INSTRUCTIONS FOR PETROLEUM UNDERGROUND STORAGE TANK REMEDIATION, UPGRADE AND CLOSURE FUND

Similar documents
INSTRUCTIONS FOR PETROLEUM UNDERGROUND STORAGE TANK REMEDIATION, UPGRADE AND CLOSURE FUND

ENVIRONMENTAL PROTECTION

Semi-Annual Report to the North Carolina General Assembly

401 KAR 42:330. Small Owners Tank Removal Account.

What s new in 2018 We clarified when sellers are required to collect local sales taxes. See Local Sales and Use Taxes on page 4.

Let Petro Jersey Industries Help You Take Your Clients

Residential Debris Removal Right-of-Entry Permit Checklist for Property Owners

Residential Debris Removal Right-of-Entry Permit Checklist for Property Owners

UNDERGROUND STORAGE TANK PETROLEUM PRODUCT CLEANUP FUND POLICY FOR DIRECT PAYMENT PROGRAM MASSACHUSETTS GENERAL LAWS CHAPTER 21J AND 503 CMR 2.

PETROFUND REIMBURSEMENT APPLICATION GUIDE

Los Angeles County Public Works. Right-of-Entry Permit for Residential Debris Removal on Private Property Checklist for Property Owners

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2003 SESSION LAW HOUSE BILL 897

Debris Removal Right-of-Entry Permit (For Providing Debris Removal on Private Property)

Debris Removal Right-of-Entry Permit (For Providing Debris Removal on Private Property)

CONTENTS WHAT DRYCLEANING FACILITIES ARE ELIGIBLE?... 2 WHAT COSTS WILL THE FUND NOT PAY?... 5 FACILITIES WITH EXISTING REMEDIAL ACTION...

QUOTATION ONLY -- NOT AN ORDER

Debris Removal Right-of-Entry Permit (For Providing Debris Removal on Private Property)

VERMONT ATTORNEY GENERAL S OFFICE CONSUMER PROTECTION RULE (CP) 111 REGULATION OF PROPANE Adopted December 1, 2011 Effective January 1, 2012

BE IT RESOLVED BY THE BOARD OF DIRECTORS OF GALVESTON COUNTY MUNICIPAL UTILITY DISTRICT NO.

Appendix E Summary of Petroleum UST Cleanup Fund Regulations

All About Oil tanks in Thurston County

SCHEDULE This Endorsement is applicable to the following location: SPECIMEN. Loss of Use $1,500

Engineering Mechanical Electrical Plumbing Specialty Plumbing and Liquefied Petroleum Gas (LPG) Trades Contractor

CLAIM SUMMARY / DETERMINATION FORM

Adams Ridge Homeowners Association

FREQUENTLY ASKED QUESTIONS

City of Tacoma Single Family Homeowner Occupied Rehabilitation Loan Program Services

Residential Debris Removal Right-of-Entry Permit Checklist for Property Owners

REQUEST FOR PROPOSALS FOR BID TOWN OF MIDDLESEX, VERMONT TROPICAL STROM IRENE FEDERAL BUYOUT DEMOLITIONS

MEDIUM Motor Vehicle Refueling Facilities

Service Line Coverage

City of Corpus Christi Housing and Community Development

Tax-Saving Tips. The Advisory Firm s. IRS Issues Final Section 199A Regulations and Defines QBI. Rental Property QBI

Reserve Request Instructions: Documentation Requirements

Sewer/Septic Line Plus Restoration Terms and Conditions

Florida Department of Environmental Protection DIVISION OF WASTE MANAGEMENT Bureau of Petroleum Storage Systems

Reimbursement Application Minnesota Agricultural Chemical Response and Reimbursement Account (ACRRA)

(3) received less than $200,000 in payments from the LIHEAP program for propane

Incomplete submissions will be declined

CITY STATE ZIP CODE TELEPHONE #

CLAIM SUMMARY / DETERMINATION

***Please keep this page for your records***

SLWA SERVICE LINE WARRANTY PROGRAM

FOR OFFICE USE ONLY CONTRACTOR/DEVELOPER APPLICATION AND PERMIT TO CONSTRUCT, OPERATE, USE AND/OR MAINTAIN WITHIN THE RIGHT-OF-WAY/EASEMENT

