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HomeMy WebLinkAbout13-04 RESOLUTIONRESOLUTION NO. 13-04 A RESOLUTION AUTHORIZING THE FAYETTEVILLE PARKS & RECREATION DIVISION TO APPLY FOR A POST CLOSURE TRUST FUND GRANT FROM THE ARKANSAS DEPARTMENT OF ENVIRONMENTAL QUALITY (ADEQ) FOR THE C & L LANDFILL STUDY AND REMEDIATION. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1. That the City Council of the City of Fayetteville, Arkansas hereby authorizes the Fayetteville Parks Sr Recreation Division to apply for a Post Closure Trust Fund Grant from the Arkansas Department of Environmental Quality (ADEQ) for the C & L Landfill study and remediation. PASSED and APPROVED this 3rd day of February, 2004. I • •u • •q6;0 N. it ATTEST: By SONDRA SMITH, City Clerk APPROVED: By D N COODY, Mayor J FAYETTEV I LLE PARK& & RECREATION • MEMORANDUM P114 4f 45 /3-69 Date: September 7, 2004 To: Mayor Coody and Fayetteville City Council Thru: Gary Dumas, Director of Operations Connie Edmonston, Director of Parks From: Rebecca Ohman, Park Planner Subject: Arkansas Department of Environmental Quality and the C & L Landfill Upon review of the Disposal of Solid Wastes and Other Refuse Statute 8-6-1002, Ellen Carpenter, Chief Legal Counsel for and the Administration of the Arkansas Department of Environmental Quality (ADEQ), determined the State will not seek repayment for the corrective actions to the C & L Landfill. The review showed that Subsection (E) shall be used for post closure maintenance of a landfill. Subsection (E) requires that the "owner of a permitted landfill establish financial assurance for the post -closure maintenance of a landfill. At a minimum, each owner or operator shall provide no less than twenty percent (20%) of the estimated post -closure maintenance costs..." If after proper closure of the landfill (per EPA's Subtitle D), the owner or operator cannot satisfy or defaults post -closure maintenance obligations, ADEQ is authorized to expend funds from the Post Closure Trust Fund to satisfy the requirements of state and federal law. At this point, ADEQ is required by law to pursue collection and recovery of the funds from the owner. However, because the C & L Landfill was permitted, operated and closed prior to the creation of the Post Closure Trust Fund, the 20% minimum financial assurance requirements and prior to current EPA post -closure maintenance obligations, they do not fall under the requirements of Subsection (E). Instead, the C & L Landfill falls under the requirements of Subsection (B) which outlines the steps necessary to acquire funding for a landfill that has been determined to be in need of corrective actions. The only fee required under Subsection (8) is 510,000, paid by the Owner for the study or corrective actions of the landfill. This fee has been paid by the City of Fayetteville as part of the Site Characterization Study of the C & L Landfill, conducted by Terracon Consultants, Inc. in the Spring 2004. Parks and Recreation received this information to share with City Council this afternoon. However, because the City of Fayetteville is a third party, written legal advice could not be obtained. This information addresses contingencies of the Agreement between Southpass Development, LLC and the City of Fayetteville in that corrective actions for the C & L Landfill will be paid by the State, as provided in the attached letter, not by any of the parties within the agreement. City of Fayetteville PARKS AND RECREATION DIVISION 113 W. Mountain Street Fayetteville, Arkansas 72701 Telephone: 479-444-3472 E-mail: rohman@crfayetteville.ar.us 44( • ADEQ ARKANSAS Department of Environmental Quality August 16, 2004 Ms. Rebecca Ohman Park Planner City Of Fayetteville 113 West Mountain Fayetteville, Arkansas 72701 Re: Landfill Post -Closure Trust Fund Act Dear Ms. Ohman: • 1 am writing in response to your inquiry concerning the C&L Landfill. One purpose of the Landfill Post -Closure Trust Fund, A.C.A. §8-6-1001 et seq , is to ensure that funds arc available to implement corrective action at solid waste landfills closed prior to the effective date of the requirements for posting post -closure financial assurance. Funds from the Post -Closure Trust Fund may be expended to implement post -closure corrective action where the Director of the Arkansas Department of Environmental Quality determines that a landfill no longer receiving waste, regardless of when it ceased operating, is causing either ground water contamination or other contamination that is a hazard to public health or endangers the environment. Prior to expending funds from the Post -Closure Trust Fund, the statute establishing the