DEP Form 62-673.900(1) "Phosphogypsum Stack System Construction/Operation Permit Application" - Florida

What Is DEP Form 62-673.900(1)?

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

Form Details:

  • Released on March 25, 1993;
  • The latest edition provided by the Florida Department of Environmental Protection;
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Download a fillable version of DEP Form 62-673.900(1) by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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Download DEP Form 62-673.900(1) "Phosphogypsum Stack System Construction/Operation Permit Application" - Florida

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PHOSPHOGYPSUM STACK SYSTEM
CONSTRUCTION/OPERATION
PERMIT APPLICATION
PART I - INSTRUCTIONS
Phosphogypsum Stack Systems shall be permitted pursuant to Sections 403.087 and 403.707, Florida
Statutes, and in accordance with Rule Chapter 62-673, Florida Administrative Code. A minimum of four copies of
the application shall be submitted to the appropriate Department District Office. Complete appropriate sections for
the type of facility for which application is made. Entries should be typed or printed in black ink. All blanks
should be filled in or marked N/A (not applicable). The application shall include all information, drawings, and
reports necessary to evaluate the facility. Information required to support the application is listed on the pages
attached to this form.
PART II - GENERAL INFORMATION
(1) Application for permit to:
construct
or operate
Facility type
new
lateral expansion
Phosphogypsum stack
Cooling or surge ponds
Perimeter drainage conveyance
Other
specify:
(2) Facility name:
(3) Facility DEP ID No.:
(4) Facility location (main entrance):
0
0
(5) Location coordinates: Latitude
'
"
Longitude
'
"
Section
Township
Range
UTMs: Zone
km E
km N
(6) Applicant Name (Operating Authority):
Street Address & P. O. Box:
City:
County:
Zip:
Contact Person: Name
Phone:
(7) Authorized Agent/Consultant Name:
Contact Person Name:
Phone:
Street Address & P. O. Box:
City:
County:
Zip:
Land Owner (if different from applicant):
Address of Landowner: Street & P. O. Box:
City:
County:
Zip:
1
DEP Form 62-673.900(1)
Effective March 25, 1993
PHOSPHOGYPSUM STACK SYSTEM
CONSTRUCTION/OPERATION
PERMIT APPLICATION
PART I - INSTRUCTIONS
Phosphogypsum Stack Systems shall be permitted pursuant to Sections 403.087 and 403.707, Florida
Statutes, and in accordance with Rule Chapter 62-673, Florida Administrative Code. A minimum of four copies of
the application shall be submitted to the appropriate Department District Office. Complete appropriate sections for
the type of facility for which application is made. Entries should be typed or printed in black ink. All blanks
should be filled in or marked N/A (not applicable). The application shall include all information, drawings, and
reports necessary to evaluate the facility. Information required to support the application is listed on the pages
attached to this form.
PART II - GENERAL INFORMATION
(1) Application for permit to:
construct
or operate
Facility type
new
lateral expansion
Phosphogypsum stack
Cooling or surge ponds
Perimeter drainage conveyance
Other
specify:
(2) Facility name:
(3) Facility DEP ID No.:
(4) Facility location (main entrance):
0
0
(5) Location coordinates: Latitude
'
"
Longitude
'
"
Section
Township
Range
UTMs: Zone
km E
km N
(6) Applicant Name (Operating Authority):
Street Address & P. O. Box:
City:
County:
Zip:
Contact Person: Name
Phone:
(7) Authorized Agent/Consultant Name:
Contact Person Name:
Phone:
Street Address & P. O. Box:
City:
County:
Zip:
Land Owner (if different from applicant):
Address of Landowner: Street & P. O. Box:
City:
County:
Zip:
1
DEP Form 62-673.900(1)
Effective March 25, 1993
(8) Acres within phosphogypsum stack system boundary
. Acres within property boundary
(9) Volume of phosphogypsum generated:
tons/year
tons/day
(10) Date site ready to receive phosphogypsum:
Estimated life of facility
years
(11) Estimated cost of construction, Total $
Estimated cost of closing $
(12) Anticipated construction starting and completion dates form
to
PART III - PHOPHOGYPSUM STACK CONSTRUCTION/OPERATION PERMIT
GENERAL REQUIREMENTS
Permit application and supporting information shall include the following (62-673.350, F.A.C.)
Completeness
Location
Check
(1)
Four copies, at a minimum, of the completed application form, engineering
plans, all supporting data, and reports [62-673.320(2)]
(2) A letter of transmittal to the Department [62-673.320(3)(a)]
(3) A table of contents listing the main sections of the application
[62-673.320(3)(b)]
(4) The permit fee specified in Rule 62-4.05, F.A.C. in check or money order
payable to the Department [62-673.320(3)(c)]
(5) Engineer and geologist seal [62-673.320(3)(d)]
(6) Demonstration of ownership or control of property [ 62-673.620(3)(m)]
(7) Proof of publication of notice of application for the proposed activity in a
newspaper of general circulation [ 62-673.320(4)]
PART IV - PHOSPHOGYPSUM STACK SITE AND CONSTRUCTION INFORMATION
