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Municipal Solid Waste Landfill Post Closure Plan (329 IAC 10-23) Form. This is a Indiana form and can be use in Department Of Enviromental Management Statewide.
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Tags: Municipal Solid Waste Landfill Post Closure Plan (329 IAC 10-23), 50388, Indiana Statewide, Department Of Enviromental Management
INDIANA DEPARTMENT OF
ENVIRONMENTAL MANAGEMENT
Office of Land Quality
Solid Waste Permits Section - Mail Code 65-45
100 N. Senate Ave., Rm. 1154
Indianapolis, IN 46204-2251
MUNICIPAL SOLID WASTE LANDFILL
POST-CLOSURE PLAN (329 IAC 10-23)
State Form 50388 (R2/6-06)
Indiana Department of Environmental Management
INSTRUCTIONS
This application form shall be used to submit post-closure plans for municipal solid waste landfills (MSWLFs) both individually and with
permit applications. When completed, post-closure plans should be submitted, either individually or with permit applications, along with
support documentation, to the address given in the box above.
I. General Information
Facility Name
Facility Location
Facility County
Facility Solid Waste Permit No. (if existing permitted facility)
II. Post-Closure Contacts
A. Facility Owner
Typed Name
Typed Address
State
Street
ZIP
P.O. Box
Town/City
Phone (with area code)
B. Operator
Typed Name
Typed Address
State
Street
ZIP
P.O. Box
Town/City
Phone (with area code)
C. Permittee
Typed Name
Typed Address
State
Street
ZIP
P.O. Box
Town/City
Phone (with area code)
III. Ground Water Monitoring Activities
Provide a description of planned ground water monitoring activities and the frequency with which they will be conducted (see instructions). Attach additional
sheets as necessary.
Page 1 of 12
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III. Ground Water Monitoring Activities (continued)
Page 2 of 12
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IV. Description of Planned Maintenance Activities
Provide a description of planned maintenance activities and the frequency with which they will be conducted. Attach additional sheets as necessary.
Page 3 of 12
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V. Description of Planned Uses of Property during the Post-Closure Period
Provide a description of planned uses of the property during the 30-year post-closure period. Attach additional sheets as necessary
Page 4 of 12
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VI. Post-Closure Cost Estimate
Please see instructions; attach additional sheets as necessary.
A.
Cost for Semi-Annual Inspections and Reports
1.
Inspection
a.
b.
Inspector time required (hrs/insp)
c.
Inspector time labor cost ($/hr)
d.
2.
Number of inspections during post-closure period (semi-annual inspections for 30 years)
Inspection cost ($)
Line 1.a * line 1.b * line 1.c
Report Preparation
a.
Cost per report ($)
c.
B.
Number of reports during post-closure period
b.
3.
60
60
Report cost
Line 2.a * line 2.b
TOTAL COST, INSPECTIONS AND REPORTS ($)
Line 1.d. + line 2.c
Cost for Maintenance of Final Cover and Vegetation/Vegetation Control
1.
Final Cover Maintenance
The cost for cover maintenance and vegetation shall be 10% of the cost per acre calculated for final cover and vegetation in the closure
plan (329 IAC 10-23-3(c)(5)(A)).
a.
b.
Total permitted fill acreage
c.
2.
10% of cost for placement of final cover and vegetation (0.10 * cost given in Item VII.I of the
closure plan)
Total Cost, Maintenance of Final Cover and Vegetation Cover
Line 1.a * line 1.b
Vegetation Control Costs
a.
Mowing frequency (visits/30 years)
b.
Area to be mowed (acres/visit)
c.
Mowing unit cost ($/acre)
d.
Total mowing cost ($)
Line 2.a * line 2.b * line 2.c
e.
Other ($) – specify below (weed control for well access, etc.)
f.
Vegetation Control Costs
Line 2.d + line 2.e
Total other:
3.
TOTAL COST FOR MAINTENANCE OF FINAL COVER AND VEGETATION
Line 1.c + line 2.f
Page 5 of 12
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C.
Cost for Leachate Treatment and Disposal (see instructions)
1.
Leachate Volume Requiring Disposal
1.
Post-Closure
5-yr Period
2.
Gallons Per Acre
Per Day
Years 1-5
(≥50)
Years 16-20
(≥30)
Years 21-25
(≥20)
Years 26-30
5.
Total Gallons for 5-yr Period
(col. 4 * 365 days * 5 years)
(≥80)
Years 11-15
4.
Total Gallons Per Day
(col. 2 * col. 3)
(≥150)
Years 6-10
3.
Total Permitted
Fill Acreage
(≥10)
TOTAL GALLONS,
30 YEARS
2.
Leachate Pumping & Hauling
a.
b.
Quantity to be managed off-site/on-site per visit
(TOTAL GALLONS, 30 YEARS ÷ no. visits, line 2.a.)
c.
