JA09- 01 57 19 Appendix A_Waste Disposal Borrow Pit Plan.pdf

Eielson AFB Waste Disposal / Borrow Pit Worksheet

FTQW 20-1010, Canopy Replacement B2200

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Air Force Project Manager / Office Symbol / Telephone Number: Joseph Rupp/ CEMN/377-3157

Contractor Project Engineer / Company / Telephone Number: TBD

--PART I (To be completed by the Contractor, and reviewed by the Project Manager)--

ATTACH PROJECT SCOPE OF WORK FOR PROJECT (SOW)

The proponent must submit an electronic copy of the SOW with the “Waste Disposal / Borrow Pit Worksheet”.

HISTORICAL: Is this work occurring on the run-way (1131) or at one of the following buildings, note the new building numbers are in parentheses: 1120 (2287), 1121 (2311), 1123 (2339), 1124 (2341), 1125 (2347), 1127 (2355), 1128 (2357), 1132 (2359), 1133 (2383), 1134 (2381), 1135 (2379), 1136 (2377), 1138 (2421), 1140 (2511), 1141 (2509), 1146 (2577), 1161 (2615), 1183 (2681), 1190 (2685) or 3112 (354)?

Yes ☐ No ☒

REQUIRED SURVEYS:

1. Lead-based paint survey accomplished? Yes ☐ No ☒ Scan and attach the results or state why a survey is not required: Survey to be completed as part of the contact by the Contractor

2. Asbestos survey accomplished? Yes ☐ No ☒ Scan and attach the results or state why a survey is not required: Survey to be completed as part of the contact by the Contractor

2. WASTES TO BE GENERATED:

1. Trees: 0 number, square feet, or acres

2. Trees and brush or hydro-axed vegetation and soil mixture: 0 cubic yards

3. Clean soil: 0 cubic yards - give brief description (percent silt, sand, gravel, etc):

4. Contaminated soil: cubic yards. Type of contaminate(s): 0 CUBIC YARDS

Please Note: Proponent must provide CEIE a soil sampling site map and copies of the sample results.

5. Concrete: 0 cubic yards

6. Asphalt:

a. Chunk: 0 cubic yards

b. Milled: 0 cubic yards

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WASTES TO BE GENERATED (continued):

7. Asbestos: TBD cubic yards

8. Lead-Based Paint Debris: TBD Give brief description:

XRF Results:

TCLP Results:

9. Construction / Demolition Wastes (wood, glass, sheetrock, pipe, etc):

a. Give brief description: 0

b. Items to be salvaged: 0

c. Items to be recycled:

BORROW PITS: Materials required for the project:

1. Gravel: 0 cubic yards

Please Note: Bailed gravel/topsoil stored adjacent to an active gravel pit shall become property of the Government on 31 December of year it is bailed. To retain rights to the gravel/topsoil the following year the Contractor shall provide written coordination prior to 31 December informing 354 CES/CEIE of their gravel needs for current existing awarded contracts.

2. Topsoil: _0__ cubic yards

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--PART II (To be completed by 354 CES/CEIE)--

INSTRUCTIONS FOR THE DISPOSAL OF WASTES:

1. Tree Protection, Transplanting, Replacement, and Methods:

2. Wastes to be disposed on base:

a. Trees:

b. Soil:

c. Concrete:

d. Asbestos:

e. Asphalt (RAP may be placed on existing roads only with CEIEA approval, all other must go off base):

3. Wastes to be disposed off base: All construction wastes (except hazardous wastes) not listed for on base disposal shall be disposed off base by the contractor in an approved landfill in accordance with applicable state and federal regulations. Estimated quantities or copies of landfill weight tickets of wastes disposed off base must be reported to the Solid Waste Manager for tracking at 377-3313.

Please Note: Prior to project completion the proponent shall provide CEIE written sampling result(s) and copy of the disposal tare for debris, e.g., lead painted materials disposed at the Fairbanks North Star Borough Landfill.

BORROW PITS:

1. Borrow pit(s) to be used:

Gravel -

Topsoil -

2. Pit development, rehabilitation, and/or expansion work will be required for the privilege of using borrow pit(s). Pit development will depend on amount of gravel/topsoil required: Note: Notify the Eielson Natural Resources Office (CEIEA) (377-5182) when pit development is about to begin.

Reviewers:

CEIEA (NR)

Date of Issue This Coordination Review becomes invalid if the project is not awarded within one year from the date of issue.