United States
Environmental Protection
Agency
Office of Solid Waste
(5301)
Washington, DC 20460
October 1999
Solid Waste
&EPA RCRA Part A Permit Application
EPA
5,3 O/
EPA Form 8700-23 (Rev. 10/99)
-------
-------
v United States Environmental
r " Protection Agency
§j Washington, D.C. 20460
v
' - RCRA Part A Permit Application
Forms and Instructions
The Resource Conservation and Recovery Act (RCRA) requires anyone
who owns or operates a facility where hazardous waste is treated, stored,
or disposed to have a RCRA hazardous waste permit issued by the U.S.
Environmental Protection Agency (EPA). This booklet is designed .to help
you determine if you are subject to RCRA hazardous waste permitting
requirements. The instructions contained in this booklet will assist you
in starting the permitting process by completing and submitting EPA
Form 8700-23, or in modifying your hazardous waste permit by
submitting a revised EPA Form 8700-23.
There are two parts to a RCRA hazardous waste permit application ~
Part A and Part B. Part A of the RCRA hazardous waste permit
application comprises EPA Form 8700-23, along with maps, drawings,
and photographs, as required by 40 CFR 270. 13. Part B of the RCRA
hazardous waste permit application contains detailed, site-specific
information. There is no form for the Part B Permit Application; rather,
the Part B Permit Application must be submitted in narrative form and
contain the information described in applicable sections of 40 CFR
270. 14 through 270.27.
Note: Although this booklet contains information and instructions for
completing a RCRA Part A Permit Application, it should not be considered a
substitute for the regulations in Title 40 of the Code of Federal Regulations
(40 CFR). Rather, this booklet serves as a supplement to the regulations
and provides additional information not contained in 40 CFR. As an owner
or operator of a hazardous waste treatment, storage, or disposal facility,
you are responsible for learning and complying with all the requirements
that apply to you and the operations at your facility.
Pagel
-------
RCRA Part A Permit Application
In addition, remember that this booklet and the regulations in 40 CFR
address only the Federal hazardous waste program. Many States may
have hazardous waste permitting requirements that differ from the Federal
requirements; those States may use EPA Form 8700-23 for the RCRA Part
A submission or they may use a similar State form that requires
information not requested in the EPA form. Again, it is your responsibility
to make sure that you have completed and submitted all forms required
under the Federal or your State program.
We know that the regulations can be confusing. Therefore, in Section III
of these instructions, we have listed the addresses and phone numbers
of the contacts in each State who can answer your questions and help
you understand the Federal and State requirements that apply to you
(see Table 1). In addition, Table 2 in Section III contains the addresses
and phone numbers of contacts in each of the EPA Regional offices.
In addition to those contacts, the following sources are available to help
with your questions and provide information on EPA regulations:
A. RCRA, Superfund, and EPCRA Hotline - 1-800-424-9346
(In the Washington, D.C. area, call (703) 412-9810)
B. EPA Small Business Ombudsman Hotline - 1-800-368-5888
C. The EPA Web Site at:
www.epa.gov/docs/epacfr40/chapt-I.info/subch-I/
D. Your Trade Association
Page 2
-------
RCRA Part A Permit Application
Existing Facilities
Existing hazardous waste management facilities are those hazardous
waste treatment, storage, or disposal facilities which were in operation or
for which construction had commenced on or before November 19, 1980.
RCRA establishes a procedure for obtaining interim status that allows
these existing facilities to continue operating until a final hazardous
waste permit is issued. In order to obtain interim status, existing
facilities must complete a two-step process.
First, you must submit a Notification of Regulated Waste Activity using
EPA Form 8700-12. You will need to submit this form in order to obtain
an EPA Identification Number. If you have not notified EPA of your
regulated waste activity or you need EPA Form 8700-12, please contact
the appropriate State agency (see Table 1) or the EPA Regional Office
which serves your area (see Table 2).
Second, you must submit a RCRA Part A Permit Application using EPA
Form 8700-23, which is included in this booklet. If you do not file a
Notification of Regulated Waste Activity and complete the Part A Permit
Application by the deadlines specified in Section III.D. of these
instructions, you will be required by law to halt your operations until a
RCRA hazardous waste permit is issued.
Facility owners or operators with interim status are treated as having
been issued a permit until EPA reviews the RCRA Part B Permit
Application and issues a RCRA hazardous waste permit. You may
submit your Part B Permit Application voluntarily; however, you are not
required to submit it until it is requested by EPA. You will then have up
to six months to submit the Part B Permit Application.
Page3
-------
RCRA Part A Permit Application
New Facilities
New hazardous waste management facilities are those hazardous waste
treatment, storage, or disposal facilities which were not in operation or
for which construction had not commenced on or before November 19,
1980. Owners or operators of new hazardous waste management
facilities must submit both Parts A and B of the RCRA hazardous waste
permit application at least 180 days before physical construction of the
facility is expected to commence. In addition, these owners or operators
are not allowed to begin physical construction of the new facility of to
treat, store or dispose of hazardous wastes until receiving a RCRA
hazardous waste permit. As such, new facilities do not receive interim
status.
State governments may be authorized by EPA to administer hazardous
waste management programs in lieu of the Federal RCRA program. You
should contact your State hazardous waste management agency to
determine whether your State is authorized (see Table 1). If so, you will
need to comply with the specific permit application requirements of that
State.
The following instructions provide specific information for completing
and submitting a RCRA Part A Permit Application using EPA Form
8700-23. The instructions also provide general information for
completing a RCRA Part B Permit Application. If, after reading the
instructions, you have any questions regarding the RCRA hazardous
waste permit application process, please contact the EPA Regional Office
in your area for assistance (see Table 2).
First Part A Submission
Both new and existing facilities that treat, store, or dispose of regulated
hazardous waste are required to submit a RCRA Part A Permit
Application in accordance with the deadlines set forth in Section III.D. of
these instructions. Owners or operators of facilities that have not
previously submitted a RCRA Part A Permit Application will need to
submit a permit application for the first time. Examples of facilities
making their first Part A submission are new facilities or existing
facilities that become newly subject to the requirement to have a RCRA
hazardous waste permit. There is a box to check on EPA Form 8700-23
to indicate a first submission. Sections III and IV of this booklet contain
information and line-by-line instructions for completing the RCRA Part A
Permit Application.
Page 4
-------
RCRA Part A Permit Application
Revised Part A Submission
There are several conditions under which a facility that has previously
.submitted a RCRA Part A Permit Application must revise that first
submission to reflect changes that have occurred at the facility. Both
facilities operating under interim status and facilities operating under a
RCRA hazardous waste permit may find it necessary to revise their Part
A permit. A revised Part A Permit Application can be filed using EPA
Form 8700-23 and marking the box for "Revised Part A Submission."
The conditions requiring submission of a Revised Part A Permit
Application are summarized in Sections III and IV of this booklet.
Contents of This Booklet
Following is a list of the sections contained in this booklet and the
information covered in those sections.
Section I. Who Must File a RCRA Hazardous Waste Permit
Application?
Section II. How Do I Know if I Handle a Regulated Hazardous Waste?
Section III. How to File EPA Form 8700-23, "RCRA Part A Permit
Application" (Information on How, Where, and When to
File a RCRA Part A Permit Application; Plus a list of State
Contacts Where You Can Get Information, Obtain Forms,
and Send Your Completed Forms)
Section IV. Line-by-Line Instructions for Completing EPA Form
8700-23 (EPA Form 8700-23 is provided at the end of this
booklet.)
