Because of the many different types of permit requirements, and the numerous types of facilities being permitted, it is necessary to utilize several different permit forms. Most applications will only require one or two forms be used, however, in some instances, more may be necessary. In all cases, (except for the composting of landscape waste only) it will be necessary to complete the General Application for Permit (LPC-PA1). It is important that this form be filled out with other applications since it readily identifies the type of application, facility and waste. This will insure proper administrative processing. This form also identifies many completeness requirements. This will enable the Illinois EPA to quickly identify whether the application can be processed, or whether the applicant has to submit additional information. Finally, since applicant signature requirements have been included, this will be the only form that is necessary for many supplemental applications. None of the forms below are intended to be used for RCRA, Subtitle C permitting.
As with all Agency forms, always use the latest version of the LPC-PA1 form. The revision date of the form is on the lower left corner of the first page. If an older version of the LPC-PA1 form is submitted, the application will be deemed incomplete.
Failure to properly complete the forms will result in a rejection for incompleteness and will not preserve your filing rights for decision deadlines. Do not include applications for prior conduct certification, hauler permits or financial assurance documents with permit requests for waste management facilities.
Read the enclosed instructions carefully to acquire an understanding of permit application requirements. The application form is to be supplemented by plans and reports which are required to describe the development and/or operation of the facility. The information submitted by the applicant must provide the Illinois Environmental Protection Agency with assurance that no violation of the Environmental Protection Act or Regulations adopted thereunder will result as a consequence of the development or operation of the site.
All data and information should be typed or legibly printed in ink.
The letters "NA" may be used if requested information is not applicable. However, for any information requested but not provided, justification demonstrating the reasons for not doing so must be stated.
Submit the original, with original signatures, and two (2) photocopies (or three (3) if applicable*) of all application forms and supporting documentation, including plan sheets and maps, requested in the application to:Illinois Environmental Protection Agency
Failure to do this will result in rejection of the application. A complete application submittal will contain an original plus two (2) photocopies (or three (3) if applicable*) for a total of three (or four) sets of the application.
* If the application for permit contains information or proposals which you are requesting approval regarding the hydrogeologic setting, groundwater monitoring, modeling or classification, and/or a groundwater impact assessment, you must submit a third (3rd) copy of the application forms and supporting documentation.
If you have questions regarding the use or completion of this form, please contact the Permit Section at 217/524-3300. Questions regarding a previously submitted application can be directed to the State Permit log clerk. The log clerk can forward your call to the assigned permit reviewer.
Note: Permit applications which are to be hand-delivered to the Bureau of Land, Permit Section must be delivered to the 1021 North Grand Avenue East location between the hours of 8:30 a.m. to 5:00 p.m., Monday through Friday (excluding State Holidays).
For new facilities located within the boundaries of other existing permitted and/or closed solid waste management facilities, for expansions of existing facilities or for existing facilities renewing the permit, fill in both the facility name and the Illinois EPA site number. For new independent facilities, simply give the name of the facility. The Illinois EPA will assign a site number.
For all facilities, fill in the Physical Site Location (street or road, etc. DO NOT USE POST OFFICE BOX NUMBERS), City, Zip Code (9 digit if available) and County. Illinois EPA must have a 9-digit zip code for the facility to provide a notification letter list.
For existing permitted and/or closed solid waste management facilities, fill in existing permit numbers.
Type of Submission/Review Period
Your facility will be subject to 35 IAC 1420, 807 or 813 depending on the type of facility and type of waste (municipal solid waste, etc., disposal, treatment, etc.). The type of permit requested must be checked correctly. The following describe each.
The type of submission must be checked accurately. To ease the log in procedures and to avoid a potential clerical error, this procedure has been established. Please call if you have any questions. INDICATING THE WRONG TYPE SUBMISSION MAY RESULT IN AN INCOMPLETENESS DETERMINATION.
Check the type of facility which is the subject of the application. If more than one activity occurs at the facility, also check each type that has a development or landfill permit issued to it.
Indicate all types of waste which are managed at the facility.
Description of this Permit Request
This should provide sufficient information to generally describe all aspects of the request being made in this specific request, not merely what occurs at the facility.
The following items must be submitted unless they are not required, or have previously been approved. Any items marked "N/A" must be fully explained. For example, a treatment facility may indicate "N/A" for prior conduct certification and explain that certification is not required for treatment facilities. FAILURE TO COMPLETE EACH ITEM WILL RESULT IN REJECTION OF THE APPLICATION.
ORIGINAL SIGNATURES REQUIRED. BOTH OWNER AND OPERATOR SIGNATURES ARE TO BE NOTARIZED. SIGNATURE STAMPS OR APPLICATIONS TRANSMITTED ELECTRONICALLY OR BY FACSIMILE ARE NOT ACCEPTABLE.
The owner, facility operator, notary and engineer signatures must be provided. Identify any preparer or person to contact, should any additional information or clarification be necessary. Provide a printed name for each signature.
In accordance with the Environmental Protection Act, all information submitted as part of the application is available to the public except when specifically designated by the applicant to be treated confidentially as regarding a trade secret process in accordance with Section 7(a) of the Environmental Protection Act.