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Home My WebLink About20100501.tiff ,' Weld County Planning Department GREELEY OFFICE t si2.I,j,2 7 APR 18 7008 RECEIVED WASTE MANAGEMENT WASTE MANAGEMENT OF COLORADO 55,:South Quebec Street Suite 50 April 14, 2008 Greenwood Village,CO•;0l i 7 50 it 486-6000 (50 ) r7-3031 F.,. Ms. Marley Shoaf Colorado Department of Public Health and Environment Air Pollution Control Division APCD-SS-B1 4300 Cherry Creek Drive South CERTIFIED MAIL Denver, CO 80246-1530 7005 1160 0003 5027 5112 SUBJECT: NORTH WELD LANDFILL (NWLF) TITLE V OPERATING PERMIT 97OPWE181 2008 SEMI-ANNUAL MONITORING REPORTS Dear Ms. Shoaf: In accordance with the NWSL Title V Operating Permit # 97OPWE181, attached are the following reports covering the monitoring period of October 1, 2007—March 31, 2008. • Monitoring and Permit Deviation Reports, Part I • Monitoring and Permit Deviation Reports, Part Ill. Part II of the Monitoring and Permit Deviation Reports was not completed because there were no permit deviations, upset or emergency conditions that occurred during this reporting period. Should you have any questions regarding these reports, please contact Alan Scheere at(720) 977-2107 or Bill Hedberg at(970) 686-2800 ext.23. Sincerely,/ 1 JAINTIA Eric DiEsposti Environmental Protection /attachments cc: Dana Podell, CDPHE APCD, w/enc. Jim King, CDPHE APCD, w/enc. Douglas lkenberry, CDPHE, w/enc. Deborah Blandin, WCDPHE, w/enc. Kim Ogle, WCDPS, w/o enc. 2010-0501 /L /Ft cP S—/.5—o2CiO C:AitANWLF\NWLF Annual Cert 0408 Cover doc F:op'areangeverfidcd/zoollection to environmental protection, Think Green: Think Waste Management. • WASTE MANAGEMENT WASTE MANAGEMENT OF COLORADO ?500 South Quebec Street April 14, 2008 Suite 250 Greenwood Villiese,CO SO ill Ms. Cindy Beeler, Environmental Engineer i3o 45u-6000 Office of Enforcement,Compliance and Environmental Justice o i 1 707-30 i I i°'x Mail Code 8 ENF-T U.S. Environmental Protection Agency, Region VIII 999 18th Street, Suite 300 Denver, CO 80202 CERTIFIED MAIL 70051160000350275129 SUBJECT: NORTH WELD LANDFILL TITLE V OPERATING PERMIT NUMBER 97OPWE181 2008 ANNUAL COMPLIANCE CERTIFICATION REPORT Dear Ms. Beeler: In accordance with the NWSL Title V Operating Permit # 97OPWE181, enclosed is the 2008 Annual Compliance Certification Report, which covers the period April 1, 2007 through March 31, 2008. Should you have any questions regarding this report, please contact Alan Scheere at (720) 977-2107 or Bill Hedberg at(970) 686-2800 ext. 23. Sincerely, 61:LuVi Eric DiEsposti Environmental Protection /attachment cc: Douglas Ikenberry, CDPHE, w/enc. Deborah Blandin, WCDPHE, w/enc. Kim Ogle, WCDPS, w/o enc. Dana Podell, CDPHE, w/o enc. C:\Air\NWLF Annual Cert 0408 EPA Cover.doc F:Oikrtahvittnnrstdelptailection to environmental protection, Think Green: Think Waste Management. Air Pollution Control Division Colorado Operating Permit Monitoring and Permit Deviation Report — Part I 1. Following is the required format for the Monitoring and Permit Deviation report to be submitted to the Division on a semi-annual basis unless otherwise noted in the permit. The Table below must be completed for all equipment or processes for which specific Operating Permit terms exist. 2. Part II of the Appendix B shows the format and information the Division will require for describing periods of monitoring and permit deviations, or upset or emergency conditions as indicated in the Table below. One Part II Form must be completed for each Deviation. Previously submitted reports (e.g. EERs or Upsets) may be referenced and the form need not be filled out in its entirety. FACILITY NAME: Waste Management Disposal Services of Colorado, Inc. -North Weld Sanitary Landfill OPERATING PERMIT NO: 97OPWEP181 REPORTING PERIOD: 10/01/07-03/31/08 (see first page of the permit for specific reporting period and dates) Upset/Emergency Operating Permit Unit Unit Description Deviations noted Deviation Code2 Condition Reported ID During Period?' During Period? YES NO YES NO E01 Landfill Gas Generation X X E02 Fugitive Particulate X X Emissions General Conditions X X Insignificant Activities X X See previous discussion regarding what is considered to be a deviation. Determination of whether or not a deviation has occurred shall be based on a reasonable inquiry using readily available information. 2 Use the following entries,as appropriate 1 = Standard: When the requirement is an emission limit or standard 2= Process: When the requirement is a production/process limit 3= Monitor: When the requirement is monitoring 4= Test: When the requirement is testing 5= Maintenance: When required maintenance is not performed 6= Record: When the requirement is recordkeeping 7= Report: When the requirement is reporting 8= CAM: A situation in which an excursion or exceedance as defined in 40CFR Part 64 (the Compliance Assurance Monitoring(CAM) Rule)has occurred. 9= Other: When the deviation is not covered by any of the above categories C:\Air\N W LF\N W LF WIPER 0308.doc Air Pollution Control Division Colorado Operating Permit Monitoring and Permit Deviation Report — Part II FACILITY NAME: Waste Management Disposal Services of Colorado, Inc. -North Weld Sanitary Landfill OPERATING PERMIT NO: 97OPWEP181 REPORTING PERIOD: 10/01/07—03/31/08 (see first page of the permit for specific reporting period and dates) Is the deviation being claimed as an: Emergency Upset N/A (For NSPS/MACT)Did the deviation occur during: Startup Shutdown Malfunction Normal Operation OPERATING PERMIT UNIT IDENTIFICATION: Operating Permit Condition Number Citation Explanation of Period of Deviation Duration(start/stop date&time) Action Taken to Correct the Problem Measures Taken to Prevent a Reoccurrence of the Problem Dates of Upsets/Emergencies Reported(if applicable) Deviation Code Division Code QA: C:\Air\NWLF\NWLF MPDR 0308.doc Air Pollution Control Division Colorado Operating Permit Monitoring and Permit Deviation Report — Part III SOURCE NAME: Waste Management Disposal Services of Colorado, Inc.-North Weld Sanitary Landfill FACILITY IDENTIFICATION NUMBER: 1230209 PERMIT NUMBER: 97OPWEP181 REPORTING PERIOD: 10/01/07-03/31/08 (see first page of permit for specific reporting period and dates) All information for the Title V Semi-Animal Deviation Reports must be certified by a responsible official. The responsible official signing this certification must be pre-approved by the Division in accordance with Colorado Regulation No. 3, Part A, Section I.B.38. This signed certification document must be packaged with the documents being submitted. STATEMENT OF COMPLETENESS I have reviewed the information being submitted in its entirety and, based on information and belief formed after reasonable inquiry, I certify that the statements and information contained in this submittal are true, accurate and complete. Please note that the Colorado Statues state that any person who knowingly, as defined in Sub- Section 18-1-501(6), C.R.S., makes false material statement, representation, or certification in this document is guilty of a misdemeanor and may be punished in accordance with the provisions of Sub-Section 25-7 122.1, C.R.S. Tom Buchholz Director of Landfill Operations Printed or Typed Name Title r . 0 dah— WA5 A' t? Si nature of Responsible Official Date Signed Note: Deviation reports shall be submitted to the Division at the address given in Appendix D of this permit. No copies need be sent to the U.S. EPA. C:\Air\N W LF\N W LF MPDR 0308.doc Air Pollution Control Division Colorado Operating Permit Annual Compliance Certification Report Annual Compliance Certification Report Following is the format for the Compliance Certification Report to be submitted to the Division and the U.S. EPA annually based on the effective date of the permit. The Table below must be completed for all equipment or processes for which specific Operating Permit terms exist. FACILITY NAME: Waste Management Disposal Services of Colorado Inc. —North Weld Sanitary Landfill OPERATING PERMIT NO: 97OPWE181 REPORTING PERIOD: 04/01/07-03/31/08 I. Facility Status X During the entire reporting period, this source was in compliance with ALL terms and conditions contained in the Permit, each term and condition of which is identified and included by this reference. The method(s)used to determine compliance is/are the methods specified in the Permit. With the possible exception of the deviations identified in the table below,this source was in compliance with all terms and conditions contained in the Permit, each term and condition of which is identified and included by this reference, during the entire reporting period. The method used to determine compliance for each term and condition is the method specified in the Permit, unless otherwise indicated and described in the deviation report(s). Note that not all deviations are considered violations. Operating Unit Description Deviations Reported' Monitoring Was compliance Was Data Permit Unit Method per continuous or Continuous?' ID Permit?' intermittent?' Previous Current YES NO Continuous Intermittent YES NO E00I Landfill gas None None X X X emissions E002 Fugitive None None X X X particulate matter emissions General None None X X X Conditions Insignificant None None X X X Activities' If deviations were noted in the previous deviation report(i.e. for the first six months of the annual reporting period), put an"X" under"previous". If deviations were noted in the current deviation report(i.e. for the last six months of the annual reporting period),put an"X"under"current". Mark both columns if both apply. 2 Note whether the method(s) used to determine the compliance status with each term and condition was the method(s) specified in the permit. If it was not,mark"NO"and attach additional information/explanation. 3 Note whether the compliance status with each term and condition provided was continuous or intermittent. "Intermittent Compliance" can mean either that non-compliance has occurred or that the owner or operator has data sufficient to certify compliance only on an intermittent basis. Certification of intermittent compliance therefore does not necessarily mean that any non-compliance has occurred. The Periodic Monitoring requirements of the Operating Permit program rule are intended to provide assurance that even in the absence of a continuous system of monitoring the Title V source can demonstrate whether it has operated in continuous Operating Permit 03OPWE260 Page I af2 C t ir\BRL\BRL Annual Compliance Certification 0407 doc Air Pollution Control Division Colorado Operating Permit Annual Compliance Certification Report compliance for the duration of the reporting period. Therefore, if a source 1) conducts all of the monitoring and recordkeeping required in its permit, even if such activities are done periodically and not continuously, and if 2) such monitoring and recordkeeping does not indicate non-compliance, and if 3) the Responsible Official is not aware of any credible evidence that indicates non-compliance, then the Responsible Official can certify that the emission point(s) in question were in continuous compliance during the applicable time period. 