PageS
-------
r
RCRA Part A Permit Application
This page intentionally left blank.
Pages
-------
RCRA Part A Permit Application
I. Who Must File a RCRA Hazardous Waste Permit
Application?
The Resource Conservation and Recovery Act of 1976 (RCRA), as
amended, requires each person owning or operating a facility for the
treatment, storage, or disposal of regulated hazardous waste to have a
RCRA hazardous waste permit. This includes individuals, trusts, firms,
joint stock companies, Federal Agencies, corporations (including
government corporations), partnerships, associations, States,
municipalities, commissions, interstate bodies, other political
subdivisions of a State, or Indian tribes (or an authorized Indian tribe
organization). If you treat, store, or dispose of regulated hazardous
waste without obtaining a permit, you may be subject to a civil or
criminal penalty.
II. How Do I Know if I Handle a Regulated Hazardous
Waste?
Off-Site Facilities
Owners or operators of off-site facilities that treat, store, or dispose of
solid wastes, as defined by 40 CFR 261.2, are encouraged to obtain
information on the solid wastes they receive from generators. If the
generators will not supply this information, you are still responsible for
determining if the solid wastes you handle are also hazardous wastes
that are regulated by RCRA. To do so, you should follow the procedures
for on-site facilities that are described below.
On-Site Facilities
Generators who treat, store, or dispose, on-site, their own solid wastes
(as defined by 40 CFR 261.2), should employ the following procedures in
determining if their solid wastes are hazardous wastes that are regulated
by RCRA. This determination is made as follows:
1. First, you need to determine if the solid waste handled is excluded
from regulation under RCRA. The list of exclusions can be found in
the regulation entitled "Identification and Listing of Hazardous
Waste," 40 CFR 261.4. If the solid wastes handled are excluded, a
RCRA hazardous waste permit is not needed to treat, store, or
dispose of these solid wastes. If the solid waste handled is not
Page?
-------
RCRA Part A Permit Application
excluded by Section 261.4, you need to determine if the solid waste
handled is a hazardous waste that is regulated under RCRA. As
described below, EPA regulates a solid waste as a hazardous waste
by specifically listing it as a hazardous waste or by assigning it a
generic hazardous waste code because it possesses any of the four
hazardous waste characteristics.
If the solid waste handled is not excluded by Section 261.4, you
need to determine if it is a hazardous waste that is listed in 40 CFR
Part 261, Subpart D, "Lists of Hazardous Wastes." If you own or
operate a facility where listed hazardous waste is treated, stored, or
disposed, you are subject to regulation and must file a RCRA
hazardous waste permit application, unless the hazardous waste
has been exempted as described below.
If the solid waste handled is not listed in 40 CFR Part 261, Subpart
D, the solid waste may still be a hazardous waste if it possesses
certain characteristics or contains certain contaminants. These
characteristics and contaminants are described in 40 CFR Part
261, Subpart C, "Characteristics of Hazardous Waste." A
determination that a solid waste possesses these characteristics or
contaminants may be made based on either:
(a) Your knowledge of the hazard characteristic of the solid waste in
light of the materials or processes used; or
(b) The results of testing the solid waste according to the methods
in 40 CFR Part 261, Subpart C.
If you own or operate a facility where characteristic hazardous
waste is treated, stored, or disposed, you are subject to regulation
and must file a RCRA hazardous waste permit application, unless
the hazardous waste has been exempted as described below.
If the hazardous waste that you handle has been exempted under
40 CFR 261.5 or 261.6(a)(3), you are not subject to regulation and
do not need to file a RCRA hazardous waste permit application.
PageB
-------
RCRA Part A Permit Application
In addition, certain other persons who handle hazardous waste are not
required to obtain a RCRA hazardous waste permit. They are:
1. Generators who accumulate their own hazardous waste on-site for
less than 90 days as provided in 40 CFR 262.34;
2. Farmers who dispose of hazardous waste pesticides from their own
use as provided in 40 CFR 262.70; and
3. Owners and operators of totally enclosed treatment facilities as.
defined in 40 CFR 260.10.
III. How to File EPA Form 8700-23, "RCRA Part A
Permit Application"
As noted above, there are two parts to the RCRA hazardous waste permit
application - Part A and Part B. As required by 40 CFR 270.13, the
RCRA Part A Permit Application defines the processes to be used for
treatment, storage, and disposal of hazardous wastes; the design
capacity of such processes; and the specific hazardous wastes to be
handled at a facility. The RCRA Part A Permit Application is submitted
using EPA Form 8700-23. The Part A Permit Application serves as a
vehicle through which an owner or operator may submit facility-specific
information to the regulatory authority and keep this information
current. As specified by 40 CFR 270.14 through 270.27, the Part B
Permit Application requires detailed site-specific information such as
geologic, hydrologic, and engineering data. The Part B Permit
Application is submitted in narrative form.
A. How Many Permit Applications Should I File?
You need submit only one RCRA hazardous waste permit application
(Part A and Part B) per facility, provided that you describe all of the
activities at that facility. If you conduct hazardous waste activity(ies) at
more than one facility, you must submit a separate RCRA hazardous
waste permit application (Part A and Part B) for each facility location.
Note: Only one permit application is required per facility. At some point,
you may be required to submit revised applications to update your first
Part A submission. At any given time, the first submission and any
subsequent revised submissions represent the RCRA Part A Permit
Application for your facility.
Page 9
-------
RCRA Part A Permit Application
B. Can I Request that this Information Be Kept Confidential?
All information submitted in this form will be subject to public
disclosure, to the extent provided by the Freedom of Information Act, 5
U.S.C. Section 552, and EPA's Business Confidentiality Regulations, 40
CFR Part 2 and 40 CFR 270.12. Claims of confidentiality for the name
and address of any permit applicant or permittee will be denied. Persons
filing this form may make claims of confidentiality for certain
information. Such claims must be clearly indicated by submitting an
attachment listing the specific information for which confidential
treatment is requested at the time of filing. This attachment must
include a written substantiation of the claim for confidentiality, that
answers the following questions:
1. Which sections of the Part A Permit Application form contain the
information you claim is entitled to confidential treatment?
2. For how long is confidential treatment desired for the information?
3. What measures have you taken to guard against undesired
disclosure of the information to others?
4. To what extent has the information been disclosed to others, and
what precautions have been taken in connection with that
disclosure?
5. Has EPA or any other Federal agency made a pertinent
confidentiality determination? If so, include a copy of such
determination or reference to it, if available.
6. Will disclosure of the information be likely to result in substantial
harmful effects on your competitive position? If so, what would
those harmful effects be and why should they be viewed as
substantial? Explain the causal relationship between disclosure
and the harmful effects.
Information covered by a confidentiality claim and the above
substantiation will be disclosed by EPA only to the extent and by means
of the procedures set forth in 40 CFR Part 2 and 40 CFR 270.12.
If no claim of confidentiality or no substantiation accompanies the
information when it is submitted, EPA may make the information
available to the public without further notice to the submitter.
Page 10
-------
RCRA Part A Permit Application
C. Where Should I Send My Completed Permit Application?
The RCRA hazardous waste permit application (Part A and Part B)
should be mailed to the EPA Regional Office whose Region includes the
State in which the facility is located (see Table 2).
If the State in which the facility is located administers a hazardous
waste permit program under which you need a permit, you should
contact the appropriate State agency for the correct forms (see Table 1).
