*Note: If you are filling out a form digitally on a mobile device, you will need to download the form (pdf) onto your device first. You will be able to fill out the form in an app (such as Google Drive). This can be saved and attached for later submission.

IEPA CCDD FORMS:

Testing must include PH – minimally from two test locations on site.

Testing for LPC 663 form shall include a minimum of 2 soil tests for the first 500 cubic yards, then a minimum of 1 soil test for each additional 1,000 cubic yards.

Testing of soils include at a minimum: VOC’s, SVOC’s, PNA’s, RCRA Metals (Arsenic, Barium, Cadmium, Chromium, Lead, Mercury, Selenium and Silver), Iron and PH in accordance with the MAC Table. Additional testing of other chemical components may be required based on the history of the site, ERIS Database Report and site reconnaissance.

CREDIT APPLICATION FORM:

The credit and agreement form can be filled out digitally and submitted to [email protected].

SUBMIT CCDD FORM AND ATTACHMENTS

SUBMITTALS

All submittals must include at a minimum the Material Profile Sheet for the CCDD Facility (Blackhawk Rd., Lillypond), LPC 662 or LPC 663 form, aerial map showing work limits, and soil test locations, analytical reports from testing laboratory, ERIS Database Report (if applicable), brief description of project scope. Additional information may be requested/required based on the site.

Applications shall be submitted a minimum two working days prior to material acceptance.

*COMPLETE IN FULL OR IT WILL NOT BE CONSIDERED

Office: 815-385-8000 • Fax: 815-385-8711

5435 Bull Valley Rd, Suite 330 Mchenry IL, 60050

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