4 Note whether the method(s)used to determine the compliance status with each term and condition provided continuous or intermittent data. 5 Compliance status for these sources shall be based on a reasonable inquiry using readily available information. II. Status for Accidental Release Prevention Program: A. This facility ❑ is subject ® is not subject to the provisions of the Accidental Release Prevention Program(Section 112(r)of the Federal Clean Air Act). B. If subject: The facility ❑ is❑ is not in compliance with all requirements of Section 112(r). 1. A Risk Management Plan ❑ will be ❑ has been submitted to the appropriate authority and/or the designated central location by the required date. III. CERTIFICATION I have reviewed this certification in its entirety and, based on information and belief formed after reasonable inquiry, I certify that the statements and information contained in this submittal are true, accurate and complete. Please note that the Colorado Statues state that any person who knowingly, as defined in Sub- Section 18-1-501(6), C.R.S., makes any false material statement, representation, or certification in this document is guilty of a misdemeanor and may be punished in accordance with the provisions of Sub-Section 25-7 122.1, C.R.S. Tom Buchholz Director of Landfill Operations Printed or Typed Name Title /7/c77 Signature of Responsible Official Date Signed Note: All compliance certifications shall be submitted to the Air Pollution Control Division and the Environmental Protection Agency at the addresses listed in Appendix D of this Permit. Operating Permit 03OPWE260 Page 2 of 2 C\Air\BRL\BRL Annual Compliance Certification 0407 doc LANDMARK 150 EDWARDS AVENUE Construction R'O. BOX 386 STERLING, CO 80751 Services Inc. (970) 522-6668 FAX (970) 522-6669 May 10, 2007 Chris Gathman 918 10`11 Street Greeley, CO 80631 RE: Waste Management Ault Dear Mr. Gathman, As per your request (included), I would like to request Weld County to, release all collateral being retained for Waste Management projects. In answer to your questions, as you mentioned we will put rock in the dirt area between the H2O vault and the AC parking lot. Also, with regards to the North berm area. The drawings show that a berm is to be constructed where we place it along the North driveway. From there to the East a swale was to be constructed to maintain the drainage. We move the fence North to the WAPA easement line in order to maintain that drainage, while allowing the farmer adequate room to farm North of the fence. If there is any other clarification or information you need, let me know. You had asked for a drawing reflecting the change. Do you still need it, or will this letter be enough? Sincerely, Mike/James Page 1 of 2 Mike James From: "Chris Gathman" <cgathman@co.weld.co.us> To: "Mike James" <mjames@Icsigroup.net> Sent: Thursday, May 10, 2007 6:11 AM Subject: RE: CO for waste management Mike, Just one request. Could you send a signed letter with the statement below to my attention at our office (918 101h Street, Greeley, CO 80631). I will be out of the office for the next few days but will set it up for the Monday 5/21 Board meeting (the soonest available date) as soon as I get back. Thanks, Chris Gathman From: Mike James [mailto:mjames@lcsigroup.net] Sent: Tuesday, May 08, 2007 9:06 AM To: Chris Gathman Subject: Fw: CO for waste management Dear Mr. Gathman, As per our discussion yesterday I would like to request Weld County to realease all collateral being retained for the Waste Management projects. In answer to you questions, as you mentioned we will put rock in the dirt area between the H2O vault an the ac parking. Also, with regards to the North berm area. The drawings show that a berm is to be constructed where we placed it along the N. driveway. From there east a swale was to be constructed to maintain the drainage. We moved that section of fence North to the WAPA easment line in order to maintain that dainage, while allowing the farmer adequate room to farm North of the fence. If there is any other clarification or information you need, let me know. you had asked for a drawing reflecting the change. Do you still need it, or will this letter be enough. thanks for yur help Mike James Landmark Construction Services Inc. PO Box 386 Sterling, Colorado 80751 970-522-6668 office 970-522-6669 fax 970-520-4082 cel mjames@lcsigroup.netl Original Message From: Mike James To: cgathman@co.weld.co.us Cc: Chip Wertz ; Leroy Whipkey Sent: Monday, April 02, 2007 2:23 PM Subject: CO for waste management Dear Mr. Gathman, As waste Managements representative, Landmark Construction Services is requesting a Certificate of Occupancy or a Temporary Certificate of Occupancy, for the maintenance facility on CR 25 outside of Ault. We 5/17/2007 Page 2 of 2 would like to begin using the building on April 6, 2007. We will have our final inspections by the Windsor- severance fire District on April 5, 2007, as well as the final electrical and building inspections. Tracy Dyer with the county public works is appraised and I believe has prepared his final report also.Please let me know what if anything else I need to provide you with to accomplish this in a timely manner. Thank you for your time, Mike James Landmark Construction Services Inc. 150 Edward Sterling, CO 80750 970-522-6668 Office 970-520-4082 Cell 5/17/2007 WASTE MANAGEMENT 8310 South Valley Highway Suite 200 Englewood,CO 80112-5806 (303)9141400 August 16, 2006 (303)914-9937 Fax Chris Gathman, Planner Weld County Department of Planning Services 918 10th Street Greeley, CO 80631 RE: Waste Management of Northern Colorado-USR 1527— Condition of Approval 1C - Long Term Road Maintenance and Improvements Agreement Performance Bond for$241,945.00 Condition of Approval 1D - Improvements Agreement According to Policy Regarding Collateral for Improvements (Private Road Maintenance) Performance Bond for$912,623.26 Dear Chris, Enclosed are the performance bonds for the Long Term Road Maintenance and Improvements Agreement for construction of improvements on WCR 25 and the Improvements Agreement According to Policy Regarding Collateral for Improvements (Private Road Maintenance) for construction of the on-site surface improvements at the facility. My understanding from our conversation this morning is that the public hearing to approve these two agreements will be scheduled for Monday August 21, 2006. Should you have any questions, please contact me at(303)914-1438. Si;:;; tron , C Enclosures Cc: Dan DeWaard,WMNC,w/end. Bill Jeffry,WMDSC,w/end. C:\Projects\2006\W MNC\cgathman06081611.doc A Division of Waste Management of Colorado,Inc. PERFORMANCE BOND BOND NO 1019079 KNOW ALL MEN BY THESE PRESENTS, that we,Waste Management Disposal Services of Colorado, Inc. 8310 S.Valley Iiiahwav,Suite 200. Englewood, CO 80112 (hereinafter called the'Principal",as Principal, and the I neon]Insurance C ny (hereinafter called the"Surety'),as Surety,are held and Army bound unto Weld(Aone unty Colorado P 0 Box 75R Greeley CO R0632 (hereinafter called the 'Obligee'), as Obligee, In the sum of Twn Hundred Forty-One Thousand Nine Hundred Forty-Five and 00/100 ($ 741 944(10 ),for the payment of which sum well and truly to be made,we the said Principal and the said Surety bind ourselves,our heirs,executors, administrators,successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has entered into a(written)agreement(hereinafter called the"Agreement')with the Obligee for Construction of Road Improvements on One Mile of WCR 25 which Agreement is hereby referred to and made a part hereof as If fully set forth herein; NOW THEREFORE,the condition of this obligation is such that if the Principal shall well and truly keep all the terms and conditions as outlined in said Agreement then this obligation shall be null and void; otherwise to remain in full force and effect PROVIDED,HOWEVER,this bond Is executed by the Surety and accepted by the Obligee subject to the following conditions: 1. No assignment of this bond shall be effective without the written consent of the Surety. 2. TNs obligation may be terminated by the Surety by thirty(30)days advance written notice to the Obligee,such notice to be sent by registered mall. Such termination shall not affect liability incurred under this obligation prior to the effective date of such termination. 3. PROVIDED,HOWEVER,it shall be a condition precedent to any right of recovery hereunder that,In the event of any breach of the Agreement on the part of the Prinrpal,a written statement of the particular fads stating the nature of such breach shall be given as soon as reasonably possible by the Obligee to the Surety and the Surety shall not be obligated to perform Principal's obligation until thirty (30) days after Suretys receipt of such statement. 4. No action,suit or proceeding shall be had or maintained against the Surety on this bond unless the same be brought or instituted within sbdy(80)days after the termination of release of this bond. 5. Under no circumstances shall the aggregate liability of the Surety exceed the penal sum above stated. 6. This bond shall be effective from 8/16/2006 to 8/i 5/7007 IN WITNESS WHEREOF,said Principal and said Surety have caused these presents to be executed and their seals Mimed this 16th day of Aunt Est 7006 . Waste Management Disposal Services of Colorado, Inc. (Principal) • Cherie C. Rice By: LIP/1/V\ (�- (CC- Vice President&Treasurer LEXON Insurance Company 'r,\�\\�., YAIO (Surety) By:_I. M� fQ Donna L.Meals,Attorney- act POWER OF ATTORNEY LX _ 016 7 6 0 Lexon Insurance Company KNOW ALL MEN BY THESE PRESENTS, that LEXON INSURANCE COMPANY, a Texas Corporation, with its principal office in Louisville, Kentucky, does hereby constitute and appoint: Donna Meals its true and lawful Attorney(s)-In-Fact to make, execute,seal and deliver for,and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of LEXON INSURANCE COMPANY on the 1st day of July, 2003 as follows: Resolved, that the President of the Company is hereby authorized to appoint and empower any representative of the Company or other person or persons as Attorney-In-Fact to execute on behalf of the Company any bonds, undertakings, policies,contracts of indemnity or other writings obligatory in nature of a bond not to exceed$2,500,000.00,Two-million five hundred thousand dollars,which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney-In-Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company.Any Attorney-In-Fact, so appointed, may be removed for good cause and the authority so granted may be revoked as specified in the Power of Attorney. Resolved, that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted,and the signature of the Vice President,and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company.Any such power so executed and sealed and certificate so executed and sealed shall,with respect to any bond of undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS THEREOF, LEXON INSURANCE COMPANY has caused this instrument to be signed by its President, and its Corporate Seal to be affixed this 2nd day of July,2003. JFtANOF LEXON INSURANCE COMPANY 2; A t.s, Ot TEXAS 1-0 1-0 Xi INSURANCE //�1_ 1- LACOMPANY t. BY (/ . COMPANY ,+r David E.Campbell ......