The URL can be used to link to this page

Home My WebLink AboutDSHW-2025-000914 Soil Contained-Out Determination Application Complete this application to apply for a Contained-Out Determination through the Division of Waste Management and Radiation Control (Division). For questions or more detailed information, contact DWMRC at 801-536-0200. RE: Request for a Soil Contained-Out Determination Submitted by: Click or tap here to enter text. Date: Click or tap here to enter text. Dear DWMRC Director: I am requesting a Contained-Out Determination regarding soil from the following Resource Conservation and Recovery Act (RCRA) permitted site, Environmental Cleanup Program (EPC) site, or another site regulated by the Utah Department of Environmental Quality. Site Name: Click or tap here to enter text. EPA RCRA ID: Click or tap here to enter text. Street Address: Click or tap here to enter text. Lat/Long Coordinates: Click or tap here to enter text. City/State:Click or tap here to enter text. Zip Code:Click or tap here to enter text. Estimated amount/volume of soil included for this determination: Click or tap here to enter text. Proposed disposal facility if Contained-Out Determination is approved: Facility Name: Click or tap here to enter text. Facility Location: Click or tap here to enter text. ☐ If out of State disposal, receiving State provided documentation to receive the waste at the specified disposal facility. Hazardous Waste Characteristics ☐ Representative soil sampling demonstrates that the impacted soil does not exhibit a hazardous waste characteristic. This determination was made by the following: • Number of soil samples per volume of soil: Click or tap here to enter text. • In-situ or ex-site sampling:Click or tap here to enter text. • Location and depth of samples:Click or tap here to enter text. • Sample method (grab, composite, or incremental):Click or tap here to enter text. • Laboratory (attached analytical results from a Utah Certified environmental analytical laboratory): Click or tap here to enter text. ☐ The soil was treated to remove the hazardous waste characteristic through a method other than dilution. If the soil was treated, include the following: • Hazardous characteristics: Click or tap here to enter text., • Pre- and post-treatment levels: Click or tap here to enter text.,and • Type of treatment implemented: Click or tap here to enter text.. • Date(s) of treatment: Click or tap here to enter text. Listed Hazardous Waste Representative soil sampling was conducted with results demonstrating the following: ☐ The soil is not impacted by a listed waste, or ☐ The soil contains listed waste. This determination was made by the following: • Number of soil samples per volume of soil: Click or tap here to enter text. • In-situ or ex-site sampling:Click or tap here to enter text. • Location and depth of samples:Click or tap here to enter text. • Sample method (grab, composite, or incremental):Click or tap here to enter text. • Laboratory (attached analytical results from a Utah Certified environmental analytical laboratory): Click or tap here to enter text. Risk Assessment A risk assessment has been performed, demonstrating concentrations in the soil meet cumulative risk (carcinogenic and noncarcinogenic) for an industrial/commercial receptor: Yes ☐ No ☐ ☐ The risk assessment and all data used in demonstrating this determination is attached. Land Disposal Restrictions (LDRs) ☐ Soil concentrations meet LDRs, or ☐ A variance has been approved by the DWMRC Control Board. Attach documentation. I understand that my request for a Contained-Out determination is subject to a reasonable holding period, during which the determination is subject to review by the DWMRC and that the soil cannot be handled as non-hazardous waste until a determination is approved by the Director of the Division of Waste Management and Radiation Control (Director). In consideration of compliance with the “90-day generator” status for the soils, during this review period, or as soon as possible after the holding period has ended, the Division will notify the applicant as to the status of either issuing an approval or denial of the determination request. Regardless of the final determination by the Director (i.e., approval or denial), the applicant is still required to be in compliance with the 90- day generator status and ultimate disposition of the soil(s). Storage of hazardous waste longer than 90 days may lead to an enforcement action and financial penalties. I attest under penalty of perjury and sign below: (i) that I have personally examined and am familiar with the information contained in this submittal, including any and all documents accompanying this submittal; (ii) that, based on my inquiry of those individuals immediately responsible for obtaining the information, the material information contained in this submittal is, to the best of my knowledge and belief, true, accurate and complete; and, (iii) that I am fully authorized to make this attestation on behalf of the person or entity legally responsible for this submittal. I and the person or entity on whose behalf this submittal is made understand that there are significant penalties, including, but not limited to, possible fines and imprisonment, for willfully submitting false, inaccurate, or incomplete information, including violating the Utah Solid and Hazardous Waste Act. Authorized Signatory: Click or tap here to enter text. Date: Click or tap here to enter text. Name: Click or tap here to enter text. Title: Click or tap here to enter text. Company Name: Click or tap here to enter text. Telephone: Click or tap here to enter text. Email: Click or tap here to enter text. Submitted on-behalf of (Name of Responsible Party or Requesting Entity): Click or tap here to enter text.