2510-FM-BWM0057p 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 P LAND TREATMENT FACILITIES [Normally, land treatment facilities will not require capping. If capping is necessary, please complete the appropriate sections of bonding worksheet E] 1. Surface area to be regraded and vegetated: acres 2. Unit cost to regrade area: $/acre (Provide documentation fro third parties for this cost) 3. Cost to regrade (line 1 x line 2): $ 4. Amount of soil needed from off-site (if needed) 5. Unit cost of soil (including transportation): CY $ $/CY (Provide document from third parties for this cost) 6. Cost of off-site soil: $ 7. Total cost of regrading (line 3 + line 6): $ 8. Revegetation cost (Seeding rate used: (Lime rate used: (Fertilizer used: (Mulch rate used: lbs/acre) tons/acre) tons/acre) tons/acre) Unit cost to revegetate: $/acre (Provide documentation from third parties for this cost) 9. Total revegetation cost (line 8 x line 1): 10. Cost to construct/install E&S control structures: $ $ (Provide fencing, channels, etc. Provide documentation from third parties for this cost) 11. Cost to maintain vegetation and E&S control structures for at least one year after clean closure: $ (Provide documentation from third parties for this cost) 12. Unsaturated Zone Monitoring (this is in addition to any other groundwater monitoring) a. Soil-pore liquid monitoring: 1. Number of lysimeters (or equivalent devices) 2. Samples per lysimeter/device 3. Total number of samples (line 12a1 x line 12a2) 4. Number of analyses per sample 5. Total number of analyses (line 12a3 x line 12a4) 6. Unit cost to collect sample $ (Provide documentation from third parties for this cost) 7. Cost to collect samples (line 12a3 x line 12a6) -1- $ /sample 2510-FM-BWM0057p 8. 4/2009 Cost of a single analysis $ (Provide supporting documentation from a third party laboratory) 9. Cost of analyses (line 12a5 x line 12a8) $ 10. Unit cost to evaluate data (including review of lab QA/QC data database input, form completion, statistical analysis and data review): $/sample (Provide supporting documentation from third parties for this cost) 11. Time to evaluate data (hours) 12. Cost of data evaluation (line 12a10 x line 12a11) $ 13. Total numbers of sampling per year 14. Cost of sampling, analysis, evaluation per year ([line 12a7 + line 12a9 + line 12a12] x line 13) $ 15. Years of sampling: operational plus 1 year after closure (Note: 40 CFR 264.280(a)(7) requires at least 90 days of continued soil-pore monitoring after cessation of waste placement) 16. Cost of soil-pore liquid monitoring (line 12a14 x line 12a15) $ b. Soil-core monitoring 1. Number of soil borings 2. Samples per boring 3. Total number of samples (line 12b1 x line 12b2) 4. Number of analyses per sample 5. Total number of analyses (line 12b3 x line 12b4) 6. Unit to collect sample $/sample (Provide documentation from third parties for this cost) 7. Cost to collect samples (line 12b3 x line 12b6) $ 8. Cost of a single analysis $ (Provide supporting documentation from a third party laboratory) 9. Cost of analyses (line 12b5 x line 12b8) $ 10. Unit cost to evaluate data (including review of lab QA/QC data, database input, form completion, statistical analysis and data review): $/sample (Provide supporting documentation from third parties for this cost) 11. Time to evaluate data (hours) 12. Cost of data evaluation (line 12b10 x line 12b11) $ 13. Total numbers of sampling per year 14. Cost of sampling, analysis, evaluation per year ([line 12b7 + line 12b9 + line 12b12] x line 13) -2- $ 2510-FM-BWM0057p 4/2009 15. Years of sampling: operational plus 30 years after closure 16. Cost of soil-core liquid monitoring (line 12b14 x line 12b15) $ 17. Total cost of unsaturated zone monitoring (line 12a16 x line 12b16) $ 13. Cost Summary ([line 7 + line 9 + line 10 + line 11 + line12b17] x 5% CQA costs): -3- $