« President ACKNOWLEDGEMENT On this 2nd day of July,2003,before me, personally came David E.Campbell to me known,who being duly sworn,did depose and say that he is the President of LEXON INSURANCE COMPANY,the corporation described in and which executed the above instrument;that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. OFFICIAL SEAL' LYDIAIJ.DEJOSTATE G O / n j{$ NOTARY PUBLIC STATE OF/12/20 S o>/d-:. > S( (/ i^ MY COMMISSIOIi EXPIRES 1/12/2007 f 6t ID Lydia J.DeJong CERTIFICATE Notary Public I, the undersigned, Secretary of LEXON INSURANCE COMPANY, A Texas Insurance Company, DO HEREBY CERTIFY that the original Power of Attorney of which the foregoing is a true and correct copy, is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Sealed at Lombard, Illinois this I to Day of 4 -74 ..20 0 b . ,rJPANCF i O: TEXAS 1-0 Z '� IX; INSURANCE E Oejj A ‘.uA COMPANY !t t Donald D.Buchanan `. ' Secretary ci cur .,..I — C, �p•rwirr, -' RECEIVED 1NG . WASTE MANAGEMENT 1001 Fannin, Suite 4000 Houston, Texas 77002 Phone: (713) 394-2228 Fax: (866)239-7964 Memorandum DT: August 11, 2006 VIA UPS Standard TO: Chip Wertz Waste Management Disposal Services of Colorado, Inc. 8310 S. Valley Highway, Suite 200 Englewood, CO 80112 (303) 914-1438 rilt FR: Marie Alvarado ' F. A. Administrative Assistant RE: Performance Bonds -Waste Management Disposal Services of Colorado, Inc. Enclosed and listed below are bonds issued by Lexon Insurance Company as requested by your district. ➢ Bond number 1019028 — Weld County Colorado issued in the amount of $912,623.26 for construction of on-site surface improvements for USR-1527. ➢ Bond number 1019029 — Weld County Colorado issued in the amount of $241,945.00 for construction of road improvements on one mile of WCR 25. If you have any questions regarding the enclosures, please feel free to contact me at (713) 394-2228. enclosures cc: Donna Meals, Director (w/o enc.) $ WASTE MANAGEMENT Wf Weld County Planning Department 8310 sort valley High Way August 11, 2006 GREELEY OFFICE Suite zoo g Englewood,CO 80112-5806 (303)914-1400 AUG 14 Z006 (303)914-9937 Fax Captain Mike Davis Windsor-Severance Fire Protection District RECEIVED 100 7th Street,Windsor, CO 80550. RE: Waste Management of Northern Colorado-USR 1527 Memorandum of Understanding for Temporary Fire Flow Variance Dear Mike, Enclosed for consideration and execution by the board of the Windsor-Severance Fire Protection District are two originals of the Memorandum of Understanding for a Temporary Fire Flow Variance for the Waste Management of Northern Colorado Operations Facility. Upon approval, please return one executed copy of the agreement to me at the address above. Should you have any questions or concerns, please contact me at (303) 914-1438. Sincerely, CA Chip Wertz Manager of Constru ion Enclosures Cc: Dan DeWaard,WMNC,w/o end. Chris Gathman,Weld County, w/encl. Bill Hedberg, NWL,w/o end. Bill Jeffry,WMDSC, w/end. C:\Projects\2006\W M N C\rn d av i s060811 i 1.doc A Division of Waste Management of Colorado,Inc. 1 MEMORANDUM OF UNDERSTANDING This Agreement shall be entered into and agreed upon by Waste Management Disposal Services of Colorado, Inc. (WMDSC), 8310 S Valley Hwy, Suite 200 Englewood, CO 80112, and Windsor-Severance Fire Protection District, (WSFPD) 100 7th Street, Windsor, CO 80550. WMDSC requests that WSFPD approve a temporary fire flow variance for its proposed Waste Management Operations Facility located at 40950 WCR 25 Ault, CO 80610. WMDSC desires to begin construction of the facility but cannot commit to a schedule without assurance that WSFPD will approve a Temporary Certificate of Occupancy at the end of construction, assuming that all other applicable code requirements are met. The Temporary Certificate of Occupancy will be valid through the term of the Temporary Fire Flow Variance and this MOU. With the variance, WMDSC and WSFPD acknowledge that the facility will be constructed knowing that only 1,100 (of the required 1,500) gallon per minute fire flow is available at the site. Currently, North Weld County Water District's (NWCWD) distribution system cannot satisfy the minimum 1,500 gallon per minute fire flow, required by WSFPD at the site. NWCWD plans to install improvements to their water distribution system, which will exceed the minimum fire flow requirements at the facility location. The improvements are scheduled to be completed by December 31, 2008. According to a recent fire flow test, the NWCWD distribution system can supply the site with fire flows as follows: • 645 gallons per minute at 20 psi, when supplied solely from the zone 6 reservoir; • 1,039 gallons per minute at 20 psi, when supplied from the zone 6 reservoir and one pump at the zone 6 pump station, and • 1,100 gallons per minute at 20 psi, when served from the zone 6 water storage tank and two parallel pumps at the zone 6 pump station. WSFPD understands that the required water supply for full protection of this facility is not currently available. Based on the available supply of water and the required built-in fire protection systems, WSFPD agrees to approve a temporary fire flow variance for the proposed facility with the following stipulations. 1. The temporary fire flow variance for the facility will be in effect until NWCWD has completed construction of water distribution system improvements which will provide the required fire flow (1,500 gpm at 20psi) at the site or until December 31, 2008, whichever occurs earlier. 2. Upon completion of facility construction, WSFPD will approve a temporary certificate of occupancy for the WMDSC Operations Facility valid through the term of the temporary fire flow variance and this MOU. 3. In the event that NWCWD has not completed scheduled water distribution system improvements which would provide the required fire flow (1,500 gpm at 20 psi) by December 31, 2008, WMDSC agrees to evaluate the facility fire protection systems with WSFPD and shall install additional site improvements, to achieve the required fire flow (1500 gpm at 20 psi) at the site or obtain an extension to the temporary fire flow variance and this MOU. • 0 4. The parties have reviewed this (and other alternatives to providing the required flows) and that the alternatives to the tire code requirements contained herein are reasonable and should be effective in reducing the probability of loss of property and/or life. However, WSFPD makes no warranties or representations, express or implied, that the alternatives set forth herein are fully equivalent to the reduced risk of fire; which is provided by adequate fire flows and hydrant systems. 5. Progress of this agreement shall be reviewed at the 12-month and 18-month period starting from the Weld County building permit issuance date. It shall be the responsibility of WMDSC, to contact the appropriate agencies at these intervals. IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement the day and year first above written. WHEREFORE, parties have hereunto set their hands and seals the date and year first written above. ATTEST: Waste M age ent IT•posal Services of Colorado, Inc. �y r By: By: � - g // WI lam e Ronald B. Wertz at A sistant Secre y Manager of Construct o ATTEST: Windsor-Severance Fire Protection District By: By: Robert Starck Thomas Buxmann Date Board Secretary WSFPD Board President 2 WASTE NUUSAGEMENT WASTE MANAGEMENT Colorado Landfills 8310 South Valley Highway,Suite 200 Englewood,CO 80112 (303)914-1400 (303)914-1588 Fax August 4, 2006 Chris Gathman, Planner Weld County Department of Planning Services 918 10th Street Greeley, CO 80631 RE: Waste Management of Northern Colorado-USR 1527— Condition of Approval 1C-Long Term Road Maintenance and Improvements Agreement Condition of Approval 1D-Improvements Agreement According to Policy Regarding Collateral for Improvements (Private Road Maintenance) Dear Chris, Enclosed for the Board of County Commissioner's consideration and execution are two originals of the Long Term Road Maintenance and Improvements Agreement for construction of improvements on WCR 25 and two originals of the Improvements Agreement According to Policy Regarding Collateral for Improvements (Private Road Maintenance) for construction of the on-site surface improvements at the facility. The required collateral for these agreements will be provided in the form of a surety bond. Upon approval, please return one executed copy of each agreement to me at the address above. These agreements fulfill the requirements of USR-1527 Conditions of Approval 1C and 1D respectively. Conditions of approval 1A, 1 B, 1 E through 1J and 1L have been addressed previously. Condition of Approval 1K has been addressed and will be formalized through a Memorandum of Understanding with the Board of the Windsor Severance Fire Protection District. Should you have any questions or concerns regarding these agreements, please contact me at(303)914-1438. Sincere) , Chip Wertz Manager of Construction Enclosures Cc: Dan DeWaard,WMNC,w/o end. Bruce Barker,Weld County Donald Carroll,Weld County Bill Jeffry, WMDSC,w/end. C:\Projects\2006\W M NC\cgathman06080411.doc 5t, s ��ali),� Y UNITED STATES ENVIRONMENTAL PROTECTION AGENCY REGION 8 A�PRO1* 99918TH STREET- SUITE WS County Planning Department • DENVER, CO 80202-2466 GREELEY OFFICE Phone 800-227-8917 MAY 1 7 2006 http://www.epa.gov/region08 L L306 RECEIVED Ref: 8P-W-GW Chip Wertz, Manager of Construction Waste Management Disposal Services of Colorado, Inc. 8310 South Valley Highway, Suite 200 Englewood, Colorado 80112 RE: UNDERGROUND INJECTION CONTROL (UIC) Class V Injection Well Program Rule Authorization: Large Capacity Septic System Waste Management of Northern Colorado 40950 Weld County Road 25 Ault, Colorado 80610 (EPA File #CO50000-07167) Dear Mr. Wertz: Thank you for providing information on the wastewater system that will service Waste Management of Northern Colorado. After reviewing your information, we have determined that you are operating a Class V disposal system as defined by 40 Code of Federal Regulations (40 CFR) Section 144.6. You are therefore regulated under the Underground Injection Control (UIC) Program found in 40 CFR Parts 144, 146, and 147, which were promulgated under Part C of the Safe Drinking Water Act, 42 United States Code Sections 1421 through 1428. A copy of 40 CFR Part 144 Subpart G,which applies specifically to Class V injection wells, is enclosed. Your Class V disposal system is currently "authorized by rule" under 40 CFR Sections 144.24 and 144.84(a). "Authorized by rule"allows you to operate your Class V disposal system. Your Class V disposal system must comply with, among other requirements, 40 CFR Section 144.12(a), which prohibits any underground injection that may endanger an underground source of drinking water(Section 144.12 is summarized in Section 144.82 of the Subpart G enclosure). Your Class V disposal system is also subject to periodic compliance inspections, which may include sampling and analysis of your fluids. Finally, be aware that under 40 CFR Sections 144.12(c), (d), and (e), we can require you to apply for a permit or close your disposal system under certain circumstances (e.g., if all or part of the fluids you discharge changes from solely sanitary to industrial wastes). 