day, Year.
Acceptable wastes: List waste types (MSW, asbestos, aluminum cans, etc.)
Special Conditions, Exceptions, Variances:
IF APPLICABLE:
Abide by ordinance Name and number of local ordinance that requires loads
o
coming into the facility to be covered or secured.
☐ Recycling and/or ☐ Material Recovery managed under WAC 173-350-210.
If applicable, Plan of Operation dated Month Day, Year.
If applicable, Closure Plan dated Month Day, Year.
Acceptable wastes: List waste types (glass, wood, etc.)
Activities taking place (consolidating for transport, baling, sorting, processing into commodity, etc.):
Composting managed under WAC 173-350-220 and in accordance with the following:
Plan of Operation dated Month Day, Year.
Closure Plan dated Month Day, Year.
Acceptable wastes: List waste types (yard waste, food waste, manure, etc.)
Special Conditions, Exceptions, Variances:
Click or tap here to enter text.
Land Application managed under WAC 173-350-230 and in accordance with the following:
Plan of Operation dated Month Day, Year.
Acceptable wastes: List waste types (potato processing waste, fish waste, etc.)
Special Conditions, Exceptions, Variances:
Click or tap here to enter text.
Energy Recovery and Incineration managed under WAC 173-350-240 and in accordance with the following:
Plan of Operation dated Month Day, Year.
ECY 030-24 (Rev. 11/2019)
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