Permit Forms and Instructions
All permit applications downloaded off of the Internet and submitted to
Illinois EPA must be accompanied by
certification of
authenticity of official forms. To request original forms for the proposed activity you may call the Bureau of Land Permit
Section at 217/524-3300 or submit your request
electronically. Please be sure to
identify the form or forms you need along with a complete mailing address and a
phone number in case we have questions.
Please send all completed forms to:
Permit Section - Bureau of Land
Illinois Environmental Protection Agency
1021 North Grand Avenue East #33
Springfield, IL 62794-9276
Siting
A completed LPC-PA8: Siting Certification Form must accompany any application
for a permit for a new pollution control facility, as defined in Section 3.330
of the
Illinois Environmental Protection Act. Siting, the process that the
local government uses to approve the site location, must be completed before
submitting an application for a new facility and certain modifications to an
existing facility. However, not all new facilities must get local siting
approval. Examples of those facilities that may not need local siting
approval include: hazardous facilities that treat their own waste on-site,
landscape waste composting facilities, and transfer stations that are used
exclusively to transfer landscape waste within 24 hours after it is
received. The process to obtain siting approval is described in Section
39.2 of the
Illinois Environmental Protection Act.
Request Forms
Supplemental Permit Applications
A Supplemental Permit Application is required to request a change for a
facility permitted under 35 IAC Part 807. When submitting a Supplemental Permit
Application, the General Application for Permit (LPC-PA1), the Notice of
Application for Permit to Manage Waste (LPC-PA16) and a description of the
proposed modification need to be provided. Depending on the nature of the
application and other facility-specific factors, additional forms may be
required.
Significant Modification Permit Applications A Significant
Modification Permit Application is required to request a change for a landfill
permitted under 35 IAC Parts 810 through 817. When submitting a Significant
Modification Permit Application, the General Application for Permit (LPC-PA1),
the Notice of Application for Permit to Manage Waste (LPC-PA16) and a
description of the proposed modification need to be provided.
Depending on the nature of the application and other facility-specific factors,
additional forms may be required.
Beneficial Use Determination Applications
A beneficial use determination application is needed to request a determination from the Agency that a
material is being used beneficially and is not a waste. Applications must demonstrate compliance with
Section 22.54 of the Illinois Environmental Protection Act. Form LPC-PA27 and the additional information
identified in the instruction to LPC-PA27, including a process description, analysis and affidavits or
certifications, must be included in the application.
All Permit Applications - these forms are fillable online.
Applications for New Nonhazardous Waste Facilities, by Facility Type
Applications/Certifications Regarding Closure or Post-Closure Care of a
Permitted Facility
Miscellaneous Solid Waste Permit Forms and Guidance
All Permit Applications - these forms are fillable online.
New and Renewed RCRA Permit Applications
Hazardous Remediation Waste Permit Applications
Closure Plans and Corrective Action
Miscellaneous Hazardous Waste Forms and Guidance
- Field
Boring Log Form: Characterization of the geology,
sample depths, depth to groundwater, etc. This form must
be utilized in conjunction with a Monitoring Well Completion
Form. One completed form must be submitted for each
groundwater monitoring well installed.
- Monitoring
Well Completion Form: Construction details for a
groundwater monitoring well. This form must be utilized
in conjunction with a Field Boring Log Form. One
completed form must be submitted for each groundwater
monitoring well installed.
- Monitoring
Well Diagram : Graphic of the construction details of a
groundwater monitoring well. This form should be used for guidance purposes when installing a groundwater
monitoring well.
- Well
Plugging Procedures: Step-by-step procedures for the
plugging and abandonment of a groundwater monitoring well.
- LPC-PA19: Instructions for a Significant Modification
Demonstrating Compliance with 35 IAC, Subtitle G, Part 814, Subpart C.
- Appendix C to LPC-PA2: Instructions for the Groundwater
Protection Evaluation for Putrescible and Chemical Waste
Landfills (Attachment 1 from LPC-PA19 is the
most recent and should be used for the monitoring
constituents)
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