Ala. Admin. Code r. 335-1-1-.07 - Departmental Forms, Instructions, And Procedures

Current through Register Vol. 39, No. 12, September 30, 2021

(1) Designation as the State Environmental Control Agency. The Department is the State Environmental Control Agency for the purposes of federal environmental law including the Federal Clean Air Act, 42 U.S.C. 7401 et seq., as amended; the Federal Clean Water Act, 33 U.S.C. 1251 et seq., as amended; the Federal Safe Drinking Water Act, 42 U.S.C. A 201 et seq., as amended. The Department is authorized to take all actions necessary and appropriate to secure the benefits of federal environmental laws. The Department operates in conformity with such federal laws, policies, and procedures, as provided in the Act.
(2) Policies and Procedures. The Commission, through the adoption of rules pursuant to Code of Ala. 1975, § 22-22A-7(c)(6), establishes environmental policies and procedures.
(3) Form and Instructions. The Director may require such forms within the rules as he deems necessary. The content of such forms and instructions for their completion may be prescribed by the Director including the changes of such from time to time. Federal forms as published by the Environmental Protection Agency may be used in lieu of state developed forms. Departmental forms prescribed by the Director shall be identified and numbered as follows:

Name of Forms

Form Number

Air Program

Specifications for Air Curtain Incinerators M-1

17

MEME Vendor Application

39

Registration Form for the Construction, Installation, or Modification of an Incinerator M-2

52

Operating Permit Application Facility Identification Form M-7

103

Permit Application for Indirect Heating Equipment M-3

104

Permit Application for Manufacturing or Processing Operation M-5

105

Permit Application for Waste Disposal M-2

106

Permit Application for Stationary Internal Combustion Engines M-7

107

Permit Application for Loading and Storage of Organic Compounds M-2

108

Permit Application for Volatile Organic Compound Surface Coating Emission Source M-3

109

Permit Application for Air Pollution Control Device M-4

110

Permit Application for Solvent Metal Cleaning M-1

112

Seal Gap Test Form M-1

184

Air Permit Application For Gasoline Dispensing Facilities M-5

197

Gasoline Transport Tank Truck Application M-3

198

Cargo Tank Tightness Test Report M-1

309

Bulk (Gasoline) Plant Application M-2

331

Emissions Statement Reporting Form M-1

372

Excess Emission Monitoring Report

373

Exemption Claim Form for Cofired Combustors (Appendix H - Division 3) M-1

374

Exemption Claim Form for Incinerators Burning Only Pathological, Low-Level Radioactive, and Chemotherapeutic Waste (Appendix H - Division 3) M-1

375

Gasoline Dispensing Facility Information Survey M-1

378

NOX Budget Permit Application Form

426

NOX Budget Retired Unit Exemption Claim Form

427

Open Burning Incident Report

434

Perc Dry Cleaner Status Update M-1

436

Permit Application for Compliance Schedule M-1

437

Permit Application for Continuous Emission Monitoring Systems (CEMS)

438

Petroleum Solvent Dry Cleaning Questionnaire M-1

440

PSD Project Information Form

445

Remediation Approval Form M-2

448

Remediation Reporting Form M-2

449

112(j) Part 1 Applicability Notification

493

Birmingham Fuel Supplier Report M-1

494

Major Source Operation Permit Skeleton Form

495

Notice of Demolition and/or Asbestos Removal M-1

496

Asbestos Removal Contractor Certification

497

Visible Emission Field Test Sheet

502

CAIR Permit Application (for sources covered under a CAIR SIP)

519

Coastal Program

Joint Application and Notification U. S. Department of Army, Corps of Engineers Alabama Department of Environmental Management M-3

166

Alabama Coastal Area Management Program Application for Approval of a Non-Regulated Use ADEM Administrative Code rule Click to view image 335-8-1-.11 Groundwater Extraction 50 PM or Greater M-1

316

Application for a Permit for the Construction for a Motel, Hotel, or Other Multi-Unit Development on a Property Intersected by the Construction Control Line in the Alabama Coastal Area M-1

327

Application for a Permit for the Construction of Single Family Dwellings, Duplexes, or Other Similar Structures on Properties Intersected by the Construction Control Line in the Alabama Coastal Area M-1