Your EPA Regional Office (Table 2) can tell you to whom to apply and can
provide the appropriate address and phone number.
D. When Should I File My Permit Application?
As required by 40 CFR 270.10, the deadlines for filing RCRA hazardous
waste permit applications are as follows:
Existing Facilities: Under 40 CFR 270.10(e), existing facilities
must submit a Part A Permit Application no later than six
months following the publication of regulations that subject
the facility to the requirement to have a RCRA permit.
• New Facilities: Under 40 CFR 270.10(f), new facilities must
submit both Part A and Part B Permit Applications at least 180
days before commencing physical construction of the facility.
E, When Should My Permit Application Be Revised?
Facilities Operating Under Interim Status
In accordance with 40 CFR 270.72(a), the owner or operator of a facility
operating under interim status must submit a revised RCRA Part A
Permit Application at the following times:
t
1. Prior to treating, storing, or disposing of new hazardous wastes not
previously identified in the facility's Part A permit. Similarly, when
EPA (or a State with an authorized RCRA program) promulgates a
rule listing or identifying new hazardous wastes, facilities
managing these wastes must revise their Part A applications to
reflect this activity.
Page 11
-------
RCRA Part A Permit Application
2. Prior to increasing the design capacity of the processes used at the
facility. The EPA Regional Administrator (or the State Director, for
an authorized State) must approve changes in capacity before they
take effect at the facility.
3. Prior to changing existing processes or adding new processes for
treating, storing and disposing of hazardous wastes at the facility.
Changes in treatment, storage, and disposal practices must be
approved by the Regional Administrator (or State Director) before
they are implemented by a facility.
4. Prior to undergoing a change in ownership or operational control of
a facility.
5. Whenever facility changes occur in accordance with an interim
status corrective action order issued by EPA, an authorized State,
or by a court in a judicial action brought by EPA or the State.
6. When a facility adds units for the treatment, storage, and disposal
of hazardous waste that are newly regulated by EPA or a State. A
revised Part A Permit Application must be submitted on or before
the date on which the unit becomes subject to the new
requirements.
Changes in the quantity of hazardous waste currently specified in the
first Part A Permit Application can be made without submitting a revised
Part A Permit Application, provided the quantity does not exceed the
design capacities of the processes specified in the first Part A Permit
Application. Failure to furnish all information required to process a
RCRA hazardous waste permit application is grounds for termination of
interim status.
Facilities Operating Under a RCRA Hazardous Waste Permit
Owners or operators of facilities operating under a RCRA hazardous
waste permit may modify their permit at any time, in accordance with
the specific requirements in 40 CFR 270.42. Appendix I to 40 CFR
270.42 divides the various types of permit modifications into Classes 1,
2, and 3, based on the complexity of facility changes necessitating a
permit modification. Class 1 modifications are minor changes that keep
the permit current with changes that occur to the facility or its
operation. Class 2 and 3 modifications involve more significant changes
in facility operations.
Page 12
-------
RCRA Part A Permit Application
In all cases when a facility owner or operator requests a permit
modification, however, he or she must submit the information required
in the Part A Permit Application (in 40 CFR 270.13) as part of the
modification submittal.
Finally, under 40 CFR 270.10(h), facilities with a RCRA hazardous waste
permit must submit a new application (Part A and Part B} at least 180
days prior to the expiration date of the permit.
Estimated Burden: Public reporting burden for new Part A Permit
Applications is estimated to be 27 hours. Public reporting burden for
revised Part A Permit Applications is expected to be 14 hours. This
reporting burden includes time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. Send
comments regarding the burden estimate or any other aspect of this
collection of information, including suggestions for reducing this
burden, to Director, Regulatory Information Division, 2136, U.S.
Environmental Protection Agency, 401 M St., S.W., Washington, D.C.
20460; and to the Office of Information and Regulatory Affairs, Office
of Management and Budget, Washington, D.C. 20503, marked
"Attention Desk Officer of EPA."
Page 13
-------
RCRA Part A Permit Application
This page intentionally left blank.
Page 14
-------
RCRA Part A Permit Application
Table 1
Alphabetized State Listing of Contacts for
Obtaining and Submitting the RCRA Part A Permit Application
Alabama
Obtain information or forms from, and mail
completed forms to:
Alabama Department of Environmental
• Management
1400 Coliseum Blvd. (FedEx or UPS)
P.O. Box 301463 (regular mail)
Montgomery, Alabama 36110-2059
(334) 271-7700
Alaska
Obtain information or forms from:
U.S. EPA Region 10
Alaska Operations Office
Federal Building
222 W. 7th Avenue, Suite 19
Anchorage, Alaska 99513-7588
(907) 271-5083
Mail completed forms to:
U.S. EPA Region 10
Office of Waste and Chemicals
Management, WCM-121
RCRA/TSCA Permits Team
1200 Sixth Avenue
Seattle, Washington 98101
(206) 553-1253
American Samoa
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 9
Hazardous Waste Management Division
75 Hawthorne Street, WST-4
San Francisco, California 94105
(415) 744-2422
Arizona
Obtain information or forms from, and mail
completed forms to:
Office of Waste Programs
Arizona Department of
Environmental Quality
3033 N. Central Avenue
Phoenix, Arizona 85012
(602)207-4146
Arkansas
Obtain information or forms from, and mail
completed forms to:
Arkansas Department of Environmental
Quality
8001 National Drive
P.O. Box 8913
Little Rock, Arkansas 72219-8913
(501) 682-0833
California
Obtain information or forms from:
CA Region 1
Department of Toxic Substances Control
Attn: Permitting Division
10151 Croydon Way, Suite 3
Sacramento, California 95827
(916) 255-3618
CA Region 2
Department of Toxic Substances Control
700 Heinz Avenue, Suite 200
Berkeley, California 94710
(510) 540-2122
CA Region 3
Department of Toxic Substances Control
1011 North Grandview Avenue
Glendale, California 91201
(818) 551-2830
CA Region 4
Department of Toxic Substances Control
5796 Corporate Avenue
Cyprus, California 90630
(714)484-5400
Mail completed forms to:
U.S. EPA Region 9
Hazardous Waste Management Division
75 Hawthorne Street, WST-4
San Francisco, California 94105
(415) 744-2422
Page 15
-------
RCRA Part A Permit Application
Colorado
Obtain information or forms from, and matt
completed forms to:
Colorado Department of Public Health
and Environment
Hazardous Materials and Waste
Management Division
4300 Cherry Creek Drive, S.
HMWMD-HWC-B2
Denver, Colorado 80246-1530
(303) 692-3300
Connecticut
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Protection
Bureau of Waste Management
Waste Engineering and Enforcement
Division
79 Elm Street
Hartford, Connecticut 06106T5127
(860) 424-3372
Delaware
Obtain information or forms from, and mail
completed forms to:
Delaware Department of Natural Resources
and Environmental Control
Solid and Hazardous Waste Management
Branch
Attn: Susan Morris
89 Kings Highway
Dover, Delaware 19901
(302) 739-3689
District of Columbia
Obtain information or forms from, and mail
completed forms to:
Department of Health
Environmental Health Administration
Attn: Mark Hughes
51 N Street, N.E., 3rd Floor
Washington, D.C. 20002
(202) 535-2285
Send courtesy copy to:
U.S. EPA Region 3
Technical Support Branch, 3WC11
1650 Arch Street
Philadelphia, Pennsylvania 19103
Florida
Obtain information or forms from, and mail
completed forms to:
Hazardous Waste Regulation Section
Department of Environmental Regulation
Twin Towers Office Building
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
(904) 488-0300
Georgia
Obtain information or forms from, and mail
completed forms to:
Hazardous Waste Branch
Environmental Protection Division
Georgia Department of Natural Resources
Floyd Towers East, Room 1154
205 Butler Street, S.E.
Atlanta, Georgia 30334
(404) 656-7802
Guam
Obtain information or forms from, and mail
completed forms to:
Guam Environmental Protection Agency
P.O. Box 22439-GMP
(Calibration Lab Building)
Barrigada, Guam 96921
Hawaii
Obtain information from:
Hawaii Department of Health
Solid and Hazardous Waste Branch
919 Ala Moana Boulevard, Suite 212
Honolulu, Hawaii 96814
(808) 586-7509
Obtain forms from and mail
completed forms to:
U.S. EPA Region 9
Hazardous Waste Management Division
75 Hawthorne Street, WST-4
San Francisco, California 94105
(415) 744-2422
Page 16
-------
RCRA Part A Permit Application
Idaho
Obtain information or forms from, and mail
completed forms to:
Idaho Department of Health and Welfare
Division of Environmental Quality
State Waste Management and
Remediation Program
Hazardous Waste Permit Coordinator
1410 N. Hilton Street
Boise, Idaho 83706
(208) 373-0547
Illinois
Obtain information or forms from, and mail
completed forms to:
Illinois Environmental Protection Agency
Division of Land Pollution Control
1021 N. Grand Avenue, E.
Springfield, Illinois 62794
(217) 782-6761
Indiana
Obtain information or forms from, and mail
completed forms to:
Indiana Department of
Environmental Management
100 N. Senate Avenue
P.O. Box 6015
Indianapolis, Indiana 46206
(317) 232-3242
Iowa
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 7
Air, RCRA, and Toxics Division
RCRA Enforcement and State Programs
Branch (ARTD/RESP)
901 N. 5th Street
Kansas City, Kansas 66101
(913)551-7126
Kansas
Obtain information or forms from, and mail
completed forms to:
Department of Health and Environment
Bureau of Waste Management
Waste Policy, Planning, and Outreach
Section
Attn: David Branscum
Forbes Field, Building 740
Topeka, Kansas 66620
(785) 296-6898
Kentucky
Obtain information or forms from, and mail
completed forms to:
Division of Waste Management
Department of Environmental Protection
Cabinet for Natural Resources
and Environmental Protection
Attn: Marlyn Godby
Fort Boone Plaza, Building No. 2
14ReiIlyRoad
Frankfort, Kentucky 40601
(502) 564-6716
Louisiana
Obtain information or forms from, and mail
completed forms to:
Louisiana Department of
Environmental Quality
Department of Solid and Hazardous Waste
P.O. Box 82178
Baton Rouge, Louisiana 70884-2178
(504) 765-0261
Maine
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Protection
Bureau of Remediation and Waste Mgmt.
State House Station #17
Augusta, Maine 04333
(207) 287-2651
Maryland
Obtain information or forms from, and matt
completed forms to:
Maryland Department of the Environment
Hazardous Waste Program
Attn: Emily Troyer
Tracking/Certification Branch
2500 Broening Highway
Baltimore, Maryland 21224
(410) 631-3344
Massachusetts
Obtain information or forms from, and mail
completed forms to:
Division of Business Compliance
Bureau of Waste Prevention
Massachusetts Department of
Environmental Protection
One Winter Street, 9th Floor
Boston, Massachusetts 02108
(617)292-5500
Page 17
-------
RCRA Part A Permit Application
Michigan
Obtain information or forms from, and mail
completed forms to:
Michigan Department of Environmental
Quality
Waste Management Division
Box 30241
Lansing, Michigan 48909
(517) 373-2730 or
(517) 373-1837
Minnesota
Obtain information or forms from, and mail
completed forms to:
Metro District and Major Facilities
Attn: Rich Sandberg
Minnesota Pollution Control Agency
520 Lafayette Road, N.
St. Paul, Minnesota 55155
(651) 296-7290
Mississippi
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Quality
Attn: Ms. Willie Brandon
101 W. Capital Street, Suite 100
Jackson, Mississippi 39201
or
Department of Environmental Quality
Attn: Ms. Willie Brandon
P.O. Box 10385
Jackson, Mississippi 39289-0385
(601)961-5171
Missouri
Obtain information or forms from, and mail
completed forms to:
Hazardous Waste Program
Attn: Art Groner
Department of Natural Resources
1738 E. Elm Street
P.O. Box 176
Jefferson City, Missouri 65101
(573) 751-3176
Montana
Obtain information or forms from, and mail
completed forms to:
Montana Department of Environmental
Quality
Hazardous Waste Program
Metcalf Building
1520 E. Sixth Avenue
Helena, Montana 59620
(406)444-1430
Nebraska
Obtain information or forms from, and mail
completed forms to:
RCRA Section
Attn: Teri Swarts
Department of Environmental Quality
The Atrium, Suite 400
1200 N Street
P.O. Box 98922
Lincoln, Nebraska 68509-8922
(402)471-4218
Nevada
Obtain information or forms from, and mail
completed forms to:
NDEP
Bureau of Waste Management
333 West Nye Lane, Room 138
Carson City, Nevada 89706-0851
(702) 687-5872
New Hampshire
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Services
Waste Management Division
6 Hazen Drive
Concord, New Hampshire 03301
(603) 271-2901
Page 18
-------
RCRA Part A Permit Application
New Jersey
Obtain information from:
New Jersey Department of
Environmental Protection
Attn: Environmental Regulation
Bureau of Hazardous Waste and Transfer
Facilities
P.O. Box 414
Trenton, New Jersey 08625-0414
(609) 292-9880
Obtain forms from and mail
completed forms to:
U.S. EPA Region 2
Division of Environmental Planning and
Protection
RCRA Programs Branch
290 Broadway Street, 22nd Floor
New York, New York 10007-1866
(212)637-4106
New Mexico
Obtain information or forms from, and mail
completed forms to:
New Mexico Environment Department .