Truck capacity (gallons)
d.
Number of loads each time leachate is removed
Line 2.b ÷ line 2.c
e.
Pumping and transportation unit cost
f.
3.
Leachate removal frequency (visits/30 years)
Leachate hauling cost
Line 2.a * line 2.d * line 2.e
Cost for Leachate Treatment and Disposal
a.
b.
D.
Treatment/disposal unit cost ($/gal)
d.
4.
Total gallons requiring leachate treatment/disposal over 30 years
(from total, TOTAL GALLONS, 30 YEARS, above)
Leachate disposal cost
Line 3.a * line 3.b
TOTAL COST, LEACHATE PUMPING & HAULING, TREATMENT AND DISPOSAL
Line 2.f + line 3.c
Cost for Leachate Collection System Monitoring and Maintenance)
1.
Leachate Collection System Inspection
a.
b.
Inspection time required (hrs/insp)
c.
Inspector unit labor cost ($/hr)
d.
2.
Inspection frequency (insp/30 years)
Inspection cost ($)
Line 1.a * line 1.b * line 1.c
Leachate Collection System Maintenance
a.
Number of pumps replaced during post-closure (pumps/30 years)
b.
Pump unit cost ($/pump)
Page 6 of 12
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c.
Other ($) – specify below
Total other:
d.
3.
E.
Leachate collection system maintenance cost ($)
(line 2.a * line 2.b) + line 2.c
TOTAL, LEACHATE COLLECTION MONITORING & MAINTENANCE COST ($)
Line 1.d + line 2.d
Cost for Ground Water Monitoring and Well Maintenance
1.
Monitoring Well Maintenance Labor Cost
a.
b.
Number of monitoring wells needing maintenance per visit
c.
Maintenance time required (hrs/well)
d.
Unit labor cost ($/hr)
e.
2.
Maintenance frequency (visits/30 years)
Monitoring well maintenance labor cost ($)
Line 1.a * line 1.b * line 1.c * line 1.d
Monitoring Well Parts and Sampling Equipment Replacement Cost
a.
b.
Existing monitoring well abandonment unit cost ($)
c.
New monitoring well construction unit cost ($)
(note :drilling is charged by foot)
d.
Monitoring well replacement cost ($)
Line 2.a * (line 2.b + line 2.c)
e.
Number of pumps/bailers needing replacement during post-closure period
f.
Pump/bailer unit cost ($/pump)
g.
Pump/bailer replacement cost ($)
Line 2.e * line 2.f
h.
3.
Number of wells needing replacement during post-closure period (attach explanation for
number replaced on separate sheet)
Monitoring Maintenance and Pump/bailer Replacement Cost ($)
Line 2.d + line 2.g
Detection Ground Water Monitoring Cost
a.
Number of required monitoring wells
b.
Monitoring frequency (semi-annual sampling for 30 years)
c.
Sampling field costs
1)
Number of samplers per well
3)
Average sampling time/well
4)
Labor costs ($/well)
Line c.1 * line c.2 * line c.3
5)
Total labor costs
Line a * line b * line c.4
6)
Mileage costs ($/mile)
7)
Page 7 of 12
Unit sampler labor costs ($/hr)
2)
60
Miles, round trip per site visit
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with the solid waste rules, this form is subject to review and revision. Please consult the actual rule language.
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8)
9)
Field documentation cost/site visit
10)
Field meter equipment rental cost/visit
11)
Miscellaneous equipment cost/visit
12)
Blanks, duplicates, other QA/QC samples cost/visit
13)
Sampler safety equipment, containers and preservatives cost/visit
14)
Storage and thermal preservation cost/visit
15)
Chain-of-custody documentation cost/visit
16)
d.
Total transportation costs per site visit
Line c.6 * line c.7
Total, sampling field costs
Line 3.c.5 + (line 3.b * (lines 3.c.8 + 3.c.9 + 3.c.10
+3.c.11 + 3.c.12 + 3.c.13 + 3.c.14 + 3.c.15))
Analysis costs
1)
Laboratory Analysis Costs Per Sample, Detection Monitoring Parameters
a)
Table 1A (329 IAC 10-21-15(a))
b)
Table 1B (329 IAC 10-21-15(b))
c)
Total costs per sample, detection monitoring parameters
Line a + line b
2)
Reporting Costs Per Visit
3)
Statistical Analysis of Data Per Visit
a)
b)
Reporting costs
c)
4)
Statistical evaluation
Total, statistical analysis of data cost/visit
Line a + line b
Geologic Interpretation Per Visit
a)
b)
e.
4.
Reporting costs
c)
5)
Preparation of piezometric contour map
Total, geologic interpretation costs/visit
Line a + line b
Total, analysis costs
Line 3.a * line 3.b * line 3.d.1.c.