Contractors. Defining real property. What s New in 2018

Disaster Recovery Assistance for Ontarians: Program Guidelines

REMEDIATION TRUST FUND AGREEMENT

SUWANNEE RIVER WATER MANAGEMENT DISTRICT INVITATION TO BID. No. 17/18-009EO

MASSHOUSING REPLACEMENT RESERVE DISBURSEMENT GUIDELINES

APPLICATION FOR VARIANCE PERMIT TO ALLOW NON-STANDARD MATERIAL ON PUBLIC RIGHT OF WAY

Releases & Real Estate & Risk

For Annual Policies:

CONSTRUCTION CLAIMS DISCLOSURE (NRS )

Incomplete submissions will be declined

Request for Proposal for Engineering Services. January 10, 2017 Sue Howard Closing Date: January 17,

THE PINNACLE HOMEOWNERS ASSOCIATION. Financial Statements. December 31, 2014

NLC SERVICE LINE WARRANTY PROGRAM. City Stakeholder Frequently Asked Questions

REQUEST FOR PROPOSAL SINGLE-FAMILY HOMEOWNER OCCUPIED REHABILITATION PROGRAM SERVICES JULY Tacoma Community Redevelopment Authority

UNOFFICIAL COPY CHAPTER 14B UNDERGROUND STORAGE TANKS. AUTHORITY N.J.S.A. 13:1D et seq., 58:10A-21 et seq. EFFECTIVE DATES Readoption April 20, 2003

***Please keep this page for your records***

LOCAL GOVERNMENTS CAPITAL IMPROVEMENTS REVOLVING LOAN PROGRAM (CAP LOAN)

OFFICE OF THE KANE COUNTY AUDITOR TERRY HUNT, KANE COUNTY AUDITOR

CRAFT FARMS LANDSCAPE SERVICE CONTRACT

Successfully Managing Property Losses

Dealer and Repair Pollution Liability Application

(4) "Costs" means actual expenses incurred, paid, and documented.

Type II Lump Sum Program with Household Goods Shipment U.S. Domestic Policy

Borough of Highland Park Housing Authority 242 South 6 th Avenue Highland Park, NJ Phone: (732) Fax: (732)

DEBRIS REMOVAL. Frequently Asked Questions

Consolidated Debris Removal Program Frequently Asked Questions

Sales and Use Taxes Real Property and Services to Real Property. Eric K. Wayne, Sales & Use Tax Director March 30, 2017

Exhibit E Additional Provisions

MOTOR FUELS UNDERGROUND STORAGE TANK TRUST FUND DEPARTMENT OF ENVIRONMENTAL QUALITY STATE OF LOUISIANA

SENATE, No. 806 STATE OF NEW JERSEY. 217th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2016 SESSION

SUNY Procedure 7554 and Insurance Forms

August 19, 2016 AUTOS AND BUSES

Notice to Building Official of Use of Private Provider Effective April 1 st, Project Name: Parcel Tax ID:

BUREAU OF WASTE MANAGEMENT. DIVISION OF MUNICIPAL and RESIDUAL WASTE GENERAL PERMIT WMGR147

PACE PROGRAM DESCRIPTION AND GUIDELINES

Audit Report Department of Conservation and Natural Resources Division of Environmental Protection 2011

Lawn and Garden Maintenance, Tree and Shrub Services

DEBRIS REMOVAL. Frequently Asked Questions

SAMPLE REAL ESTATE CLOSING RETAINER LETTER subject to change without notice

Financial Statements December 31, 2018 Pinnacle Homeowners Association

HIGHLIGHTS. March 2, T. Bert Fletcher, CPA, CGMA City Auditor


Any environmental surveys/assessments/audits conducted within the past at any of the locations to be considered