328

Application for Approval of a Non-Regulated Use in the Alabama Coastal Area Developments and Subdivisions of Property Greater than 5 Acres in Size M-1

329

Waste/Remediation Program

Alabama Recycling Fund Grant Application M-1

9

Solid Waste Landfill Operator Initial Certification Application

11

Solid Waste Landfill Operator Reciprocal Certification Application

12

Solid Waste Landfill Operator Certification Renewal

13

Processing and Recycling General Information M-1

15

Annual Recycling Report

16

Composting Facility Application

18

UST Annual Walkthrough Inspection Checklist Log M-2

19

UST 3 Year Spill Prevention Equipment (Spill Bucket) Integrity Test Report (Hydrostatic and Vacuum Method) M-2

20

UST Alabama Tank Trust Fund Cost Proposal Form M-3

31

UST Alabama Tank Trust Fund Payment Request Form M-3

32

Disposal Approval Request M-1

278

UST Notification for Underground Storage Tanks M-3

279

UST Notification for Above Ground Storage Tanks M-3

283

Solid Waste Profile Sheet M-3

300

SARA Title III Section 302: Extremely Hazardous Substance Notification M-1

302

Permit Application Solid Waste Disposal Facility Construction/Demolition Landfill M-2

305

UST Notice of Temporary Closure M-1

310

Alabama Hazardous Waste/Used Oil Transporter Permit Application M-2

317

Alternative Medical Waste Treatment Technology Equipment Approval Application

323

UST Annual Statistical Inventory Reconciliation (SIR) Report Form M-1

326

Application for Name Change or Transfer of Permit or Exemption M-5

330

UST Cathodic Protection Monitoring Form M-1

332

UST Impressed Current Cathodic Protection System 60-Day Inspection Log

400

UST Interior Lining Inspection Form

403

UST Interior Lining Report Form

404

UST Manual Interstitial Monitoring Monthly Log

406

SARA Title III Section 311: SDS/MSDS Reporting M-1

407

Medical Waste Notification Form M-2

410

Medical Waste Transporter Permit Application M-5

411

Medical Waste Treatment Permit Application M-5

412

Medical Waste Storage Permit Application

413

UST 30 Day Statistical Inventory Reconciliation (SIR) Log M-2

414

UST Notice of Intent to Permanently Close Underground Storage Tanks or Piping M-3

422

UST Notice of Proposed UST New Installation or Modification M-4

423

Notification of Election of Coverage under The Alabama Drycleaning Environmental Response Trust Fund Act M-2

425

Permit Application Solid Waste Disposal Facility M-2

439

UST Statistical Inventory Reconciliation SIR 7 Day Release Investigation Report M-2

460

UST Tank Trust Fund Eligibility / Ineligibility Determination Form

462

UST Underground and Above Ground Storage Tank Transfer of Ownership M-2

469

UST ARBCA Tier 1 Report Forms

471

UST ARBCA Tier 2 Report Forms

472

UST ARBCA Tier 3 Report Forms

473

UST Closure Site Assessment Report Form M-3

474

UST Free Product Recovery Report Form

475

UST Groundwater Monitoring Report Form

476

UST Line Tightness Test Report Form M-2

477

UST Natural Attenuation Monitoring Report Form

478

UST Release Fact Sheet

479

UST Release Report Form M-2

480

UST Site Classification System Checklist

481

UST System Effectiveness Monitoring Report Form

482

UST Tracer Tank Tightness Test Report Form M-1

483

UST Ullage Tank Tightness Test Report Form M-1

484

UST Vacuum Tank Tightness Test Report Form M-2

485

UST Volumetric Overfill Tank Tightness Test Report Form M-1

486

UST Volumetric Underfill Tank Tightness Test Report Form

487

UST Closure Total Potential VOC Emissions Calculations

492

Voluntary Cleanup Program Application M-1

521

Technical Proposal for Qualification as a Large Site Scrap Tire Fund Remediation Center M-1