+ (line 3.b * (lines 3.d.2 + 3.d.3.c + 3.d.4.c))
Total, Detection Ground Water Monitoring Cost ($)
Total Sampling Field Costs (line 3.c.16) +
Total Analysis Costs (line 3.d.5)
Assessment Contingency Ground Water Monitoring Cost
Use the higher of the totals for either assessment monitoring (4.a) or verification program (4.b), but not both.
a.
Assessment monitoring
1)
Number of required monitoring wells
3
2)
Monitoring frequency
15
3)
Sampling field costs
a)
b)
Number of samplers/well
c)
Average sampling time/well
d)
Page 8 of 12
Unit sampler labor costs ($/hr)
Labor costs ($/well)
Line a * line b * line c
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with the solid waste rules, this form is subject to review and revision. Please consult the actual rule language.
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e)
f)
Mileage costs ($/mile)
g)
Miles, round trip per visit
h)
Total transportation costs/visit
Line f * line g
i)
Field documentation cost/visit
j)
Field meter equipment rental cost/visit
k)
Miscellaneous equipment cost/visit
l)
Blanks, duplicates, other QA/QC samples cost/visit
m)
Sampler safety equipment, containers and preservatives cost/visit
n)
Storage and thermal preservation cost/visit
o)
Chain-of-custody documentation cost/visit
p)
4)
Total labor costs
Line 1 * line 2 * line 3.d
Total, sampling field costs
Line a.3.e + (line a.2 * (lines a.3.h + a.3.i + a.3.j
+ a.3.k + a.3.l + a.3.m + a.3.n + a.3.o))
Analysis costs
a)
Laboratory Analysis Costs per Sample, Assessment Monitoring Parameters
Table 2 (329 IAC 10-21-16)
b)
Reporting Costs Per Visit
c)
Statistical Analysis of Data Per Visit
1.
2.
Reporting costs
3.
d)
Statistical evaluation
Total, statistical analysis of data cost/visit
Line 1 + line 2
Geologic Interpretation Per Event
1.
Preparation of piezometric contour map
2.
Reporting costs
3.
Total, geologic interpretation costs/visit
Line 1 + line 2
e)
f)
b.
Total, analysis costs
(Line a.1) * (45) + (lines b + c.3 + d.3) * (15)
Total, Assessment Ground Water Monitoring Cost ($)
Total sampling field costs (line 4.a.(3)(p))
+ total analysis costs (line 4.a.(4)(e))
Verification sampling program
1)
Number of required monitoring wells
2)
Monitoring frequency
3)
Sampling field costs
a)
Average sampling time/well
d)
Labor costs ($/well)
Line a * line b * line c
e)
Page 9 of 12
Number of samplers/well
c)
30
Unit sampler labor costs ($/hr)
b)
(2 verification samples per 15 occurrences)
Total labor costs
Line 1 * line 2 * line 3.d
Although this form is being provided to aid you in preparing your post-closure plan in accordance
with the solid waste rules, this form is subject to review and revision. Please consult the actual rule language.
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f)
g)
Miles, round trip per visit
h)
Total transportation costs/visit
Line f * line g
i)
Field documentation cost/visit
j)
Field meter equipment rental cost/visit
k)
Miscellaneous equipment cost/visit
l)
Blanks, duplicates, other QA/QC samples cost/visit
m)
Sampler safety equipment, containers and preservatives cost/visit
n)
Storage and thermal preservation cost/visit
o)
Chain-of-custody documentation cost/visit
p)
4)
Mileage costs ($/mile)
Total, sampling field costs
Line b.3.e + (line b.2 * (lines b.3.h + b.3.i + b.3.j
+b.3.k + b.3.l + b.3.m + b.3.n + b.3.o))
Analysis costs
a)
Laboratory Analysis Costs per Sample, 2 Constituents
b)
Reporting Costs Per Verification Event
c)
Statistical Analysis of Data Per Verification Event
1.
2.
5)
Reporting costs, notice to verify and program development
3.
d)
Statistical evaluation
Total, statistical analysis of data
Line 1 + line 2
Total, analysis costs
Line b.1 * line b.2 * line b.4.a
+ line b.2 * (lines 4.b + 4.c.3)
Total, Verification Sampling Program Cost ($)
Total sampling field costs (line 4.b.(3)(p))
+ total analysis costs (line 4.b.(4)(d))
5.
TOTAL, GROUND WATER MONITORING AND WELL MAINTENANCE COST
Line 1.e + line 2.h + line 3.e + line 4.a.(5)--Assessment Ground Water Monitoring
OR Line 1.e + line 2.h + line 3.e + line 4.b.(5)--Verification Sampling Program
(whichever is greater)
F.
Cost for Methane Monitoring and Maintenance
1.