PETROLEUM UNDERGROUND STORAGE TANK RELEASE COMPENSATION BOARD OHIO REVISED CODE

REQUEST FOR PROPOSAL SNOW / ICE REMOVAL HARTLAND CONSOLIDATED SCHOOLS HOWELL, MICHIGAN 48843

CRAFT FARMS LANDSCAPE SERVICE CONTRACT

12 th Revised SHEET NO. 3. EPCOR Water Arizona, Inc. Cancelling 11 th Revised SHEET NO. 3. (Name of Company) Paradise Valley Water District (Name of S

State of New York: Department of Environmental Conservation

Individual Sewage Treatment System (ISTS) Loan Program Information and Application Procedure

2019 E JIF Risk Management Plan. New Jersey Municipal Environmental Risk Management Fund

t Terms and Conditions

Cover section: Buildings

Sarasota County. A Property Owner's Guide to Mandatory Sewer Connection Phillippi Creek Septic System Replacement Program (Gravity Sewer System)

Lawn and Garden Maintenance, Tree and Shrub Services

Building Facade Improvement Program GUIDELINES

CITY OF PORTLAND, TEXAS

Transcription:

New Jersey Department of Environmental Protection Site Remediation Program INSTRUCTIONS FOR PETROLEUM UNDERGROUND STORAGE TANK REMEDIATION, UPGRADE AND CLOSURE FUND Unregulated Leaking Tanks (Including Residential Heating Oil Tank) GENERAL INFORMATION On August 30, 1997, the Petroleum Underground Storage Tank Remediation, Upgrade and Closure Fund (UST Fund) was established. The program is within the New Jersey Economic Development Authority (NJEDA), and administered jointly by the New Jersey Department of Environmental Protection (NJDEP) and the NJEDA. The UST Fund provides financial assistance in the form of loans and grants to eligible owners and operators for the remediation of discharges of residential and other unregulated petroleum underground storage tanks, and for the closure, and remediation of State regulated petroleum underground storage tanks. ELIGIBLE APPLICANTS Owners, operators, homeowners, renters, tax-exempt, 501(c)(3) non-profit organizations with less than 100 paid employees, independent institutions of higher education, public entities and duly incorporated volunteer fire, ambulance, first aid, emergency or rescue companies with an unregulated leaking petroleum underground storage tank are eligible. Unregulated heating oil tanks include all residential heating oil tanks and all non-residential underground storage tanks containing heating oil used for onsite consumption with an aggregate capacity of 2000 gallons or less and non-commercial farm or residential with less than 1100 gallons of motor fuel, the volume of which is 10 percent or more below the ground. If during the course of remediation there is a transfer of property ownership, the applicant and the prospective purchaser must enter into a written agreement that is signed by both parties, which states that the seller will remain as the financially responsible party for the remediation, as well as maintaining responsibility for performing the remediation until a No Further Action letter is issued by the NJDEP. If the property involved in the transfer is not the primary or part-time residence of the applicant, a five year lien will be placed on the property and therefore a separate agreement must be executed between the applicant (seller) and purchaser indicating that the purchaser agrees to allow the lien to be placed on the property. This agreement also must identify who will be responsible for repayment of the balance of the lien should the property be sold again before the five year lien period expires. The lien requirement is discussed further under "Application Process", below. All applicable agreements described above are required for the applicant (seller) to maintain UST Fund eligibility after transfer of the property in question occurs. Applications for leaking tanks for a homeowner s primary residence, or as of October 1, 2009, tanks located at properties owned by a 501(c)(3) non-profit or incorporated fire, ambulance, first aid, emergency or rescue company, are eligible for reimbursement for remediation costs incurred and paid for before the application is received by the UST Fund. Remediation costs for a commercial property, or a residential secondary or investment property, paid before an application is received by the UST Fund are ineligible by law. However, if the applicant has not paid their contractor for these costs, the applicant is eligible for reimbursement of these costs. FINANCIAL ASSISTANCE Financial assistance is available in the form of grants and loans or a combination of both. Loans may be awarded for up to 100% of eligible project costs up to $2 million per facility. Loans for eligible project costs up to $3 million per facility may be awarded for sites located in an area designated as a Planning Area 1 (Metropolitan), Planning Area 2 (Suburban), a designated center as designated pursuant to the State Planning Act, the Highlands region, or if a discharge from a UST threatens a drinking water source. Public entities are awarded interest free-loans only. A loan term may not exceed 10 years, requires closing fees established by the NJEDA, and may require the establishment of a property lien. Conditional hardship grants may be awarded for up to 100% of eligible project costs, up to $500,000 per site. Grants eligible up to $1,000,000 may be awarded for sites located in an area designated as Planning Area 1 (Metropolitan), Planning Area 2 (Suburban), a designated center pursuant to the State Planning Act, or the Highlands region. The NJEDA determines the applicant s eligibility for loan and/or grant awards after review of an applicant s specific financial information. To be evaluated for a conditional hardship grant, homeowner/unregulated tank applicants must have a taxable income of no more than $250,000 and a personal net worth, exclusive of applicant's primary residence, employer sponsored pension and traditional retirement accounts such as 401K s and IRA s, of no more than $500,000. Business applicants must have a net operating income before taxes of no more than $250,000 and a personal net worth, exclusive of applicant s primary residence, employer sponsored pension and traditional retirement accounts such as 401K s and IRA s, of less than $500,000. Meeting these thresholds does not guarantee an applicant a grant, but it does guarantee that the applicant will be evaluated for a grant. Those applicants not meeting the criteria for financial hardship Instructions for Petroleum UST Remediation, Upgrade and Closure Fund Unregulated Leaking Tanks Page 1 of 6

