2510-FM-BWM0057o
4/2009
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WASTE MANAGEMENT
BONDING WORKSHEETS FOR HAZARDOUS WASTE
DISPOSAL AND POST-CLOSURE CARE FACILITIES
BONDING WORKSHEET O
LANDFILLS AND DISPOSAL IMPOUNDMENTS
1. For impoundments only:
a. Total volume of waste to be stabilized (amount of liquid/sludge that
must be dewatered by adding soil or other material)
CY
b. Type of stabilizing material:
c. Unit cost to mix in stabilizing material:
$/CY
(Provide documentation from third parties for this cost. Include material purchase,
transportation and labor costs. Labor costs should conform to US Dept. of Labor,
Bureau of Labor Statistics most recent rates)
d. Total cost of stabilization (line 1a x line 1c):
$
2. Volume of fill required for area not at final/intermediate grade,
but would require filling prior to capping:
CY
3. Maximum area to be capped and covered (including all areas at final
grade and not capped, intermediate grades and areas to be filled to
get to intermediate grades then capped):
$
4. Closure design, surveying and development of construction drawings
(use $750.00/acre or line 3):
$
a. Construction and maintenance of access roads:
$
Material Volumes/Areas:
5. Earthen Materials
a. Structural Fill
CY
(Specification1)
b. Intermediate Cover
CY
(Specification1)
c. Clay Cap Material
CY
(Specification1)
d. Final Cover Material
CY
(Specification1)
e. Sand/Stone
CY
(Specification1)
f. Other
CY
(Specification1)
1
6.
Provide brief description of the material specification (i.e. ¾” minus, 12” minus, 12” lifts, etc.)
Synthetic Materials
a. Geotextile
Sq.Ft.
(Type)
b. FML
Sq.Ft.
(Type)
c. Drainage Layer
Sq.Ft.
(Type)
d. Other
Sq.Ft.
-1-
(Type)
acres
LS
2510-FM-BWM0057o
4/2009
7. Cap Penetrations: Estimate the number of cap penetrations that will need to be installed for
closure of the facility including, but not limited to gas or leachate extraction wells, cleanouts,
valve pits, etc.
Material Unit Cost:
8. Unit cost to place or regrade material to reach final grades (this may
include additional waste placement to reach grade):
$/CY
Are sufficient soils available in permitted on-site borrow areas to complete job?
(Attach maps that identify sources and stockpiles)
Yes
No
Processing Required?
9. Earthen Materials
Stockpile
Borrow
Onsite
Offsite
Yes
No
a. Structural Fill
Unit cost to place2
$/CY
b. Intermediate Cover
Unit cost to place2
c.
$/CY
Clay Cap Material
Unit cost to place2
$/CY
d. Final Cover Soil
Unit cost to place2
$/CY
e. Sand/Stone
Unit cost to place2
f.
Other
Unit cost to place2
2
$/CY
$/CY
Unit costs should include all associated costs including, but not limited to, cost of material, excavation, transportation, processing, and
placement. Labor costs should conform to US Dept. of Labor, Bureau of Labor Statistics most recent rates.
10. Synthetic Materials
3
a. Geotextile (unit cost to place3)
$/Sq. Ft.
b. FML (unit cost to place3)
$/Sq. Ft.
c. Drainage Layer (unit cost to place3)
$/Sq. Ft.
d. Other (unit cost to place3
$/Sq. Ft.
The unit price should include the material, transportation, handling and installation costs. Labor costs should conform to US Dept. of Labor,
Bureau of Labor Statistics most recent rates.
11. Cap Penetration Unit Cost
List the unit cost to fabricate and install each penetration
Unit cost to place
(Provide documentation from third parties for this cost. Labor costs should conform to
US Dept. of Labor, Bureau of Labor Statistics most recent rates)
-2-
$/Acre
2510-FM-BWM0057o
4/2009
12. Cost to construct/install E&S control structures:
$
(Silt fencing, channels, etc. Provide documentation from third parties for this cost)
13. Revegetation cost
(Seeding rate used:
lbs/acre)
(Lime rate used:
tons/acre)
(Fertilizer used:
tons/acre)
(Mulch rate used:
tons/acre)
Unit cost to revegetate:
$/acre
(Provide documentation from third parties for this cost)
14. Cost Summary
a. Stabilization (line 1d)
b. Fill (line 2 x line 8)
c. Construction Drawings (line 4)
d. Construction Roads (line 4a)
e. Structural Fill (line 5a x line 9a)
f. Intermediate Cover (line 5b x line 9b)
g. Clay Cap Material (line 5c x line 9c)
h. Final Cover (line 5d x line 9d)
i. Sand/Stone (line 5e x line 9e)
j. Other (line 5f x line 9f)
k. Geotextile (line 6a x line 10a)
l. FML (line 6b x line 10b)
m. Drainage Layer (line 6c x line 10c)
n. Other (line 6d x line 10d)
o. Penetrations (line 7 and line 11)
p. E&S Structures (line 3 x line 12)
q. Revegetation (line 3 x line 13)
Subtotal
CQA Costs (5% of subtotal)
Total
-3-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$