2 Failure to comply with the above requirements will result in violations of UIC regulations and possible enforcement action. Also enclosed is a listing of environmental/small business resources and a brochure addressing what septic systems fall under Class V regulations. If you have any questions concerning Class V regulations,policies, or guidance, contact Valois Shea, of my staff, at 1-800-227-8917, extension 6276. Please complete the enclosed prepaid postcard and mail it within 15 days after receiving this letter. This will assure us that you have received this rule authorization. Sincerely, Tracy M. Eagle Director Ground Water Program Enclosures: Subpart G—Class V Requirements EPA Small Business Resources Class V/Septic System Brochure cc: Bret Icenogle, Project Manager Rothberg, Tamburini & Winsor, Inc. 419 Canyon Avenue, Suite 220 Fort Collins, CO 80251 Chris Gathman, Planner Department of Planning Services Weld County, Colorado 918 10th Street Greeley, CO 80631 Rothberg lamburnu Winsor Mr. Chris Gathman April 12, 2006 Planner NI-7660-CD Weld County Planning and Zoning SL# 29580 918 10th Street Greeley, CO 80631 Reference: USR#1527 — Waste Management Operations Facility Dear Mr. Gathman: In accordance with the requirements of USR #1527, Waste Management Disposal Services of Colorado, Inc. (WMNC) has substantially completed the conditions of approval set forth by the Board of County Commissioners of Weld County during the December 21, 2005 hearing. WMNC offers this submission for approval of the Plat and finalization of the Use by Special Review process. As outlined in the conditions of approval, each condition has been addressed as follows: 1. Prior to recording of the plat: A. All sheets of the plat shall be labeled USR-1527 The plat consists of a single sheet which is labeled USR-1527. Two full sized plats are attached for final approval. B. The plat shall be amended to delineate the following: 1) The attached Development Standards The Development Standards are reproduced on the plat. Two full sized plats are attached for final approval. 2) Weld County Roads 25 and 84 are designated on the Weld County Road Classification Plan as local gravel roads,which require 60 feet of right-of- way at full build out. There is presently 60 feet of right-of-way. A total of 30 feet from the centerline of Weld County Roads 25 and 84 shall be delineated as right-of-way on the plat. These roads are maintained by Weld County. A 60-foot wide right-of-way has been identified for Weld County Roads 25 and 84 on the plat. Two full sized plats are attached for final approval. C. The applicant shall enter into a Long-Term Road Maintenance and Improvements Agreement with the Weld County Department of Public Works Z VAdpro1-FC din-7660C C([SR Conditions of Approval letter CI IRIS 2doc Professional Engineers and Consultants Denver, CO • Colorado Springs. CO • Fort Collins, CO • Elko, NV • Phoenix, AZ 419 Canyon Avenue • Suite 220 • Fort Collins, Colorado • 8052 1-267 1 • 970-224-5999 • FAX 970-224-0676 for the upgrade, paving, and future maintenance of Weld County Road 25. Evidence of approval by the Department of Public Works shall be submitted to the Department of Planning Services. WMNC is in the process of completing a Long-Term Road Maintenance and Improvements Agreement with the Weld County Department of Public Works. WMNC requests that the Department of Public Works allow the County to move forward with the approval of the plat in order to begin the permit review and approval process. Before completion of the USR process,this agreement shall be in place. D. The applicant shall complete all proposed improvements regarding access, circulation, parking lot improvements, and landscaping to the satisfaction of the Departments of Planning Services and Public Works, or enter into an Improvements Agreement Regarding Collateral for Improvements-and-post adequate collateral for all required on-site improvements. The agreement and form of collateral shall be reviewed by County staff and accepted by the Board of County Commissioners prior to recording the Use by Special Review plat. WMNC is in the process of completing the Improvements Agreement Regarding Collateral for Improvements with the Weld County Departments of Planning Services and Public Works. WMNC requests that the Department of Public Works allow the County to move forward with the approval of the plat in order to begin the permit review and approval process. Before completion of the USR process, this agreement shall be in place. E. The applicant shall submit a Dust Abatement Plan to the Environmental Health Services Division of the Weld County Department of Public Health and Environment, for review and approval. Written evidence of such shall be provided to the Department of Planning Services. Due to the nature of the improvements, dust abatement activities will only be needed during the construction phase of the project. All drive lanes, operational areas and parking areas at the facility will be paved with concrete or asphalt. The container storage area will be surfaced with road base or recycled asphalt. Non paved areas including landscape berms and the stormwater detention pond will be vegetated. As such, the Dust Abatement Plan provisions have been incorporated into the Storm Water Management Plan for Construction. The Storm Water Management Plan for Construction states that a water truck shall actively control dust migration from the site through watering. During earth moving activities, temporary seeding may also be used to control dust migration. Once earth moving activities are complete, all areas shall be stabilized with pavement, landscaping, or permanent seeding. All landscaped areas shall be closely monitored during the period between planting the permanent vegetation and realizing a healthy stand of native plants. A water truck shall be used as required for dust control in landscaped areas during this interim period. F. The applicant shall submit evidence of an Air Pollution Emission Notice (A.P.E.N.) and Emissions Permit application for the Air Pollution Control Division (APCD), Colorado Department of Health and Environment. Alternately, the applicant can provide evidence from the APCD that they are Z:Adproj-FC Pn7660 CLSR Conditions of Approval Later CHRIS 2.doc 2 RTW not subject to these requirements. Written evidence of such shall be provided to the Departments of Public Health and Environment and Planning Services. WMNC is currently Construction Permit and Air Pollutant Emission Notice (APEN) exempt for its existing paint booth operation at the Fort Collins Facility. Painting operations will be transferred to the new WMNC Operations Facility in Weld County. Painting operations will continue to be monitored and if emission levels trigger permitting / notification requirements, then the appropriate notifications will be made to the Colorado Department of Public Health and Environment (CDPHE) and Weld County. WMNC also investigated the requirements for the APEN — Land Development and has determined that this APEN will not be required since the project area to be disturbed is less than 25 acres and that this area will not remain disturbed for a period exceeding six months as discussed in Regulation 3 - Air Contaminant Emissions Notices,Part A.II.D.l.j. G. The impoundment is subject to Regulation No. 61 of the Water Quality Control Commission of the Colorado Department of Public Health and Environment. The facility shall provide evidence to the Weld County Department of Public Health and Environment that it has either applied for a Colorado Discharge Permit System (CDPS) permit or waiver. Written evidence of such shall be provided to the Department of Planning Services. WMNC will seek a waiver from the Ground-Water Discharge Permit Program implemented by Water Quality Control Commission of the Colorado Department of Public Health and Environment for the impoundment onsite. During construction of the clay liner, WMNC will perform a permeability testing on the liner to demonstrate compliance with the le cm/second seepage requirements set by the state. A letter report documenting the permeability test results will be presented to Michael Lin77i at the Water Quality Control Commission to show compliance and obtain a waiver. The waiver and documentation report will be provided to the Weld County Department of Health as evidence of compliance. H. The applicant shall submit evidence of an Aboveground Storage Tank Permit from the Colorado Department of Labor and Employment, Oil Inspection Section, for any aboveground storage tanks located on the site. Alternately, the applicant can provide evidence from the Colorado Department of Labor and Employment, Oil Inspection Section, that they are not subject to these requirements. Written evidence of such shall be provided to the Department of Planning Services. WMNC has chosen to store diesel fuel in a 10,000 gallon double walled UL listed 2080 fire rated above ground storage tank, but cannot procure the permit from the Colorado Department of Labor & Employment - Division of Oil and Public Safety until the site receives an address. The site cannot receive an address until Weld County approves the plat. WMNC asks that Weld County proceed with the approval of the plat in order to initiate the above ground fuel storage permit process. The applicable Above Ground Storage Tank Registration and Above Ground Storage Tank System Installation and Upgrade Application forms are attached for reference. WMNC will provide Weld County with copies of the permit approval for the diesel fuel tank before it is placed into service. Z:Adproj-FCPn7660.CIJSR Conditions of Approval Lefler CHRIS 2doc 3 RTW I. A detailed Design and Operation Plan for the truck wash and repair shop floor shall be submitted to the Environmental Health Services Division of the Weld County Department of Public Health and Environment, for review and approval. The plan shall be reviewed and stamped by a registered professional engineer, and demonstrate that construction of the truck wash and evaporation pond will limit discharges to the environment within the limits described in the rules and regulations of the Water Quality Control Division of the Colorado Department of Public Health and Environment. The plan should include, at a minimum,the following: The Design and Operation Plan for the truck wash facility located within the Shop and Container Repair Facility was combined with the Waste Handling Plan. The truck wash facility is the major contributor to the lined evaporative lagoon located onsite. This prompted the truck wash to be included in the Waste Handling Plan. Please refer to item J. for additional information. The plan was submitted to Char Davis on April 11, 2006 for approval by the Environmental Health Services Division of the Weld County Department of Public Health and Environment. 