will be offered a loan rather than a grant. The NJEDA may also be reached at (866)-534-7789, or (609) 777-4898 or at TANKS@NJEDA.com for further questions. 501 (c)(3) non-profit organizations, independent institutions or higher education, and public entities are awarded financial assistance without a financial review. 501 (c)(3) non-profit organizations, must provide a copy of their 501(c)(3) IRS Determination Letters. APPLICATION PROCESS Since the UST Fund is administered jointly by the NJDEP and the NJEDA, a two-step application process is conducted to determine funding eligibility. All UST Fund applications are first submitted to the NJDEP where they are reviewed for completeness, to ensure they meet the minimum technical and statutory eligibility requirements, and that the proposed costs are reasonable. Upon completion the NJDEP will inform applicants with a letter specifying a recommended award amount and stating that the application has been forwarded to the NJEDA. All eligible applications forwarded by the NJDEP to the NJEDA include an authorization to provide funding if the applicant is deemed eligible by the NJEDA. The NJDEP authorization may request NJEDA to hold the recommended funds in escrow pending submission of invoices, or release all or a portion of the total funding request, as appropriate, if work has already been completed and documented. Note that the NJEDA issues a two party check made out to the applicant and their contractor, or a single-party check to the applicant if cancelled checks or other documentation of payment to the contractor is provided. Upon their receipt of the application from the NJDEP, the NJEDA will contact applicants via regular mail with a request for specific financial information and a $250 application fee for homeowner unregulated tank applicants. All commercial properties, residential investment properties and properties owned by 501 (c) 3 non-profit organizations are required to pay a $500.00 application fee. If the applicant is deemed eligible for financial assistance, the NJEDA will issue its closing documents to the applicant for a grant, a loan, or a combination of both. If a grant is awarded by the NJEDA and the property is not the owner s primary or part-time residence, or it is a commercial property, a lien shall be placed against the property for a period of five years. These five year liens decrease by 25% after year two, and by 25% each subsequent year until reaching zero after year five. If a loan rather than a grant is awarded by the NJEDA, and the property is not the owner s primary or part-time residence, a lien shall be placed by the NJEDA against the property for the term of the loan. The applicant has 120 days from the receipt of the notice of approval for the funding to submit to the NJEDA an executed contract for the closure, replacement and remediation of the underground storage tank(s). CONTRACTOR INFORMATION All contractors performing work on unregulated underground storage tanks, including homeowner heating oil tanks, where the work is being funded by the Petroleum Underground Storage Tank Remediation, Upgrade & Closure Fund must be certified in accordance with N.J.A.C. 7:14B-13. A list of NJDEP Certified UST Firms can be found at the UST Fund website at: http://www.nj.gov/dep/srp/finance/ustfund. COST INFORMATION ELIGIBLE PROJECT COSTS All reasonable costs for equipment, work and services associated with the minimal effective system to remove/close a leaking petroleum underground storage tank. Replacement of a leaking homeowner heating oil underground storage tank with an equivalent above-ground storage tank system. Reasonable and necessary consulting, contracting and engineering costs. Limited legal fees incurred directly related to remediation of an environmental discharge (e.g., obtaining necessary offsite access) as determined by the NJDEP. The reimbursement of costs incurred by NJDEP's Emergency Response contractors during an Emergency Response action related to a discharge from a petroleum underground storage tank used to store heating oil for onsite consumption in a residential property, as long as that Emergency Response action took place after October 1, 2009. (Note - NJDEP Emergency Response administrative costs are not eligible) Site restoration costs are limited to the actual area of the remediation of the leaking underground storage tank. Eligible costs for certain site restoration categories are capped at $5,000.00 each. These categories include, but are not limited to: 1. Landscaping Includes lawn restoration, bushes, shrubs, trees, flower beds, edging, mulch, etc. Note that replacement of plantings will not necessarily be with mature plants. Instructions for Petroleum UST Remediation, Upgrade and Closure Fund Unregulated Leaking Tanks Page 2 of 6

