Hazardous Materials Applications, Forms, and Fees

Aboveground Storage Tank (AST) Program


AST Tank Facility Statement   (.pdf 194KB)
AST Tank Facility Statement  (word.  174KB)


Aboveground Tank Self Inspection Form (.pdf 194KB) 
Aboveground Tank Spill Log (.pdf 92KB)


Sample Spill Prevention, Control, and Countermeasure (SPCC) Plan (.pdf 658KB)
Sample 2 Spill Prevention, Control, and Countermeasure (SPCC) Plan (pdf 201 KB)


Tier 1 Qualified Facility SPCC Plan Template (Word 763KB)
Tier 1 Qualified Facility SPCC Plan Template (.pdf 720KB)

Tier 2 Qualified Facility SPCC Plan Template  (.pdf 689KB)
Tier 2 Qualified Facility SPCC Plan Template (word 947KB)


Monitoring Wells 


Hazardous Materials Monitoring Well Permit Application    - Application for Monitoring Well construction or destruction, and soil borings. (includes geoprobes and temporary vapor probes, as well.)  Please note that monitoring wells, soil borings etc , must be included on separate applications. Click here for current fees.





Underground Storage Tank (UST) Program - Most of these forms have two formats, MS Word and .pdf  (forms updated 5/20/09)


UST Permit Application  - New construction, modification or repair (Word 96 KB) 
UST Permit Application  - New construction, modification or repair (.pdf 136 KB)

Form A - Underground Storage Tank Facility Permitting (Word 345 KB)
Form A - Underground Storage Tank Facility Permitting (.pdf 66 KB)

Form B - Underground Storage Tank Permitting (Word 170 KB)
Form B - Underground Storage Tank Permitting (.pdf 35 KB)

Form C - Certificate of Compliance (.pdf only 48 KB)

Form D - Monitoring Plan (Word 236 KB)
Form D - Monitoring Plan (.pdf 121 KB)

Form E - Underground Storage Tank Response Plan (Word 70 KB)
Form E - Underground Storage Tank Response Plan (.pdf 321 KB)

UST Closure Permit Application (Word 91KB)
UST Closure Permit Application (.pdf 138 KB)

UST Operator Form - Designated Operator (Word 45 KB)
UST Operator Form - Designated Operator (.pdf 110 KB)

UST Owner/Operator Agreement (Word 26 KB)
UST Owner/Operator Agreement (.pdf 30 KB)

Hazardous Waste Tank Closure Certification Form (Word 150KB)





 

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