Oregon Administrative Rules › Chapter 340 - DEPARTMENT OF ENVIRONMENTAL QUALITY › Division 172 - UNDERGROUND STORAGE TANK FINANCIAL ASSISTANCE PROGRAM › Section 340-172-0040 - Information Required on Financial Assistance Application

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The UST financial assistance application
			 shall include, at a minimum:
(a) The
			 applicant's name, mailing address and phone.
NOTE: An applicant must be the property owner, tank
				owner or permittee.
(b) The signatures and phone numbers of the
			 property owner, the tank owner and the permittee of facility;
(c) The UST facility location information
			 including:
(A) Facility name, street address,
			 city and county; and
(B) Where the
			 applicant intends to qualify for Tier 3 and 4 financial assistance:
(i) The distance to nearest retail gas sales
			 facility if the applicant's facility is outside an incorporated city measured
			 in accordance with OAR 340-172-0070(2)(d)(C) (iii); or
(ii) The name of the city, if the applicant's
			 facility is the only retail UST facility reselling motor fuel within a city
			 listed in the 1991/1992 Oregon Blue Book.
(d) The UST facility number;
(e) The date of the application;
(f) Description of the UST project work area
			 including a scaled drawing (contractor's or engineer's drawing) showing, but
			 not limited to, property boundaries, location of structures, location and
			 identification of the existing underground storage tanks containing an
			 accumulation of motor fuel. Where AST(s) replace UST(s) the application shall
			 also include:
(A) Description of the AST
			 project work, installation specifications and a scaled installation drawing
			 (contractor's or engineer's drawing) showing all information necessary to
			 determine compliance with local and state fire codes and federal regulation  40
			 CFR 112  including, but not limited to:
(i)
			 Spill containment structures;
(ii)
			 Control equipment to allow removal of motor fuel and rainwater from the spill
			 containment area;
(iii) Overfill
			 prevention devices;
(iv) Piping and
			 valving;
(v) Atmospheric and
			 emergency venting; and
(vi) Tank
			 construction details.
(B) A copy of the Spill Prevention Control
			 and Countermeasure (SPCC) Plan certified by a registered professional engineer,
			 as required by federal regulation  40 CFR 112.
(g) Description of the UST project work
			 including a scaled drawing (contractor's or engineer's drawing) showing those
			 items and activities that are not part of a UST system but are required because
			 of construction interference.
NOTE: OAR 340-172-0020(6)(a)-(e)  describe the UST
				project work that may qualify for financial assistance.
(h) Total project cost in the form
			 of a bid or estimate for the proposed UST project work or the actual cost where
			 UST project work is completed prior to filing an application under these rules.
			 Where there is no site assessment information on possible petroleum
			 contamination, a bid or estimate shall include the following costs for
			 corrective action:
(A) For a facility with:
(i) One tank, include soil cleanup costs of
			 $6,000;
(ii) Two tanks, include
			 soil cleanup costs of $9,000;
(iii)
			 Three tanks, include soil cleanup costs of $12,000;
(iv) Four tanks, include soil cleanup costs
			 of $15,000;
(v) Five tanks, include
			 soil cleanup costs of $18,000;
(vi)
			 Six or more tanks, include soil cleanup costs of $21,000.
(B) Include groundwater cleanup costs of
			 $25,000 for each facility where seasonal groundwater exists at ten feet or less
			 below the surface of the ground according to available records from the Oregon
			 Department of Water Resources, U.S. Soil Conservation Service, U.S. Geological
			 Service, or equivalent information.
(i) For persons intending to qualify for
			 Tiers 2, 3, and 4 financial assistance, a determination of the financial
			 assistance ratios in section (2) of this rule by an Oregon licensed public
			 accountant based upon the tank owner's business or personal financial
			 information showing all assets, income from all sources, outstanding debts and
			 liabilities, including financial information from sole proprietors, all
			 partners of a partnership or joint venture, corporations, and all wholly owned
			 subsidiaries of corporations. The information furnished by the applicant to the
			 accountant shall be adequate to allow the licensed public accountant to prepare
			 a compiled pro forma fiscal year-end financial statement and shall include:
(A) Federal and state income tax filings for
			 most recent fiscal year; or
(B) The
			 most recent pro forma fiscal year-end financial statement or, where
			 unavailable, on the most recent fiscal year, a compiled pro forma year-end
			 financial statement prepared by a licensed public accountant.
(j) Where a UST remains in the
			 ground and a site assessment is not part of the UST project work, the
			 application shall include a report of the site assessment work described in OAR
			 340-172-0050;
(k) Insurer's written
			 quote; and
(l) Other information
			 required by the Department.