1) A description of the materials used to construct the wash bay. A description of the materials used to construct the wash bay is included in the report. 2) The method of construction incorporated to prevent wastewater from escaping the structure. The construction design features used to capture all waste within the wash bay is included in the report. 3) A schematic of the flow of water through the wash bay, screen, and oil/grease trap to the evaporation pond. A schematic flow diagram of the water cycling through the wash bay is included in the report. 4) A water balance, or other demonstration, that the evaporation pond is adequately sized to store and dispose of the anticipated,hydraulic load from the trailer wash and the stormwater runoff. A water balance is included with the report to show that the lined lagoon was sized to handle the anticipated flows and storm water runoff. .1. The applicant shall submit a Waste Handling plan, for approval, to the Environmental Health Services Division of the Weld County Department of Public Health and Environment. The plan shall include, at a minimum, the following: The Waste Handling Plan was submitted to Char Davis on April 11, 2006 for approval by the Environmental Health Services Division of the Weld County Department of Public Health and Environment. The Waste handling plan addresses the Design and Operation Plan for the truck wash facility located within the Shop and Container Repair Facility. These two reports were combined since the truck wash provides the main source of discharge to the lined evaporation lagoon. Z!Adproj-FC".Pn7660`:C''USR Conditions of Approval Lean CHRIS 2 doc 4 RTW • 1) A list of wastes which are expected to be generated on the site (this should include expected volumes and types of waste generated). A list of wastes generated, including anticipated volumes, is included in the report. 2) A list of the type and volume of chemicals expected to be stored on the site. A list of chemicals stored onsite, including types and volumes, is included in the report. 3) The waste handler and facility where the waste will be disposed (including the facility name,address, and phone number). A list of waste handlers for the refuse and recyclables coming from the site is included in the report. 4) Written evidence of approval by the Department of Public Health and Environment shall be provided to the Department of Planning Services. WMNC requests that the Department of Public Health and Environment provide written approval to the Department of Planning Services. K. The applicant shall attempt to address the requirements of the Windsor- Severance Fire Protection District, as outlined in the referral received September 15, 2005. Written evidence of such shall be provided to the Department of Planning Services. WMNC has attempted to address the referral comments from the Windsor-Severance Fire Protection District. A copy of the letter sent to the Windsor-Severance Fire Protection District addressing each comment has been attached for reference. L. The applicant shall submit two (2) paper copies of the plat for preliminary approval to the Weld County Department of Planning Services. WMNC has attached two paper copies of the plat for preliminary approval. These copies reflect the comments provided by Chris Gathman during a pre-preliminary review. To adequately address these conditions, RTW has created three individual review submittals tailored to each of the following Weld County departments: Public Works, Health, and Planning and Zoning. WMNC has submitted the following items directly to the Weld County Department of Public Works: • Letter of Compliance with Department of Public Works Conditions of Approval • Storm Water Management Plan • Hydrology Report • Set of Construction Documents WMNC has submitted the following items directly to the Weld County Department of Health: Z:Adproj-FCPn7660\C`:USR Conditions of Approval Letter CHRIS 2.doc ` RTW • Letter of Compliance with Department of Health related Conditions of Approval • Copy of Air Pollutant Emission Notice(APEN) • Copy of Above Ground Storage Tank Registration Application • Copy of Above Ground Storage Tank System Installation and Upgrade Application • Waste Handling Plan/Design and Operation Plan • Copy of Shallow Waste Disposal System/Well Inventory Request Form (Class V Injection Well) submitted to the United States Environmental Protection Agency • Set of Construction Documents WMNC has attached the following items for review and approval by the Weld County Department of Planning and Zoning: • Two (2) full size copies of the plat • Copy of letter submitted to the Windsor-Severance Fire District • Letter of Compliance with all Conditions of Approval • Letter of Compliance with Department of Health related Conditions of Approval • Letter of Compliance with Department of Public Works Conditions of Approval • Storm Water Management Plan • Hydrology Report • Copy of Air Pollutant Emission Notice(APEN) • Copy of Above Ground Storage Tank Registration application • Copy of Above Ground Storage Tank System Installation and Upgrade Application • Waste Handling Plan/Design and Operation Plan • Copy of Shallow Waste Disposal System/Well inventory Request Form (Class V Injection Well) submitted to the United States Environmental Protection Agency • Set of Construction Documents WMNC requests the approval of the plat and release of all related permits. With the approval of the plat, WMNC is prepared to provide a Mylar plat, an electronic copy of the plat, and proceed with the steps necessary to obtain a Certificate of Occupancy. Should you have any questions regarding the information provided, please contact Chip Wertz, Manager of Construction, Waste Management Disposal Services of Colorado at(303) 914-1438, or me at (970) 224-5999. Z:WdproyFCPn1660,CUSR Conditions of Approval Letter CHRIS 2.doc V L RTW Sincerely, Rothberg, Tambu Winsor, Inc. e cenogle, P.E. Project Manager Enclosures c: Chip Wertz, Waste Management Disposal Services of Colorado, Inc. Leroy Whipkey, Landmark Construction Service, Inc. BAI/bai Z;Adproj-FC\Pn7660\C\USR Conditions of Approval Later CHRIS 2 doc 7 RTW ATTACHMENT A LETTERS OF COMPLIANCE FOR DEPARTMENT OF HEALTH AND DEPARTMENT OF PUBLIC WORKS Z:\Adproj-FCPn]660\C\USR Conditions ofApprovil teller CHRIS doc RTW Rothberg Tamburirn Winsor Mr. Donald Carroll April 12, 2006 Engineering Administrator NI-7660-CD Weld County Department of Public Works SL# 29581 1111 H Street Greeley, CO 80632 Reference: USR#1527 — Waste Management Operations Facility Dear Mr. Carroll: In accordance with the requirements of USR #1527, Waste Management Disposal Services of Colorado, Inc. (WMNC) has substantially completed the conditions of approval set forth by the Board of County Commissioners of Weld County during the December 21, 2005 hearing. On behalf of WMNC, Rothberg, Tamburini & Winsor, Inc. (RTW) offers this submission for approval of the Plat and finalization of the Use by Special Review process. As outlined in the conditions of approval, each condition pertaining to elements overseen by the Department of Public Works has been addressed as follows: 1. Prior to recording of the plat: C. The applicant shall enter into a Long-Term Road Maintenance and Improvements Agreement with the Weld County Department of Public Works for the upgrade, paving, and future maintenance of Weld County Road 25. Evidence of approval by the Department of Public Works shall be submitted to the Department of Planning Services. WMNC is in the process of completing a Long-Term Road Maintenance and Improvements Agreement with the Weld County Department of Public Works. WMNC requests that the Department of Public Works allow the County to move forward with the approval of the plat in order to begin the permit review and approval process. Before completion of the USR process,this agreement shall be in place. D. The applicant shall complete all proposed improvements regarding access, circulation, parking lot improvements, and landscaping to the satisfaction of the Departments of Planning Services and Public Works, or enter into an Improvements Agreement Regarding Collateral for Improvements-and-post adequate collateral for all required on-site improvements. The agreement and form of collateral shall be reviewed by County staff and accepted by the Board of County Commissioners prior to recording the Use by Special Review plat. WMNC is in the process of completing the Improvements Agreement Regarding Z:\Adproj-FC\Pn7660\C\USR Conditions of Approval Letter DON doc Professional Engineers and Consultants Denver, CO • Colorado Springs, CO • Fort Collins, CO • Elko, NV • Phoenix, AZ 419 Canyon Avenue • Suite 220 • Fort Collins, Colorado • 8052 1-267 1 • 970-224-5999 • FAX 970-224-0676 .t Collateral for Improvements with the Weld County Departments of Planning Services and Public Works. WMNC requests that the Department of Public Works allow the County to move forward with the approval of the plat in order to begin the permit review and approval process. Before completion of the USR process, this agreement shall be in place. In addition to the items required by the Board of County Commissioners of Weld County, RTW believes that the Weld County Department of Public works needs to review and approve the Storm Water Management Plan for Construction, the Hydrology Report, and the roadway construction design plans as part of the approval process. Accordingly, WMNC has included said reports and design plans with this submission for review and approval by Weld County Department of Public Works. The two reports will identify systems used to help prevent storm water pollutants from escaping the site during construction and how post developed storm waters are managed within County Road 25 right-of-way. WMNC requests that the Department of Public Works approve the plat and release all related permits. WMNC understands that approval of the plat by the Department of Public Works does not free WMNC from actively pursuing an Improvements Agreement Regarding Collateral for Improvements and a Long-Term Road Maintenance and Improvements Agreement with the County. WMNC shall finalize both agreements with the Weld County Department of Public Works prior to completion of the USR phase. Should you have any questions regarding the information provided, please contact Chip Wertz, Manager of Construction, Waste Management Disposal Services of Colorado at (303) 