ࡱ>      #` .bjbjmm .-(((((((#uuuuv~)@2z jjjj6 ӚT'$rhb(((jj1>>>(j(j>>>((jz CÀu"ϲkL 0@ײ,<8<<(hӢգ>!sӢӢӢ(ӢӢӢ@~)~)~)DLu~)~)~)u<T6(((((( Nebraska State Fire MarshalFuels Division FLST Section246 South 14th Street Lincoln, NE 68508-1804(402) 471-9465Application for Permit to Install Underground Storage Tanks(Petroleum or Hazardous Substances) Todays Date:  FORMTEXT       Proposed Installation Date:  FORMTEXT      1. Owner Information2. Installation Site InformationOwner/Operator  FORMTEXT       Site Name  FORMTEXT      Mailing Address  FORMTEXT       Street Address (or directions, if rural)  FORMTEXT      City  FORMTEXT       State  FORMTEXT   Zip Code  FORMTEXT       -  FORMTEXT     City  FORMTEXT      Zip Code  FORMTEXT       -  FORMTEXT     County  FORMTEXT      Telephone # ( FORMTEXT    )  FORMTEXT     -  FORMTEXT      Telephone # ( FORMTEXT    )  FORMTEXT     -  FORMTEXT     Type of Installation:  FORMCHECKBOX  New Tank(s)  FORMCHECKBOX  Piping Only  FORMCHECKBOX  Replacement ( 10% or more or 10 feet)  FORMCHECKBOX  Adding new piping to existingComplete all applicable sections. 3. Tank Registration4. Type of Facility Did facility previously have underground storage tanks?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Indicate the type of facility: Are tanks registered with the State Fire Marshal?   FORMCHECKBOX  Marketing (including Bulk Plants)  FORMCHECKBOX  Non-Marketing FORMCHECKBOX  Yes Indicate facility ID #  FORMTEXT        FORMCHECKBOX  Government FORMCHECKBOX  No Contact State Fire Marshal immediately.5. Licensed Installation Contractor6. Certified IndividualCompany Name  FORMTEXT      License #  FORMTEXT       Individual Name  FORMTEXT       Street Address  FORMTEXT       Expiration Date  FORMTEXT       Certification #  FORMTEXT       Expiration Date  FORMTEXT       City  FORMTEXT       State  FORMTEXT    Telephone # ( FORMTEXT    )  FORMTEXT     -  FORMTEXT     Telephone # ( FORMTEXT    )  FORMTEXT     -  FORMTEXT      1 FLST 18 (rev 10/07) 7. Tank InformationTank Number# FORMTEXT      # FORMTEXT      # FORMTEXT      # FORMTEXT      # FORMTEXT      # FORMTEXT      Tank Type (Federally Regulated or Heating Oil) FORMCHECKBOX  Fed  FORMCHECKBOX  HO FORMCHECKBOX  Fed  FORMCHECKBOX  HO FORMCHECKBOX  Fed  FORMCHECKBOX  HO FORMCHECKBOX  Fed  FORMCHECKBOX  HO FORMCHECKBOX  Fed  FORMCHECKBOX  HO FORMCHECKBOX  Fed  FORMCHECKBOX  HO Tank Capacity (Gallons)  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Substance Stored in Tank UL, Pr, E-10, E-85, E-95, #1D, #2D, #1HO, #2HO, K, WO, NO, DD (Dyed Diesel  i.e., #2 DD) Other (Specify)  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Specify Brand:Steel with Cathodic Protection FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX FRP FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Jacketed Vinyl FRP FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  FORMCHECKBOX   FORMCHECKBOX  Check appropriate boxes:Composite (ACT 100) FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX Other  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT      Is the Tank New or Used? (Specify) Note: Used tanks must be recertified by the manufacturer and a letter of recertification for all used tanks must accompany this permit application. FORMCHECKBOX  New  