530

Scrap Tire Manifest M-4

536

Scrap Tire Registration & Exemption Application M-6

537

Scrap Tire Transporter Permit Application M-7

538

Scrap Tire Quarterly Report M-5

539

Scrap Tire Processor Permit Application M-6

540

Scrap Tire Site Registration M-1

541

Brownfields State Revolving Fund Pre-Application Form M-1

542

Brownfields State Revolving Fund Application Form M-1

543

Cathodic Protection Monitoring for Galvanic Systems M-1

545

Alabama Hazardous Waste Receipt for Samples and Documents

546

Brownfields Assessment Request Application M-1

550

UST Line Leak Detector (LLD) Test Report M-2

551

UST 3 Year Containment Sump Integrity Test Report (Low Level Method)

556

UST 3 Year Containment Sump Integrity Test Report

557

UST 30 Day Walkthrough Inspection Checklist Log M-1

558

UST 3 Year Overfill Prevention Equipment Inspection Report M-1

559

UST Annual Probe and Sensor Test Report

560

UST Annual Release Detection Equipment Operation and Calibration Testing Log M-1

561

UST Compatibility Demonstration Log

562

UST Manual Tank Gauging Monthly Log

563

UST Annual Liquid Sensor Inspection and Functionality Test

564

UST Annual Tank Gauge Test Report

565

UST Automatic Line Leak Detector (ALLD) and Line Tightness Test Report

566

Application for Facility Name Change or Transfer of Solid Waste Disposal Facility Permit

568

Biosolids Facility Registration Application

569

Notification of Regulated Waste Activity M-5

8700-12

Water Program

Drinking Water - Groundwater System Monthly Operational Data Report M-1

8

Information Needed for 316(b) Determination in Regards to General NPDES Permits

14

Termination Request-General Permit Number ALR100000 M-1

21

NPDES Construction Storm water Inspection Report and BMP Certification M-1

23

Notice of Intent-General Permit Number ALR100000 M-2

24

NPDES Construction Stormwater Noncompliance Notification

25

Notice of Intent-NPDES General Permit Number ALG850000 M-4

26

Drinking Water - Operational Evaluation Level Exceedance Report M-2

27

Notice of Intent-General Permit Number ALG870000 M-1

28

ADEM NPDES Pesticide Adverse Incident Report

29

Notice of Termination-General Permit Number ALG870000

30

EDWRS Permittee Registration Form

33

EDWRS Lab Registration Form

34

EDWRS Terms and Conditions Agreement

35

Drinking Water - Total Coliform Rule - Level 1 Assessment M-2

36

Drinking Water - Total Coliform Rule - Level 2 Assessment M-2

37

Drinking Water - Notification of Intent to Drill a Water Well

60

Drinking Water - Purchase Water System Monthly Operation Report M-1

185

State Indirect Discharge (SID) Permit Application M-6

186

NPDES Individual Permit Application Supplementary Information for Industrial Facilities M-7

187

NPDES Individual Permit Application Supplementary Information for Publicly-Owned Treatment Works (POTW), Other Treatment Works Treating Domestic Sewage (TWTDS), and Public Water Supply Treatment Plants M-4

188

Permit Application of Reclaimed Water Reuse (RWR)

189

Application for Alabama Well Driller's License M-1

193

Water Well Driller Reciprocal Application

194

Water Well Standards Program License Renewal

195

Drinking Water - Filter Plant Monthly Operational Data Report M-1

242

One-Time Compliance Report for Dental Dischargers

570

Drinking Water - Monthly Membrane Surface Plant Operational Data Report M-1

243

Drinking Water - Application for Approval to Use a Water Supply Well

259

Alternative Analysis

311

Calculation of Total Annualized Project Cost for Public-Sector Projects

312

Calculation of Total Annualized Project Cost for Private-Sector Projects

313

ADEM Baseline Monitoring Report Submittal Form

314

NPDES Individual Permit Application (Mining Operations) M-6

315

Annual Certification Form for Discharges Associated with Petroleum Storage and Handling Areas M-2

324

Drinking Water - Chemical Monitoring Data Report M-1

335

Drinking Water - Chemical Monitoring Waiver Application M-1

336

Clean Water State Revolving Fund (CWSRF) Loan Application Form M-3

339

Clean Water State Revolving Fund (CWSRF) Preapplication Form M-4

340

Coalbed Methane Stormwater Inspection Summary Report M-1

343

Coalbed Methane Temporary Pit Wastewater Land Application Certification Report M-1