914-1438, or me at(970) 224-5999. Sincerel Ro erg, Ta burini & Winsor, Inc. Bret Icenog , P.E. Project Ma ger Enclosures c: Chris Gathman, Weld County Department of Planning and Zoning Chip Wertz, Waste Management Disposal Services of Colorado, Inc. Leroy Whipkey, Landmark Construction Service, Inc. BAI/bai Z'.Wdproj-FC`8n7660\C\USR Conditions of Approval Letter DON.doc 2 RTW Rothberg mmbunm Winsor Mrs. Char Davis, MPH April 12, 2006 Environmental Health Specialist NI-7660-CD Weld County Department of Health SL# 29579 1555 North 17th Avenue Greeley, CO 80631 Reference: USR#1527 — Waste Management Operations Facility Dear Mrs. Davis: In accordance with the requirements of USR #1527, Waste Management Disposal Services of Colorado, Inc. (WMNC) has substantially completed the conditions of approval set forth by the Board of County Commissioners of Weld County during the December 21, 2005 hearing. On behalf of WMNC, Rothberg, Tamburini & Winsor, Inc. (RTW) offers this submission for approval of the Plat and finalization of the Use by Special Review process. As outlined in the conditions of approval, each condition pertaining to elements overseen by the Department of Public Works has been addressed as follows: In accordance with the requirements of USR #1527, Waste Management Disposal Services of Colorado, Inc. (WMNC) has substantially completed the conditions of approval set forth by the Board of County Commissioners of Weld County during the December 21, 2005 hearing. On behalf of WMNC, Rothberg, Tamburini & Winsor, Inc. (RTW) offers this submission for approval of the Nat and finalization of the Use by Special Review process. As outlined in the conditions of approval, each condition pertaining to elements overseen by the Department of Health has been addressed as follows: 1. Prior to recording of the plat: E. The applicant shall submit a Dust Abatement Plan to the Environmental Health Services Division of the Weld County Department of Public Health and Environment, for review and approval. Written evidence of such shall be provided to the Department of Planning Services. Z\Adpro}FC\Pn7660\C\IISR Conditions of Approval Letter CHARdoc Professional Engineers and Consultants Denver, CO • Colorado Springs, CO • Fort Collins, CO • Elko, NV • Phoenix, AZ 419 Canyon Avenue • Suite 220 • Fort Collins, Colorado • 80521-2671 • 970-224-5999 • FAX 970-224-0676 Due to the nature of the improvements, dust abatement activities will only be needed during the construction phase of the project. All drive lanes, operational areas and parking areas at the facility will be paved with concrete or asphalt. The container storage area will be surfaced with road base or recycled asphalt. Non paved areas including landscape berms and the stormwater detention pond will be vegetated. As such, the Dust Abatement Plan provisions have been incorporated into the Storm Water Management Plan for Construction. The Storm Water Management Plan for Construction states that a water truck shall actively control dust migration from the site through watering. During earth moving activities, temporary seeding may also be used to control dust migration. Once earth moving activities are complete, all areas shall be stabilized with pavement, landscaping, or permanent seeding. All landscaped areas shall be closely monitored during the period between planting the permanent vegetation and realizing a healthy stand of native plants. A water truck shall be used as required for dust control in landscaped areas during this interim period. F. The applicant shall submit evidence of an Air Pollution Emission Notice (A.P.E.N.) and Emissions Permit application for the Air Pollution Control Division (APCD), Colorado Department of Health and Environment. Alternately, the applicant can provide evidence from the APCD that they are not subject to these requirements. Written evidence of such shall be provided to the Departments of Public Health and Environment and Planning Services. WMNC is currently Construction Permit and Air Pollutant Emission Notice (APEN) exempt for its existing paint booth operation at the Fort Collins Facility. Painting operations will be transferred to the new WMNC Operations Facility in Weld County. Painting operations will continue to be monitored and if emission levels trigger permitting / notification requirements, then the appropriate notifications will be made to the Colorado Department of Public Health and Environment (CDPHE) and Weld County. WMNC also investigated the requirements for the APEN — Land Development and has determined that this APEN will not be required since the project area to be disturbed is less than 25 acres and that this area will not remain disturbed for a period exceeding six months as discussed in Regulation 3 - Air Contaminant Emissions Notices,Part A.Il.D.1.j. G. The impoundment is subject to Regulation No. 61 of the Water Quality Control Commission of the Colorado Department of Public Health and Environment. The facility shall provide evidence to the Weld County Department of Public Health and Environment that it has either applied for a Colorado Discharge Permit System (CDPS) permit or waiver. Written evidence of such shall be provided to the Department of Planning Services. WMNC will seek a waiver from the Ground-Water Discharge Permit Program implemented by Water Quality Control Commission of the Colorado Department of Public Health and Environment for the impoundment onsite. During construction of the clay liner,WMNC will perform a permeability testing on the liner to demonstrate compliance with the 10-6 cm/second seepage requirements set by the state. A letter report documenting the permeability test results will be presented to Michael Liuzzi ZZ\Adpros-PC\Pn7660` USR Conditions of Approval Letter CHAR.doc 2 RTW at the Water Quality Control Commission to show compliance and obtain a waiver. The waiver and documentation report will be provided to the Weld County Department of Health as evidence of compliance. H. The applicant shall submit evidence of an Aboveground Storage Tank Permit from the Colorado Department of Labor and Employment, Oil Inspection Section, for any aboveground storage tanks located on the site. Alternately, the applicant can provide evidence from the Colorado Department of Labor and Employment, Oil Inspection Section, that they are not subject to these requirements. Written evidence of such shall be provided to the Department of Planning Services. WMNC has chosen to store diesel fuel in a 10,000 gallon double walled UL listed 2080 fire rated above ground storage tank, but cannot procure the permit from the Colorado Department of Labor & Employment - Division of Oil and Public Safety until the site receives an address. The site cannot receive an address until Weld County approves the plat. WMNC asks that Weld County proceed with the approval of the plat in order to initiate the above ground fuel storage permit process. The applicable Above Ground Storage Tank Registration and Above Ground Storage Tank System Installation and Upgrade Application forms are attached for reference. WMNC will provide Weld County with copies of the permit approval for the diesel fuel tank before it is placed into service. I. A detailed Design and Operation Plan for the truck wash and repair shop floor shall be submitted to the Environmental Health Services Division of the Weld County Department of Public Health and Environment, for review and approval. The plan shall be reviewed and stamped by a registered professional engineer, and demonstrate that construction of the truck wash and evaporation pond will limit discharges to the environment within the limits described in the rules and regulations of the Water Quality Control Division of the Colorado Department of Public Health and Environment. The plan should include, at a minimum,the following: The Design and Operation Plan for the truck wash facility located within the Shop and Container Repair Facility was combined with the Waste Handling Plan. The truck wash facility is the major contributor to the lined evaporative lagoon located onsite. This prompted the truck wash to be included in the Waste Handling Plan. Please refer to item J. for additional information. The plan was submitted to Char Davis on April 11, 2006 for approval by the Environmental Health Services Division of the Weld County Department of Public Health and Environment. a. A description of the materials used to construct the wash bay. A description of the materials used to construct the wash bay is included in the report. b. The method of construction incorporated to prevent wastewater from escaping the structure. The construction design features used to capture all waste within the wash bay is included in the report. c. A schematic of the flow of water through the wash bay, screen, and of/grease Z.'Adproj-FC'\Pn7660`,QUSR Conditions of Approval Lana CHAR doc 3 RTW trap to the evaporation pond. A schematic flow diagram of the water cycling through the wash bay is included in the report. d. A water balance, or other demonstration, that the evaporation pond is adequately sized to store and dispose of the anticipated hydraulic load from the trailer wash and the stormwater runoff. A water balance is included with the report to show that the lined lagoon was sized to handle the anticipated flows and storm water runoff. J. The applicant shall submit a Waste Handling plan, for approval, to the Environmental Health Services Division of the Weld County Department of Public Health and Environment. The plan shall include, at a minimum, the following: The Waste Handling Plan was submitted to Char Davis on April 11, 2006 for approval by the Environmental Health Services Division of the Weld County Department of Public Health and Environment. The Waste handling plan addresses the Design and Operation Plan for the truck wash facility located within the Shop and Container Repair Facility. These two reports were combined since the truck wash provides the main source of discharge to the lined evaporation lagoon. a. A list of wastes which are expected to be generated on the site (this should include expected volumes and types of waste generated). A list of wastes generated, including anticipated volumes, is included in the report. b. A list of the type and volume of chemicals expected to be stored on the site. A list of chemicals stored onsite, including types and volumes, is included in the report. c. The waste handler and facility where the waste will be disposed (including the facility name, address, and phone number). A list of waste handlers for the refuse and recyclables coming from the site is included in the report. d. Written evidence of approval by the Department of Public Health and Environment shall be provided to the Department of Planning Services. WMNC requests that the Department of Public Health and Environment provide written approval to the Department of Planning Services. In addition to the items required by the Board of County Commissioners