2510-FM-BWM0057b
1/2009
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WASTE MANAGEMENT
BONDING WORKSHEETS FOR HAZARDOUS WASTE
STORAGE AND TREATMENT FACILITIES
BONDING WORKSHEET B
GROUNDWATER MONITORING SYSTEM
1. Number of wells in the approved monitoring plan:
a. Average well depth
ft.
b. Number of wells with dedicated pumps
2. Number of wells monitored per Act 108:
3. Unit cost to upgrade a well with a dedicated pump:
$/well
(Provide supporting documentation from third parties for this cost)
4. Unit cost to install a well (including drilling, installation
developing and pump installation):
$/well
(Provide supporting documentation from third parties for this cost)
5. Number of wells to be installed (wells in the approved
plan that have not been installed):
6. Number of wells to be replaced over the life of the
monitoring period (10% of line 1 rounded up):
7. Number of pumps to be replaced/repaired
(25% of line 1 over the monitoring period):
8. Unit cost to purge and sample a well:
$/well
(Provide supporting documentation from third parties for this cost. Labor costs should conform to US Dept. of Labor, Bureau of
Labor Statistics most recent rates)
9. Unit cost to analyze samples:
a. Quarterly analyses
$/well
b. Annual analysis
$/well
c. Other approved frequency of analysis
$/well
(Provide supporting documentation from a third party laboratory)
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2510-FM-BWM0057b
1/2009
10. Unit cost to analyze data (including review of lab QA/QC data, database input, form
completion, statistical analysis and data review):
$/well
(Provide supporting documentation from third parties for this cost)
11. Cost to purge, sample and analyze: quarterly
(line 8 + line 9a + line 10):
$/well
12. Cost to purge, sample and analyze: annually
(line 8 + line 9b + line 10):
$/well
13. Cost to purge, sample and analyze: other
(line 8 + line 9c + line 10):
$/well
14. Number of years of sampling (operational plus
closure time):
years
15. Cost to decommission monitoring well
$/well
16. Cost Summary:
a. System upgrade ([line 1- line 1b] x line 3)
$
b. Wells to be installed (line 4 x line 5)
$
c. Wells to be replaced (line 4 x line 6)
$
d. Pumps to be replaced (line 3 x line 7)
$
e. Cost of quarterly monitoring
([line 1 + line 2 + 1] x “4” x line 11 x line 14)
$
(Note: Act 108 wells required to be monitored quarterly)
f. Cost of annual monitoring
([line 1 +1] x line 12 x line 14)
$
g. Cost of other frequency monitoring
([line 1 +1] x line 13 x line 14)
$
h. Cost to decommission monitoring well
$
Subtotal
$
Adjustment for resampling, assessments, etc.
a. Use 5% of subtotal if assessment in last 2 years.
b. Use 10% of subtotal if in assessment,
abatement or increase monitoring
$
Total
$
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