2. Hardscaping Includes asphalt and concrete driveways, pavers, brick or concrete walkways, patios, and decorative walls of any construction, as well as loose stone used for decorative purposes. 3. Decking costs Includes the cost to dismantle, remove and replace a portion or the entirety of a deck in order to effectuate a remediation. 4. Pool costs Includes the cost to dismantle, remove and replace a portion or the entirety of a swimming pool in order to effectuate a remediation. Applicant is responsible for obtaining a minimum of three (3) price quotes for any restoration work. In addition, photographs of the conditions prior to, during, and after the remediation must be submitted with any request for restoration costs. INELIGIBLE PROJECT COSTS Costs related to contaminants other than petroleum products. Costs covered by insurance claims or tank service agreements. NJEDA application and NJDEP oversight fees. All costs associated with a discharge from above-ground storage tanks. Costs to convert to other fuels, such as natural gas or propane. Remedial activities that do not comply with the NJDEP Technical Rules for Site Remediation, N.J.A.C.7:26E. Applicant s time spent in planning, administering or supervising the remediation. Preparation of the UST Fund application and administration of the funds. Legal fees/costs not directly associated with remediation as determined by the NJDEP. The installation of a new underground storage tank unless the installation of an above-ground storage tank is not feasible (e.g. local building code or homeowner association rules prohibit the installation of an above-ground storage tank.) The abandonment in place of a leaking tank unless a licensed civil engineer determines that the removal of the UST may weaken or damage the structure of the house. Restoration costs due to contractor negligence. Reimbursement of the costs to repair or replace areas broken up or damaged due to excavators, dump trucks or other equipment not directly related to the remediation. Examples are broken driveways, sidewalks, rutted lawns. Upgrades are not covered - the UST Fund will only reimburse for repair or replacement of what existed prior to the remediation. In general, the UST Fund retains the right to cap or deny other categories of restoration costs that are not directly related to the remedial activities or structural integrity of the home in question. Instructions for Petroleum UST Remediation, Upgrade and Closure Fund Unregulated Leaking Tanks Page 3 of 6