FORMCHECKBOX  Used FORMCHECKBOX  New  FORMCHECKBOX  Used FORMCHECKBOX  New  FORMCHECKBOX  Used FORMCHECKBOX  New  FORMCHECKBOX  Used FORMCHECKBOX  New  FORMCHECKBOX  Used FORMCHECKBOX  New  FORMCHECKBOX  UsedWill the tank be used for Dispenser or Bulk Storage? FORMCHECKBOX  Disp  FORMCHECKBOX  Bulk FORMCHECKBOX  Disp  FORMCHECKBOX  Bulk FORMCHECKBOX  Disp  FORMCHECKBOX  Bulk FORMCHECKBOX  Disp  FORMCHECKBOX  Bulk FORMCHECKBOX  Disp  FORMCHECKBOX  Bulk FORMCHECKBOX  Disp  FORMCHECKBOX  BulkIs the tank connected to a stationary combustion engine (such as a generator, water pump, etc.?) FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMCHECKBOX  Yes  FORMCHECKBOX  No FORMCHECKBOX  Yes  FORMCHECKBOX  NoInstallation Method FORMCHECKBOX  PEI RP 100  FORMCHECKBOX  API 1615Anchoring Method  FORMCHECKBOX  Deadmen  FORMCHECKBOX  Overburden  FORMCHECKBOX  Both  FORMCHECKBOX  None FORMCHECKBOX  Manufacturer s Instructions  Specify  FORMTEXT       Other  FORMTEXT      Backfill Backfill Material (specify grade)  FORMTEXT      (If FRP, attach current sieve analysis)Will an Alternate Backfill Method be used?  FORMCHECKBOX  Yes  FORMCHECKBOX  No(If yes, attach Alternate Backfill approval letter)Type of Secondary Containment   FORMCHECKBOX  Double Walled  FORMCHECKBOX  Excavation Liner  FORMCHECKBOX  Other  FORMTEXT        Release Detection: Tanks Brand/Model/Test Method Brand/Model/Test Method  FORMCHECKBOX  Ground Water Monitoring FORMTEXT       FORMCHECKBOX  Automatic Tank Gauging FORMTEXT       FORMCHECKBOX  Interstitial Monitoring(required) FORMTEXT       FORMCHECKBOX  Manual Tank Gauging FORMTEXT       FORMCHECKBOX  Tightness Testing  Daily Inventory Control FORMTEXT       FORMCHECKBOX  Other (SIR) FORMTEXT       FORMCHECKBOX  Soil Vapor Monitoring FORMTEXT      2FLST 18 (rev 10/07) Corrosion Protection: TanksInternalExternal FORMCHECKBOX  Internal Lining FORMCHECKBOX  Impressed Current Cathodic Protection FORMCHECKBOX  None FORMCHECKBOX  Galvanic/Sacrificial Cathodic Protection FORMCHECKBOX  Unknown FORMCHECKBOX  Fiberglass/Epoxy Resin Clad FORMCHECKBOX  None FORMCHECKBOX  Other (specify)  FORMTEXT LN   N P d f h r t v |   " , . 2 F H \ ^ ` j l p yjhZ0uUjhZ0uUmHnHuj:hZ0uU hZ0uCJhZ0u5CJ\jhZ0u5U\!j!hZ0uhZ0u5U\jhZ0u5U\ jhZ0u5U\mHnHu hZ0u5\ hZ0uH*hZ0ujhZ0uU/ >{r $$Ifa$tkd$$Ifl40F*`V#04 laf4 $$Ifa$$If.>?@p{ $$Ifa$$Iftkd$$Ifl40F* V#04 laf4pqr{ $$Ifa$$Iftkd?$$Ifl40F* V#04 laf4$Iftkd$$Ifl40F* V#04 laf4~~$If$Iftkd$$Ifl40F* V#04 laf4{ $$Ifa$$Iftkd@$$Ifl40F* V#04 laf4"akd$$Ifl4*+04 laf4$Iftkd$$Ifl40F*V#04 laf4  v x z tkd)$$Ifl40i*304 laf4$Ifz | $Ifakd$$Ifl4*+04 laf4  0 2 F n pjddjd$If$Ifkdm$$Ifl40i*3 04 laf4pn p 4 ~~~~$If$Iftkd"$$Ifl40i*304 laf4  " $ & 0 2 6 @ B V X Z d f j v x   " , . 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Description of Project and General Site Plan(If you need more space attach separate sheets.) Scope of Work (describe the extent of planned activities):  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       If new or replacement piping, specify associated tank #s  FORMTEXT       General Site Plan showing: Buildings on property Approximate location of tanks and piping Distances from tanks and piping to property lines/building Location of dispensersNORTH 3FLST 18 (rev 10/07)9. PipingPiping