2510-FM-BWM0057c 1/2009 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT BONDING WORKSHEETS FOR HAZARDOUS WASTE STORAGE AND TREATMENT FACILITIES BONDING WORKSHEET C SURFACE WATER MONITORING Waste Permit Surface Water Sampling 1. Number of surface points monitored for waste permit: 2. Unit cost to sample a surface point: $/point (Provide documentation from third parties for this cost. Labor costs should conform to US Dept. of Labor, Bureau of Labor Statistics most recent rates) 3. Unit cost to analyze samples: a. Quarterly analyses $/point b. Annual analysis $/point c. Other approved frequency of analysis $/point 4. Unit cost to analyze data (included review of lab QA/QC data, database input, form completion and data review) $/point (Provide documentation from third parties for this cost) 5. Cost to sample and analyze: quarterly (line 2 + line 3a + line 4) $/point 6. Cost to sample and analyze: annually (line 2 + line 3b + line 4) $/point 7. Cost to sample and analyze: other (line 2 + line 3c + line 4) $/point 8. Number of years of sampling (operational plus closure time): years NPDES Surface/Stormwater Discharge Sampling 9. Number of outfalls monitored: 10. Monitoring frequency: /measure of time 11. Number of samples obtained per point/year: -1- 2510-FM-BWM0057c 1/2009 12. Unit cost to sample a surface point: $/point (Provide documentation from third parties for this cost. Labor costs should conform to US Dept. of Labor, Bureau of Labor Statistics most recent rates) 13. Unit cost to analyze samples (including data review and completing DMR): $/point (Provide documentation from third parties for this cost) 14. Number of years of sampling (operational plus closure time): 15. Cost Summary: a. Cost of quarterly monitoring (line 1 x “4” x line 5 x line 8) $ b. Cost of annual monitoring (line 1 x line 6 x line 8) $ c. Cost of other frequency monitoring (line 1 x line 7 x line 8) $ d. Cost of NPDES Monitoring (line 9 x line 11 x [line 12 + line 13] x line 14 $ e. NPDES renewal cost (10% of line 15d) $ Total -2- $