Form/ Doc#
Rev. or Posting Date |
Form/ Document Name & Description |
Formats Available |
Federally Regulated
Underground Storage Tank Systems Form
Posted 28 Jan 2008 |
Confirming a Release from Federally Regulated
Underground Storage Tank Systems
The Federal Energy Policy Act of 2005 requires the NJ Department
of Environmental Protection (DEP) to report on sources and causes
of releases from Federally regulated underground storage tank (UST)
systems. In order to comply with these reporting requirements, the
DEP has developed procedures to gather data for each new release
from a Federal UST.
All parties conducting remediation at a site with Federally regulated
USTs shall complete the Federal UST Release Reporting Form and submit
with any initial Remedial Investigation Report submitted to comply
with N.J.A.C. 7:14B-8.3.
|
MS
Word [doc 38 Kb]
Adobe Acrobat
[pdf 94 Kb]
More information, including
what USTs are "federally regulated" (This information
is also included in the form document.)
|
UST Report Certification
Form
Rev: 11/2006
Posted: 22 November 2006 |
UST Site/Remedial Investigation Report Certification
Form
This form should be completed and submitted to the Department with
a Site Investigation Report or Remedial Investigative Report (SIR/RIR)
whenever regulated tanks and or piping are involved pursuant to
N.J.A.C. 7:26E. |
MS Word
[doc 40 Kb]
Adobe Acrobat [pdf 97 Kb]
|
UST-010
Rev:
8/1997 |
UST Substantial Modification Permit application
form |
MS Word
[doc 182 Kb]
Adobe Acrobat [pdf 149 Kb]
Word Perfect 5.1 [wp5
135 Kb]
ZIP of WP 5.1 doc [zip
38 Kb] |
UST-010a
Rev:
8/1997 |
UST Substantial Modification Permit Application
Instructions |
MS Word
[doc 57 Kb)
Adobe Acrobat [pdf 37 Kb]
Word Perfect 5.1 [wp5
38 Kb]
ZIP of the WP 5.1 doc [zip
13 Kb] |
|
UST-C13
Rev: 11/2001
updated 9/2007
Consolidates and replaces UST-013: Closure Plan
Approval Application and UST-N13: Notice of Intent to Close an UST
System. |
Closure of an Underground
Storage Tank (UST) System
Use this application for closure activities of all underground
storage tanks containing hazardous substances, except for those
tanks exempted by N.J.A.C. 7:14B-1.4(b).
This new application can be used for three types of submittals:
- Notice of Intent to Close an UST System,
- an UST Closure Plan Review/Variance Request Approval, and
- an Out of Service UST Extension.
|
MS Word
[doc 58 Kb]
Adobe Acrobat [pdf
210 Kb]
Rich Text Format [rtf
119 Kb]
Zip of Word Doc [zip
15 Kb]
You can also electronically submit the 14-Day Notice of Intent
to Close an UST System at www.njdeponline.com.
It will enable applicants to instantly notify us of proposed closures.
After completing the application on-line, you will be immediately
able to print the document, Closure - Notice of Intent.
Additionally, an UST Facility Certification Questionnaire
must be completed and submitted to the Department within seven days
of the completion of all closure activities. |
UST-021
Rev:
04/06
Posted:
17 April 2006 |
UST Facility Certification Questionnaire
Use this questionnaire for corrections or amendments to an existing
facility registration.
 Important
notice to UST owners & operators regarding the recent changes
to this questionnaire
|
Adobe Acrobat
[pdf 34 Kb]
You can also submit the information via DEP Online at www.njdeponline.com.
|
Attachments for UST-021 Form - Financial Responsibility
for Regulated Underground Storage Tanks (USTs) Certifications:
 UST
Financial Responsibility Info
|
Form/ Doc#
Rev. or Posting Date |
Form/ Document Name & Description |
Formats Available |
Attachment
to UST-021
Rev: 12/03
Posted:
5 March 2004 |
Financial Test of Self - Insurance
This form should be completed and attached to the UST Facility
Certification Questionnaire when Self Insurance is chosen as a Financial
Responsibility Insurance type in Section C of the Questionnaire.
|
MS
Word [doc 96 Kb]
Adobe Acrobat [pdf
111 Kb]
Zip of Word Doc [zip
78 Kb] |
Attachment
to UST-021
Rev: 12/03
Posted:
5 March 2004 |
Financial Test for Local Government
This form should be completed and attached to the UST Facility
Certification Questionnaire when Local Government is chosen as a
Financial Responsibility Insurance type in Section C of the Questionnaire.
|
MS
Word [doc 95 Kb]
Adobe Acrobat [pdf
111 Kb]
Zip of Word Doc [zip
78 Kb] |
UST Contractor Certification
Forms:
All persons and firms who provide services on underground storage
tank systems (USTs) which are regulated pursuant to P.L. 1986 c.102
must be certified by the Department of Environmental Protection
in a particular classification or classifications or perform the
services while under the immediate on-site supervision of a person
certified in that classification. (16 Aug 1999)
UST
Contractor Certification Info
|
Form/ Doc#
Rev. or Posting Date |
Form/ Document Name & Description |
Formats Available |
ADM-270
Rev:
8/1996 |
UST Contractor Certification or Exemption for Individuals
|
Adobe
Acrobat [pdf 101 Kb] |
ADM-275
Rev:
9/1997 |
UST Contractor Certification for Firms |
Adobe Acrobat
[pdf 75 Kb] |
Forms
