Ala. Admin. Code r. 335-1-1-.01

Current through Register Vol. 43, No. 1, October 31, 2024
Section 335-1-1-.01 - Departmental Forms, Instructions, And Procedures
(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

112 (j) Part 1 Applicability Notification

493

ADEM Baseline Monitoring Report Submittal Form

314

ADEM NPDES Individual Permit Application M-3

315

ADEM NPDES Pesticide Adverse Incident Report

29

ADEM Line Leak Detector (LLD) Test Report Form M-1

551

Air Permit Application For Gasoline Dispensing Facilities M-5

197

Alabama Clean Vessel Act Grant Application

517

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

316

Alabama Hazardous Waste Receipt for Samples and Documents

546

Alabama Hazardous Waste/Used Oil Transporter Permit Application

317

Alabama Recycling Fund Grant Application

9

Alabama Tank Trust Fund Cost Proposal Form

318

Alabama Tank Trust Fund Payment Request Form

319

Alternative Analysis

311

Alternative Medical Waste Treatment Technology Equipment Approval Application

323

Annual Certification Form for Discharges Associated with Petroleum Storage and Handling Areas M-1

324

Annual Containment Sump Inspection Log

19

Annual Recycling Report

16

Annual Statistical Inventory Reconciliation (SIR) Report Form

326

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

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

328

Application for Alabama Well Driller's License M-1

193

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

329

Application for Approval to Use a Water Supply Well

259

Application for Name Change or Transfer of Permit or Exemption M-4

330

Asbestos Removal Contractor Certification

497

Birmingham Fuel Supplier Report M-4

494

Boating Infrastructure Grant Application

518

Brownfields Assessment Request Application

550

Brownfields State Revolving Fund Application Form

543

Brownfields State Revolving Fund Pre-Application Form

542

Bulk (Gasoline) Plant Application M-2

331

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

519

Calculation of Total Annualized Project Cost for Private-Sector Projects

313

Calculation of Total Annualized Project Cost for Public-Sector Projects

312

Cargo Tank Tightness Test Report M-l

309

Cathodic Protection Monitoring Form M-l

332

Cathodic Protection Monitoring for Galvanic Systems

545

CBM NPDES Stormwater Discharge Monitoring Report

333

CBM Toxicity Test Report Summary

334

Chemical Monitoring Data Report

335

Chemical Monitoring Waiver Application

336

Chemical Sampling Chain of Custody Form

337

Clean Water State Revolving Fund (CWSRF) Loan Application Form

339

Clean Water State Revolving Fund (CWSRF) Preapplication Form M-2

340

Coal Permit Precipitation Event Discharge Limitations Exemption Claim Report M-2

342

Coalbed Methane Stormwater Inspection Summary Report M-l

343

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

344

Community Public Notification Certification Form

345

Community System Susceptibility Analysis Sheet

346

Composing Facility Application

18

Consumer Confidence Report Certification Form M-1

347

Cooling Water Supplemental Information M-1

510

CT Profiling Spreadsheet

535

Discharge Monitoring Report for CBM Coal - Type 60 Effluent

348

Discharge Monitoring Report for CBM Coal - Type 60 Manual

349

Discharge Monitoring Report for CBM Coal - Type 60 Standard

350

Discharge Monitoring Report for Coal - Type 1 & Type 3

351

Discharge Monitoring Report for Coal - Type 11

352

Discharge Monitoring Report for Coal - Type 13

353

Discharge Monitoring Report for Coal - Type 14 Sand & Gravel

354

Discharge Monitoring Report for Coal - Type 14 Fire Clay

355

