Name of landfill
Owner of landfill
Landfill address
Map reference
Locality the landfill serves
Name of organisation that manages the landfill
Contact name
Contact phone
Contact email
Contact address
Regional council
Underlying material – SHALLOW
Underlying material – DEEP
Depth to groundwater in metres
Liner design - tick all materials used
HDPE/geomembrane
Geosynthetic layer
Clay layer
Thickness of clay layer in mm
Other, please specify
Under-drain
Cut-off drain
Other, please specify
On-site treatment
Off-site treatment - please specify location
Pond system
Irrigation/hard application
Other, please specify
Do you have a gas collection system? Yes/ No
Flaring
Electricity generation
Other, please specify
Volume estimate (cubic metres)
Weight estimate (tonnes)
Weigh-bridge
Do you use Landfill 3000? Yes/No
If no, which programme do you use?
Quantity
In financial year
Business/commercial (%)
Residential (%)
Does the site accept liquid waste? Yes/No
Are the Landfill Waste Acceptance Criteria (LWAC) consistent with the Ministry for the Environment Guideline? Yes/No
Is the Ministry for the Environment Guideline used for hazardous waste acceptance? Yes/No
What documentation is required for hazardous waste loads?
When did the landfill open?
When will the current resource consents for the landfill expire?
Will the consent be extended beyond this date? Yes/No
Have you undertaken a SWAP in the last two years? Yes/No
When was your last SWAP survey?
Can you provide copies of this survey to the Ministry for the Environment?
Please enter any further comments you wish to make.