BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-39

APPENDIX A

ILLUSTRATION A

Enforcement Case

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

PEOPLE OF THE STATE OF

)

ILLINOIS,

)

)

Complainant,

)

)

v.

)

PCB xx-xxx

)

(Enforcement-X)

W. R. JONES Co.,

)

)

Respondent.

)

ILLUSTRATION B

Citizen’s Enforcement Case

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

MR. JOHN DOE,

)

)

Complainant,

)

)

v.

)

PCB xx-xxx

)

(Enforcement-X)

W. R. JONES Co.,

)

)

Respondent.

)

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-40

ILLUSTRATION C

Variance

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

W.R. WATER CO.,

)

)

Petitioner,

)

)

v.

)

PCB xx-xxx

)

(Variance-X)

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY,

)

)

Respondent.

)

ILLUSTRATION D

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF:

)

)

PETITION OF ABC COMPANY

)

AS xx-xxx

FOR AN ADJUSTED STANDARD

)

(Adjusted Standard-X)

FROM 35 Ill. Adm. Code XXX.XXX

)

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-41

ILLUSTRATION E

Joint Petition for an Adjusted Standard

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF:

)

)

PETITION OF ABC COMPANY AND

)

AS xx-xxx

THE ILLINOIS ENVIRONMENTAL

)

(Adjusted Standard-X)

PROTECTION AGENCY FOR

)

ADJUSTED STANDARD FROM

)

35 Ill. Adm. Code XXX.XXX

)

ILLUSTRATION F

Permit Appeal

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

GENERAL COMPANY,

)

)

Petitioner,

)

)

v.

)

PCB xx-xxx

)

(Permit Appeal-X)

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY,

)

)

Respondent.

)

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-42

ILLUSTRATION G

Underground Storage Tank Appeal

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

GENERAL COMPANY,

)

)

Petitioner,

)

)

v.

)

PCB xx-xxx

)

(UST Fund Appeal)

ILLINOIS ENVIRONMENTAL

)

PROTECTION AGENCY,

)

)

Respondent.

)

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

GENERAL COMPANY,

)

)

Petitioner,

)

)

v.

)

PCB xx-xxx

)

(UST Appeal)

OFFICE OF THE STATE

)

FIRE MARSHAL,

)

)

Respondent.

)

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-43

ILLUSTRATION H

Landfill Siting Review

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

GENERAL COMPANY,

)

)

Petitioner,

)

)

v.

)

PCB xx-xxx

)

(Landfill Siting Review)

XXX COUNTY AND ABC DISPOSAL

)

COMPANY,

)

)

Respondents.

)

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

ABC DISPOSAL COMPANY,

)

)

Petitioner,

)

)

v.

)

PCB xx-xxx

)

(Landfill Siting Review)

XXX COUNTY,

)

)

Respondent.

)

---

Part 101 Appendices-44

ILLUSTRATION I

Administrative Citation

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

COUNTY OF COOK,

)

)

Complainant,

)

)

v.

)

AC xx-xxx

)

IEPA or County Number

ABC DISPOSAL AND

)

(Administrative Citation)

RECYCLING, INC.,

)

)

Respondent.

)

ILLUSTRATION J

General Rulemaking

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF:

)

)

REVISION OF THE FLUORIDE

)

R xx-xxx

DRINKING WATER STANDARD:

)

(Rulemaking-X)

PROPOSED AMENDMENTS TO

)

35 Ill. Adm. Code XXX.XXX

)

ILLUSTRATION K

Site-specific Rulemaking

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF:

)

)

PROPOSED SITE SPECIFIC WATER

)

R xx-xxx

POLLUTION REGULATIONS

)

(Site-Specific Rulemaking-X)

APPLICABLE TO XYZ

)

UTILITIES COMPANY OF ILLINOIS

)

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-45

DISCHARGE TO XYZ CREEK:

)

35 Ill. Adm. Code

)

BOARD NOTE:

The Board notes that all docket numbers consist of letter(s) followed by two

numbers. The first two digit number is the year the matter was filed. Then the second

number is the sequential number for that type of filing the Board has received that year.

Persons making filings are not responsible for the Board docket number on the original filing.

The Clerk of the Board will assign the appropriate docket number when the matter is filed.

All filings in a matter that has been assigned a docket number should contain a docket number

located as indicated on the examples above. The Board will also be designating its opinion and

orders with the type of case and media involved in the matter. Where the above examples

have the type of case proceeded by "X" the Board will be, for example if the case is dealing

with a variance from certain water regulations, the Board will put the media, water, after

variance to become "Variance-Water". Again, persons making filings need not place this on

original filings. However, all filings in a matter that has been assigned the media should

indicate that media in the location as in the above examples. Where there are specific

procedural rules developed for specific types of cases, as in an "UST Appeal", persons making

filings should follow those examples.

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-46

APPENDIX B

Appearance Form

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

)

Applicable Caption

)

see Appendix A)

)

docket number

)

APPEARANCE

I hearby file my appearance in this proceeding, on behalf of

ABC Company.

Attorney's Name

Name of Attorney and Firm

Address

Telephone Number

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-47

APPENDIX C

Withdrawal of Appearance Form

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

)

Applicable Caption

)

(see Appendix A)

)

docket number

)

NOTICE OF WITHDRAWAL OF APPEARANCE

I hereby give notice of withdrawal of my appearance as

representative of ABC Company in this proceeding.

Attorney's Name

Name of Attorney and Firm

Address

Telephone Number

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-48

APPENDIX D

Notice of Filing

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

)

Applicable Caption

)

(see Appendix A)

)

docket number

)

)

NOTICE OF FILING

To: (List all persons served.)

PLEASE TAKE NOTICE that I have today filed with the Office of the Clerk of the Pollution

Control Board the [specify what document was filed] of [name of persons filing the

document], a copy of which is herewith served upon you.

Name of Attorney or Other Representative

Date

Name

Address

Telephone Number

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-49

APPENDIX E

ILLUSTRATION A

Service by Non-Attorney

PROOF OF SERVICE

I, the undersigned, on oath [or affirmation] state that I have served the attached [describe

document served], by [describe method of service], upon the following persons:

(list persons served)

[signature]

Notary Seal

SUBSCRIBED AND SWORN TO BEFORE ME this day of , 19 .

Notary Public

ILLUSTRATION B

Service By Attorney

CERTIFICATE OF SERVICE

I, the undersigned, certify that I have served the attached [describe document served], by

[describe method of service], upon the following persons:

(list of persons served)

---

BOARD PROPOSAL FOR PUBLIC COMMENT OCTOBER 3, 1996

Part 101 Appendices-50

APPENDIX F

Notice of Withdrawal

BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

)

Applicable Caption

)

(see Appendix A)

)

docket number

)

)

NOTICE OF WITHDRAWAL

NOW COMES [Petitioner’s or Complainant’s name], by one of its

attorneys,[Attorney’s name] pursuant to 35 Ill. Adm. Code 101.302(l) hereby gives notice of

withdrawal of this case.

Attorney's Name

Name of Attorney and Firm

Address

Telephone Number