of Weld County, RTW has included a copy of the construction drawings and the United States Environmental Protection Agency Shallow Waste Disposal System/Well inventory Request Form (Class V Injection Well) to the Weld County Department of Health for reference. Z:Adproj-FC'Pn7660\C\USR Conditions of Approval Letter CHAR.doc 4 RTW WMNC requests the approval of the plat and release of all related permits. With the approval of the plat, WMNC is prepared to proceed with the steps necessary to obtain all required permits for construction and the Certificate of Occupancy. Should you have any questions regarding the information provided, please contact Chip Wertz, Manager of Construction, Waste Management Disposal Services of Colorado at (303) 914-1438, or me at (970) 224-5999. Sincerely, Rothberg, Tamburini & Winsor, Inc. Bret tenogle, P.E. ' r'ect Manager Enclosures c: Chris Gathman, Weld County Department of Planning and Zoning Chip Wertz, Waste Management Disposal Services of Colorado, Inc. Leroy Whipkey, Landmark Construction Service, Inc. BAI/bai Z:\Adproj-FCTR7660\C\USR Conditions of Approval Leta CHAR.doc J 5 RTW ATTACHMENT B COPY OF LETTER TO WINDSOR-SEVERANCE FIRE DISTRICT Z:Ndi roj-FC A7660\CUSR Conditions of Approval Letter CHRIS.doc RTW • Rothberg Tambunm Winsor Mr. Mike Davis April 6, 2006 Captain NI-7660-CD Windsor Severance Fire Protection District SL# 29571 100 7th Street Windsor, CO 80550 Reference: USR#1527—Waste Management Operations Facility Dear Mr. Davis: In accordance with the requirements of USR #1527, Rothberg Tamburini and Winsor, Inc. on behalf of Waste Management Disposal Services of Colorado, Inc. has attempted to address the Windsor-Severance Fire Protection District comments outlined in the referral letter dated September 15, 2005. For clarity, comments from the Windsor-Severance Fire Protection District referral letter are addressed individually as follows: 1. There shall be a minimum of two points of access to this facility. The facility was designed with two points of access that are able to accommodate the turning radius of a fire engine,the visitor and employee entrance and the truck entrance. The location and width of these entrances are shown on the attached plan. 2. Each access shall be designed to carry a designed wheel load of 18000 pounds(80000 pound gvw) (H2O loading). The truck entrance has a H20 loading design capacity for a high volume of truck traffic. This design is sufficient to support the fire trucks. The visitor and employee entrance is designed for a high volume of light vehicle traffic,but can support a low volume of H20 loading without failure. We anticipate that the fire department will enter the employee and visitor entrance infrequently. 3. The accesses shall be constructed of a permanent all weather road base. Both site accesses are paved with all weather road surfaces. The employee and visitor access is paved with an asphalt concrete surface. The truck entrance is paved with a concrete surface. 4. Addresses shall be posted clearly on the road fronting the property. Z9Adpr i-FcAPn76wAcAI ircLeuer.d« Professional Engineers and Consultants Denver, CO • Colorado Springs, CO • Fort Collins, CO • Elko, NV • Phoenix, AZ 419 Canyon Avenue • Suite 220 • Fort Collins, Colorado • 8052 1-267 1 • 970-224-5999 • FAX 970-224-43676 The address will be posted clearly along County Road 25. 5. Addresses shall be posted clearly on the structure. Both buildings onsite shall share the same address. Waste Management of Northern Colorado will post the address on the buildings. 6. If any of the gates to this site are to be automatic they shall be provided with a KNOX key override switch. The gates to this site are not automatic. A KNOX box will be provided at each building to accommodate fire department access. 7. Both buildings shall be provided with an approved Fire Sprinkler System and the fire line shall be shown on the site utility drawings and labeled as such and approved by the Windsor-Severance Fire Protection District. A 12-inch diameter fire main serves as the backbone for the onsite fire service. This main connects directly to the 12-inch diameter North Weld County Water District water main within the County Road 25 right of way. From the onsite 12-inch diameter main, a 6-inch diameter water service branches off to serve each building's fire sprinkler system. The sprinkler systems are designed at a flow of 500 gallons per minute. To overcome the minimal pressures found onsite, each building is equipped with a booster pump. The sprinkler system design will be submitted to the District for review and approval.. 8. The minimum fire flows required for this project are 1500 gpm at a minimum of 20 psi and a flow duration of three(3) hours. North Weld County Water District can currently supply 500 gallons per minute at 28 psi at the connection point to the facility. This does not permit a flow of 1500 gpm at 20 psi at any onsite fire hydrant. Waste Management has designed the onsite water system to optimize future water flow and pressure conditions available from NWCWD. After NWCWD constructs improvements to their system upstream of the WMNC Operations Facility in 2006-2008, the water provider estimates that their system can supply 2000 gpm at a pressure of 26 psi. With these improvements, the onsite system will provide 1075 gpm at 20 psi from the hydrant west of the Administration Building, and 1240 gpm at 20 psi from each of the other two fire hydrants onsite. These flows represent what is anticipated from each hydrant during a solo hydrant test. z:\Adproi-FC\Pn7660NOrreLener doc 2 RTW Additional NWCWD improvements planned for a few years beyond 2008 will improve the pressure at the site connection point significantly. With these secondary planned improvements, all onsite fire hydrants can provide 1500 gallons per minute at 20 psi. 9. The minimum number of fire hydrants required shall be four (4). The layout of the buildings on the site has changed slightly since the approval of the USR. With the changes, we have determined that three fire hydrants will provide adequate service to the entire facility. The three hydrants are arranged so that one hydrant provides fire protection coverage for both buildings onsite. 10. The minimum water line sizes for the fire hydrants shall be 8". The 12-inch diameter main water feed for the property was oversized to minimize frictional losses onsite. 11. The Windsor-Severance Fire Protection District shall be afforded the opportunity to review and approve all building drawings before a building permit is issued. The Windsor-Severance Fire Protection District shall have the opportunity to review the plans prior to issuance of the building permit. 12. The Windsor-Severance Fire Protection District shall be afforded the opportunity to review and approve all construction drawings for the installation of any fuel tanks or associated appliances. The Windsor-Severance Fire Protection District shall have the opportunity to review the plans for the installation of fuel tanks and associated appurtenances. Should you have any questions regarding these responses to the Districts comment letter dated September 15, 2005 or the attached Site Utility Plan showing hydrant locations and facility access, please contact me at(970) 224-5999. Sincerely, \Adp.l-FCvPn766mOFireLeuerdoc 3 RTW Very truly yours, Rothberg, Tambuf Winsor, Inc. Bret cenogle, P.E. oject Manager Enclosures c: Chris Gathman, Weld County Department of Planning Services Chip Wertz, Waste Management Leroy Whipkey, Landmark Construction BAI/bai Z-AAdpml-FCAPn766NCAFire!ener doc 4 RTW -v-rte -••Ilt••.A.•"A NOueivas30 nasN3,1 I NNW Ias3a I atw Ion NUJ wa3rJ3ro ..w low.. low to NVld,llllllfl s;ue;JnsooD eg s.3aau!`dua 1euoIssa;o.3d 4 atw •.7u[ 310SUIM U1URQUIP,L 38i JOu Hid :Ae wawa 900Z1100900Z1100X31dW00 lLNf100 H1210N LZSI#21Sf1 NS AO 03Na1S30 COMM w3 IN31/430VNVVi 3ISVM lv r0 sir°. iii go �° 6 po y. -O sp _ {Q Nu 5 h H 01 g O o • ; li3 W O gpi g U _ B O w O H = a Q 4 ZOd w w w w z a • • • I 1 d ,_,• • O 0 cc to C to C 0 �►.✓ vim\ \` .-4.,,_,,, `\ E• - . •° 1 * 1 .• { C y 7 1 1 IINW]SY1 xue0tnv - i a •''I $c0. • _ $ avnaa v�av � ; 1 Vb3153M .SL , cv / t • • F "C it /- ��, •r ,•� ' ° I ICI I c' • - f,• • .,, •. PO• a 1•4° i !\ S�--i f ! L.. �YY avr 1k.C O 5'9't• 41, 1 E4k •.b. 1 a4 l& •`•E 4y IA "fi.'°� • = r 'rttr a' i" • 1:11.44 � ,d, f ks�a v vs �ro'v .•w Es vu"� rNC.i, 544;0 _ ,...-,52.,...y c to Y ° 'Y 114 l 1 O 'nur 4 i.` §r A, u L :aa+ ,,.A« 'ad,yi •i.. w . 555 •° 4. '�,`t� � r5.3:,S r.xv>. nn/n 'h�- 5i-i5i rny°• 4rj k4? I tt ','i lWk•v" tx54° N` atZ.Z.'_ta 4 L'ats 9 •, i u°vcw` +au' " '' a e �s JY ., vvet',s fdle "C T• -44 y ., ` y� �� p' 4j.*J�,,a r + e1 `r ' S rx i.. r a `...gym; Yl r in �[arat, 1 n , •1 - c 1'^','\ vv e / lis ;,ts�. ., . rx.lk•v', n ra�. 'S5 [.s uuaav LS M w 3 — t' — v', ,00 101 1 3Wt AW330Y3 .„,\ r 7. tn.¢Wt xi6 1 W st p`F° //11 A A , • x_ asy �tua. ex.q _,d M'� a' ,.�� +r?2��1 � ig II ._noon*saw loser tromp, MPtWtp ATTACHMENT C AIR POLLUTION EMMISSIONS NOTICE: PAINT SPRAY OPERATIONS Z:Adproj-FC.Po7660,QUSR Conditions of Approval Leiter CHRIS doc RTW i1 Pit Colorado Department of Public Health and Environment Page 1 of 4 Air Pollution Control Division <7( � �t c��AT - PAINT SPRAY OPERATIONS - Air Pollutant Emission Notice (APEN) - and - Application for Construction Permit Check all that apply: ❑ New Facility Tr fer of Ewanefship * 0 Change in VOC Usage ❑ No Change, APEN Update Only Request a Modification to Existing Permit All sections of this APEN and application must be completed 'priororr to submittal to the Division for both new and existing facilities. An application with missing information may be determined incomplete and may result in longer engineer processing times. " Note: For transfer of ownership or company name change of a permit, you must also submit a Construction Permit Application form. Permit Number AIRS Number Company Name: WA sr., F : , (2_-I-i Plant Location: Ij - County: T_ C Zip: Billing Address: Zip: Person to Contact: Phone Number: E-mail Address: Fax Number: Is this facility owned or managed by another company or corporation? Yes/ No If YES, provide name of company and mailing address: Please describe the operations at this facility (body shop, manufacturing or refurbishing of select items, etc.): Normal Operation of this Source: - Hours per day Days per week Weeks per year Section 1: ABRASIVE BLASTING Is abrasive blasting performed at this location? Yes/ No If yes list material used: (e.g. sand, plastic) Amount consumed? Tons per Year Abrasive Blasting Control Measures (this will serve as the fugitive dust control plan): - ❑ Wet Blasting (may be required by the Division) 0 Enclosure Type: Complete or Partial, describe: ❑ Other (specify): Please provide description of the blasting material cleanup and disposal at the site: Revised September 2004 http://www.cdphe.state.co.us/ap/stationary.asp ATTACHMENT D ABOVE GROUND STORAGE TANK SYSTEM INSTALLATION AND UPGRADE APPLICATION AND ABOVE GROUND STORAGE TANK REGISTRATION APPLICATION Z Adproj-FCPn7660\CUSR Conditions of Approval Leta CHRIS doc RTW FC O , I?) Mail to: Division of Oil and Public Safety \\„ ,_,„,y 633 17 Street, Suite 500 �'rays� Denver, CO 80202-3660 E-mail oil.publicsafetyno state.co.us ABOVEGROUND STORAGE TANK REGISTRATION [-Return this original registration form;retain a copy for your records. MAKE CHECK FOR$35 PER TANK PAYABLE TO Division of Oil and Public Safety. Registration may be typed or printed in black ink. REGISTRATION REQUIREMENTS: a registration form must be completed for each location where there are aboveground petroleum storage tanks. Tanks must be registered annually or whenever there is a change in the status of the tank system. See additional information below. 