Fund requires the owner or operator to have expended at least ten thousand dollars toward corrective action, unless the owner or operator cannot be located or the Director determines that an emergency exists that necessitates immediate corrective action. (See A.C.A. § 8-6-1002(b)(2)). Arkansas Pollution Control and Ecology Commission's Regulations 11 and 22 contain procedures and requirements for expenditures from the Trust Fund. Fees collected by currently operating Arkansas municipal landfills were used to establish and now replenish this fund. The Arkansas Department of Environmental Quality administers the Landfill Post -Closure Trust Fund Program through its Solid Waste Management Division. The C&L Landfill is one of the corrective action projects funded by the Post -Closure Trust Fund. To date, funds have been expended for a site characterization study. Based upon the review of the findings of this study, the Department has determined that the quality of onsite and offsite surface and shallow ground water has been locally impacted as a result of the previous landfill operations and that visible waste is present in some areas of the facility. The site characterization study recommends either repairing the existing cap or installing a new cap that meets current industry standards as a means of mitigating contamination of the local environment and undertaking ground water monitoring and/or recovery. The Department agrees with the findings and proposed corrective action contained within the report required to address surface and ground water impacts and exposed trash. Accordingly, the Department, in the near future, expects to be requesting bids and awarding contracts for the additional corrective actions ARKANSAS DEPARTMENT OF ENVIRONMENTAL QUALITY 8001 NATIONAL DRIVE / POST OFFICE BOX 8913 / LITTLE ROCK, ARKANSAS 72219-8913 / TELEPHONE 501.682.0744 / FAX 501-682-0798 www odeq. stote.ar. us • • • recommended in the site characterization report and required by site conditions to protect public health and the environment. The Post -Closure Trust Fund will not be used for studies or actions required for site development activities. If you require additional information, please feel free to call me at 501/682-0886. Sincerely, Ellen Carpenter Chief Counsel cc: Mary Leath, Chief Deputy Dirctor Steve Martin, Chicf, Solid Waste Division Pat Henry, SWD NAME OF FILE: CROSS REFERENCE: Item # Date • Resolution No. 13-04 Document • 1 1.15.04 memo to mayor & city council draft resolution Grant Application Package Request Site Characterization for Proposal - Professional Service, C & L Landfill Study Parks & Recreation Division RFP copy of location map staff review form 2 2,9,04 memo to Rebecca Ohman NOTES: • • C & L Landfill Site Characterization Study p. 1 of3 MEMO To: Mayor and City Council} , Thru: Gary Dumas, Director of Operations �% Connie Edmonston, Director of Parks and RecreatiorO From: Rebecca Ohman, Park Planner j (2. Date: January 15, 2004 Subject: Parks and Recreation recommends approval to pursue the Post Closure Trust fund grant to finance the C & L Landfill study and potential landfill remediation. RECOMMENDATION Parks and Recreation Staff recommends approval to pursue the Post Closure Trust Fund grant to finance the C & L Landfill study and potential landfill remediation. BACKGROUND In 2000, Parks and Recreation contracted with Lose & Associates to create the Parks and Recreation 10 Year Master Plan. One of the key objectives for conducting a master plan study was to gain a clear understanding of public opinion and desires regarding Parks and Recreation facilities and programs. A citizens' steering committee was formulated, a user survey was distributed, and nine public meetings were conducted throughout the fall of 2000, offering the residents the ability to voice their concems. A common message was heard from all of these groups: The City of Fayetteville needs a multi -sports complex or Community Park and a city-wide trail network. Parks and Recreation, in keeping with the recommendation of the Master Plan and on recommendation from the Park and Recreation Advisory Board, conducted a search for Fayetteville's Community Park by evaluating 18 sites on criteria that meets the parks and recreational needs of the citizens of Fayetteville. These 18 sites were reduced to six and again to a top four sites by evaluating their location within the City, total land available, appraised value, and owner's willingness to sell. The four remaining sites were further evaluated utilizing development criteria such as existing infrastructure, accessibility, FEMA floodway and floodplain designations, slopes over 15 