Hazardous Waste Bureau
P.O. Box 26110
Santa Fe, New Mexico 87502
(505) 827-1557
New York
Obtain information from:
New York State Department of
Environmental Conservation
Division of Solid and Hazardous Materials
Bureau of Hazardous Waste Management
50 Wolf Road
Albany, New York 12233-7251
(518)457-9257
Obtain forms from and mail completed forms
to:
U.S. EPA Region 2
Division of Environmental Planning and
. Protection
RCRA Programs Branch
290 Broadway Street, 22nd Floor *
New York, New York 10007-1866
(212)637-4106
North Carolina
'Obtain information or forms from, and mail
completed forms to:
North Carolina Department of Environment
and Natural Resources
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, North Carolina 27605
or
North Carolina Department of Environment
and Natural Resources
Division of Waste Management
P.O. Box 29603
Raleigh, North Carolina 27611-9603
(919) 733-2178
North Dakota
Obtain information or forms from, and mail
completed forms to:
Division of Waste Management
North Dakota Department of Health
1200 Missouri Avenue
P.O. Box 5520
Bismarck, North Dakota 58506-5520
(701) 328-5166
Northern Mariana Islands
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 9
Hazardous Waste Management Division
75 Hawthorne Street, WST-4
San Francisco, California 94105
(415) 744-2422
Ohio
Obtain information or forms from, and mail
completed forms to:
Ohio Environmental Protection Agency
Lavarus Government Center
Division of Hazardous Waste Management
1222 S. Front Street
Columbus, Ohio 43215
(614) 644-2977
Page 19
-------
RCRA Part A Permit Application
Oklahoma
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Quality
Hazardous Waste Management Service
P.O. Box 1677
Oklahoma City, Oklahoma 73101-1677
(405) 702-5189
Oregon
Obtain information or forms from, and mail
completed forms to;
Oregon Department of
Environmental Quality
Attn: Chris Pickens
Hazardous Waste Operations
811 SW Sixth Avenue
Portland, Oregon 97204
(503) 229-6352
Pennsylvania
Obtain information from:
Pennsylvania Department of
Environmental Protection
Rachel Carson State Office Building
Attn: Joe Hayes
Permitting Section
400 Market Street, 14th Floor
Harrisburg, Pennsylvania 17105-8741
(717) 787-6239
Obtain forms from and mail
completed forms to:
U.S. EPA Region 3
Waste and Chemicals Management
Division, 3WC11
1650 Arch Street
Philadelphia, Pennsylvania 19103-2029
(215) 814-3413
Puerto Rico
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 2
Division of Environmental Planning and
Protection
RCRA Programs Branch
290 Broadway Street, 22nd Floor
New York, New York 10007-1866
(212)637-4106
Rhode Island
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Management
Office of Waste Management
235 Promenade Street
Providence, Rhode Island 02908-5767
(401) 222-1360
Sonth Carolina
Obtain information or forms from, and mail
completed forms to:
Bureau of Solid and Hazardous
Waste Management
Department of Health and Environmental
Control
2600 Bull Street
Columbia, South Carolina 29201
(803) 896-4000
South Dakota
Obtain information or forms from, and mail
completed forms to:
Department of Environment and
Natural Resources
Waste Management Program
523 E. Capitol Avenue
Pierre, South Dakota 57501-3181
(605) 773-3153
Tennessee
Obtain information or forms from, and mail
completed forms to:
Division of Solid Waste Management
Tennessee Department of Environment and
Conservation
401 Church Street
LNC Tower, 5th Floor
Nashville, Tennessee 37243-1535
(615) 532-0780
Texas
Obtain information or forms from, and mail
completed forms to:
Texas Natural Resource Conservation
Commission
Registration and Evaluation Division
Registration and Reporting Section
P.O. Box 13087, MC-129
Austin, Texas 78711-3087
(512) 239-6832
Page 20
-------
RCRA Part A Permit Application
Utah
Obtain information or forms from, and mail
completed forms to:
Division of Solid and Hazardous Waste
Department of Environmental Quality
P.O. Box 144880
Salt Lake City, Utah 84114-4880
(801) 538-6170
Vermont
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Conservation
Agency of Natural Resources
Waste Management Division
West Office Building
103 S. Main Street
Waterbury, Vermont 05671-0404
(802)241-3867
Virgin Islands
Obtain information from:
Virgin Islands Department of
Planning and Natural Resources
Division of Environmental Protection
179 Altona and Welgunst
St. Thomas, Virgin Islands 00801
(809)693-0114
Obtain forms from and mail
completed forms to:
U.S. EPA Region 2
Division of Environmental Planning and
Protection
RCRA Programs Branch
290 Broadway Street, 22nd Floor
New York, New York 10007-1866
(212)637-4106
Virginia
Obtain information or forms from, and mail
completed forms to:
Commonwealth of Virginia
Department of Environmental
Quality
Attn: Lisa Ellis
629 E. Main Street
Richmond, Virginia 23219
(804)698-4177-
Washington
Obtain information or forms from:
Washington Department of Ecology
P.O. Box 47600
Olytnpia, Washington 98504-7600
(360) 407-6703
Mail completed forms to:
U.S. EPA Region 10
Office of Waste and Chemicals
Management, WCM-121
RCRA/TSCA Permits Team
1200 Sixth Avenue
Seattle, Washington 98101
(206) 553-1253
West Virginia
Obtain information or forms from, and mail
completed forms to:
West Virginia Division of Environmental
Control
Office of Waste Management
Attn: G,S. Atwal
1356 Hansford Street
Charleston, West Virginia 25301
(304) 558-2505
Wisconsin
Obtain information or forms from, and mail
completed forms to:
Bureau of Waste Management .
Department of Natural Resources
P.O. Box 7921
Madison, Wisconsin 53707
(608)266-2111
Wyoming .
Obtain information or forms from, and mail
completed forms to:
Wyoming Department of Environmental
Quality
Solid and Hazardous Waste Division
Hazardous Waste Permitting and Corrective
Action
122 W. 25th Street
Herschler Building, 4th Floor West '
Cheyenne, Wyoming 82002
(307) 777-7752
Page 21
-------
RCRA Part A Permit Application
Table 2
U.S. EPA Regional Contacts for the RCRA Part A Permit Application
U.8. EPA Region 1
Office of Ecosystem Protection
Hazardous Waste Program Unit
One Congress Street, Suite 1100
Boston, MA 02114-2023
(618)918-1640
Connecticut, Maine,
Massachusetts, New Hampshire,
Rhode Island, Vermont
U.S. EPA Region 2
Division of Environmental Planning and
Protection
RCRA Programs Branch
290 Broadway Street, 22nd Floor
New York, NY 10007-1866
(212)637-4106
New Jersey, New York, Puerto
Rico, Virgin Islands
U.S. EPA Region 3
Waste and Chemicals Management
Division, 3WC11
1650 Arch Street
Philadelphia, PA 19103-2029
(215) 814-3413
Delaware, District of Columbia,
Maryland, Pennsylvania, Virginia,
West Virginia
U.S. EPA Region 4
Hazardous Waste Management Division
RCRA Permitting Section
61 Forsyth Street
Atlanta, GA 30303
(404) 562-8440
Alabama, Florida, Georgia,
Kentucky, Mississippi, North
Carolina, South Carolina,
Tennessee
U.S. EPA Region 5
RCRA Activities
77 West Jackson Blvd
P.O. Box A3587
Chicago, IL 60690
(312) 886-4001
Illinois, Indiana, Michigan,
Minnesota, Ohio, Wisconsin
U.S. EPA Region 6
Multimedia Planning and Permitting
Division (6PD-I)
1445 Ross Avenue, Suite 1200
Dallas, TX 75202-2733
(214) 665-6750
Arkansas, Louisiana, New Mexico,
Oklahoma, Texas
U.S. EPA Region 7
Air, RCRA, and Toxics Division
RCRA Enforcement and State Programs
Branch (ARTD/RESP)
901 N. 5th Street
Kansas City, KS 66101
(913) 551-7020
Iowa, Kansas, Missouri, Nebraska
U.S. EPA Region 8
Office of Partnerships and Regulatory
Assistance
999 18th Street, Suite 500
Denver, CO 80202-2466
(303) 312-6319
Colorado, Montana, North Dakota,
South Dakota, Utah, Wyoming
U.S. EPA Region 9
Hazardous Waste Management Division
75 Hawthorne Street, WST-4
San Francisco, CA 94105
(415)744-2422
Arizona, California, Hawaii,
Nevada, American Samoa, Guam,
Northern Mariana Islands
U.S. EPA Region 10
Office of Waste and Chemicals
Management, WCM-122
1200 Sixth Avenue
Seattle, WA 98101
(206) 553-2859
From within Alaska, toll-free:
(800) 550-7272
Alaska, Idaho, Oregon,
Washington
Page 22
-------
I
RCRA Part A Permit Application
IV. Line-by-Line Instructions for Completing EPA Form
8700-23
This form must be completed by all RCRA Hazardous Waste Permit
applicants.
