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Underground Storage Tanks-Related Forms

 

Underground Storage Tanks-Related Forms

IMPORTANT:
The Site Remediation Program has recently amended program rules with respect to the Site Remediation Reform Act (SRRA). SRP has revised many of the forms to reflect these changes. The updated forms are available at www.nj.gov/dep/srp/srra/forms/.

Form/ Doc#
Rev. or Posting Date
Form/ Document Name & Description Formats Available
UST-010
Rev: 8/97
Posted:
21 December 2016
UST Substantial Modification Permit application form MS Word [doc 189 Kb]
Adobe Acrobat [pdf 141 Kb]
UST-010a
Rev: 8/97
Posted:
21 December 2016
UST Substantial Modification Permit Application Instructions MS Word [doc 61 Kb)
Adobe Acrobat [pdf 40 Kb]
UST-021
Rev: 05/14
Posted:
22 May 2014

UST Facility Certification Questionnaire

Use this questionnaire for corrections or amendments to an existing facility registration.

Adobe Acrobat [pdf 1.85 Mb]

You can also submit the information via DEP Online at www.njdeponline.com.

UST-021 (Draft - Optional)
Rev: 10/17
Posted:
17 October 2017

UST Facility Certification Questionnaire (Draft - Optional)

This version of the UST Facility Certification Questionnaire is a draft and its use is currently optional. Use of this version of the Questionnaire will be mandatory once the amendments to the Underground Storage Tanks rules (N.J.A.C. 7:14B) are adopted.

Questionnaire [pdf 38 Kb]

Instructions [pdf 596 Kb]

 

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]

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