Discharge Monitoring Report for Coal - Type 14 Shale -Common Clay

356

Discharge Monitoring Report for Coal - Type 15

357

Discharge Monitoring Report for Coal - Type 38

358

Discharge Monitoring Report for Coal - Type 5 & Type 7

359

Discharge Monitoring Report for Coal - Type 9

360

Discharge Monitoring Report for NonCoal - Type 30

361

Discharge Monitoring Report for NonCoal - Type 32

362

Discharge Monitoring Report for NonCoal - Type 34

363

Discharge Monitoring Report for NonCoal - Type 36 & Type 48 & Type 50

364

Discharge Monitoring Report for NonCoal - Type 41

365

Discharge Monitoring Report for NonCoal - Type 42

366

Discharge Monitoring Report for NonCoal - Type 44 & Type 45

367

Discharge Monitoring Report for NonCoal - Type 46

368

Disposal Approval Request

278

Documentation of Disability Related Needs

533

Drinking Water State Revolving Fund (DWSRF) Loan Application Form

369

Drinking Water State Revolving Fund (DWSRF) Preapplication Form M-2

370

EDMR-1 Permittee Registration Form

511

EDMR-2 Electronic Signature Application Agreement

512

EDMR-3 Deactivation Request Form

513

EDMR Daily Discharge Monitoring Report Form

514

EDMR Monthly Discharge Monitoring Report Form

515

EHS Notification Form

534

Emissions Statement Reporting Form M-1

372

Excess Emission Monitoring Report

373

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

374

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

375

NPDES Individual Permit Application Addendum M-1

376

NPDES Individual Permit Application Minor Permit Modification Addendum M-1

377

Gasoline Dispensing Facility Information Survey M-1

378

Gasoline Transport Tank Truck Application M-2

198

General Permit ALR100000 Facility Sign

22

General Permit Application Package - NOI-11 M-2

380

General Permit Application Package - NOI-12 M-2

381

General Permit Application Package - NOT-14 M-2

382

General Permit Application Package - NOI-15 M-1

383

General Permit Application Package - NOI-16 M-1

384

General Permit Application Package - NOI-17 M-1

385

General Permit Application Package - NOI-18 M-1

386

General Permit Application Package - NOT-2 M-1

387

General Permit Application Package - NOI-20 M-1

388

General Permit Application Package - NOI-23 M-1

389

General Permit Application Package - NOI-24 M-1

390

General Permit Application Package - NOI-25 M-2

391

General Permit Application Package - NOI-28 M-3

392

General Permit Application Package - NOT-3 M-1

393

General Permit Application Package - NOI-34 M-1

394

General Permit Application Package - NOI-36 M-3

395

General Permit Application Package - NOT-6 M-1

396

General Permit Application Package - NOI-67 M-1

397

General Permit Application Package - NOI-64 M-1

522

General Phase II MS4 Stormwater Permit Renewal

520

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

503

General Permit Renewal Form M-1

398

Groundwater System Monthly Operational Data Report

8

Hydrogeology Unit Evaluation Report Form

531

Hydrograph Control Release (HCR) Attachment

399

Name of Forms

Form Number

Impressed Current Cathodic Protection System 60-Day Inspection Log

400

Individual NPDES Permit Noncompliance Notification (5-day Report)

401

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

14

Interior Lining Inspection Form

403

Interior Lining Report Form

404

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

166

Lead and Copper Monitoring Data Report

405

Major Source Operation Permit Skeleton Form

495

Manual Interstitial Monitoring Monthly Log

406

Material Safety Data Sheet Reporting

407

Maximum Residual Disinfectant Level Input Form (Samples)

408

Maximum Residual Disinfectant Level Input Form (Sources)