First Part A Submission
All persons submitting a RCRA Part A Permit Application for the first
time must complete Items I through XVIII in their entirety.
Revised Part A Submission
All persons submitting a revised Part A Permit Application must
complete, in their entirety, all items on the application for which
changes are requested. In addition, Items I, II, III, VI, VII, VIII and XVIII
must be completed. All other sections may be left blank.
General Instructions
Please type or print in the unshaded areas, leaving only one blank box
between words. The boxes are spaced at 1/4" intervals, which
accommodate elite type (12 characters per inch). When typing, hit the
space bar twice between characters. If you print, place each character in
a box. Abbreviate if necessary to stay within the number of boxes
allowed for each item. If you must use additional sheets, indicate clearly
the number of the Item on the form to which the information on the
separate sheet applies.
Unless otherwise specified in the instructions to the form, each item
must be answered. To indicate that each item has been considered,
enter "NA" for not applicable if a particular item does not fit the
circumstances or characteristics of your facility or activity.
If you have previously, submitted information to EPA or an authorized
State agency which answers a question on the form, you may either
repeat the information in the space provided or attach a copy of the
previous submission. Some items in the form require narrative
explanation. If more space is necessary to answer a question, attach a
separate sheet entitled "Additional Information."
Page 23
-------
RCRA Part A Permit Application
Item! - ID Number(s):
A. First Part A Submission: Place an "X" in this box if this is the
facility's first Part A submission under a current or previous
ownership.
B. Revised Part A Submission: Place an "X" in this box if this is a
revision to a previous Part A Permit Application for this facility.
(Enter the amendment number, if known.)
C. EPA ID Number: Space is provided on the Part A form for
insertion of your EPA Identification Number. If you have an
existing facility, enter your Identification Number. If you don't
know your EPA Identification Number, please contact your EPA
Regional Office (see Table 2), which will provide you with your
number or send you EPA Form 8700-12, "Notification pf Regulated
Waste Activity" to apply for an EPA Identification Number. If your
facility is new (not yet constructed) or you do not have an EPA
Identification Number, leave this item blank.
D. Secondary ID Number: Enter any non-EPA ID number that your
facility has been issued. For example, for wastes regulated by a
State or local authority, give the ID number issued by the other
authority.
Item II - Name of Facility:
Enter the facility's official or legal name. Do not use a colloquial name.
Item III - Facility Location:
A. Location: Give the address or location of the facility identified in
Item II of this form. Please note that the address you give for
Item III must be a physical address, not a post office box or route
number. If the facility lacks a street name give the most accurate
alternative geographic information (e.g., section number or quarter
section number from county records or at intersection of Rts. 425
and 22).
Page 24
-------
RCRA Part A Permit Application
County Code and Name: Give the county code, if known. If you
do not know the county code, enter the county, township, borough,
parish, or other local government entity name, from which EPA can
automatically generate the county code. To obtain a list of county
codes, contact the National Technical Information Service, U.S.
Department of Commerce, Springfield, Virginia, 22161 or at (703)
487-4650. The list of codes is contained in the Federal Information
Processing Standards Publication (FIPS PUB) number 6-3.
Land Type: Using the codes listed below, indicate in III. B. the
code which best describes the current legal status of the land on
which the facility is located:
F
S
I
P
C
M
D
O
Federal
State
Indian
Private
County
Municipal*
District
Other
* If the Land Type is best described as Indian, County or District, please
use those codes. Otherwise, use Municipal.
Geographic Location: Enter the latitude and longitude of the
facility in degrees, minutes, and seconds. For larger facilities, enter
the latitude and longitude at the approximate mid-point of the
facility. You may use the map you provide for Item XV to determine
latitude and longitude. Latitude and longitude information is also
available from Regional Offices of the U.S. Department of Interior,
Geological Survey, and from State Natural Resource or
Environmental Agencies.
Facility Existence Date: Enter the appropriate date that applies
to your facility from the following:
1. The date that hazardous waste operations at the facility
commenced;
2. The date construction on the facility commenced; or
3. The date operation is expected to begin.
Page 25
-------
RCRA Part A Permit Application
Item IV - Facility Mailing Address:
Please enter the Facility Mailing Address. If the Mailing Address and the
Facility Location (Item III) are the same, you can print "same" in the
space for Item IV.
Item V - Facility Contact:
Give the name, title, and work telephone number of a person who is
thoroughly familiar with the operation of the facility and with the facts
reported in this Part A Permit Application and who can be contacted by
reviewing offices if necessary.
Item VI - Facility Contact Address:
A. Code: If the contact address is the same as the facility location
address listed in Item III or the facility mailing address listed in
Item IV, place an "X" in the appropriate box to indicate where the
contact may be reached. If the facility location address, the facility
mailing address, and the facility contact address are all the same,
mark the "Location" ,box. If the contact is not the same as those
addresses in either Item III or IV, place an "X" in the "Other" box
and complete Item VLB. If an "X" is entered in either the location
or mailing box, Item VLB. should be left blank.
B. Address: Enter the facility contact address only if the contact
address is different from either the facility location address
(Item III) or the facility mailing address (Item IV) and Item VI.A. was
left blank.
Item VII - Operator Information:
A. Name: Give the name, as it is legally referred to, of the person,
firm, public organization, or any other entity which operates the
facility described in this Part A Permit Application. This may or
may not be the same name as the facility. The operator of the
facility is the legal entity which controls the facility's operation
rather than the plant or site manager. Do not use a colloquial
name. Also enter the telephone number and address where the
operator can be contacted.
Page 26
-------
B.
RCRA Part A Permit Application
Operator Type: Using the codes listed below, indicate in VII.B. the
code which best describes the legal status of the current operator
of the facility:
F »
S =
I
P =
C =
M =
D =
O =
Federal
State
Indian
Private
County
Municipal*
District
Other
* If the Operator Type is best described as Indian, County or District,
please use those codes. Otherwise, use Municipal.
C. Change of Operator Indicator:
Note: If this is your facility's first submission of a Part A Permit
Application, leave VH.C. blank and skip to Item VttJ. If this is a
revised Part A Submission, complete Item VU.C. as directed below.
If the operator of this facility has changed since the facility's
previous Part A was submitted, place an "X" in the box marked
"Yes" and enter the date the operator changed.
If the operator of this facility has not changed since the facility's
previous Part A was submitted, place an "X" in the box marked
"No" and skip to Item VIII.
If any additional operators have been added or replaced since the
facility's previous Part A was submitted, place an "X" in the box
marked "Yes." Use the comment section in XIX to list any
additional operators, the dates they became operators, and which
operator(s) (if any) they replaced. If necessary, attach a separate
sheet of paper.
Page 27
-------
RCRA Part A Permit Application
Item VIII - Facility Owner:
A.
B.
Name: Enter the name of the legal owner(s) of the facility,
including the property owner. Also enter the address and phone
number where this individual can be reached. Use the comment
section or additional sheets if necessary to list more than one
owner.