percent, tree canopy and major land features. • • From this evaluation, it was determined that two sites, the Cummings and Marinoni properties were best suited for the City's Community Park. Land use studies were conducted to analyze each property in terms of active and passive recreation as well as low -impact uses such as hiking and biking. Based upon these studies, the Parks and Recreation Advisory Board (PRAB) selected the Cummings property as the number one recommendation for the future Community Park. Their recommendation however was contingent upon understanding the nature of an existing, closed landfill, encompassing 33 acres on the Cummings property. On August 4, 2003, PRAB voted to further investigate the landfill area. In effort to ensure any unknown environmental issues exist on the property and before expending funds for the acquisition and significant development of a conceptual development plan, Parks and Recreation Staff contracted with Terracon of Tulsa, Oklahoma to create a Work Plan for this study. The Work Plan outlines all studies necessary to gain a full understanding of the landfill and a time frame for the Study's completion. The Plan was written to meet the Arkansas Department of Environmental Quality (ADEQ) standards in order to apply for grant funds. A summary of the Plan included in the Request for Proposal (RFP) is attached. The full 200 page report is available at the Parks and Recreation offices. On December 3, 2003, a Right of First Refusal and Access Agreement with the Cummings Estate was obtained for entry to the site and assurance that the property would not be unknowingly sold while conducting the Study. As is typical with a Right of First Refusal Agreement, the City is guaranteed the possibility of future negotiations for the purchase of the property and will be notified throughout the course of the Agreement of any "bona fide" offers for the purchase of all or part of the Cummings Estates. The Access Agreement allows the City and its consultant to perform the necessary landfill studies, as outlined in Terracon's Work Plan. The Post Closure Trust fund is administered by the Arkansas Department of Environmental Quality. The Fund was created in 1991 from disposal fees for landfill post -closure action, which is defined as any measures deemed necessary by the Director to prevent or abate contamination of the environment from any landfill which has been certified by the Department as no longer receiving waste. The Fund currently contains S9 million dollars that has been earmarked by the Department for spending. Parks and Recreation Staff has met with ADEQ on several occasions to review the C & L Landfill. It is the opinion of ADEQ representatives that the C & L Landfill would meet the requirements of and be eligible for the Post Closure Trust Fund. For more information, please see attached application. If accepted, the Grant would provide the majority of funding for the Site Characterization Study described above and on review, potential corrective actions for the landfill. The City's only contribution required by the grant would be $10,000 for the study or corrective action. The Work Plan, valued at $1,500, can be counted to the total $10,000, leaving a remaining $8,500 • • to be spent. These funds are budgeted in the Parks and Recreation Community Park Development fund. Terracon estimated the total cost of the Study to be $50,000. The City's remaining balance of $8,500 would be applied to this total, leaving approximately $41,500 to be paid by the proposed grant. A Request for Proposals for the Site Characterization Study described in the Work Plan was advertised January 21, 2004 with a deadline of February 4, 2004. Please see attached RFP. The City's Professional Selection Committee will review and select the most qualified consultant and negotiate the cost of the Study, using an ADEQ representative as an advisor. Upon City Council approval, Staff will complete the application and submit it to ADEQ for review. If awarded, Staff will administer the Study. DISCUSSION Proceeding with the Site Characterization Study will provide valuable information to ensure the well being of our community's public and open spaces and surrounding environment. By understanding the condition of the landfill, the City will make better decisions vested in the interest of the health of its residents, open lands, and economy thereby achieving several of our City's guiding principles. This study may reveal that the site is acceptable for use as a community park or it may reveal that the site needs significant remediation and may not be suitable. This work should be done prior to any decision