409

Medical Waste Notification Form M-1

410

Medical Waste Transporter Permit Application M-4

411

Medical Waste Treatment Permit Application M-4

412

Monthly Filter Plant Monthly Operational Data Report M-4

242

Monthly Membrane Surface Plant Operational Data Report

243

Monthly Statistical Inventory Reconciliation (SIR) Report

414

Municipal POTW SS0/MS4 Event Reporting Form M-l

415

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

416

Municipal Water Pollution Prevention (MWPP) Annual Report Package M-2

417

Municipal Water Pollution Prevention Resolution Form

418

MWPP Sewage Sludge Survey

419

Non-Community Public Notification Certification Form

420

Non-Compliance Report Form M-2

421

Notice of Demolition and/or Asbestos Removal M-l

496

Notice of Intent-General Permit ALR100000

24

Notice of Intent-General Permit ALG850000

26

Notice of Intent-General Permit ALG870000

28

Notice of Intent to Permanently Close Underground Storage Tanks M-1

422

Name of Forms

Form Number

Notice of Proposed UST New Installation or Upgrade M-l

423

Notice of Temporary Closure M-l

310

Notice of Termination-General Permit Number ALG870000

30

Notification - Above the Threshold Planning Quantities (TPQ) of Extremely Hazardous Substances

424

Notification for Above Ground Storage Tanks M-1

283

Notification for Underground Storage Tanks M-1

279

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

425

Notification of Intent to Drill a Water Well

60

Notification of Regulated Waste Activity M-2

8700-12

N0X Budget Permit Application Form

426

N0X Budget Retired Unit Exemption Claim Form

427

NPDES Annual Notice of Registration (NOR)

429

NPDES Coalbed Methane Operation M-2

549

NPDES Noncoal/Nonmetallic Mining and Dry Processing Less than Five Acres, Program Notice of Registration Form M-2

498

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

500

NPDES Noncoal/Nonmetallic and Dry Processing Less than Five Acres Stormwater Noncompliance Notification Report Form M-1

501

NPDES Construction, Noncoal Mining Less than Five Acres Stormwater Registration Termination Request and Certification Form M-1

499

NPDES Construction Stormwater Inspection Report and BMP Certification

23

NPDES Construction Stormwater Noncompliance Notification

25

NPDES Discharge Monitoring Report Form (Monthly)

430

NPDES Discharge Monitoring Report Form (Quarterly)

431

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

432

NPDES Permit Application Semi-Public And Private Facilities M-1

188

NPDES Permit Application Supplementary Information M-3

187

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

433

Open Burning Incident Report

434

Operating Permit Application Facility Identification Form M-5

103

Name of Forms

Form Number

Operational Evaluation Level Exceedance Report

27

Operator Certification Renewal Form M-1

435

Perc Dry Cleaner Status Update M-1

436

Permit Application for Air Pollution Control Device M-2

110

Permit Application for Compliance Schedule M-1

437

Permit Application for Continuous Emission Monitoring Systems (CEMS)

438

Permit Application for Indirect Heating Equipment M-1

104

Permit Application for Loading and Storage of Organic Compounds M-1

108

Permit Application for Manufacturing or Processing Operation M-3

105

Permit Application Solid Waste Disposal Facility

439

Permit Application Solid Waste Disposal Facility Construction/Demolition Landfill

305

Permit Application for Solvent Metal Cleaning

112

Permit Application for Stationary Internal Combustion Engines M-5

107

Permit Application for Volatile Organic Compound Surface Coating Emission Source M-2

109

Permit Application for Waste Disposal

106

Petroleum Solvent Dry Cleaning Questionnaire

440

Plant and Collection System Personnel Inventory

441

Pollution Prevention Survey

548

Potable Water Laboratory Certification Application M-2

442

Processing and Recycling General Information

15

Progress Report Form

443

Project Completion Form

444

PSD Project Information Form

445

Purchase Water System Monthly Operation Report

185

Raw Sewage Bypass and Overflow Event Reporting Form

446

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

52

Release Information Form

447

Remediation Approval Form M-2

448

Remediation Reporting Form M-2

449

Representative Stormwater Outfall Certification M-2

450

Request for Coal Permit Post-Mining Discharge Limitations M -1

451

Request for Release from Monitoring and Reporting Requirements M-l

452

Request to Remove Subsurface Withdrawal From Discharge Structure M-l

453

Request to Remove Treatment Basin/Pond or Other Discharge Structure M-l

454

Required Information for Mixing Zone Modeling M-l

455

SARA Title III Section 302 Notification

302

Scrap Tire Manifest M-3

536

Scrap Tire Processor Permit Application M-3

540

Scrap Tire Quarterly Report M-3

539

Scrap Tire Registration & Exemption Application M-4

537

Scrap Tire Site Registration

541

Scrap Tire Transporter Permit Application M-4

538

Seal Gap Test Form

184

Segmental Water System Certification Application

456

SID Discharge Monitoring Report Form (Monthly)