344

Drinking Water - Community Public Notification Certification Form

345

Drinking Water - Community System Susceptibility Analysis Sheet M-1

346

Drinking Water - Consumer Confidence Report (CCR) Certification Form M-2

347

Drinking Water State Revolving Fund (DWSRF) Loan Application Form M-3

369

Drinking Water State Revolving Fund (DWSRF) Preapplication Form M-4

370

NPDES Individual Permit Application Addendum M-1

376

NPDES Individual Permit Application Minor Permit Modification Addendum M-2

377

Notice of Intent-NPDES General Permit Number ALG110000 M-5

380

Notice of Intent-NPDES General Permit Number ALG120000 M-6

381

Notice of Intent-NPDES General Permit Number ALG140000 M-5

382

Notice of Intent-NPDES General Permit Number ALG150000 M-4

383

Notice of Intent-NPDES General Permit Number ALG160000 M-4

384

Notice of Intent-NPDES General Permit Number ALG170000 M-4

385

Notice of Intent-NPDES General Permit Number ALG180000 M-4

386

Notice of Intent-NPDES General Permit Number ALG020000 M-4

387

Notice of Intent-NPDES General Permit Number ALG200000 M-4

388

Notice of Intent-NPDES General Permit Number ALG230000 M-4

389

Notice of Intent-NPDES General Permit Number ALG240000 M-4

390

Notice of Intent-NPDES General Permit Number ALG250000 M-5

391

Notice of Intent-NPDES General Permit Number ALG280000 M-5

392

Notice of Intent-NPDES General Permit Number ALG030000 M-4

393

Notice of Intent-NPDES General Permit Number ALG340000 M-5

394

Notice of Intent-NPDES General Permit Number ALG360000 M-6

395

Notice of Intent-NPDES General Permit Number ALG060000 M-5

396

Notice of Intent-NPDES General Permit Number ALG670000 M-4

397

Drinking Water - Lead and Copper Monitoring Data Report M-1

405

Material Safety Data Sheet Reporting

407

Drinking Water - Maximum Residual Disinfectant Level Input Form (Samples) M-1

408

Sanitary Sewer Overflow (SSO) Event Reporting Form M-4

415

Municipal Water Pollution Prevention (MWPP) Annual Report (Collection Systems) Package M-1

416

Municipal Water Pollution Prevention (MWPP) Annual Report Package M-3

417

Municipal Water Pollution Prevention Resolution Form

418

MWPP Sewage Sludge Survey M-1

419

Drinking Water - Non-Community Public Notification Certification Form

420

NPDES/SID Non-Compliance Notification Form M-4

421

NPDES Annual Notice of Registration (NOR)

429

NPDES Individual Permit Pollution Abatement / Treatment Measures and Sediment Control Structures Certification Report M-2

432

NPDES Permitted Coalbed Methane Operations Pollution Abatement/Treatment Measures and Waste Treatment Facilities Certification Report M-1

433

Operator Certification Renewal Form M-1

435

Plant and Collection System Personnel Inventory

441

Drinking Water - Potable Water Laboratory Certification Application M-3

442

Drinking Water - Progress Report Form M-1

443

Drinking Water - Project Completion Form M-2

444

Release Information Form

447

Representative Storm water Outfall Certification M-3

450

Request for NPDES Permit Post-Mining Discharge Limitations (Coal Mining Operations) M-2

451

Request for Release from NPDES Permit Monitoring and Reporting Requirements (Mining Operations) M-3

452

Request to Remove Subsurface Withdrawal from Discharge Structure (NPDES-Permitted Mining Operations) M-2

453

Request to Remove Treatment Basin/Pond or Other Discharge Structure (NPDES-Permitted Mining Operations) M-3

454

Required Information for Mixing Zone Modeling M-1

455

SID Discharge Monitoring Report Form (Monthly)

457

SID Discharge Monitoring Report Form (Quarterly)