concerning the acquisition of this property. Parks and Recreation Staff believes the Post Closure Trust Fund provides a wonderful opportunity to study and if necessary, remediate the C & L Landfill at minimum cost to the citizens of Fayetteville. Staff recommends City Council approval of the Application for the Post Closure Trust fund. If additional information is needed, please contact me at 444-3472. Attachments: Post Closure Trust Fund Application Request for Proposals (RFP): Summary of Work Plan Cummings Property Map Ito • • RESOLUTION NO. A RESOLUTION AUTHORIZING THE FAYETTEVILLE PARKS & RECREATION DIVISION TO APPLY FOR A POST CLOSURE TRUST FUND GRANT FROM THE ARKANSAS DEPARTMENT OF ENVIRONMENTAL QUALITY (ADEQ) FOR THE C Sr L LANDFILL STUDY AND REMEDIATION. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE, ARKANSAS: Section 1. That the City Council of the City of Fayetteville, Arkansas hereby authorizes the Fayetteville Parks & Recreation Division to apply for a Post Closure Trust Fund Grant from the Arkansas Department of Environmental Quality (ADEQ) for the C & L Landfill study and remediation. PASSED and APPROVED this 3"' day of February, 2004. ATTEST: By: SONDRA SMITH, City Clerk APPROVED: By: DRAFT DAN COODY, Mayor Arkansas Department Solid Waste LANDFILL TRUST Grant Application of Environmental Management POST -CLOSURE FUND PROGRAM Quality Division Package OF ENyf iii /�� -1A) *** 1'y Submit to Arkansas Department of Environmental Quality Solid Waste Management Division Post Office Box 8913 Little Rock, Arkansas • Arkansas Department of Environmental Quality Solid Waste Management Division LANDFILL POST -CLOSURE TRUST FUND PROGRAM Application Forms and Instructions TABLE OF CONTENTS General Information Act 747 of 1991 Purpose of.Act Funding for Act Administration of the Landfill Post -Closure Trust Fund Program Project and Activity Eligibility Applicability Ineligible Projects and Activities Eligibility Requirements Owner/Operator $10,000 Expenditure Funding Criteria Budgeting Criteria General Instructions Guidelines for Compiling Application Guidelines for Application Submittal Application Forms and Specific Instructions Checklist Form Application Cover Sheet Form Project Narrative Summary Instructions Project Budget Instructions Permit Coordination Information Form Sample Contract Forms Statement of Agreement General Conditions of Award General Information • • Act 747 of 1991: The Landfill Post -Closure Trust Fund Act, A.C.A. §8-6-1001 et seq., as amended, allocates funds to be used for landfill post -closure corrective action. Regulation 11, The Regulation for Fees, Funds and Grants, and Regulation 22, the Regulation for Solid Waste Management, set forth the procedures and requirements for • distribution of the trust funds. Administration: The Arkansas Department of Environmental Quality (Department) administers the Landfill Post -Closure Trust Fund Program through its Solid Waste Management Division. Purpose of Act: To be used for landfill post - closure corrective action, which is defined as any measures deemed necessary by the Director to prevent or abate contamination of the environment from any landfill which has been certified by the Department as no longer receiving waste. Funding for Act: Act 747 of 1991 initiated the Trust Fund with landfill disposal fees of 15¢ per cubic yard of loose waste, 30¢ per cubic yard of compacted waste, and $1.00 per ton collected on wastes disposed of in Arkansas landfills. Project and Activity Eligibility: The fund shall be used on post -closure corrective action projects and activities, only if the Director determines that: 1. A landfill is no longer receiving waste, regardless of when it ceased operating; has been certified as no longer receiving waste by the Department; and is causing groundwater contamination, or is causing other contamination, that is a hazard to public health or endangers the environment; and ... 2. The owner or operator of the landfill site has expended at least ten thousand dollars ($10,000) toward corrective action, unless the owner or operator cannot be located or the Director determines that an emergency exists that necessitates immediate corrective action. Applicability: The provisions of the trust fund apply only to Class 1, Class 3 Commercial and Class 4 landfill disposal facilities. Class 3 Non-commercial landfills and other solid waste facilities are not eligible for inclusion in the fund. Class 1 Landfills: Trust funds shall be available for post closure corrective actions for Class 1 landfills, only if the Director determines that: 1. Assessment monitoring results trigger the corrective action assessment provisions of Regulation 22. Trust funds shall not be used for assessment monitoring activities. 