2540-PM-BWM0360
6/2005
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WASTE MANAGEMENT
Date Prepared/Revised
DEP USE ONLY
Date Received
FORM 2R
MAP REQUIREMENTS - PHASE 1
RESIDUAL WASTE LANDFILLS AND DISPOSAL IMPOUNDMENTS
This form must be fully and accurately completed. All required information must be typed or legibly printed in the spaces
provided. If additional space is necessary, identify each attached sheet as Form 2R, reference the item number and
identify the date prepared. The “date prepared/revised” on any attached sheets needs to match the “date
prepared/revised” on this page.
General References: Section 288.113, 289.113
Instructions: Provide the following maps in the scales and contours indicated. After each item listed below, identify the specific map or
plan where the information requested can be found.
Drawings must meet the following requirements or contain:
a.
b.
c.
d.
e.
f.
g.
The maximum drawing size of 30” x 36”.
The north arrow designated as magnetic or true.
Grid system tied to north arrow.
A legend of symbols.
Horizontal and vertical scale.
Consecutively numbered drawings.
Seal and signature of the PA registered Professional Engineer on the cover sheet of drawings and seal on all subsequent
drawings in the set.
SECTION A. SITE IDENTIFIER
Applicant/permittee:
Site Name:
Facility ID (as issued by DEP):
SECTION B. BASE TOPOGRAPHIC MAP
A.
Base Topographic Map - Scale: 1 inch equals no more than 200 feet. A different scale may be used if approved in
writing by the Department. The contour interval will be based upon a ten to one ratio between total relief of the map
and the contour interval. The maximum contour interval shall be 10 feet, with lesser intervals in flatter terrain.
Because of the large amount of information required on this map it is anticipated that more than one copy of the base
map will be required to present all of the data in a clear, coherent manner. Good cartographic practice should dictate
the amount of information presented on each copy. Including narrative descriptions as necessary, the base map
must show the following:
1.
The boundaries and names of present landowners (surface and subsurface) including easements, rights-of-way, other
property interests, in the proposed permit area and contiguous properties; the boundaries of the land within the proposed
permit area; and a description of any title, deed or usage restrictions affecting the proposed permitted area.
2.
Boundaries of land to be affected during total life of operation. Include boundaries affected in each sequence of
landfilling activity and boundaries of areas for impoundments.
3.
Soil stockpile and borrow areas on and off permit area.
4.
Public and private water sources within 1/2 mile of the proposed facility.
5.
Within ¼ mile of proposed facility:
Drawing No.
a.
Springs.
b.
Streams.
c.
Lakes, ponds.
d.
Wetlands.
e.
Constructed or natural drains and irrigation ditches.
f.
Oil and gas wells.
2540-PM-BWM0360
6/2005
SECTION B. (continued)
6.
g.
Coal and non-coal mines.
h.
Coal seams to a depth of 500'. (deep mine workings)
i.
Mine spoil piles.
j.
Dumps.
k.
Dams, embankments.
l.
Mine pool discharge points.
m.
Rights-of-way for high tension power lines. and/or pipelines.
n.
Buildings in use.
o.
Previous solid waste disposal or processing facility.
p.
Water quality monitoring points (anticipated location).
q.
Soil borrow areas.
In proposed permit area and adjacent areas:
a.
Boundaries of land where disposal activities are prohibited according to 288.422, 288.522, 288.622, 289.422 and 289.522.
b.
Municipalities.
c.
Sinkholes, fractures, fracture traces, outcrops, lineaments, mine pools.
d.
Water discharges into a surface water body.
e.
Test borings and core sampling (show elevation) required in 288.122, 289.122.
f.
Test pits or excavations required in 288.124, 289.124.
g.
100 year floodplain.
h.
Groundwater table contours in the proposed permit area and adjacent area for one or more aquifers.
i.
Directions of groundwater movement in the proposed permit area and adjacent area.
j.
Lithologies and/or geologic formations and members in the proposed permit area and the adjacent area.
k.
Soil and sediments in the proposed permit area and adjacent area.
l.
Geologic structural features in the proposed permit area and adjacent area.
SECTION C. TOPOGRAPHIC MAP
Topographic map on a scale of 1 inch equals no more than 2,000 feet with 20 foot maximum contour intervals that shows the name and
location of any public water sources within 3 miles downstream or downgradient from the proposed facility.
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