​MW Permit Forms

The following forms are available in eLibrary

• General Information Form 4700-PM-CEE001​
  
• Form A - Application 2540-PM-BWM0357
• Minor Modification Checklists Form A (eLibrary)
• Major Modification Checklists Form A (eLibrary)
• Form B - Professional Certification 2540-PM-BWM0358
• Form B1 - Application for Certification 2540-PM-BWM0359
• Form C1 - Compliance History Certification 2540-PM-BWM0351
• Form D - Environmental Assessment 2540-PM-BWM0172
• Form E - Contractual Consent of Landowner 2540-PM-BWM0353
• Form F - Soils Information - Phase I 2540-PM-BWM0371
• Form FC-1 - Disposal of Virgin Fuel Contaminated Soil 2540-PM-BWM0244
• Form G (A) - Air Resource Protection 2540-FM-BWM0391a
• Form G (B) - Non Methane Organic Compounds (NMOC) Emissions Estimate 2540- FM-BWM0391b
• Form H - Revegetation Plan 2540-PM-BWM0375
• Form HW-C - Compliance History 2540-FM-BWM0058
• Form I - Soil Erosion and Sedimentation Control 2540-PM-BWM0390
• Form J - Soils Phase II 2540-PM-BWM0376
• Form K - Gas Management 2540-PM-BWM0379
• Form L - Contingency Plan 2540-PM-BWM0384
• Guidelines for the Development and Implementation of Environmental Emergency Response Plans 400-2200-001 (PDF)
• Form M - Land Application 2540-PM-BWM0398
• Form MRW-C - Identification of Interests and Compliance History 2540-FM-BWM0124
• Form N - Composting Facilities 2540-PM-BWM0381
• Form O - Transfer Facilities 2540-PM-BWM0382
• Form P - Incinerator and Other Processing Facilities 2540-PM-BWM0380
• Form Q - Equivalency Review Request 2540-PM-BWM0386
• Form R - Waste Analyses/Classification 2540-PM-BWM0396
• Form R1 - Waste Analysis and Classification 2540-PM-BWM0001
• Form X - Radiation Protection Action Plan 2500-FM-BWM0430
• Final Guidance Document on Radioactivity Monitoring at Solid Waste Processing and Disposal Facilities 250-3100-001 (PDF)

Municipal Waste Permitting Forms (continued)

• Form 1 - Facility Plan2540-PM-BWM0170
• Form 2 - Map Requirement - Phase I 2540-PM-BWM0173
• Form 3 - Map Requirement - Phase II 2540-PM-BWM0007
• Form 5 - Map Requirements 2540-PM-BWM0154
• Form 6 - Geological Information 2540-PM-BWM0176
• Form 7 - Hydrogeological Information 2540-PM-BWM0177
• Form 8 - Baseline Groundwater Analysis, Phase I 2540-PM-BWM0178
• Form 10 - Baseline Groundwater Analysis C/D Landfill 2540-PM-BWM0180
• Form 11 - Mineral Deposits Information, Phase I 2540-PM-BWM0181
• Form 12 - Alternative Water Supply, Phase I 2540-PM-BWM0182
• Form 14 - Operation Plan 2540-PM-BWM0011
• Form 18 - Water Quality Monitoring System, Phase II 2540-PM-BWM0040
• Form 24 - Liner System, Phase II 2540-PM-BWM0150
• Form 25 - Leachate Management, Phase II 2540-PM-BWM0152
• Form 27M – Acceptance of General Permit Conditions 2540-PM-BWM0146
• Form 28 - Closure-Post Closure Land Use Plan 2540-PM-BWM0153
• Form 37 - Certification of Facility Construction Activity 2540-PM-BWM0012
• Form 40 - Infectious Waste Incinerator Ash Microbiological Report 2540-PM-BWM0165
• Form 41* - Municipal Incinerator Ash Residue Monitoring 2540-FM-BWM0162
• Form 44 - Infectious Waste Incinerator Ash Residue Monitoring 2540-PM-BWM0207
• Form 45 - Protection of Capacity 2540-PM-BWM0209
• Form 46 - Relationship Between Municipal Waste Management Plans and Permits 2540-FM-BWM0208
• Form 51* - Municipal Waste Landfill Groundwater Assessment Plan 2540-PM-BWM0005
• Form 53 - Municipal Waste Landfill Groundwater Abatement Plan 2500-PM-BWM0401
• Form 54 - Background Meteorological Monitoring 2540-PM-BWM0503

Disposal Approval Forms

• NEW - Municipal or Residual Waste Processing or Disposal Approval Checklist (eLibrary)
• Form FC-1 - Disposal of Virgin Fuel Contaminated Soil 2540-PM-BWM0244
• Form U - Request to Process or Dispose of Residual Waste 2540-PM-BWM0395
• An electronic Form U is available for Pa landfill operators at DEPGreenPort
• A pre-authorized user name and password are required in order to obtain access to the eForm U.
• Request for Security Access Form (Word)
• eStandards Reference Guide (PDF)
• Landfill User's Guide (PDF)
• Form U-CS, Request to Process or Dispose of Contaminated Soil (other than fuel contaminated soil),2540-PM-BWM0399
• Form 34 - Request for Approval to Process Infectious/Chemotherapeutic Waste 2540-PM-BWM0156
• Form 35 - Request for Approval to Process or Dispose or Processed Infectious/Chemotherapeutic Waste2 540-PM-BWM0157
• Form 36 - Approval Request to Dispose Incinerator Ash Residue 2540-PM-BWM0155
• Form 43 - Request for Approval to Dispose or Process Sewage Sludge 2540-PM-BWM0199

Bonding Worksheets available in eLibrary

• Bonding Worksheet Instructions 2540-FM-BWM0580
• Landfills and Disposal Impoundments 2540-FM-BWM0581
• Incinerators 2540-FM-BWM0582
• Transfer Stations 2540-FM-BWM0583
• Agricultural Utilization 2540-FM-BWM0584
• Composting Facilities 2540-FM-BWM0585
• Processing Facilities 2540-FM-BWM0586

Financial Bond Forms (eLibrary)

• Collateral Bond Endorsement (Phased Deposit Installment) 2540-FM-BWM0075
• Specimen Irrevocable Stand-by Letter of Credit 2540-FM-BWM0076
• Collateral Bond 2540-FM-BWM0101
• Collateral Bond Endorsement, Additional Bond 2540-FM-BWM0102
• Collateral Bond Endorsement, Change of Ownership 2540-FM-BWM0103
• Collateral Bond Endorsement, Replacement Bond 2540-FM-BWM0104
• Collateral Bond Endorsement, Partial Replacement Bond 2540-FM-BWM0106
• Assignment of Certificate of Deposit/Non-certificate Account 540-FM-BWM0107
• Schedule for Deposit of Collateral 2540-FM-BWM0108
• Instructions for Submission of Certificates of Deposit 2540-FM-BWM0109
• Appendix F, Guidelines for Submission of Negotiable Government Securities 2540-FM-BWM0110
• Surety Bond 2540-FM-BWM0111
• Surety Bond Endorsement, Additional Bonds 2540-FM-BWM0112
• Surety Bond Endorsement, Change of Ownership 2540-FM-BWM0113
• Surety Bond Endorsement, Replacement Bond 2540-FM-BWM0114