New Jersey Department of Environmental Protection Site Remediation Program INSTRUCTIONS FOR PETROLEUM UNDERGROUND STORAGE TANK REMEDIATION, UPGRADE AND CLOSURE FUND Unregulated Leaking Tanks (Including Residential Heating Oil Tank) APPLICATION INSTRUCTIONS The UST Fund Application package is made up of the following sections and is described in detail below: Section 1. Applicant Information Section 2. Leaking UST Confirmation Section 3. Insurance Policy and Tank Service Agreement Claim Documentation Section 4. Cost Information Section 5. Licensed Site Remediation Program (LSRP) All applicants must submit ONE original and ONE copy of Section 1. APPLICANT INFORMATION. The remaining sections require only the original to be submitted. The completed application and required information should be mailed to the following address: Department of Environmental Protection Bureau of Contract and Fund Management UST Fund Program PO Box 413 Trenton, NJ 08625 SECTION 1. APPLICANT INFORMATION Please fill out applicant name, address and phone numbers, location of leaking underground storage tank, and if applicable, a contact person who will be assisting applicant. A General UST Fund Certification and the UST Fund Grant Certification, must be signed and notarized and submitted with the application. The certifications are included as Attachment A and B, respectively. Non-profit UST Fund applicants must include a Non-profit Organization Certification, included as Attachment C, along with proof of 501(c)(3) federal tax exemption. SECTION 2. LEAKING UST CONFIRMATION In order to confirm that an applicant has a leaking UST and is therefore eligible under the UST Fund leaking tank program, the unregulated tank must have first been removed from the ground and inspected. If after removal and inspection the tank or underground tank piping was found to have holes, corrosion, cracks, or loose piping fittings, an applicant must include that proof with their application. Documentation of the inspection must be provided in the form of the UST Fund application Contractor Leaking Tank Certification Form (included as Attachment D), a report of tank failure from your county or local building, fire or health inspector, and/or photo documentation of same. An NJDEP incident number, tank pressure testing results or soil boring analyses are not acceptable substitutes for the above documentation. If the tank has not yet been removed from the ground and inspected, the NJDEP leaking underground storage tank program will not accept an application. If the tank was removed, inspected and found not to have the above described leak confirmation, a residential applicant should not continue with this application. They should apply for funding under the UST Fund s non-leaking tank program, administered directly by the NJEDA. Information about this program is available on the NJEDA s web-site at: http://www.njeda.com, or by contacting the NJEDA Customer Care Representative at (866) 534-7789, or (609) 777-4898. Please note, the NJEDA non-leaking tank program is only available to residential applicants with non-leaking heating oil unregulated tanks. SECTION 3. INSURANCE POLICY and TANK SERVICE AGREEMENT CLAIMS In accordance with the UST Fund statute, all applicants must file a written notice of claim with their insurance carrier(s), as well as with any companies providing tank service agreements procured through their fuel oil company. When filing the insurance claim, the written notice of claim must list the Petroleum Underground Storage Tank Remediation, Upgrade & Closure Fund, (UST Fund), State of New Jersey, as a beneficiary of the claim to the extent any award of financial assistance is made from the UST Fund. A copy of the notice of claim, along with documentation that the insurance carrier received the notice must be submitted to this office. This procedure Instructions for Petroleum UST Remediation, Upgrade and Closure Fund Unregulated Leaking Tanks Page 4 of 6