2. Other contamination is discovered which in the judgment of the Director threatens health and the environment. Other Landfill Classes: Trust funds shall be available for post closure corrective actions for Class 3C, 3T, and 4 landfills, only if the Director determines that: 1. There is sufficient evidence of groundwater contamination to warrant further investigation; 2. Other contamination is discovered which in the judgment of the Director threatens health and the environment. Ineligible Projects and Activities: The following types of projects and activities are not eligible for funding: 1. Third Party Compensation: The fund shall not be used to compensate third parties for damages to property caused by the contamination. 2. Areas Adjacent to Existing Landfills: The fund shall not be used for closed areas or operational phases contiguous to any permitted landfill which is receiving solid waste when the Director determines that corrective action is necessary. 3. Routine Activities: Funds shall not be used to perform routine post closure care and monitoring activities as provided in Regulation 22. Eligibility Requirements: In order to be eligible for inclusion in the Trust Fund, a facility must: 1. Close the landfill as described in Regulation 22, or in accordance with applicable rules and regulations at the time of closure; and .... 2. Obtain or provide documentation that the Department has approved closure of the facility. When Eligibility Begins: Eligibility begins at initiation of the post closure care period as provided by Regulation 22. Department Involvement: Unless otherwise required by Regulation 22, or other applicable regulations, corrective action measures shall be selected by the Department and corrective action work shall be administered by the Department. Personnel Funding Qualifications: The Department reserves the right to rule on qualifications of persons paid with State funds. Owner/Operator$10,000 Expenditure: The owner or operator shall make his initial contribution of ten thousand dollars ($10,000) to the Department for use in the corrective action work after the measure has been selected. Moneys expended by the owner or operator prior to Department selection of the corrective action, unless contributed towards preliminary studies to confirm existence of suspected contamination and the Department has approved the studies, shall not be considered part of the owner or operator's contribution. Refunds: In the event that preliminary studies are required before implementation of a corrective measure to confirm or deny the existence of suspected contamination and i those studies indicate that contamination is not present, the Department shall refund any money which the owner or operator has contributed to those studies. Funding Criteria: While evaluating the application for landfill post -closure trust funds to determine whether or not funds will be awarded, the Department will consider, at the least, the following criteria: 1. Meets eligibility requirements. 2. Provides proof of and solutions to certified contamination or environmental issues. 3. Clearly written and focused narrative proposal. 4. Clear budgeting and project scheduling process. 5. Purchases or contracts follow accepted purchasing or bid procedures. Budgeting Criteria: In considering items to include in the project budget, keep in mind that the following items are not normally eligible to be covered by Landfill Post -Closure Trust Funds. Such budgeted items will not be funded unless they are directly associated with the project and are fully justified, and have met the prior funding approval by the Department: 1. Administrative Costs over 10% No more than ten percent (10%) of the funds shall be used for administrative costs related to the project. 2. Other Ineligible Costs • Legal costs or fees • Motor vehicles or vehicle registration • Land acquisition 1 i General Instructions Included herein are instructions and application forms necessary to apply for funds under the provisions of the Landfill Post -Closure Trust Fund, pursuant to Regulation 11 and Regulation 22. If the project is approved to receive funding, a contract will be executed between the grantee and the Department. (For information purposes only, a sample Statement of Agreement and General Contract Conditions are provided in this packet.) Wherever the wording "document or documentation" is used in this package, it means letter(s), contract(s), resolutions(s) or another specific forms of written communication which verifies a commitment. To submit the application: 1) Follow the instructions and guidelines provided herein. A "fill in the blanks" electronic version of this application packet will be available for your ease in responding. 