(1) The underground
storage tank loan guarantee certificate application shall include:
(a) Name, mailing address and telephone
number of the applicant;
(b) Name,
mailing address and telephone number of the property owner, UST owner, and the
permittee;
(c) Signatures of the
applicant, the property owner, the UST owner, and the permittee;
(d) UST facility name and location;
(e) UST permit numbers;
(f) Date of the application;
(g) Description of work at the UST facility
including:
(A) Description of the work area
including a sketch showing, but not limited to, property boundaries, location
of structures, location and identification of the underground storage tanks
containing an accumulation of motor fuel;
(B) Description of tank upgrade or
replacement items and activities, including those items and activities that are
not part of a UST system but are required because of construction interference.
NOTE:Work qualifying for the loan guarantee
certificate includes:
-1-Modification, replacement, and installation of
any portion of the UST system containing motor fuel including replacement of
paving and structures located immediately over the UST systems and are required
to be removed and replaced due to work on the UST systems.
-2-Replacement of an underground storage tank
system with an above ground storage tank system that meets existing state and
local codes.
-3-Installation of the underground portion of any
required Stage I vapor recovery system or anticipated future Stage II vapor
recovery system.
-4-Soil remediation for soil contaminated with
motor fuel including replacing excavated soil, paving and structures that are
required to be removed during soil remediation.
(h) Total project cost in the form of a bid,
estimate, or paid invoices from a licensed UST service provider, identifying
those items that qualify for the loan guarantee certification described by
these rules.
NOTE:The total project cost will affect the
priority for the loan guarantee application and the amount of the guarantee.
The Department recommends that the applicant obtain three bids or estimates to
identify an accurate total project cost. Where construction is completed prior
to applying for a loan guarantee certificate the applicant may document project
costs with paid invoices.
(i) A copy of the soil assessment and UST
tightness testing Notice of Compliance from the Department; and
(j) The information required to determine the
priority category for the facility:
(A)
County;
(B) Location of the
facility east or west of the summits of the Coast and Cascade mountain
ranges;
(C) City and city
population as shown in the current Oregon Blue Book, if the facility is located
within an incorporated city;
(D)
Location of the facility inside or outside of the Portland Metropolitan Service
District;
(E) Distance to nearest
two facilities that retail motor fuel, in the shortest highway miles;
(F) Gallons of motor fuel throughput during
the last 12 months;
(G) Annual
gross sales receipts for previous two years for the business conducted at the
facility;
(H) Annual revenue
receipts for previous two years for any nonprofit or governmental entity;
and
(I) Type of business at the
facility including SIC code.