457

SID Discharge Monitoring Report Form (Quarterly)

458

Solid Waste Landfill Operator Certification Renewal

13

Solid Waste Landfill Operator Initial Certification Application

11

Solid Waste Landfill Operator Reciprocal Certification Application

12

Solid Waste Profile Sheet

300

Specifications for Air Curtain Incinerators

17

Spill Catchment Basin/Spill Bucket Annual Test Log

20

SRF Payment Request Form

459

State Indirect Discharge Permit Application M-4

186

Statistical Inventory Reconciliation SIR 7 Day Release Investigation Notice Form

460

Supplemental Petroleum Application Information

516

Surface Source Susceptibility Analysis Worksheet

461

Tank Trust Fund Eligibility/Ineligibility Determination Form

462

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

530

Termination Request-General Permit Number ALR100000

21

Name of Forms

Form Number

Toxicity Discharge Monitoring Report Form

464

Toxicity Test Report Summary

465

Transfer Agreement Form

466

UIC Permit Application for Coal Mining Wastewater M-l

532

Underground and Above Ground Storage Tank Transfer of Ownership M-l

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-2

474

UST Closure Total Potential VOC Emissions Calculations

492

UST Free Product Recovery Report Form

475

UST Groundwater Monitoring Report Form

476

UST Line Tightness Test Report Form M-l

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-l

483

UST Ullage Tank Tightness Test Report Form M-l

484

UST Vacuum Tank Tightness Test Report Form

485

UST Volumetric Overfill Tank Tightness Test Report Form M-l

486

UST Volumetric Underfill Tank Tightness Test Report Form

487

Visible Emission Field Test Sheet

502

Voluntary Cleanup Program Application

521

Water Supply Construction Permit Application M-l

488

Water Supply Permit Application (Modification)

489

Water Supply Permit Application (Renewal) M-l

490

Water System Update

491

Water Treatment Plant Quarterly Report for the Disinfectants and Disinfection Byproducts Rule M-l

547

Water and Wastewater Operator Exam Application M-l

505

Water and Wastewater Operator Experience Verification M-l

506

Water and Wastewater Operator for Multiple Systems M-l

508

Water and Wastewater Reciprocal Application M-l

507

Water Well Driller Reciprocal Application

194

Water Well Standards Program License Renewal

195

Ala. Admin. Code r. 335-1-1-.01

Amended: Filed June 26, 2002; effective July 31, 2002. Amended: Filed December 19, 2002; effective January 23, 2003. Amended: Filed June 30, 2004; effective August 4, 2004. Amended: Filed December 6, 2005; effective January 10, 2006. Amended: Filed June 6, 2006; effective July 11, 2006. Amended: Filed October 10, 2006; effective November 14, 2006. Amended: Filed December 18, 2007; effective January 22, 2008. Amended: Filed December 15, 2008; effective January 19, 2009. Amended: Filed December 15, 2009; effective January 19, 2010. Amended: Filed December 14, 2010; effective January 18, 2011. Amended: Filed October 25, 2011; effective November 29, 2011. Amended: Filed October 23, 2012; effective November 27, 2012. Amended: Filed April 15, 2014; effective May 20, 2014.

Rule .07 was renumbered to .01 as per certification filed April 15, 2014; effective May 20, 2014.

Authors: Marilyn Elliott, Russell A. Kelly

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