Methane Control System Monitoring and Landfill Gas Extraction (LFG) system Operation (O) & Maintenance
a.
b.
Time required to monitor (hrs/visit)
c.
Contract lab technician unit labor cost ($/hr)
d.
2.
Gas monitoring frequency (visits/30 years)
120
Gas monitoring cost ($)
Line 1.a * line 1.b * line 1.c
Methane Gas Monitoring Well Maintenance
a.
Maintenance frequency (visits/30 years)
b.
Monitoring wells needing maintenance per visit
c.
Maintenance time required (hrs/well)
d.
Unit labor cost ($/hr)
e.
Monitoring well maintenance cost ($)
Line 2.a * line 2.b * line 2.c * line 2.d
Page 10 of 12
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3.
Landfill Gas Extraction System Operation and Maintenance
a.
b.
Operation and maintenance (cost/year)
c.
Operation and maintenance labor (time/year)
d.
Unit labor cost ($/hr)
e.
4.
Years to operate following closures (NSPS)
Total operation and maintenance costs ($)
(line 3.a * line 3.b) + (line 3.a * line 3.c * line 3.d)
Landfill Gas System Monitoring
a.
b.
Quarterly surface monitoring ($)
c.
Semi-annual reporting ($)
d.
5.
Stack testing (# tests * $/test)
Total gas system monitoring ($)
Line 4.a + line 4.b + line 4.c
Equipment Replacement Cost
a.
b.
New well construction unit cost ($)
d.
G.
Existing well abandonment unit cost ($)
c.
6.
Number of wells needing replacement during post-closure period
Extraction well replacement cost ($)
Line 5.a *( line 5.b + line 5.c)
TOTAL, MONITORING AND GAS EXTRACTION COST
Line 1.d + line 2.e + line 3.e + line 4.d + line 5.d
Cost for Drainage and Erosion Control Maintenance
1.
2.
Cost for materials to repair per visit (attach separate sheet if needed)
3.
Total material cost ($)
Line 1 * line 2
4.
Maintenance time required per visit (hrs)
5.
Unit labor cost
6.
Total labor costs ($)
Line 1 * line 4 * line 5
7.
H.
Drainage and erosion control maintenance frequency (visits/30 years)
TOTAL, DRAINAGE AND EROSION CONTROL MAINTENANCE COST
Line 3 + line 6
Cost for Access Control and Benchmark Maintenance (see instructions)
1.
Access control maintenance frequency (visits/30 years)
2.
Amount of fence needing replacement (linear feet/visit)
3.
Fencing unit cost ($/linear foot)
4.
Fencing material cost ($)
Line 1 * line 2 * line 3
5.
Maintenance time required per visit (hrs)
6.
Unit labor cost ($)
7.
Total labor costs ($)
Line 1 * line 5 * line 6
8.
Benchmark maintenance cost (if applicable) ($)
Page 11 of 12
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9.
10.
I.
Other ($) – specify below (if applicable)
TOTAL, ACCESS CONTROL/BENCHMARK MAINTENANCE COST
Line 4 + line 7 + line 8 (if applicable) + line 9 (if applicable)
Optional – Maintenance of dike(s) required for facilities constructed in flood plain/flood way
1.
2.
Cost for materials to repair per visit (attach separate sheet if needed)
3.
Total material costs ($)
Line 1 * line 2
4.
Maintenance time required per visit (hrs)
5.
Unit labor cost ($)
6.
Total labor costs ($)
Line 1 * line 4 * line 5
7.
J.
Dike maintenance frequency (visits/30 years)
TOTAL, DIKES MAINTENANCE COST (if applicable)
Line 3 + line 6
Other costs –
Costs not included in the above items should be listed here. They may include such items as access road maintenance, lift station
power costs, etc. Please enter “N/A” if you do not have additional costs to place here.
Activity
Cost
TOTAL, OTHER POST-CLOSURE COSTS (if applicable)
K.
TOTAL POST-CLOSURE COST
Line A.3 + line B.3 + line C.4 + line D.3 + line E.4 +
line F.3 + line G.7 + line H.10 + line I.7 + line J
L.
CONTINGENCY COST
Line K * (0.25)
M.
TOTAL POST-CLOSURE COST ESTIMATE
Line K + Line L
VII. Signatory Certification
329 IAC 11-9-3(d) requires that the signatory for a permit application sign the following certification statement:
“I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I further certify that I am authorized to
submit this information.”
Applicant’s Name & Title Typed
Applicant’s Typed Address
State
Page 12 of 12
ZIP
Applicant’s Signature
Street
Date Signed
P.O. Box
Town/City
Phone (with area code)
Although this form is being provided to aid you in preparing your post-closure plan in accordance
with the solid waste rules, this form is subject to review and revision. Please consult the actual rule language.
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