458

SRF Payment Request Form

459

Drinking Water - Surface Source Susceptibility Analysis Worksheet M-1

461

Toxicity Discharge Monitoring Report Form

464

Toxicity Test Report Summary

465

NPDES/SID Permit Transfer Agreement M-2

466

Drinking Water - Construction Permit Application M-2

488

Drinking Water - Modification Permit Application

489

Drinking Water - Renewal Permit Application M-2

490

Drinking Water - Public Water System Information Update M-1

491

Notice of Intent-NPDES General Permit Number ALG890000 M-5

498

Notice of Termination - NPDES General Permit Number ALG890000 M-3

499

NPDES Noncoal/Nonmetallic Mining and Dry Processing Less than Five Acres Stormwater Inspection Report and BMP Certification M-3

500

NPDES General Permit ALG890000 (Small Mining) - Noncompliance Notification Report M-3

501

General Permit for Phase II Small Municipal Separate Storm Sewer Systems (MS4) ALNOI M-2

503

Water and Wastewater Operator Exam Application M-1

505

Water and Wastewater Operator Experience Verification M-1

506

Water and Wastewater Reciprocal Application M-1

507

Water and Wastewater Operator for Multiple Systems M-1

508

Cooling Water Supplemental Information M-2

510

Permittee Registration Form for e-DMR/e-SSO M-1

511

Electronic Signature Agreement (ESA) for e-DMR/e-SSO M-2

512

Deactivation Request Form for e-DMR/e-SSO M-1

513

EDMR Daily Discharge Monitoring Report Form

514

EDMR Monthly Discharge Monitoring Report Form

515

Supplemental Petroleum Application Information

516

Alabama Clean Vessel Act Grant Application

517

Boating Infrastructure Grant Application

518

General Phase II MS4 Storm water Permit Renewal Notice of Intent M-1

520

Notice of Intent-NPDES General Permit Number ALG640000 M-6

522

Hydrogeology Unit Evaluation Report Form

531

Documentation of Disability Related Needs

533

Drinking Water - Giardia and Virus Profile Spreadsheet M-1

535

Drinking Water - WTP Quarterly Report for the Disinfectants and Disinfection Byproducts Rule M-2

547

NPDES Individual Permit Application (Coalbed Methane Operations) M-4

549

Notice of Intent-UIC General Permit Number ALIG010000

552

Notice of Intent-UIC General Permit Number ALIG020000

553

Notice of Termination - NPDES General Permits (Industrial Activities)

554

No Exposure Certification for Exclusion from NPDES Stormwater Permitting for Industrial Activities M-1

555

NPDES Mining and Preparation Plant Outfall Data for Metals, Cyanide, and Total Phenols

567

Notes

Ala. Admin. Code r. 335-1-1-.07
Effective Filed June 17, 1988. Amended: Filed December 24, 2003; effective January 28, 2004. Amended: Filed June 6, 2006; effective July 11, 2006. Amended by Alabama Administrative Monthly Volume XXXIII, Issue No. 09, June 30, 2015, eff. July 28, 2015. Amended by Alabama Administrative Monthly Volume XXXIV, Issue No. 09, June 30, 2016, eff. July 28, 2015. Amended by Alabama Administrative Monthly Volume XXXV, Issue No. 11, August 31, 2017, eff. October 6, 2017. Amended by Alabama Administrative Monthly Volume XXXVI, Issue No. 07, April 30, 2018, eff. June 8, 2018. Amended by Alabama Administrative Monthly Volume XXXVII, Issue No. 01, October 31, 2018, eff. November 7, 2018. Amended by Alabama Administrative Monthly Volume XXXVIII, Issue No. 05, February 28, 2020, eff. April 13, 2020. Amended by Alabama Administrative Monthly Volume XXXIX, Issue No. 03, December 31, 2020, eff. February 14, 2021.

Appendix A, Forms can no longer be found at the end of the Chapter 335-1-1. It will be placed at the end of all chapters in Division 335-1.

Authors: Marilyn Elliott, Russell A. Kelly, Aubrey White, David Hutchinson, Brian C. Espy

Statutory Authority: Code of Ala. 1975, §§ 22-22A-5, 22-22A-6, 22-22A-8, 411-22-4, 41-22-5.

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