2) Attach narrative responses, comment lettersand other documentation, identifying or numbering each document to correspond with the related question. 3) Sign and date the Application Cover Sheet. Each document that requires signatures must bear legally authorized signatures. 4) Provide a completed "Checklist Form" and a table or list of contents with the completed application. 5) Submit the original signed application and related documents to the Department for approval (if possible, include a CD or diskette copy). Do not FAX. 6) Provide a copy of the application, for information only, to the local Regional Solid Waste Management District to show proposed landfill corrective actions. Mail Your Application Arkansas Department of Environmental Quality Solid Waste Management Division P 0 Box 8913 Little Rock, AR 72219-8913 Or Deliver Your Application Arkansas Department of Environmental Quality Solid Waste Management Division 8001 National Drive, Building E Little Rock, Arkansas Checklist Applicant: Complete responses are required throughout the application. Bind each copy on the left side and align as listed below. Check that the following forms are enclosed in your submittal. 1. List of Contents 2. Application Cover Sheet, Signed and Dated 3. Project Description and Narrative Summaries 4. Budget 5. Bids, Quotations, RFQ's or RFP's 6. Permit Coordination Form 7. Newspaper Notice 8. Documentation or Certification Contamination or Environmental Hazards 9. Landfill Post -Closure Certification 10. Third Party Certification 11. $10,000 Contribution or Approved Prior Expenditures 12. Right of Entry 13. Supporting Documents I certify that the information checked above is included in this application submittal. Authorized Applicant Signature: IMailing Landfill IP Post-Closure Trust Fund Grant Application DistrictlCounty Applicant Address City Zip Project Contact Person Phone FAX e-mail Project Location: Project Description or Project to be completed: Authorized Signature Authorized Signature Date Submitted City County Short Title State In-Kind Total In-House Fund Estimate Contribution Estimate Cost Estimate 0 Contractor Both ■ ■ Title Title 5 5 Submit Completed Application and Attachments to: Arkansas Department of Environmental Quality Solid Waste Management Division Landfill Post-Closure Trust Fund Program P 0 Box 8913 Little Rock AR 72219-8913 PROJECT DESCRIPTION AND NARRATIVE SUMMARY INSTRUCTIONS A. Give project goals with specific measurable objectives. Identify need. Describe what the project intends to accomplish. B. Provide a project timetable or schedule and a project completion plan. In chronological order, describe the main actions that will occur to achieve each of the project's objectives. Or describe the technology or methodology to be used as solutions to the effected area. C. What cities, neighborhoods, county areas or service areas are targeted to receive a direct benefit from the proposed funding? Attach a map of the project and service areas. D. Provide documentation that the landfill is no longer receiving waste. E. Has the landfill received post -closure certification from the Department? F. Provide certification and/or documentation that the landfill is causing groundwater contamination; is causing other contamination; is a hazard to public health; and/or endangers the environment? Provide any other documentation of the extent of contamination or environmental hazards and issues. G. If the project is to be completed in part or in whole by the applicant's (in-house) personnel, identify the personnel and give brief job descriptions of persons whose salaries are to be funded in part or in whole by funds received from the Landfill Post -Closure Trust Fund. H. If the applicant will be working with a partner to implement the project, give the organization and name of the person assigned to the project. If a contract between the applicant and a private partner (pursuant to Act 629 of 1991, A.C.A. §8-5-602) is applicable, include a copy of the contract with the application submittal. Contracts are to follow State Purchasing Procedures. I. Identify the owner of the land on which the site is located. Provide proof or verification of financial responsibility of property owner. Provide an executed Right of Entry (form included). J. If the applicant is other than the land owner, provide a copy of the lease and a signed statement indicating that the land owner is unable or unwilling to remediate the site and is, therefore, willing to allow the applicant to process the proposed project. K. Provide verification of expenditures for remediation and clean-up of the site by the responsible party of not less than ten thousand dollars ($10,000) or remit an initial contribution of ten thousand dollars ($10,000) to the Department for use in the corrective action work after the measure has been selected. L. The applicant is required to follow corrective action procedures contained in Regulation 22.1201 etal. M. Provide a certification statement that the fund shall not be used to compensate third parties for damages caused by the contamination. Project Budget Instructions 1. 