must be followed for all insurance policies ever held by the applicant for this property. Claims filed with respect to tank service agreements do not require the UST Fund, State of New Jersey to be named as a beneficiary to said claim. Once a claim has been filed, either a copy of correspondence from the insurance company s claims department acknowledging claim receipt, or a copy of a certified mail return receipt card to the insurance company must be supplied. A final determination of coverage is not required to process the application, but must be provided if and when it becomes available. Responses of non-coverage from brokers/agents are not acceptable. Be advised that any grant/loan award will be contingent upon an applicant s ongoing diligent pursuit of claims against their insurance carriers through all available legal avenues. Failure to do so will result in withdrawal of the application. Alternatively, if there is/was no insurance policy or liability insurance coverage for the subject site, the NJDEP requires the submission of a notarized affidavit attesting to that fact, included as Attachment F. It is important to note that an application will not be processed without the insurance information and documentation required above. Included as Attachment E is the Homeowner Insurance policy and Service Agreement Claims documentation checklist. Please utilize the checklist to insure that Section 3 of the application package is complete. SECTION 4. COST INFORMATION Cost proposals, estimates, and/or invoices are required for funding to be recommended to the NJEDA. The application will not be processed without an adequate scope of work (SOW) and reasonable cost estimate(s) for proposed work, as well as invoices from your contractor for the work that may have already been performed. The contractor s rates will be reviewed to ensure they are consistent with the NJDEP UST Fund Cost Guide. Those rates and costs not in accordance with the UST Fund Cost Guide may be reduced or denied, and would become the responsibility of the applicant. If structural supports are required to properly effectuate the remediation, a certification must be submitted, signed and sealed by a Licensed New Jersey Professional Engineer, stating that the structural supports are necessary to safely and properly effectuate the remediation based on the geological and structural conditions of the property. The pre-existing geological and structural conditions must be noted in this certification. In addition, the specific structural support plan must be outlined. Invoices from the applicant s prime contractor/consultant, as well as direct subcontractor invoices, rental receipts, and/or material purchase receipts must be submitted for funding consideration. Once this documentation confirming that the work has been performed are submitted, disbursements may be recommended. If this documentation is not submitted, the costs may be denied, or they may be considered at a lesser amount in accordance with the UST Fund s reimbursement policies. Although not required, a Project Summary Sheet is recommended to be included to facilitate the processing of your application. The Project Summary Sheet is included as Attachment G. SECTION 5. LICENSED SITE REMEDIATION PROGRAM (LSRP) An LSRP is not required for unregulated petroleum underground storage tanks. However, if an applicant elects to use a LSRP, the applicant must have "Attachment I" completed by the retained LSRP. The original copy of this form must be sent to the Bureau of Case assignment and Initial Notice, and a copy of this form must be attached with the submitted UST Fund application. See http://www.nj.gov/dep/srp/srra/ for more information. Instructions for Petroleum UST Remediation, Upgrade and Closure Fund Unregulated Leaking Tanks Page 5 of 6

New Jersey Department of Environmental Protection Site Remediation Program INSTRUCTIONS FOR PETROLEUM UNDERGROUND STORAGE TANK REMEDIATION, UPGRADE AND CLOSURE FUND Unregulated Leaking Tanks (Including Residential Heating Oil Tank) The Petroleum Underground Storage Tank Remediation, Upgrade and Closure Fund (UST Fund) is a funding program within the New Jersey Economic Development Authority (NJEDA). The UST Fund is administered jointly with the New Jersey Department of Environmental Protection (NJDEP) for applicants with leaking residential or unregulated underground storage tanks (USTs). By following the attached instructions, an applicant will be informed of the necessary documentation that make up a complete UST Fund application package. Please complete the following sections of this application and the corresponding attachments: Section 1. Application information Attachment A General UST Fund Certification Attachment B UST Fund Grant Certification Attachment C Non-profit Organization Certification (if applicable, along with proof of 50l (c)(3) federal tax exemption Section 2. Section 3. Section 4. Section 5. Confirmation of a unregulated leaking petroleum underground storage tank Attachment D Contractor/Local Inspector Leaking Tank Certification Form Insurance policy and tank service agreement claim Attachment E Insurance/Tank Service Agreement Documentation Checklist Attachment F Applicant s Notarized Affidavit (if applicable) Contractor and cost information (including proposals and cost estimates and/ or primary invoices and associated subcontractor invoices.) Attachment G UST Fund Cost Guide (retain as a reference) Attachment H Project Summary Form A copy of the contractor s certification for UST Closure A copy of the contractor s certification for Subsurface Evaluation Contractor's Retainer Agreement (including copy of cancelled check issued for retainer fee) Licensed Site Remediation Program (LSRP) Attachment I LSRP Retention & Dismissal Form All applicants must submit ONE ORIGINAL and ONE COPY of the complete NJDEP UST Fund application to facilitate processing of the funding request. The application will be returned if the original and one copy of the application are not included. The completed application and required information should be mailed to the following address: Department of Environmental Protection Bureau of Contract and Fund Management UST Fund Program PO Box 413 Trenton, NJ 08625 Instructions for Petroleum UST Remediation, Upgrade and Closure Fund Unregulated Leaking Tanks Page 6 of 6