1.OWNER (who owns the tanks?) PHONE NUMBER STREET ADDRESS COUNTY CITY STATE ZIP 2. FACILITY NAME (street address where the tanks are located) PHONE NUMBER STREET ADDRESS COUNTY CITY STATE ZIP PERSON RESPONSIBLE FOR TANK/TANK RECORDS - TITLE PHONE NUMBER 3. BILLING (where do you want the bill sent) PHONE NUMBER STREET ADDRESS COUNTY CITY STATE ZIP 4. OWNER TYPE COMMERCIAL PRIVATE RETAIL FEDERAL GOVT STATE GOVT LOCAL GOVT OTHER, 5. TANK INFORMATION TANK NUMBER 1 2 3 4 5 6 PRODUCT IN TANK INSTALLATION DATE CAPACITY (in gallons) OVERFILL PROTECTION Y_N_ YN YN YN YN_ YN_ SPILL PREVENTION YN_ YN YN YN YN YN_ SECONDARY CONTAINMENT Y_N YN YN YN YN YN_ 6. CERTIFICATION I certify that I have examined and am familiar with the information submitted in this document,and that,to the best of my knowledge;the submitted information is true,accurate and complete. PLEASE PRINT NAME AND TITLE OF OWNER OR AUTHORIZED REPRESENTATIVE SIGNATURE - DATE * OVERFILL PROTECTION: Overfill protection equipment will automatically shut off the flow of a product when the tank is 95% fill or alert the transfer operator when the tank is no more than 90% full. *" SPILL PREVENTION: Spill prevention equipment prevents the release of a product into the environment when the transfer hose is detached from the fill pipe. *** SECONDARY CONTAINMENT: A secondary containment is a berm surrounding the tanks which is capable of containing the capacity of the single largest tank. ADDITIONAL INFORMATION REGISTRATION FOR ABOVEGROUND STORAGE TANKS All owners or operators of aboveground petroleum storage tanks with a capacity between 660 and 40,000 gallons must / r�� CO Dept of Labor& Employment - Division of Oil & Public Safety 17: ,;1,73,12/:.l .Z 633 17' Street, Suite 500, Denver CO 80202-3660 \"%itaTit Phone 303-318-8505/8507 - F ax 303-318-8518 - E-mail oil.publicsafety@dstate.co.us -Web http://ops.cdle.stat e.co.us/ ABOVEGROUND STORAGE TANK SYSTEM INSTALLATION AND UPGRADE APPLICATION cwner Name: Owner Name: Address: Address: City: State: CO Zip: City: State: Zip: Contact Contact Name: Phone k: Phone 9: Name: Description Of Work: Type Of Facility: Gas Station f ] Bulk Plant I I Commercial/Industrial [ I Airport f I Government[ ] Other I I A plot plan must accompany this application that includes the name and address of facility,lot dimensions,and distances from tanks to nearest important building,roads,railroads,property lines,dikes or impoundment areas,existing tanks,and dispensers. TANK INFORMATION Tank Material(Construction)Codes New/Used/Existing Tank N Cc,,VJ UL 142: UL 142/Equivalent Tank Material(Construction) K UL 2090: UL 2080 Fire Rated/Equivalent Tank Wall Type Jr c, c. t_ UL 2085: UL 2085 Protected Total Capacity(gals) ) pi 00`2= Tank/Piping Wall Type Codes Compartmentalized Tank (Y/N) kJ S: Single Wall D: Double Wall Compartment Sizes �"l Overfill Prevention Method Codes Product(by compartment if app) yl IS t L FV: Fill Tube Valve Tank Manufacturer t`AT"N AL: External AudibleNisible Alarm Tank Model(Envirovault,etc.) FLNm` c c r Tank Corrosion Protection Codes Manifolded Tank (Y/N) lV I c IC: Impressed Current Sys. GV: Galvanic Anodes Spill Containment Manufacturer L F IA'J NEC: No Electrolyte Contact Spill Containment Size(in gals) car Lv a J` NONE: None-Other Testing Required Overfill Prevention Method t. F) LL V bL V CN, Emergency Relief Venting Codes Overfill Prevention Manufacturer O 'Q (...%) ERV: Emergency Relief Venting Device Tank Foundation(concrete,etc) C lOrJt_(I c.,,_7(---- WRS: Weak Roof-To-Shell Seam Construction Electrolyte Contact (Y•/N) OTIIER: Other Method(manway w/long bolts,etc) Tank Corrosion Protection AJ AC YA i tJ L C. NA: Not Required(ie Class 1118>12,000 gals) Emergency Relief Vent(ERV) 1,QS Tank Interstitial Monitoring Method Codes ERV Size(in inches) Z5_i fa ES: Electronic Sensor MV: Manual/Visual hop Interstitial Monitor(Dbl-Wall) Y C`S NA: Not Applicable Interstitial Monitor Manufacturer "'5 (] Piping Type Vapor Recovery Regd (Y/N) AG: Aboveground UG: Underground NA: None Vapor Recovery System Piping: Line Size: [NM,] Connection Size [4"] Piping System Codes PIPING INFORMATION PR- Pressurized Piping Type Sr.?:r .- 1. SU: Suction S5: Safe Suction l'iping System t 1 GRAV. Gravity Feed NONE: No Delivery Piping Piping Material t I MAN: Manifolded Tank-No Delivery Piping Piping Wall Type I Piping Material Codes 11G Piping Manufacturer N/fs FRP: Fiberglass Reinforced Plastic _Model(Pisces,Red Thread,etc.) RJ h FLEX: Flexible Plastic Piping ALIT)Type(UG piping) N STF,EI. COPPER (1G Piping Connector-Tank / Line Leak Detector(ALLD)Type Codes LIG Piping Connector-Disp E: Electronic M: Mechanical •Piping Corrosion Protection I" NA: Not Required-(Manifolded/Gravity,e1cJ Connector-Tank Corr.Protection Piping Connector Type Codes . Connector-Disp Com Protection SW: Swing Joint FL: Flex Connector Piping Release Detection Mthd. Ni FPP: Flexible Plastic Pipe Adaptor ADDITIONAL INFORMATION Piping Corrosion Protection Codes Installed In A Vault (Y/N) EJ FRP: Fiberglass Reinforced Plastic(Piping) F-Generator Base Tank (Y/N) (I FLEX: Flexible Plastic Piping Connected To Dispenser (Y/N) Y AG Aboveground Piping - Tank-To-Building Distance IC: Impressed Current System(Piping/Connectors) Tank-To-Property Line Distance GV Galvanic Anodes(Piping/Connectors) Tan4-Tn-Ilicnencer llictanre ..,,- .... ................. .... ATTACHMENT E SHALLOW WASTE DISPOSAL SYSTEM/WELL INVENTORY REQUEST FORM FOR CLASS V INJECTION WELLS Z:'Adproj-FC\Pn]660\C'.IISR Conditions of Approval Lain CIIRIS.doc RTW ' UNITED STATES ENVIRONMENTAL PROTECTION AGENCY SHALLOW WASTE DISPOSAL SYSTEM/WELL INVENTORY REQUEST FORM Shallow waste disposal systems/wells(Class V injection wells)release waste fluids into or above shallow ground water and include: commercial or industrial septic systems, sumps, drain fields, french drains, cesspools,abandoned drinking water wells, dry wells, and infiltration galleries. The Underground Injection Control(UIC)regulations require inventory information for all disposal systems/wells and additional information for certain types of systems/wells. This form is designed to collect basic information for all systems/wells, to determine which are used for underground disposal of waste fluids, and additional information for those systems/wells with a greater potential for contaminating ground water. I. IDENTIFICATION OF DISCHARGE/DISPOSAL SYSTEM/WELL Please circle YES or NO to ALL items that pertain to the way your business or facility disposes of waste fluids (including wash water,storm water,sanitary bathroom wastes,and spills). (Please call Valois Shea at 1-800-227-8917 ext. 6276 or 303-312-6276 if you need assistance.) 1. Does your business dispose of waste fluids through a connection to a municipal YES NO sewer system? 2. Excluding sanitary waste, does your business dispose of any waste fluids through a YES NO connection to a septic system with a drain field? -`- 3. Are waste fluids discharged from your business facility to a holding tank that is YES NO pumped periodically? 4. Does your business have a floor drain or sink in a shop area, engine service or YES NO maintenance bay, or vehicle/equipment washing operation that is connected to a septic system, drain field, french drain,abandoned drinking water well, or dry well? 5. Is your business facility run as a dry shop(i.e no water, sewer or septic connections)? YES NO 6. Are waste fluids discharged from your business facility to a lagoon or pond? YES NO 7. Are waste fluids from your business facility discharged to surface water, lake, river, YES NO stream or wetland? 8. Are waste fluids from your business facility stored and/or hauled away(recycled)? YES NO This includes wash water,oil, fuel, solvents, antifreeze, etc. Please list X51 .b-rn TR H9a c,4t rJJ\v, 9. If you do discharge solely sanitary(e.g.,bathroom)wastes, does your disposal(e.g., septic) YES NO system(s)have the physical capacity to treat waste fluids generated by 20 or more persons per day(i.e., approximately 2,000 or more gallons per day)? If you answered YES to either questions#2,#4,or#9,please complete Section II below. II. BASIC INVENTORY INFORMATION. Inventory all systems/wells separately. If more space is needed, please use and attach separate sheets. Please call Valois Shea at 1-800-227-8917, ext. 6276 should you need assistance. 1. Type of Business or Facility(please include standard industry code(s)if known): Wdc4C M41-$ -'C �v�M '1` not-IS CAMCR - H M4.t �iw-4r- -VA1 4.-- kO tiros at e t '- —` etp SEE OTHER SIDE 2. Operating Status(AC=Active, AN=Abandoned, UC=Under Construction,TA=Temporarily Abandoned): System/Well#1 t e System/Well#2 3. General Location(please attach a diagram of the system(s)/well(s) including construction design): System/Well#1 ef 'nom System/Well#2 4. Date of Construction: System/Well#1 SU+-\M1e(- 200(6 System/Well#2 5. Depth of Well/System(and ground water if known): /6114VtAnASACTell-:". System/Well#1 1�Yys '1,1*—} (o �'?-. wb�.l, pt3,System/Well#2 6. Average and Maximum Volumes of Disposed Fluids(gallons/day): System/Well#1 \ I") qv, pN %avic2\ 1:30,.t CiPD MMgI WIv. System/Well#2 7. Source and Nature of Disposed Fluids(i.e., solvents, waste oil,brake fluid, antifreeze,waste paint, wash water, snow melt, cooling water,boiler blow down water, industrial process waste, miscellaneous spills, etc.): System/Well#1 Venk-47'1f1GCy-, tuAcT1 f So1_pS Rio -C+��c7VGk '?TIC 7—AsJ�S System/Well#2 III. CERTIFICATION I certify, under penalty of law, that this document was prepared under my guidance and supervision, and that I am assured that qualified personnel properly gathered and evaluated the information reported here. To the best of my knowledge, the info tion presented above is true,accurate and complete. Signature: Date: 'k Name(pleas rint): Title: nict} 1- 4 n'r lhllL Name of Company: Y.d1h4 F6` Th4,c utA r'\t Phone: 99.0 9 22Jl' 5999 Address: At ce,)-) sr Wet.)1/43v 'u t w V z-T Cram)-'5 t CD `:0524 Property Owner(If different than above): Lui\-`21.V 4l`vE'P ✓Q1J1Ct4CFCAP_.hottNC Property Owner Address: SSI v c7ou-c tjAixitm htttt Su 1"M-Zta, Lew too Cjb $0112 Please return this Form to: U.S.Environmental Protection Agency,. 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