Owner Type: Using the codes listed below, indicate in VIILB. the
code which best describes the legal status of the current owner of
the facility:
F
S
I
P
C
M
D
O
Federal
State
Indian
Private
County
Municipal*
District
Other
* If the Owner Type is best described as Indian, County or District, please
use those codes. Otherwise, use Municipal.
C. Change of Owner Indicator:
Note: If this is your facility's first submission of a Part A Permit
Application, leave Vm. C. blank and skip to Item JX. If this is a
revised Part A Submission, complete Item VJU.C. as directed below.
If the owner of this facility has changed since the facility's previous
Part A was submitted, place an "X" in the box marked "Yes" and
enter the date the owner changed.
If the owner of this facility has not changed since the facility's
previous Part A was submitted, place an "X" in the box marked
"No" and skip to Item IX.
If any additional owners have been added or replaced since the
facility's previous Part A was submitted, place an "X" in the box
marked "Yes." Use the comment section in XIX to list any
additional owner(s), the dates they became owners, and which
owner(s) (if any) they replaced. If necessary, attach a separate sheet
of paper.
Page 28
-------
RCRA Part A Permit Application
Item IX-NAICS Codes:
List, in descending order of significance, the North American Industry
Classification System (NAICS) codes that best describe your facility in
terms of the principal products or services you produce or provide. Enter
each 5- or 6-digit NAICS code starting in the left most box. If you use a
5-digit code, leave the sixth box blank. Also, specify each classification
in words. These classifications may differ from the NAICS codes
describing the operation generating the hazardous wastes.
Note: The North American Industry Classification System (NAICS) replaces
the U.S. Standard Industrial Classification (SIC) system. NAICS was
•developed by the U.S., Canada, and Mexico to provide comparable
statistics across the three countries. NAICS also provides for increased
comparability with the International Standard Industrial Classification
(ISIC) system, developed and maintained by the United Nations.
NAICS industries are identified by a 6-digit code, though the sixth digit is
not always used. In contrast, the SIC system used a 4-digit SIC code. The
longer code accommodates a larger number of sectors and allows more
flexibility in designating subsectors. NAICS codes are standardized
internationally up to the fifth digit. The sixth digit, when used, identifies
subdivisions of NAICS industries that may be unique to an individual
country.
• X
NAICS code numbers and descriptions may be found in North American
Industry Classification Sustem fNAICS) - United States. 1997. which is
prepared by the Office of Management and Budget's Economic
Classification Policy Committee. This NAICS manual is available in printed
or CD-ROM versions from the Department of Commerce's National
Technical Information Service, Springfield, Virginia. Additional information
also is available on the Department of Commerce's Census Bureau website
at www.census.gov. If you have any questions concerning the appropriate
NAICS code for your facility, contact your EPA Regional office (see Table 2).
Page 29
-------
RCRA Part A Permit Application
Item X - Other Environmental Permits:
/
A. Permit Type: Using the codes listed below, enter a letter on the
form for all other environmental permits the facility has received,
or for which the facility has filed an application, even if the permit
has not yet been received.
N = NPDES (National Pollutant Discharge Elimination System)
Clean Water Act
P = PSD (Prevention of Significant Deterioration) Clean Air Act
R = RCRA (Resource Conservation and Recovery Act)
U = UIC (Underground Injection Control) Safe Drinking
Water Act
F = EPA 404 (Dredge or Fill Permits under Section 404 of the
Clean Water Act)
E = Other relevant environmental permits. List any other
relevant Federal (e.g., permits under the Ocean Dumping
Act), State (e.g., State permits for new air emission
sources in nonattainment areas under Part D of the Clean
Air Act or State permits under Section 404 of the Clean
Water Act), or local environmental permits or applications.
B. Permit Number: Give the number of each presently effective
permit issued to the facility for each program, or if you have
previously filed an application, but have not yet received a permit,
give the number of the application. If you have more than one
currently effective permit for your facility under a particular permit
program, you may list additional permit numbers on a separate
sheet of paper.
C. Description: Use the space provided for any additional
information identifying or describing the permits.
Item XI - Nature of Business:
Briefly describe the nature of your business (e.g., products produced or
services provided). If more space is needed, please attach additional
sheets.
Page 30
-------
RCRA Part A Permit Application
Item Xtl • Process Codes and Design Capacities:
The information in Item XII describes all the processes that will be used
to treat, store, or dispose of hazardous waste at the facility. The design
capacity of each process must be provided as part of the description.
The design capacity of injection wells and landfills at existing facilities
should be measured as the remaining, unused capacity. Tank storage
should refer to each tank, not each tank farm. Please indicate the
location of each process listed in Item XII on either the map provided for
Item XV or the photographs provided for Item XVII. Use the line number
from Item XII to indicate where the process(es) are located. See the form
for detailed instructions to Item XII.
Note: Submission of a revised Part A Permit Application is required before
processes for treating, storing or disposing of hazardous wastes are
changed; before new processes are added; and/or before the design
capacities of these processes are increased.
Item XIII - Other Processes:
Use this space to describe other processes that did not have a specific
process code listed in Item XII .A. of the form. Follow the instructions in
Item XII.A. on the form for other process codes (i.e., D99, S99, T04, and
X99 process codes).
Item XIV - Description of Hazardous Wastes:
The information in Item XIV describes all the hazardous waste that will
be treated, stored, or disposed at the facility. In addition, the processes
that will be used to treat, store, or dispose of each hazardous waste and
the estimated annual quantity of each hazardous waste must be
provided. See the form for detailed instructions to Item XIV.
Note: Submission of a revised Part A Permit Application is required before
a facility begins treating, storing, or disposing of new hazardous wastes
not previously identified in the facility's Part A Permit Application.
Changes in the quantity of hazardous waste previously specified in the
Part A Permit Application can be made without submitting a revised Part A
^Permit Application, provided the quantity does not exceed the process
design capacities specified in the first Part A submission.
Page 31
-------
RCRA Part A Permit Application
Item XV -Map:
Provide a topographic map or maps of the area extending to at least one
mile beyond the property boundaries.of the facility. The map must
clearly show the following:
• The legal boundaries of the facility;
• The location and serial number of each of your existing and
proposed intake and discharge structures;
* All hazardous waste management facilities;
• Location of all processes listed in Items XII and XIII identified
by process code;
• Each well where you inject fluids underground; and
• All springs and surface water bodies in the area, plus all
drinking water wells within 1 /4 mile of the facility which are
identified in the public record or otherwise known to you.
If an intake or discharge structure, hazardous waste disposal site, or
injection well associated with the facility is located more than one mile
from the plant, include it on the map, if possible. If not, attach additional
sheets describing the location of the structure, disposal site, or well, and
identify the U.S. Geological Survey (or other) maps corresponding to the
location.
On each map, include the map scale, a meridian arrow showing north,
and latitude and longitude at the nearest whole second. On all maps of
rivers, show the direction of the current, and in tidal waters, show the
directions of the ebb and flow tides. Use a 7-1/2 minute series map
published by the U.S. Geological Survey, which may be obtained
through the U.S. Geological Survey Office listed below. If a 7-1/2 minute
series map has not been published for your facility site, then you may
use a 15-minute series map from the U.S. Geological Survey. If neither a
7-1/2 nor 15-minute series map has been published for your facility
site, use a plant map or other appropriate map, and include all the
requested information; in this case, briefly describe land uses in the map
area (e.g., residential, commercial).
