3 Zoning documentation Certificate of Registration and/or Certificate of Good Standing from the Secretary of 4 5 Summary of enforcement actions 6 Airport or FAA notifications Master plan to include: scaled map of location of pipelines, power lines, and 7 figure(s) showing property lines, original contours, buildings, units of the facility, drainage, ditches, and roads; and figure of buffer zone 8 Traffic flow letter 9 Aerial photograph of land use within one-mile radius Description of measures used to isolate facility operations from all environmentally 10 sensitive sites within 1,000 feet and a list of all known areas within 1,000 feet 11 Letters from and federal agencies regarding environmentally sensitive sites Copy of US Army Corps of Engineers 404 permit or copy of (and proof of submittal) 12 US Army Corps of Engineers 404 permit application 13 Scaled map showing location of shot holes, seismic lines, and wells within 2,000 feet 14 Scaled map of all wells within one mile 15 Scaled map of all recorded faults within one mile Geophysical mapping or stratigraphic correlation of boring logs and discussion of 16 measures to be taken to mitigate adverse effects 17 Demonstration of alternate setback distance 18 Demonstration of ability to withstand stresses caused by maximum ground motion 19 Demonstration of integrity of structural components Copy of Emergency Response Plan and State Fire Marshal’s approval of plan and/or 20 Contingency plan (if different than Emergency Response Plan) Copies of notarized affidavits from landowners less than 200 (or 300) feet from the 21 facility 22 Description of facility runoff collection system Map of aquifer recharges areas description of the measures planned to protect and 23 them 24 Map of 100-year floodplain Plan-view drawings showing original contours, proposed elevations, proposed final 25 contours, slopes, levees, and other pertinent features Cross-sectional drawings showing original contours, elevations, drainage, location 26 and type of liner, leachate collections system, and other pertinent features 27 Description of liner system ATTACHMENT LIST AND CHECKLIST Page 2 of 2 Attachment Item Description Yes No N/A 28 Quality assurance/quality control plan for liners 29 Description of leachate collection system 30 Description of levee system
3 Zoning documentation 4 Certificate of Registration and/or Certificate of Good Standing from the Secretary of 5 Summary of enforcement actions 6 Airport or FAA notifications 7 Master plan to include: scaled map of location of pipelines, power lines, and figure(s) showing property lines, original contours, buildings, units of the facility, drainage, ditches, and roads; and figure of buffer zone 8 Traffic flow letter 9 Aerial photograph of land use within one-mile radius 10 Description of measures used to isolate facility operations from all environmentally sensitive sites within 1,000 feet and a list of all known areas within 1,000 feet 11 Letters from and federal agencies regarding environmentally sensitive sites 12 Copy of US Army Corps of Engineers 404 permit or copy of (and proof of submittal) US Army Corps of Engineers 404 permit application 13 Scaled map showing location of shot holes, seismic lines, and wells within 2,000 feet 14 Scaled map of all wells within one mile 15 Scaled map of all recorded faults within one mile 16 Geophysical mapping or stratigraphic correlation of boring logs and discussion of measures to be taken to mitigate adverse effects 17 Demonstration of alternate setback distance 18 Demonstration of ability to withstand stresses caused by maximum ground motion 19 Demonstration of integrity of structural components 20 Copy of Emergency Response Plan and State Fire Marshal’s approval of plan and/or Contingency plan (if different than Emergency Response Plan) 21 Copies of notarized affidavits from landowners less than 200 (or 300) feet from the facility 22 Description of facility runoff collection system 23 Map of aquifer recharges areas and description of the measures planned to protect them 24 Map of 100-year floodplain 25 Plan-view drawings showing original contours, proposed elevations, proposed final contours, slopes, levees, and other pertinent features 26 Cross-sectional drawings showing original contours, elevations, drainage, location and type of liner, leachate collections system, and other pertinent features 27 Description of liner system ATTACHMENT LIST AND CHECKLIST Page 2 of 2 Attachment Item Description Yes No N/A 28 Quality assurance/quality control plan for liners 29 Description of leachate collection system 30 Description of levee system
TypeIII-C&D-andWoodwasteLandfillPermitApplication2014.docx