• Hazardous Site Response Act (HSRA) Release Notification/Reporting Form (Adobe) [Revised May 2008]
• Hazardous Site Response Act (HSRA) Release Notification/Reporting Form (MS Word) [Revised May 2008]
• Example Completed Hazardous Site Response Act (HSRA) Release Notification/Reporting Form [Revised May 2000]
• Model Financial Assurance Instruments (Adobe) [Revised August 2010]
• Model Financial Assurance Instruments (MS Word) [Revised August 2010]
• Guidance Manual for the Reportable Quantities Screening Method [Revised January 2008]

Surface Water Detections Data Collection

This form is used to provide the Response & Remediation Program (RRP) with updated surface water data for sites on the Hazardous Site Inventory (HSI) that have documented releases of contaminants to surface waters.  Pursuant to Sections 305(b) and 303(d) of the Clean Water Act, EPD must submit all available surface water quality data for the state on a biennial schedule to EPA.  The RRP will compile the surface water data for HSI sites and submit to the Watershed Protection Branch of EPD.  Surface water data collected during 2009 and 2010, or the most recent data available, should be submitted to the RRP no later than May 15, 2011.

• Hazardous Site Response Program Surface Water Detections Data Submittal Form (Adobe) [Revised February, 2011]
• Hazardous Site Response Program Surface Water Detections Data Submittal Form (MS Word) [Revised February, 2011]

Local Government Applications

• Hazardous Waste Trust Fund Application - Request for Advance (Adobe) [Revised August 2007]
• Hazardous Waste Trust Fund Application - Request for Advance (MS Word) [Revised August 2007]
• Hazardous Waste Trust Fund Application - Request for Reimbursement Part 1 (Adobe) [Revised August 2007]
• Hazardous Waste Trust Fund Application - Request for Reimbursement Part 1 (MS Word) [Revised August 2007]
• Hazardous Waste Trust Fund Application - Request for Reimbursement Part 2 (Adobe) [Revised August 2007]
• Hazardous Waste Trust Fund Application - Request for Reimbursement Part 2 (MS Excel) [Revised August 2007]
• Hazardous Waste Trust Fund Application - Model Resolution

• Guidelines for Calculating Hazardous Waste Management Fees and Hazardous Substance Reporting Fees [Revised Jan 2006]

Guidance document to aid in determining which fees and how those fees are calculated by the regulated community.

• Hazardous Waste Management Fee Record (MS Word) [Revised March 2007]

• Hazardous Waste Fees Invoice (Excel)

This form is in Excel spreadsheet format and can be used to pay current and past due Hazardous Waste fees with any interest and penalty calculated automatically.

Hazardous Waste Management: Biennial Report

The Hazardous Waste Report is the implementing guidance to support the reporting by hazardous waste generators and treatment, storage, or disposal facilities (TSDFs) required by the Resource Conservation and Recovery Act of 1976 (RCRA). RCRA Sections 3002 and 3004, as amended by the Hazardous and Solid Waste Amendments of 1984 (HSWA), requires reporting to EPA or to authorized States at least every two years.  EPD adopts Federal Hazardous Waste Regulations by reference.  The Biennial Hazardous Waste Report is collected nationally every two years.  EPD has completed collection of the 2011 data.  2012 is not a reporting year.  Data will again be collected in early 2014 for calendar year 2013.

Linda Weglewski

linda.weglewski@

dnr.state.ga.us

Hazardous Waste Management: Waste Reduction Plan

All Large Quantity Generators (LQG) are required to submit a Waste Reduction Plan every two years at the time of the Biennial Report (see section above). This plan is to outline current waste production at the facility and plans for future reduction of that waste.   EPD has completed collection of the 2012 Waste Reduction Plans in conjunction with the 2011 Biennial Report.  Plans will again be collected in early 2014 to reflect furture waste reduction efforts along with accomplishments from prior plans.

Linda Weglewski

linda.weglewski@

dnr.state.ga.us

This form and associated instructions are designed to help you determine if you are subject to the requirements under the Resource Conservation and Recovery Act (RCRA) for notifying the State of Georgia of your regulated waste activities. The instructions will assist you in obtaining an U.S. EPA Identification Number by completing and submitting EPA Form 8700-12 for initial notifications, or in revising EPA Form 8700-12 subsequent notifications. You are required to complete an EPA Form 8700-12 whenever any of the facility information contained on the form changes. The instructions also include appendices on typical waste streams produced by small quantity generators and typical waste streams and EPA Hazardous Waste Numbers. This link is to

http://www.epa.gov/epawaste/inforesources/data/form8700/forms.htm

• EPA Form 8700-12: Notification of Regulated Waste Activity Forms and Instruction Booklet

Please note that U.S. EPA issued a revised form in November 2009 that contains sections for information regarding generation of Hazardous Secondary Materials (HSM).  Georgia has not adopted the rule that includes HSM and is not yet authorized to begin collecting this data.  The HSM section of the form is not applicable for Georgia facilities until further notice.

Signed original forms should be mailed to (numbers cannot be issued from FAX or copies):

Land Protection Branch

Hazardous Waste Generator Compliance Unit

Suite 1066, East Tower

2 Martin Luther King, Jr. Dr., SE

Atlanta, Georgia   30334-9000

Linda Weglewski

linda.weglewski@

dnr.state.ga.us

The Resource Conservation and Recovery Act (RCRA) requires anyone who owns or operates a facility where hazardous waste is treated, stored, or disposed to have a permit. RCRA establishes a procedure for obtaining interim status which allows existing facilities to continue operating until a final hazardous waste permit is issued. This form and associated instructions are submitted to the State of Georgia and are required for a Federal permit to treat, store, or dispose of hazardous waste under the Resource Conservation and Recovery Act (RCRA). The form defines the processes to be used for treatment, storage, and disposal of hazardous wastes; the design capacity of such processes and the specific hazardous wastes to be handled at a facility. Interim status is also explained.

• RCRA Part A Instructions (Adobe) [Revised Nov 18, 2005]
• RCRA Part A Application Form (Adobe) [Revised Sep 3, 2004]
• RCRA Part A Application Form (WordPerfect 8+) [Revised Sep 3, 2004]
• RCRA Part A Application Form (MS Word) [Revised Sep 3, 2004]

Brownfields Eligibility

• Brownfields Eligibility Form (MS Word) [Revised Jan 2013]
• Brownfields Eligibility Form (Adobe) [Revised Jan 2013]

Voluntary Remediation Program

• Voluntary Remediation Plan Application and Checklist (MS Word) [Revised December 9, 2010]
• Voluntary Remediation Plan Application and Checklist (Adobe) [Revised December 9, 2010]
• Model Covenant (MS Word) [Revised March 11, 2010]