Page 32
-------
RCRA Part A Permit Application
You may trace your map from a geological survey chart, or other map
meeting the above specifications. If you do, your map should bear a note
showing the number or title of the map. or chart it was traced from.
Include the names of nearby towns, water bodies, and other prominent
points.
To obtain map indices, contact one of the following Earth Science
Information Centers (ESICs):
Anchorage - ESIC
4230 University Dr.
Rm. 101
Anchorage, AK 99508-4664
(907)786-7011
Fairbanks - ESIC
Box 12, New Federal Building
101 Twelfth Avenue
Fairbanks, AK 99701
(907) 474-7487
(907) 474-7598
Lakewobd - ESIC
Box 25046, MS 504
Denver Federal Center
Denver, CO 80225
(303) 236-5829
Menlo Park - ESIC
Room 3128, Building 3, MS 532
345 Middlefield Road
Menlo Park, CA 94025
(415) 329-4390
Reston - ESIC
507 National Center
Reston, VA 22092
(703) 648-6045
Rolla - ESIC
1400 Independence Road, MS 231
Rolla, MO 65401
(573) 308-3500
Salt Lake City - ESIC
8105 Federal Building
125 S. State Street
Salt Lake City, UT 84138
(801) 975-3742
Sioux Falls - ESIC
EROS Data Center
Sioux Falls, SD 57198-0001
(605) 594-6151
Spokane - ESIC
U.S. Post Office Building,
Room 135
West 904 Riverside Avenue
Spokane, WA 99201-1088
(509) 353-2524
Stennis Space Center - ESIC
Building 3101
Stennis Space Center, MS 39529
(601) 688-3541
Washington, D.C. - ESIC
Department of the Interior Building
18th SB C Streets, NW
Room 2650
Washington, D.C. 20240
(202) 208-4047
Page 33
-------
RCRA Part A Permit Application
Item XVI - Facility Drawing:
All existing facilities must include a drawing showing the general layout"
of the facility. This drawing should be approximately to scale and fit on
an 8 '/a" x 11" sheet of paper. The drawing should show the following:
1. The property boundaries of the facility;
2. The areas occupied by all storage, treatment, or disposal
operations that will be used during interim status;
3. The name of each operation {e.g., multiple hearth incinerator,
drum storage area, etc.);
4. Areas of past storage, treatment, or disposal operations;
5. Areas of future storage, treatment, or disposal operations;
6. The approximate dimensions of the property boundaries and all
storage, treatment, and disposal areas. (Where applicable, use the
process codes listed in Items Xff and Xm to indicate the location of all
storage, treatment, and disposal areas.)
Note: New-facilities do not have to complete Item XVI.
Item XVII - Photographs:
All existing facilities must include photographs that clearly delineate all
existing structures; all existing areas for storing, treating, or disposing of
hazardous waste; and all known sites of future storage, treatment, or
disposal operations. Photographs may be color or black and white,
ground-level or aerial. Indicate the date the photograph was taken on
.the back of each photograph. Use the process codes listed in Items XII
and XIII to indicate the location of all storage, treatment, and disposal
areas.
Note: New facilities do not have to complete IternXVU.
Page 34
-------
RCRA Part A Permit Application
Item XVIII-Certification(s):
All facility owners must sign Item XVIII. If the facility will be operated by
someone other than the owner, then the operator must also sign Item
XVIII. Federal regulations require the certification to be signed as
follows:
A. For a corporation, by a principal executive officer at least the level
of vice president;
For a partnership or sole proprietorship, by a general partner or
the proprietor, respectively; or
For a municipality, State, Federal, or other public facility, by either
a principal executive officer or ranking elected official.
B.
C.
The Resource Conservation and Recovery Act provides severe penalties
for submitting false information on this Part A Permit Application form.
Section 3008(d) of the Resource Conservation and Recovery Act provides
that "Any person who knowingly makes any false statement or,
representation in any application, ...shall, upon conviction be subject to
a fine of not more than $25,000 for each day of violation, or to
imprisonment not to exceed one year, or both."
Page 35
*U.S. GOVERNMENT PRINTING OFFICES 2000-556-672
-------
-------
Please print or type with ELITE type (12 characters par Inch) in the unshaded areas only
EPA Form 8700-Z3 (Rev, 10W9)
-10f7-
-------
Please print or type with ELITE type (12 characters per inch) In the unshaded areas only
FomApptamO, OMB No. aOSMCEU BpfcM 1O31XB
EPA Form 870023 (Rev. 10/99)
-2of7-
-------
Please print or type with ELITE type (12 characters per Inch) In the unshaded areas only
Pom Approftd. OMB No. 20S&0034 Exptos 10/31/02
GSANO.OS48-EPA-OT
'"*.*< Jff*-f ,°r- ^^fff^ ?»&•&'£••#*• S,'^l>fjl'i ^ " VS^V» "r yv»xs^"sx^ s^^^^^c"
Iw uwwcf.
j -Sgfe&i--* L V ^ ^"5) i .1 « . "<.,», .v ,, S4i \~»:wirav;"'l«3«. S, 4>-" % J! j"™
EPA Form 8700-23 (Rev. 1O99)
-3of7-
-------
Please print or type with ELITE type (12 characters per Inch) in the unshaded areas only
FoaaAppOHtH OMB Ha 20SO4O34 Bpto 10K31AB
EPA Form 870O23 (Rev. 1O99)
-4 of 7-
-------
Please print or type with ELITE type (12 characters per inch) in the unshaded areas only
Fom Approved, OHB No. 205CHXO4 Explns 1W31/02
GSA No. OS40-EPA-OT
n)XJ€r.i COiH&l)$ilUiff^t9^Of
__mfr jiBtctn ''jtZajt^ff'^iJ'""°*f\giii"'** ^j""f'^rjtf'? ^igL0^
™
.?l.<>•!>>.hs.k:!.s-..-Tx t?,K.''i<>.ss.<'i,(!i..E.3iM=
ENGLISH UNIT OF MEASURE
POUNDS
TONS
CODE
P
T
METRIC UMTOFMEASURE
KILOGRAMS
METRIC TONS
CODE
K
M
•ptoBBSis titatwillbe uB8d,":::
Included W«h Above
j:^;::-:^;^^;^^;^^;:-;:!™^^^;:^;;.-^^!^^
EPA Form 870O23 (Rev. 10/99)
-5of7-
-------
Please print or type with ELITE type (12 characters per inch) in the unshaded areas only
AMD AppKHfO. OUB No. 206OO034 £**•* fO3M»
m
EPA Form 8700-23 (Rev. 1
-------
Please print or type with ELITE type (12 characters per Inch) In the unshaded areas only
OSANkLOMfrGFVI-OT
/ certify under penalty of law that this document and all attachments were prepared under my direction or supervision
In accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information
submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the Information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false Information, Including the possibility of fine
and Imprisonment for knowing violations.
Owner Signature
Date Signed
Name and Official Title (Type or print)
Owner Signature
Date Signed
Name and Official Titte (Type or print)
Operator Signature
Date Signed
Name and Official Title (Type or print)
Operator Signature
Date Signed
Name and Official Title (Type or print)
EPA Form 870043 (Rev. 10/99)
-7017-
-------
Please print or type with ELITE type (12 characters per Inch) In the unshaded areas only
Fom Apptmod, OUB No. 20S04034 Enpam 10aiAtt
GSA No. GMfrERMT
EPA Fom 870043 (Rev. 10/99)
------- |