S.C. Code Regs. § ch. 61, 61-83, att. I
Form RHA-200P SOUTH CAROLINA DEPARTMENT OF HEALTH AND
( 10/80) ENVIRONMENTAL CONTROL APPLICATION
FOR RADIOACTIVE WASTE TRANSPORT PERMIT
Instructions: Complete Items 1 through 8. Submit original and one copy to
Chief, Bureau of Radiological Health, S.C. Dept. of Health and
Environmental Control, 2600 Bull Street, Columbia, S.C. 29201.
All copies must be signed and dated. Additional sheets may be
used if necessary. Upon approval, the Department will return
one copy with your transport permit. All permit fees should be
made payable to the S.C. Dept. of Health and Environmental
Control, Bureau of Finance, 2600 Bull Street, Columbia, S.C. 29201. Please note on remittance, "For Radioactive Waste
Transport Permit."
Note: Radioactive Waste Transport Permits may be purchased for more
than one facility or location of a company, corporation, etc.
However, an application shall be submitted for each facility
to include the additional fee and the required certificate of
insurance or bond.
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be shipped if application is Material License No. for each
for more than one facility. location.
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Information to be Submitted as Attachment
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financial ability to protect the State of South Carolina and the public
at large from possible radiological injury or damage due to packaging,
transportation, disposal, storage, or delivery of radioactive waste. For
those applicants not maintaining liability insurance, they must deposit
and maintain with the Department a cash or corporate surety bond in the
amount of Five Hundred Thousand Dollars ($500,000.00).
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CERTIFICATE
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Waste Transportation and Disposal Act, I hereby certify on behalf of the
above-named applicant (shipper) to the South Carolina Department of
Health and Environmental Control that: (A) the above-named applicant
(shipper) will comply fully with all applicable laws and administrative
rules and regulations, both State and Federal, and any disposal facility
radioactive material license requirements regarding the packaging,
transportation, storage, disposal, and delivery of such wastes; (B) the
above-named applicant (shipper) will hold the State of South Carolina
harmless for all claims, actions, proceedings in law or equity arising
out of radiological injury or damages to persons or property occurring
during the transportation of its radioactive waste into or within the
State including all costs defending same; provided, however, that nothing
contained herein shall be construed as a waiver of the State's sovereign
immunity; (C) the above-named applicant (shipper) has current copies of
the Regulations for the Transportation of Radioactive Waste into or
within the State of South Carolina, DOT Regulations 49 CFR Parts 171 - 179,
and when applicable, the disposal site radioactive material license and
the disposal site waste acceptance criteria; (D) the above-named
applicant (shipper) has prepared this application to conform with South
Carolina Department of Health and Environmental Control Regulation for
Transportation of Radioactive Waste Into or Within South Carolina, and
that all information contained herein, including any required supplements
attached hereto, is true and correct to the best of my knowledge and
belief.
Date________________________________ _____________________________________
Typed Name and Title of Agent of
Applicant (Shipper)
_____________________________________
Signature
DHEC 800
(10/80) Revision
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General Instructions and Information
of radioactive waste shipments transported into or within the State of
South Carolina. This notification is to be made 72 hours before the
expected date of arrival in the State. All written notices should be
mailed to:
Bureau of Radiological Health
Radioactive Waste Management Section
S. C. Dept. of Health and Environmental Control
2600 Bull Street
Columbia, South Carolina 29201
defined in paragraph 2 of Interim Regulations for the Transportation of
Radioactive Waste into or within South Carolina except as provided in
paragraph 4.1.2 of the Regulation.
providing the Department with a shipping manifest, however, it does not
satisfy the requirements of shipping documents which shall accompany the
shipments as required by DOT Regulations and the disposal facility's
license and criteria.
drivers of the radioactive waste shipment.
shall be obtained, and a copy of this form and the shipper/carrier's
certification form shall be returned to the Department.
Specific Instructions
Item Number
within the State of South Carolina.
the shipper. This number can be a radioactive shipment record number,
bill of lading number, allocation number, etc. The identification number
shall only be used once to identify the one shipment for which
notification is being made.
to which this shipment has been consigned.
pass through the state.
insure routes you prescribe are appropriate. The carrier is responsible
to inform the Department of any changes of routes in South Carolina
after departure.
Certification: To be signed only by an authorized representative or agent of
the shipper and carrier.
DHEC 802
(5/80)
S.C. Code Regs. ch. 61, 61-83, att. I