2. 3. 4. 5. 6. 7. Attach A. B. C. All items Criteria Administrative Attach of $20,000. Applicable INFLATED The The The a State applicant State under two Project listed quotations bidding BID Budget, Funding does initial expenditure Funding plus in the Budget the General costs must for Quotations and purchasing PROPOSALS: using a general accounting format. Ensure that: not exceed the maximum estimated amount of the project. of at least $10,000 is included. the applicants expenditure equals the Budget Total. under State funding must be eligible expenditures. Budgeting Instructions in this packet identifies eligible and ineligible costs. be kept to no more than 10% of the total funds awarded. each contracted or purchased item or service to be funded in excess should reflect the cost of the item or service at the time of purchase. procedures should be followed. ADEQ discovered CONTRACTOR reserves in the the HISTORY: bidding right to process. deny project funding in the event bids appear inflated, or if some other discrepancy is deny project funding if the bid is awarded to a contractor who has a history of non-compliance or regulations. the estimated costs for each of the items listed on the budget sheet. with an estimated cost of $20,000 or more must have design plans engineer, unless otherwise approved by the Department. purchasing used equipment in excess of $20,000, an appraisal will be consider used equipment where appropriate. Equipment purchases from the Department. ADEQ reserves the nght to with environmental statutes Provide a breakdown of Project specific activities approved by a professional If funding is awarded for required. Applicant should must receive prior -approval • • Permit Coordination Form The following is a list of key questions which will help identify what permits, licenses, or approvals of a permit -like nature may be needed. It is the applicant's responsibility to identify and obtain needed permits, licenses and/or approval. Submit this completed form with the application to expedite its review and to reduce the possibility that the project will be delayed due to the untimely discovery of additional permitting requirements. If the project is funded, copies of permits, licenses or written approval may be required. Answering "yes" to any of these questions (by circling the "r), may indicate a need fora permit, license or approval from the appropriate authority. 1. Y N Does the project involve the discharge of any type of wastewater to a storm sewer, drain, lake, stream or other surface water? 2. Y N Does the project involve the discharge of liquids, sludge, wastewater and/or wastewater residuals into or onto the ground? 3. Y N Does the project involve the storage of chemicals, petroleum products, or salt on the property? 4. Y N Does the project involve the on-site storage of sanitary sewage prior to ultimate transport and disposal off-site (pump and haul)? 5. Y N Does the project involve the transport of septic tank, cesspool, or dry well contents? 6. Y N Does the project involve the on-site treatment, storage, or disposal of hazardous waste? 7. Y N Does the project involve burning, landfilling, storage, composting, transferring or processing any type of solid non -hazardous wastes on site? 8. Y N Does the project involve the installation, construction, reconstruction, relocation, or alteration of any process or process equipment (including air pollution control equipment) which has the potential to emit air contamination? 9. Y N Does the project involve the construction or alteration of any sewage collection or treatment facility? 10. Y N Does the project involve proposed work (dredging, filling, construction) in a: a) River, stream, creek, ditch, or swamp b) Wetlands or floodplain (area that has standing or flowing water any time of the year)? 11. Y N Does the project involve any dredging proposed with 500 feet of a lake, stream creek, or ditch? 12. Y N Does the project involve any work proposed on or within the boundaries of State or Federal land?