MaterialBrand FORMCHECKBOX  Steel with CP FORMTEXT       FORMCHECKBOX  FRP FORMTEXT       FORMCHECKBOX  Flexible Plastic FORMTEXT       FORMCHECKBOX  Other  FORMTEXT       FORMTEXT      Corrosion Protection for PipingRelease Detection for Piping (mark all that apply) FORMCHECKBOX  Impressed Current Cathodic Protection FORMCHECKBOX  Ground Water Monitoring FORMCHECKBOX  Galvanic/Sacrificial Cathodic Protection FORMCHECKBOX  Interstitial Monitoring (required) FORMCHECKBOX  None (made of non-corrodible materials) FORMCHECKBOX  Electronic Leak Detectors FORMCHECKBOX  Other (specify)  FORMTEXT       FORMCHECKBOX  Tightness Testing-Every 3 Yrs (Conventional Suction) FORMCHECKBOX  Soil Vapor Monitoring FORMCHECKBOX  Manual Leak Detectors FORMCHECKBOX  Tightness Testing  Annual (Pressurized) FORMCHECKBOX  None (Safe Suction) FORMCHECKBOX  Other (SIR)Piping System FORMCHECKBOX  Pressurized  FORMCHECKBOX  Conventional Suction  FORMCHECKBOX  Safe Suction If a pressurized system, will shear valve be rigidly anchored to dispenser island in accordance with manufacturer s installation instructions?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Type of Secondary Containment   FORMCHECKBOX  Double Walled  FORMCHECKBOX  Excavation Liner  FORMCHECKBOX  Other  FORMTEXT       Does the project include installation of motor fuel dispenser system?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, see Title 159, Chapter 4 Section 004.03B for under dispenser spill containment requirement. 10. General InformationDistance from tank(s) to nearest property line (feet)  FORMTEXT       ftDistance from tank(s) to nearest structure (feet)  FORMTEXT       ftDepth to groundwater (feet)  FORMTEXT       ftWill an Electrical Permit be obtained?  FORMCHECKBOX  Yes  FORMCHECKBOX  No  FORMCHECKBOX  N/AWill dispensers use a card-trol or key-trol system?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoIs facility unattended at any time (day or night)?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoDoes building have plastic water supply lines?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoWill One-Call procedure be followed?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoA fee of fifty dollars ($50) per tank or piping must be submitted with this application. Application will be approved or denied within ten (10) working days after receipt of permit application and fee. Payment must be made by check or money order. Cash will not be accepted. All tanks must be installed in accordance with Title 159, State Fire Marshal Underground Storage Tank Rules and Regulations. No tank or piping shall be covered before inspection by State Fire Marshal personnel. Inspection requests shall be made at least 72 hours prior to pre-installation to assure inspector availability. Inspections will be scheduled in the order requests are received. As built drawings, all tightness test results and the proper notification form shall be on site and available for the inspector before the tanks / piping are placed into service. Application Submitted By:  FORMTEXT      (print name)  (signature)Note: Incomplete or missing information may cause this application to be rejected and returned for corrections. 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