Hazardous Waste Forms
Response and Remediation Program
Contact: Response & Remediation Program, 404.657.8600
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Response
and Remediation Program Document Submittal Form
(MS Word) -
Hazardous
Site Response Act (HSRA) Release Notification/Reporting Form (PDF) [Revised Jul 2015
]
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Hazardous
Site Response Act (HSRA) Release Notification/Reporting Form (MS Word) [Revised Jul 2015]
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Example
Completed Hazardous Site Response Act (HSRA) Release Notification/Reporting Form [Revised Jul 2015]
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Model
Financial Assurance Instruments (PDF) [Revised Aug 2010]
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Model
Financial Assurance Instruments (MS Word) [Revised Aug 2010]
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Guidance
Manual for the Reportable Quantities Screening Method (PDF) [Revised Apr 2016]
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Matrix
Comparison of Remediation Acts [Revised Jan 2015]
Brownfield Eligibility
Contact: Response & Remediation Program - Brownfields Unit, 404.657.8600
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Brownfield
Eligibility Form (PDF) [Revised Nov 2014]
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Brownfield
UST 7530 Form
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Brownfield
UST Closure Report Template
Voluntary Remediation Program
Contact: Response and Remediation Program, 404.657.8600
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Voluntary
Remediation Plan Application and Checklist (MS Word) [Revised Dec 2010]
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Voluntary
Remediation Plan Application and Checklist (PDF) [Revised Dec 2010]
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Model
Covenant (MS Word) [Revised Feb 2018]
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Conditions
for Possible Fee Waiver [Revised Feb 2010]
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Model
Uniform Environmental Covenant Termination Document (MS Word) [Revised Jun 2018]
Surface Water Detections Data Collection
Contact: Olivia Varner 470.524.1749
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 EPD's Watershed Protection Branch. Surface water data collected during 2020 and 2021, should be submitted to the RRP no later than September 31, 2023.
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Hazardous
Site Response Program Surface Water Detections Data Submittal Form (PDF
)
[Revised October 2023]
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Hazardous
Site Response Program Surface Water Detections Data Submittal Form
(MS Word) [Revised October 2023]
Local Government Applications
Contact: Response & Remediation Program, 404.657.8600
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HWTF
Landfill Reimbursement FAQs
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Hazardous
Waste Trust Fund Application - Request for Advance (PDF) [Revised October 2017]
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Hazardous
Waste Trust Fund Application - Request for Advance (MS Word) [Revised October 2017]
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Hazardous
Waste Trust Fund Application - Request for Reimbursement Part 1 (PDF) [Revised October 2017
]
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Hazardous
Waste Trust Fund Application - Request for Reimbursement Part 1 (MS Word) [Revised October 2017]
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Hazardous
Waste Trust Fund Application - Request for Reimbursement Part 2 (PDF) [Revised Aug 2007]
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Hazardous
Waste Trust Fund Application - Request for Reimbursement Part 2 (MS Excel) [Revised Aug 2007]
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Hazardous
Waste Trust Fund Application - Model Resolution
Hazardous Site Management Fees
Contact: Response & Remediation Program, 404.657.8600
Guidance document to aid in determining which fees and how those fees are calculated by the regulated community.
Hazardous Waste Management: Biennial Report
Contact: Ericka Lawson,[email protected],, 470-531-2395.
The Hazardous Waste Report is the implementing guidance to support the reporting by large quantity hazardous waste generators (LQGs) 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. Reports are due by March 1, 2024.
Submissions must be made using EPD's Biennial Reporting Sortware or by flat files. Hard copy's of the Biennial Report will not be accepted. Users registered in the RCRA Industry Application can request from EPA access to the online training Learning ZEN and review the courses on entering Biennial Reports.
Small and Very Small Quantity Generators that were LQGs at any time during 2023, including Short Term Generators, are required to report. Facilities notified as LQGs who did not generate LQG quantities during 2023 are required to submit the Certification of Non-Filer Form.
Report submissions must be made using EPA’s Biennial Reporting Software (recommended) or by flat files. Hard copies of the Biennial Report will NOT be accepted.
Links and information to complete the required Biennial Reporting are below:
Electronic
Signature Agreement (ESA) Guidance
– An e-signature is required to submit Biennial Reports using EPA’s Biennial Reporting Software. This guidance explains how to submit your electronic signature.
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ASCII
Flat File Guidance
– Guidance on submitting the Biennial Report using flat files.
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Reportable
and Non-Reportable Wastes
- Guidance on reporting waste waters.
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Certification
of Non-Filer Form
– This form must be completed if you are notified as an LQG but did not generate LQG amounts of hazardous waste in 2023.
Electronic Signature Agreements and Certification of Non-Files Forms should be emailed to:
Hazardous Waste Management: Waste Reduction Plan
Contact: Ericka Lawson at [email protected], or 470-531-2395.
All Large Quantity Generators (LQGs) are required to submit a Waste Reduction Plan to EPD every two years at the time of the Biennial Report (see section above). This plan should describe current waste production at the facility and plans for future reduction of that waste. Reports for 2024 are due by March 1, 2024 in conjunction with the 2023 Biennial Hazardous Waste Report.
Short-term LQGs are required to submit an abbreviated report as explained in the instructions. Short-Term LQGs can submit Form I, Form II and the Progress Report Page. Traditional LQG facilities that have previously submitted a full plan can submit Form I and the Progress Report page.
The form and instructions will not be mailed. They can be accessed from the links below:
Electronic Signature Agreements and Certification of Non-Filer Forms should be emailed to:
The next Biennial Reporting cycle will be for 2025/2026
Hazardous Waste Management: RCRA Notification
Contact: [email protected] 470-531-2395
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 for 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.
Signed forms should be emailed to [email protected] or can be submitted online using EPA’s RCRA Info web portal after registering for an Industry User account at https://rcrainfo.epa.gov/rcrainfoprod.
Hazardous Waste Management: RCRA Permit Application Part A
Contact: Hazardous Waste Management Program, 404.657.8600
The Resource Conservation and Recovery Act (RCRA) requires anyone who owns or operates a facility where hazardous waste is treated, stored, or disposed of 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.
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RCRA
Part A Application Form with instructions (PDF) [March 2023]
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RCRA
Part A Application for multiple owners (PDF) [March 2019]
Hazardous Waste Management and Corrective Action: RCRA Financial Assurance
Contact: Hazardous Waste Management or Corrective Action Program, 404.657.8600
The Resource Conservation and Recovery Act (RCRA) requires permitted owners/operators to maintain financial assurance in order ensure clean closure of their operating facility, and if clean closure cannot be achieved, financial assurance must cover post-closure care and corrective action. Operating facilities are obligated to obtain third-party liability coverage.
The following financial assurance mechanisms are allowed by the Hazardous Waste Management and Corrective Action Programs. Each financial assurance mechanism should be accompanied by a financial assurance cover page.
Surety Bond
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Surety
Bond Guaranteeing Payment – Closure, Post-Closure
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Surety
Bond Guaranteeing Performance – Closure, Post-Closure, Corrective Action
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Surety
Bond Guaranteeing Payment – Liability
Letter of Credit
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Irrevocable
Letter of Credit – Closure, Post-Closure, Corrective Action
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Irrevocable
Letter of Credit – Liability
Financial Test/Corporate Guarantee
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Financial
Test – Closure, Post-Closure, Corrective Action
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Financial
Test – Closure, Post-Closure, Corrective Action, Liability
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Corporate
Guarantee – Closure, Post-Closure, Corrective Action
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Corporate
Guarantee – Liability