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TOXIC & HAZARDOUS MATERIALS / PETROLEUM BULK STORAGE FACILITY PROCEDURE FOR PLAN SUBMISSION AND APPROVAL I. Proposed Facility: The applicant must submit prior to construction or substantial remodeling, plans in duplicate showing: A scaled site plan of the storage facility showing layout of tanks, lines and dispenser/pumps, dikes/pads. Also include drum storage, if applicable; and the specifications for all tanks, lines and dispenser/pumps, dikes/pads. Complete the attached form. Submit fee for plan review, fifteen dollars and seventy-five cents ($15.75) per thousand gallons storage. (Not to exceed $375.) Please make checks payable to the Cortland County Treasurer. Plans lacking any of the above requested information will be returned to applicant. II. Plan Approval: If plans are not approved, they will be returned to the applicant with a list of changes that are required. If plans are approved, a set of approved plans will be sent to the applicant who is then allowed to proceed with construction. Construction shall be done in accordance with the approved plans and any changes in equipment, etc., must first be approved by the Health Department. III. Inspections: If tanks are to be removed as part of part of construction, a representative of this department must be present during the removal. A site assessment must be done in order to meet EPA requirements at the same time. If petroleum products are discovered in the soil, DEC must be called. If the area is free from contamination, the hole may be filled. Each tank scheduled to be abandoned must be cleaned of all product and sludge, then rendered free of vapors. Tank cleaning should be done by professionals. A Health Department representative must be on site to witness the air test on each tank. In some areas, the local code enforcement officer must be present. IV. Final Requirements: After installation an "as built" set of plans containing actual dimensions for tank location, lines, etc., must be submitted to this office. A revised Petroleum Bulk Storage form must be submitted. TO INSURE A QUICK REVIEW OF YOUR PLANS, BE SURE THEY ARE COMPLETE AND ACCURATE. CHECK WITH LOCAL CODE ENFORCEMENT OFFICE TO SEE IF A BUILDING PERMIT IS REQUIRED. ---PAGE BREAK--- APPLICATION FOR INSTALLATION OF NEW TH&S-PBS TANKS/FACILITY NAME OF FACILITY PBS# 7-990 LOCATION: PHONE OWNER MAILING ADDRESS PHONE TYPE OF FACILITY: SMALL BULK PLANT SERVICE STATION GOVERNMENT COMMERCIAL/INDUSTRIAL HOME FARM OTHER WILL ANY PETROLEUM BULK STORAGE TANKS BE ABANDONED AT THIS TIME? If yes: Tank Number Product Tank Number Product Name of contractor removing/filling tanks: Address Name of contractor cleaning tanks: Address Name of contractor installing new tanks/lines: Address Name of person overseeing installation: Address Name of lab doing EPA site assessment: Address SEND COPY OF CLOSURE REPORT TO CORTLAND COUNTY HEALTH DEPARTMENT