ANNEX A

TLLRWDCC §675.23—IMPORTATION FORM

TEXAS LOW-LEVEL RADIOACTIVE WASTE DISPOSAL COMPACT COMMISSION APPLICATION
FOR IMPORTATION OF NON-PARTY LOW-LEVEL RADIOACTIVE WASTE (NOTE: PURSUANT TO
TEXAS HEALTH AND SAFETY CODE, §401.207(j), THIS PETITION MUST BE COMPLETED BY
APPROPRIATE REPRESENTATIVES OF THE DEPARTMENT OF DEFENSE OR THE GENERATOR OF
THE WASTE UNLESS THE GENERATOR IS A SMALL QUANTITY GENERATOR AS DEFINED IN 31
TAC §675.20(19), IN WHICH CASE THE PETITION MAY BE SUBMITTED BY AN APPROPRIATELY
LICENSED BROKER) (Article III, Sec. 3.05(7) of the Compact)

I. Applicant Information

Entity Name: NextEra Energy Point Beach, LLC
Contact Person: Gene LeClair
Phone: (920) 755-6953
Email: gene.f.leclair@nee.com
Website:
Business Address: 6610 Nuclear Road Two Rivers, WI 54241
Mailing Address (if different):
Applicant is: Generator

II. Generator Specifications

Generator Type: Utility
Is waste coming from a "small quantity generator"? Yes

III. Agreement Period

Import applications generally will be granted only in single fiscal-year increments.
If you are seeking a term that would extend beyond the end of a current fiscal year,
please explain the unusual experiences that would justify a deviation from this general rule?

September 1, 2019 to August 31, 2020

IV. Waste Proposed for Importation

Waste Volume (Cubic Feet): 125.2
Waste Radioactivity (Curies): 300
Waste Classification: Class B Class C
Waste Form: Unstable
Does the proposed waste consist solely of sealed sources? No

Compact and/or unaffiliated state, territory, possession, or district of the United States where the waste was generated (please list)

Midwest Compact / Wisconsin
Waste Description: Plant liquid cleanup resins

V. Compliance

Does Applicant have any unresolved violation(s), complaint(s), unpaid fee(s),
or past due report(s) with the Texas Low-Level Radioactive Waste Disposal Compact Committee?


No.
Does Applicant have any unresolved violation(s), complaint(s), unpaid fee(s),
or past due reports associated with radioactive waste receipt, storage, handling,
management, processing, or transportation pending with any other regulatory agency
with jurisdiction to regulate radioactive material including, without limitation,
the Texas Commission on Environmental Quality (TCEQ)?


No.

VI. Certifications

Applicant hereby certifies the following:

The information provided herein is complete, accurate, and correct. The waste proposed for importation is not waste of international origin. The low-level radioactive waste for which this Import Application is submitted will be packaged and shipped in accordance with applicable state and federal regulations and is acceptable for disposal at the Compact Facility. The person submitting this Import Application is authorized by the Applicant to commit Applicant to each and every obligation and condition set forth herein and in the Agreement for Importation of Non-Party Compact Waste. A copy of a written document containing such authorization must be attached to this Import Application. Applicant has delivered to the specified disposal facility and TCEQ a copy of this Application for Importation of Compact Waste (along with any supplement or amendment thereto).

VII. Authorized Signatory

Name: Gene LeClair
Title: Site Waste Supervisor
Date/Time: 08/19/2019

VIII. Attachments

Applicable Documents #1: None Submitted
Applicable Documents #2: None Submitted
Other Comments:
Other Applicable Documents: None Submitted