The following information items must be included in the application or an explanation given if they are not
applicable. NOTE: All maps, plan sheets, drawings, isometrics, cross-sections, or aerial photographs shall be
legible; be signed and sealed by the registered professional engineer responsible for their preparation; be of
appropriate scale to show clearly all required details; be numbered, referenced to narrative, titled, have a legend of
symbols used, contain horizontal and vertical scales (where applicable), and specify drafting or origination dates;
and use uniform scales as much as possible, contain a north arrow, and use NGVD for all elevations.
Completeness
Location
Check
(1) Hydrogeological investigation [ 62-673.320(3)(j)]
(2) Geotechnical investigation [62-673.320(3)(k)]
(3) A map or aerial photograph of the area, no more than 1 year old, showing
land use and zoning within 1 mile of the facility with all significant
features labeled [62-673.320(3)(g)]
(4) Plot plan on a scale not greater than 200 feet to the inch showing the
following items (a) through (d)[62-673.320(3)(h)]
2
DEP Form 62-673.900(1)
Effective March 25, 1993
Completeness
Location
Check
(a) Dimensions of phosphogypsum stack system
(b) Original elevations
(c) Final contours
(d) Location of soil borings
(5)
Topographic maps (which may be combined with the plot plan) on a scale
not greater than 200 feet to the inch showing the following items (a)
through (f) [62-673.320(3)(i)]
(a) Five-foot contour intervals
(b) Proposed area of phosphogypsum disposal
(c) Cooling ponds, surge ponds, and perimeter drainage conveyances
(d) Access roads
(e) Grades required for proper drainage
(f) Typical cross sections of the phosphogypsum stack system including
starter dikes, dames, ditches, cooling, surge ponds, drainage
conveyances, and drainage controls.
(6)
Location requirements [62-673.340(2)]
(a) Set back distance from property boundaries
(b) 100-year flood plain
(c) 500 feet from a shallow supply well
(d) 200 feet from a natural or artificial surface water of the state
(7)
Evidence of an approved laboratory for ground water monitoring
[62-673.320(3)(l)]
PART V - LINER AND LEACHATE CONTROL SYSTEM PERFORMANCE
AND DESIGN INFORMATION
Completeness
Location
Check
(1)
Liner performance and design [62-673.400(2)(a), (b), & (d)
(a) Material type (soil, synthetic, other)
(b) Adequate base support
(c) Planned installation adequate to cover all surrounding earth
(d) Equivalency to design standards
(2)
Liner quality control plan [62-673.400(2)(c)]
(a) Specifications
(b) Construction/installation methods
(c) Sampling and testing
3
DEP Form 62-673.900(1)
Effective March 25, 1993
Completeness
Location
Check
(d) Manufacturer's specifications and recommendations
(3) Leachate control system standards [62-673.400(2)(e)]
(a) Perimeter underdrain to stabilize slopes
(b) Perimeter drainage conveyances within liner system
(4) Operation requirements [62-673.500]
(a) Operation plan
(b) Ground water monitoring
(c) Collection, control, recycling and treatment of surface runoff
(d) Collection, containment and treatment of leachate
(5) Closure Plan [62-673.600]
(a) Conceptual design
(b) Closure cost estimates
(c) Closure schedule
(6) Financial responsibility [62-673.640]
PART VI - CERTIFICATION BY APPLICANT AND ENGINEER
(1) Applicant
The undersigned applicant or authorized representative *of
is aware that statements made in this form and the attached information are an application for a permit from the
Florida Department of Environmental Protection and certifies that the information in this application is true,
correct and complete to the best of his knowledge and belief. Furthermore, the undersigned agrees to comply with
the provision of Chapter 403, Florida Statutes, and all rules of the Department. It is understood that the permit is
not transferable, and the Department will be notified before the sale or legal transfer of the permitted facility.
*Attach letter of authorization if representative
is not the owner or a corporate officer.
Signature of Applicant or Authorized Representative
Name and Title
Date Signed:
4
DEP Form 62-673.900(1)
Effective March 25, 1993
(2) Professional Engineer, Registered in Florida or Public Officer as required in Sections 403.707 and
403.7075, Florida Statutes
This is to certify that the engineering features of this facility have been designed/examined by me and found
to conform to engineering principles applicable to such facilities. In my professional judgment, this facility, when
properly maintained and operated, will substantially comply with all applicable statutes of the State of Florida and
rules of the Department. It is agreed that the undersigned will provide the applicant with a set of instructions of
proper maintenance and operation of this facility.
Signature
Mailing Address
Name and Title (Please type)
City, State, Zip Code
Florida Registration Number
Telephone Number (including area code)
(Please affix seal)
Date Signed
5
DEP Form 62-673.900(1)
Effective March 25, 1993
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